🫘 Engtin nge ka kal pakhat hi ka donate ang? 🫘

Kum 35 mi Roshan-a chu chumi chawhnu khan ka clinic-ah a lo kal a, lungkhamna leh dawhtheihna nei loin a lo kal a. A unaupa hnai ber chu end-stage renal failure a vei a, Roshan chuan a kal pakhat pein a unaupa nunna chhanhim turin a inpeih reng a ni.

"Dr. Priya, ka kidney pakhat chu ka unaupa hnenah pek ka tum ta a ni. Mahse, kal pakhat hmangin ka dam chhung zawng hrisel takin ka awm thei ang em? Nakinah kal natna ka vei dawn em ni? Sri Lanka ramah hian dan anga kal pek dan kalphung hi engtin nge a thawh?" Roshan chuan beiseina mitmeng nen min zawt a.

Roshan-a hnungzang chu ka fawp a, a thutlukna ropui leh mahni hmasial lo tak chu ka lawmpui hle a, heti hian ka sawifiah a: "Roshan, he organ donation i unaupa tana i tih tur hi thil ropui tak a ni tak zet a ni. Tin, lungngai suh, mi pakhat chu kal pakhat chauh hmangin nun hrisel tak, pangngai takin a nung thei a ni. Kidney transplant hi Sri Lanka-ah hian medical regulations khauh tak hnuaiah leh ethical checks hnuaiah tih a ni. Vawiin hian he process zawng zawng leh the entire process chungchang hi kan sawi mai ang thil i fimkhur tur thilte."

🚨 Red Flags Engtikah nge Kidney Surgery neih zawhah Medical Care zawn nghal tur

Donor emaw recipient emaw, kidney pe tawh chuan operation hnua a hnuaia harsatnate hi a tawk a nih chuan damdawi lam pan nghal tur a ni:

• Kidney area-ah natna nasa tak emaw, khawsik emaw a awm.
• Zun chhuahna a tlahniam nghal vat a, a hniam hle.
• Zun chhunga thisen awm emaw, zun laiin a kang emaw.
• Kut, ke emaw, hmai emaw a hring nghal (fluid retention) leh thawk harsa.

Sri Lanka rama kidney transplantation chungchanga dan anga thil awm dan

Sri Lanka-a kal (kidney transplant) hlawhtling hmasa ber chu kum 1985 khan tih a ni a, chuta ṭang chuan surgery 1,500 chuang hlawhtling taka tih a ni tawh a ni.

Sri Lanka rama organ transplant zawng zawng hi Organ Donation Act No. 48 of 1987 hnuaiah tih a ni a, he Act hian organ trafficking a khap tlat a, organ donation hi a duhthusam leh midangte tana thilpek nei vek a nih theih nan a enkawl bawk. Operation apiangin Ethical Committee Approval lak hmasak phawt a ngai.

Tuin nge kal (kidney) pe thei ang?

Kidney donor te hi chi hrang hrangah then theih a ni a:

1. Related Donors: Nu, pa, unau emaw fate. An tissue matching theihna hi a sang hle.
2. Unrelated Donors: Damlo aiawha tlawmngai pawl \hiante emaw, hmelhriat emaw.
3. Paired Exchange hmanga inthlengna:Roshan-a kidney hi a unaupa nen a inmil lo a nih chuan, a hman dan chu donor-te chu a inang lo pair dang nena inthleng a, an pahnih tan kidney inmil tak siam a ni.
4. Deceased/Cadaveric Donor: Mi thluak thi tawh hnen atanga chhungkaw duhdan emaw, a dam laia registered angin emaw taksa peng pek .

Kidney pek dan tur step khat hnu step khatin

Kidney pe duh chuan a hnuaia medical test khauh tak tak hi a nei tur a ni:

1. Damdawi lam endikna:

Thisen density matching, cross-matching , leh kidney function test te an ti thin. A petu hian zunthlum, thisen sang, leh thinlung natna a nei lo tih hriat a pawimawh.

2. Rilru lam Counselling: 1.1.

Psychiatric consultation neih a ni a, chu chu a petu hian a duhthusamin a ti duh em tih te, rilru lamah a chak em tih te, sum leh pai lama nghawng a nei em tih te hriat a ni.

3. Kum bithliah leh remtihna:

Sri Lanka-a kal (kidney) pe tur chuan mipa chu kum 25 aia upa a nih a ngai a, hmeichhia chu kum 30 aia upa a nih a ngai bawk. Donor leh chhungte hnen atanga lehkhaa remtihna lak a ngai bawk.

4. Surgery tih tur: 1.1.

Tunah hian minimally invasive surgery tih dan tlanglawn ber chu Laparoscopy a ni . Hei hian donor tan natna tlem ber a thlen a, hliam tlem ber a thlen a, kar tlemte chhungin donor chu a nun pangngaiah a kir leh thei bawk.

Kidney pakhat hmanga nun theihna risk

Operation hnuah chuan kidney la awm hian a pianphungah a hnathawh chu 30% velin a tipung a, taksa mamawh hna zawng zawng chu a mah chauhin a thawk chhuak vek a ni.

Mahse, hun rei tak chhung atan chuan a hnuaia risk te hi a tlem hle thei a ni:

• Proteinuria: Kal (kidney) hian nasa zawka hna a thawh a ngaih avangin zun atanga protein leakage a awm thei.
• Thisen sang: Kal filtration rate a inthlak avangin thisen sang a sang deuh thei.
• Preeclampsia: Hmeichhiain kal a pe tawh chuan naupai laiin thisen sang a vei theihna a sang deuh thei.

Chuvang chuan kal pek hnuah kum khatah vawi khat tal thisen sang, serum creatinine, leh zun test neih a pawimawh hle.

Tih tur & Tih loh tur

Scientific lam atanga lak chhuah (References) .

• 📚 Kal pek - NHS Organ Donation
• 📚 Kal petu nungte hun rei tak chhunga Damdawi lam rah chhuah - PMC