Mi nunna chhanhim nan organ pek hi thutlukna ropui tak leh lian tak a ni. A bik takin kal (kidney failure) nei, dam chhung zawnga dialysis tih ngai tan chuan kal hrisel tak pek chu chu mi chu nun thar pek ang a ni. Chuvangin kal (kidney) pek i ngaihtuah a nih chuan he thuziak hi i tan a pawimawh hle ang. Engkim hi awlsam leh friendly takin sawi ila.
Kidney donation leh transplantation tih hi eng nge ni?
A awlsam zawngin, kidney donation surgery-ah hian kidney hrisel pahnih zinga pakhat chu donor, nangmah ang mi pakhat hnen atangin lak a, a kal chak lo taksaah dah a ni. Chumi hnuah chuan kal thar chuan damlo kal hnathawk thei lo pahnih hnathawh chu a luah ta a, chu chu taksa atanga bawlhhlawh filter a ni.
Heng surgery te hi engtiang chiahin nge hlawhtling tih i ngaihtuah mai thei. Dik tak chuan, kidney transplant surgery hlawhtlinna rate hi a sang hle a ni . Donor nung hnen atanga kidney lak chu kum khat hnuah 97% a hlawhtling a ni. Kum nga hnuah pawh hlawhtlinna rate chu 86% vel a ni. Donor thi tawh hnen atanga kidney lak hlawhtlinna hi a hniam deuh hlek a ni.
Kidney transplanted hian eng chen nge a daih? Kum 8 leh 20 inkar chhung chu a thawk tha tlangpui. Hei hi a dawngtu hriselna leh an kal chi hrang hrangah a innghat a ni. Zirna thenkhatah chuan dialysis tan hmaa kal thlak a nih chuan chu kal hmang chuan mi an dam rei zawk tih an hmuchhuak. Hei hi a chhan chu dialysis hi taksaah a buaithlak hle a ni.
Surgery atan engtin nge kan inbuatsaih ang?
Kidney pek hi zan khat thil thua thutlukna siam theih a ni lo. Ngaihtuah chiang tak, hriatna nei taka thutlukna siam a ni.
A hmasain thu tlûkna siam rawh.
He surgery kalpui dan zawng zawng hi a thatna, a chhiatna, a hlauhawmna leh a kalphung zawng zawng i hriatthiam a ngai a ni. I chhungte leh i thiante hnai tak takte nen pawh hemi chungchang hi sawipui rawh. Tin, i doctor nen inbia la, i mamawh zawng zawng chu i hmu vek ang. Transplant center tin hian officer bik an nei a, ani hian donors te chu a fuih thin. Amah biak pawh a pawimawh hle.
Kidney pek tur chuan qualification mamawh a ni
Kidney donate tur chuan heng qualifications te hi i tlin a ngai a ni:
- Kum 18 aia upa a ni tur a ni. Kum bithliah sang ber a awm lo a, mi hrisel kum 70 chunglam pawhin kal an pe thei bawk.
- Kidney hrisel pahnih i nei a.A awm ngei ang.
- Hriselna tha tak nei tur leh natna khirh tak tak , thisen sang , zunthlum , cancer te laka fihlim tur a ni .
- Lung natna thlen theihna tur risk factor a awm lo.
- Hei hi sum leh paia i tih a ni lo va, i duhsakna zawng zawng nena i tih a ni tih i finfiah a ngai a ni .
- Taksa leh rilru endikna kimchang nei turin i inpeih a ngai a ni.
A pawimawh ber chu he kalphung zawng zawngah hian i hriselna leh himna hi kan ngaih pawimawh ber a ni. Risk tlemte pawh i neih chuan doctor-te chuan he surgery hi an phal ngai lovang.
Surgery tih dan tur
Tunah chuan kidney donation surgery tam zawk hi minimally invasive technique hmanga tih a ni tawh. Chumi awmzia chu, incision lian tak pakhat ni lovin, incision tenau engemaw zat hmanga tih a ni tihna a ni. Hei hian dam hun a ti tlem a, natna a ti tlem bawk. Surgery hi darkar 3-4 vel a ni tlangpui. General anesthesia hnuaiah dah i ni ang a, chuvangin operation neih chhungin engmah i hre lo ang.
Surgery hi chi hnih a awm a. An pahnih inthlauhna hi han thlir ila.
| Surgery chi hrang hrang | Hrilhfiahna |
|---|---|
| Open Nephrectomy tih a ni | Surgeon chuan i hnungzang atanga i pum thlengin, i ruh hnuai lam chiah, incision sei tak (inches 5-7 vel) a siam ang. Hei hian awlsam takin kal (kidney) a thlen theih phah dawn a ni. Damdawi inah ni 3-4 vel i awm tlangpui ang. |
| Laparoscopy hmanga enfiah a ni | Kidney hi pum chhunga incision te te 3 vel hmangin lakchhuah a ni a, camera leh instrument te te dah a ni a, hei hi hman tlanglawn ber a ni. A dam rang zawk a, a na a tlem a, damdawi ina awm pawh a rei zawk a, ni 2-3 vel a ni. |
Mahse mi zawng zawng hian laparoscopic surgery an nei thei lo. A hmaa i pum surgery i lo neih tawh chuan, emaw, i taksa dinhmun a tha lo a nih chuan open surgery i neih a ngai mai thei. A châng chuan operation neih lai pawhin laparoscopic aṭanga open surgery-ah i thlak thei bawk. Hei hi i himna tur a ni vek.
