Doctor hian "kidney transplant" chungchang a sawipui tawh che em? A nih loh leh i chhungte emaw, i thian emaw zinga tu emaw chuan hetiang thil hi a tih a ngai em? He hming i hriat hian tlem a rit leh hlauthawng tih hi thil pangngai tak a ni. "Surgery" leh "transplantation" tih thumal hi tu nge duh lo ang, a dik em? Mahse, hlau suh. Hemi chungchang hi awlsam takin kan sawi dawn a, Sinhala tawngin i hriatthiam angin, i thianpa nen in inbia ang maiin kan sawi dawn a ni.
A awlsam zawngin, kal (kidney transplant) tih hi eng nge ni?
Kan taksa hi motor angin han ngaihtuah teh. He car hian filter pahnih a nei a, chu chu kan kal (kidney) a ni. Heng filter pahnih hnathawh ber chu kan thisen tihfai leh taksain zun anga a mamawh loh bawlhhlawh leh toxins te paih chhuah hi a ni. Mahse, natna thenkhat avang hian hun kal zelah heng kal pahnihte hnathawh theihna hi a tlahniam zauh zauh a, a tawpah chuan hna an thawk tawh lo vek a ni.
Kidney transplant chu surgical procedure a ni a, mi hrisel tak atanga kal hrisel tak chu i taksaah dahin, kal pakhat emaw pahnih emaw, a thawk tha lo chu a thlak a ni. Car atanga filter hlui leh bawlhhlawh tak tak lakchhuah a, a thar dah ang mai a ni. He kidney thar hian i taksa chhunga thisen awm tihfai hna chu a chelh ta a ni .
Engtin nge kal thar i neih theih ang? (Thilpek petu chi hrang hrang) .
Kal hrisel kan neih theih dan tur kawng lian pahnih a awm a. Hei hi a pawimawh hle.
| Donor chi hrang hrang | Hei hian eng nge a awmzia? |
|---|---|
| Donor nung tak a ni | Chumi awmzia chu mi hrisel chuan duhsak takin an kal pakhat chu i hnenah a hlan tihna a ni. Hei hi chhungkaw member (nu, pa, unau), nupui/pasal emaw, thian hnai tak emaw a ni tlangpui. Hetiang hmanrua hi a hlawhtling hle a, a chhan chu kal (kidney) hi taksa nena inmil tawk tak a nih vang a ni. Mahse, hetiang donor hi hmuh a harsa deuh. |
| Donor thi tawh | Hei hi thluak thi tawh atanga lak chhuah kidney a ni. Chu chu accident ang chi thil avanga thi tawh, mahse a kal (kidney) dinhmun tha tak nei mi pakhat tihna a ni. Mi tam takin an la dam chhungin an taksa peng pe turin remtihna an pe tawh a ni. A nih loh leh hetiang hi an chhungte phalna la a thleng thin. Hetiang chi transplant hi Sri Lanka ramah chuan a tam ber a ni. |
A pawimawh ber chu a petu leh a dawngtu thisen chi leh tissue chi dangte a inmil em tih enfiah a ni. He matching hi a tha zawk chuan surgery hi a hlawhtling zawk dawn a ni.
Engvangin nge kal transplant hi a tul?
Kidney transplant hi i kal (kidney) hnathawh a chawlhsan vek tawh chauhvin ngaihtuah a ni. Hetiang dinhmun hi "end-stage renal failure" an ti a.
Hetiang dinhmunah hian duhthlan tur lian tak pahnih i nei a:
1. Dialysis: Hei hian i taksa atanga i thisen lakchhuah a, bawlhhlawh paih chhuah a, chumi hnuah thisen thianghlim i taksaah dah leh tur a ni. Hei hi kar khatah ni engemaw zat darkar tam tak i tih tur a ni. I nun chu a tam zawk chu chu machine-ah chuan a innghat a ni.
2. Kidney Transplant: Transplant hlawhtling tak i neih hnuah dialysis i mamawh tawh lovang. Nun pangngai i hmang thei ang a, chaw pangngai i ei thei ang a, zalen takin hna i thawk thei bawk ang.
Thil tam takah chuan dialysis tih ai chuan eligible tan chuan kidney transplant hi a tha ber a ni.
Tute nge kal (kidney transplant) neih theih?
Mi zawng zawng hian kal transplant an nei thei vek lo. Qualification thenkhat chu zawm ngei ngei tur a awm. Tin, mi pakhatin a tlin loh chhan engemaw zat a awm bawk. Heng thutlukna te hi doctor team ten uluk taka an enfiah hnua an siam thin a ni.
| Qualifications ngaihtuah tlangpui | Ineligibility chhan awm thei te |
|---|---|
| - End-stage renal disease leh dialysis hmanga enkawl mek. | - Natna dang neih, chu chu thinlung natna khirh tak, thunun theih loh ang chi hi a ni. |
| - Glomerular filtration rate (GFR) 20 aia tlem lo a ni. | - Taksa pum huapa hri kai, tihdam theih loh, darh zau tak neih. |
| - Operation hnua zawm tur thupekte uluk taka hriatthiam theihna. | - Tun hnaia cancer vei hmuhchhuah emaw, enkawl mek emaw. |
| - Taksa leh rilru hrisel tha taka awm. | - Rilru natna khirh tak tak. |
| - Chhungkaw tanpuina tha tak emaw, khawtlang tanpuina tha tak neia enkawl tur leh tanpui tur che. | - Doctor-in damdawi a pek chu a hman dik loh emaw, a thupek zawm loh emaw history neih. |
Kum hi harsatna a ni em? Dik tak chuan kum aia pawimawh zawk chu i hriselna zawng zawng hi a ni. Puitling hrisel tak tak, chak tak takte chu kal (kidney transplant) hi hlawhtling takin an ti tawh a ni.
Engtin nge surgery hi an tih thin?
Hei hi hlauhawm tak angin a lang thei a, mahse tunlai khawvelah hian hei hi surgery hlawhtling tak a ni.
He surgery hi darkar li atanga darkar ruk inkar a ni tlangpui .
Hei hi a ni:
1. Kal thar awmna hmun: I kal hlui, thawk thei lote chu a tlangpuiin lakchhuah a ni lo. I taksaa an la awm chhung hian i doctor chuan i pum hnuai lam, dinglam emaw veilam emaw-ah kal thar chu a dah ang. Chutah chuan dah a nih chuan thisen kalna kawng leh bladder nena inzawm a awlsam zawk.
2. Connection: Kal thara thisen kalna kawng ( arteries leh veins) te hi i kea thisen kalna bulpui te nen an inzawm a. Tichuan kidney thar (ureter) atanga zun phurtu tube chu i bladder nen a inzawm ta a ni.
3. Hna thawh tan: Heng connection te hi a dik taka siam a nih chuan kal thar ah thisen a luang ang a, hna a thawk tan ang a, zun a siam tan ang.
Surgery hnuah ni thum vel damdawi inah i awm ang. Hemi chhung hian medical team chuan i kal thar chu a thawk tha em tih leh harsatna dang a awm leh awm loh en turin uluk takin an lo enfiah ang che. A châng chuan i kal thar hian hna a thawh ṭan theih nân ni engemaw zât emaw, kar engemaw zât emaw a la ngai thei bawk. Hemi chhung hian hun eng emaw chen dialysis i neih a ngai mai thei. Hei hi thil pangngai a ni.
"Kidney rejection" tih hi eng nge ni? Engtin nge a ven theih ang?
Hei hi kidney transplant laia ngaihven tur pawimawh ber a ni.
Kan taksa hian defense system mak tak mai a nei a. Immune System kan ti a. A hna chu taksa pawn lam atanga lo chhuak eng pawh (virus, bacteria ang chi) hriatchhuah a, beih leh tihchhiat hi a ni. Chuvangin, i taksaa kal thar dah pawh nise, i taksa chuan "ram dang thil" angin a hmu a ni. Chuvangin, he defense system hian chu kidney thar chu beih, a nih loh leh "reject" a tum a ni.
He hnawlna hi tihtawp nan doctor-te chuan damdawi bik an pe ang che. Hengte hi immunosuppressive damdawi an ti a . A awlsam zawngin, heng damdawi te hian i immune system a ti slow a, "calm it down" a ti bawk. Hei hian kidney thar a beih loh nan a titawp a ni.
Heng damdawi te hi i dam chhung zawng, i doctor-in a hrilh ang chiah, ni khat pawh tlai lovin i ei a pawimawh hle. Hei hi i kal thar venhimna atana i tih theih tha ber a ni.
Recovery lai hian eng nge ka hriat tur?
A tlangpuiin a dam kim theih nan kar ruk vel a ngai a, mahse hei hi mi hrang hrangah a inang lo. Hemi chhung hian i in enkawl belh a ngai a ni.
Thiltih leh chawlh hahdamna
- Thil rit chawi: Thla hnih tal chu thil rit chawi loh tur a ni. I doctor hnenah eng hna chi nge him a, eng nge him lo tih zawt rawh.
- Driving: Operation hnu kar ruk tal chu lirthei khalh loh tur.
- Sports: Contact sports hi pumpelh vek tur a ni. Kidney thar an tichhe thei a ni.
Ei leh in huna fimkhur tur thil
I immune system a chak loh avangin i ei leh in tur i fimkhur hle a ngai a ni.
- Tui: Ni khatah tui litre 2 tal in tur a ni. Hydrated tha taka awm hi kidney hriselna atan a pawimawh hle.
- Chaw raw: Sa raw emaw, a tui lo emaw, sangha emaw, artui emaw ei loh tur. Chungte chuan natna thlentu a rinawm hle.
- Protein: I dam chhungin i taksa siam that nan protein tamna ei tur (sangha, artui, bawnghnute) ei thin ang che.
- He thei hi hlat rawh: Grapefruit leh grapefruit tui. Chûngte chuan i ei ṭhin damdawi ṭhenkhat nên a inzawm ṭha lo thei a ni.
- Painkillers: Natna tidamtu damdawi engmah, a bik takin nonsteroidal anti-inflammatory drugs (NSAIDS) Ibuprofen emaw Naproxen emaw te hi doctor rawn hmasa lovin ei suh. Hengte hian i kal (kidney) tan a tichhe thei a ni.
- Vitamin leh thlai chi hrang hrang:Doctor rawn hmasa lovin vitamin emaw herbal supplement emaw hmang suh.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
Surgery hnuah clinic-ah i kal fo a ngai dawn a ni. Mahse, i operation laiin a hnuaia symptoms te hi i neih chuan hnawl emaw, infection emaw chhinchhiahna a ni thei. Chuvângin, i doctor emaw, damdawi in emaw hnênah hrilh nghâl rawh .
- Khawsik 100 Fahrenheit (37 Celsius) aia sang a ni.
- