I chhungkuaa mi tu emaw, i thianpa pawhin kal natna a vei a ni mai thei. Nitin dialysis an kal lai en hi i tan engtiang chiahin nge a harsat? Chuti a nih chuan, chu mi chu i kal pakhat pein nun thar i pe thei a nih chuan engtin nge ni ang? Hei hi thutlukna lian tak a ni tak zet a ni. Tin, thil ropui tak a ni bawk. Chuvangin, vawiin hian he thil mak tak, kidney donation an tih hi kan sawi mai dawn a ni.
A awlsam zawngin kidney donation tih hi eng nge ni?
A awlsam zawngin sawi ila, kidney donation chu mi pakhat atanga kal (kidney) surgery hmanga lakchhuah a, mi dang a kal (kidney) a chhiat tawha dah luh a ni.
Mi nung pakhatin an kal pakhat a pe a, chu chu han ngaihtuah teh. Thluak thi tawh chuan kal pahnih a nei thei. Zawhna lian ber i neih theih chu, "Kidney pakhat nen i nung thei em?" Ni e, i ti thei! Kidney hrisel pakhat nei chuan harsatna awm lovin dam rei tak, hrisel takin a nung thei a ni.
Eng dinhmun nge kidney donation hmanga tihdam theih?
Kidney pek hian renal failure vei tan a pui thin . Renal failure hi i kal pahnih a thawk tha lo tihna a ni.
Kan taksa peng lian ber pakhat chu kal (kidney) hi a ni. An hna chu thisen atanga bawlhhlawh leh tui tul lo te filter a, taksa atanga zun anga paih chhuah hi a ni.
Tin, taksaa electrolytes potassium leh sodium te balance nan leh thisen sang control nan kidney hi a pawimawh hle bawk.
Kal (kidney) a fail chuan taksaah tui a pungkhawm a, chu chuan ke a ti na (edema). Lung vel (pleural effusion) leh thinlung chhehvel (pericardial effusion) vel ah tui a lo awm khawm thin. Hei hian thinlung a thawk tha lo thei a, chu chuan thinlung a tichhe thei a ni. Potassium level pawh hlauhawm takin a sang thei a, heartbeat mumal lo (arrhythmias) a thlen thei a, cardiac death rang tak thlengin a thlen thei bawk.
Chuvang chuan kal (kidney failure) hi enkawlna tel lova thihna thlen thei natna a ni. Hetiang natna vei hian dam chhung zawng dialysis a neih a ngai dawn a, a kal (kidney transplant) a neih a ngai dawn a ni.
Kidney pek dan tur engte nge ni?
Kidney pek dan tlangpui pahnih a awm a. Mi nung atanga emaw, tun hnaia thi (brain dead) atanga lo kal emaw pawh nise. Mi nungin thilpek a pek theih dan kawng hrang hrang a awm a. Hei hi he table-ah hian i sawifiah belh leh ang u.
| Thilpek pek dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Chhungte nung (Living Related) atanga lak a ni. | Thisen chhung (nu leh pa, unau)-in kal (kidney) a pek. |
| Mi nung inzawm lo atanga lo kal (Living Unrelated) . | Ṭhian, nupui/pasal, a nih loh leh inzawmna nei lo hnêna thilpêk pêk. |
| Directed Donation pek a ni | Donor chuan an kidney chu tu hnenah nge pek tur tih chiang takin a thlang thin. |
| Paired Exchange hmanga inthlengna | Hei hi a buaithlak deuh a ni. I chhungte hnenah kal (kidney) pek i duh a, mahse i thisen chi hrang hrang a inmil lo ang tih han ngaihtuah teh. Tin, i chhungte dang hnenah kal (kidney) pek i duh a, mahse an inmil lo. Mahse i kal chu i chhungte pahnihna nen a inmil a, midang kal chu i chhungte tan a inmil a ni. Tichuan, donor pahnih hian kidney an inthleng a. |
| Mi dangte tana thilpek pek | Donor hian an kal dawngtu tur chu a hre lo. Mihring hriat loh, tanpui ngai nunna chhanhim tumna ropui tak nen chauh thilpek an pe thin. |
Tute nge dam laiin kal pe thei?
Kidney pek hi mawhphurhna lian tak a ni. Chuvangin a petu chu a hrisel famkim a ngai a ni. Qualification engemawzat a awm a, chu chu tlin ngei ngei tur a ni.
- Kum: Kidney pek tur chuan kum 18 aia tlem lo i nih a ngai . A chhan chu chu aia naupang zawk chuan hetiang thutlukna lian tak hi dan angin a remti thei lo. Mahse, kum bithliah chunglam a awm lo. Kum 90 mi hrisel tak pawhin hlawhtling takin kal (kidney) a pe thei a ni.
- Taksa hriselna: 1.1.Doctor in i taksa pum pui a enfiah ang. Thil tam tak an enfiah ang a, i damdawi lam chanchin te, i chhungte zingah kal natna nei tawh leh awm loh te, damdawi i ei lai te, i kal leh taksa peng dangte hnathawh dan te an enfiah ang. Hmeichhe naupai chuan kal (kidney) an pe thei lo. Tin, body mass index (BMI) 35 aia tlem an neih a ngai bawk a, zu in emaw, vape emaw hmang hian kal an pe thei lo. Heng zawng zawng hi a petu himna tur atana tih a ni.
- Rilru hriselna: Doctor team-in i rilru hriselna an enfiah bawk ang. Hei hi thil lian tak a ni a, taksa leh rilru lamah pawh. Operation hnua stress lo awm thei leh i hmachhawn theih dan chungchang an sawi ang. Hemi kawngah hian Psychiatrist leh social worker-te an tel dawn a ni. A châng chuan, tumahin an nawr loh che tih chian nân special counselor-te pawh he thil kalphungah hian an tel ve ang .
Thilpek pek hmain eng test nge tih tur?
Kidney pek i tlin leh tlin loh an rel hmain medical team chuan test hrang hrang an nei ang.
- Thisen test a ni
- Antibody test a ni
- Kum nena inmil cancer screening (e.g., hmeichhia tan colonoscopy, mammogram leh Pap smear) .
- Imaging test te chu X-ray leh CT scan te a ni
- Lung hriselna enfiah nan EKG leh exercise stress test ang chi test te
- Urinalysis hmangin kal a hrisel em tih enfiah a ni
- Darkar 24 chhung thisen sang test a ni
- Naupai test
Engtin nge surgery hi tih a nih?
Kidney lakchhuahna tur operation (`radical nephrectomy` an tih) hi darkar hnih atanga darkar thum vel a ni tlangpui.
Pakhatnaah chuan anesthesiologist chuan a muthilh vek ang che (general anesthesia). Chuvangin engmah hrehawmna i nei lovang a, i hriatna pawh i nei lovang. Tichuan, i zun chhuah dan enfiah turin Foley catheter dah a ni ang.
Tunlai technology hmasawn tak tak hmang hian he surgery hi keyhole approach (laparoscopic approach) hmanga tih a ni fo thin . Chumi awmzia chu incision lian tak pakhat ai chuan incision tenau tak tak 3-5 vel i pum chhungah siam a ni tihna a ni. Camera (laparoscope) nei instrument te tak te chu incision pakhat hmangin an dah a, monitor-ah an en a, incision dang atanga instrument te tak te dah hmangin kidney chu an la chhuak a ni. Hetiang tih dan hian a dam chak zawk a, hliam a nei tlem zawk bawk.
Kidney lakchhuah chu rang takin a dawngtu damlo hnenah an hruai a, a tlangpuiin damdawi in vek a operation room hnai takah an hruai a, an thlak leh thin.
Surgery hnuah eng nge thleng a, engtin nge a dam leh?
Surgery zawhah recovery room-ah enfiah turin an hruai ang che. Anesthesia atanga i harh chuan i rilru a hah deuh ang. Natna thunun nan damdawi pek i ni ang. Zawi zawiin ei leh in i tan thei.Khum atanga tho a, a rang thei ang bera kal hian damna a ti chak hle.
A tlangpuiin damdawi inah ni hnih emaw ni thum emaw i awm a ngai thin. In haw hnuah kar khat tal enkawltu tur i neih a pawimawh hle.
A dam kim theih nan leh hnathawh pangngai tan leh theih nan kar 4 leh kar 6 inkar a ngai a ni. Hemi chhung hian thil rit (kg 5 aia rit) chawi leh lirthei khalh (kar 2 tal) i pumpelh tur a ni. Hmeichhia i nih chuan kum khat tal naupai loh tur a ni.
Kidney pek hian eng hlawkna leh hlauhawmna nge a neih?
Hei hi a thatna lian ber chu mi dang hnena nunna pek atanga lo chhuak mahni inrintawkna hi a ni. Tin, mi nung atanga kal lak a nih chuan mi thi atanga lak aiin kum 15-20 vel a thawk rei zawk bawk. Rejection risk pawh a hniam zawk.
Surgery dang ang bawkin he surgery hian risk engemaw zat a nei a ni.
- Thisen a chhuak thin
- Bacterial natna hrik kai
- Hernia a ni
- Scarring a awm
Operation hnuah i kal hnathawh chu eng emaw chen a tlahniam ang. Chu chu hlauhawm takin a ri mai thei. Mahse, rei vak lo hnuah chuan i kal la awm chu a lianin a chak zawk ang a, mi pahnih hna chu a thawk tan ang. Chuvangin, hun rei tak chhung harsatna a awm dawn lo.
Zawhna pawimawh dang tlemte
Kidney pek hian i dam chhung a ti tawi em?
No. Zirna atanga a lan dan chuan kal pek hian a petu dam chhung a ti tawi lo va, nakin lawkah kal natna a vei theihna a tipung lo.
Keimah ngeiin kidney ka pek hnuah ka mamawh a nih chuan engtin nge ni ang?
Hetiang thil thleng theihna chance hi a tlem hle. Mahse a lo thleng a nih chuan kidney donor i nih angin kidney transplant waiting list-ah top priority pek i ni ang. Kidney i dawng thuai ang.
Engtikah nge Doctor i hmuh a ngaih?
Surgery zawhah, incision atanga thisen chhuak tam lutuk, natna kai chhinchhiahna (khawsik, hliam atanga tui chhuak rimchhia), i zun a thisen, emaw, luak chhuak emaw i neih chuan doctor hnenah hriattir nghal tur a ni.
Take-Home Thuchah a ni
- Kidney pek hi mi nunna chhanhim thei thilpek ropui ber a ni.
- Kidney hrisel pakhat nen chuan hrisel tak, dam rei tak i nung thei a ni.
- Kidney pek hma hian a petu himna tur atan medical leh psychological test khauh tak tak an nei thin.
- Operation hnua dam leh tur chuan hun engemaw chen a ngai a, dawhtheihna leh chawlh hahdam a pawimawh hle.
- Kidney pek avanga pawisa dawn hi dan kalh a ni. Surgery-a damdawi man hi a dawngtu insurance-in a tum tlangpui.
- Hei hi i ngaihtuah a nih chuan thutlukna i siam hmain i doctor nen inbia la , a thu leh hla zawng zawng leh a hlauhawmna zawng zawng chu kimchang takin hriattir hmasa phawt ang che.
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