Operation hnua dam leh hun chhung
Surgery hnuah recovery room-ah hruai i ni ang. I hriatna i neih leh chuan i kut ah catheter leh IV line pakhat aia tam i nei tih i hmu ang. Catheter hi khum atanga tho lova awlsam taka i zun theih nan dah a ni.
- Ni hmasa ber: I hriatna famkim i neih leh chuan zawi zawiin tui i in tan thei tawh ang. I rilru a buai loh chuan tui atanga tan la, ni khat emaw ni hnih emaw chhungin a pangngaiin ei rawh.
- Natna: Mi zawng zawng hian hrehawmna hi kan tawng inang vek lo. Mahse, zai hnua natna engemaw zat neih chu thil pangngai a ni. IV hmangin painkiller pek i ni ang a, a hnua ei tur pill angin pek i ni bawk ang. Hun kal zelah a natna chu a reh ang.
- Damdawi in atanga chhuak: Ni 2-5 chhungin i haw thei tlangpui. In i haw hnuah pawh kar khat emaw kar hnih emaw chhung chu hrehawmna leh natna engemaw zat i nei thei. Chumi atan pawh chuan doctor chuan painkiller a pe ang che.
- Dam chhuak kim: A dam kim theih nan kar 6-8 vel a ngai thei. Hemi chhung hian kg 5 aia rit (e.g. tui bucket khat, gas cylinder) chawi suh. Painkiller i ei hnua i mutthilh chuan lirthei khalh loh tur.
Fimkhur rawh! I zun-ah thisen emaw, i ke emaw, i kephah emawa natna danglam tak i hmuh chuan doctor ko nghal rawh. Hei hi i kal la awmte chu a thawk tha lo tihna a ni thei.
Kidney donation hian eng hlauhawmna nge a neih?
Surgery lian dang ang bawkin kidney donation surgery hian hlauhawm engemaw zat a keng tel a, mahse hengte hi a thlen theihna a tlem hle.
- Infection: Surgery neihna hmunah emaw, zun kawng emawa infection a awm chuan antibiotics hmanga enkawl a ni.
- Pneumonia: Thâwk thûk taka exercise leh operation hnua khuh hian he hlauhawmna hi a tiziaawm thei a ni.
- Thisen zam: Operation hnua a rang thei ang bera kal hian he hlauhawmna hi a tiziaawm thei a ni.
- Hlauhawm dang hmuh tur awm lo: Anesthesia avanga allergic reaction, lung chhiatna tenau te, leh nerve tihchhiat te hi a tlem hle. Surgical team hi heng zinga eng pawh atan hian an inpeih reng a ni.
Kidney pek hian i dam chhung a ti tawi lo. Zirna thenkhatah chuan donors te dam chhung hi mipui zawng zawng nena khaikhin chuan thla 6 vel chauhin a tawi thei tih hmuhchhuah a ni. Tin, proteinuria leh thisen sang vei theihna a sang deuh thei bawk. Hei vang hian kum tin medical checkup neih a pawimawh hle.
Nau neih hnua nunna
Kidney i pek hnuah chuan nun pangngai, hrisel takin i nung thei tawh ang. I taksaa kal la awm chu a lian deuh ang a, kal chhuah tawh hnathawh chu a thawk tan ang.
- Infiamna: Rugby, football, boxing ang chi contact sports te hi pumpelh a tha ber. Chutiang infiamna i khelh tak tak chuan i kal venhim nan padded vest i ha thei bawk. Chumi chungchang chu i doctor nen sawiho rawh.
- Naupai: Ni e, i rai thei. Mahse operation hnu thla 6 tal nghah a ngai. Naupai lai hian gestational diabetes leh preeclampsia ang chi natna lo awm theihna a sang deuh thei a ni. Chuvangin i gynecologist leh kidney transplant team te nen thawhhona tha tak i neih a ngai a ni.
- Rilru hriselna: Rilru hriselna hi taksa hriselna ang bawkin a pawimawh a. Mi thenkhat chuan he procedure lian tak hnuah hian lungkhamna emaw, lungngaihna emaw an nei thei. Hetiang hian i awm a nih chuan transplant center social worker, counselor emaw i medical team emaw nen inbia ang che. A hluar hle mai.
Take-Home Thuchah a ni
- Kidney pek hi nunna pe thei, ropui leh huaisen taka thutlukna siam a ni. He thutlukna i siam hmain uluk takin hriattir hmasa phawt ang che.
- I himna hi kan ngaih pawimawh ber a ni fo thin. Health check-up uluk tak kan nei ang a, i tana hlauhawm a awm loh chuan operation atan chauh kan refer ang che.
- Operation hnua dam nan hun a duh a ni. Doctor thupek dik takin zawm rawh. Thil rit phurh leh lirthei khalh kawngah fimkhur rawh.
- Kidney pakhat hmang hian nun pangngai, hrisel tak i hmang thei a ni. Mahse, kum khatah vawi khat medical checkup neih ngei ngei tur a ni.
- Rilru hriselna hi taksa hriselna ang bawkin a pawimawh a ni. Rilru a tha lo tih i hriat chuan sawi chhuah hlau suh.
kal pek, kal zai, kal thlak, laparoscopy, laparoscopy, zai, donor
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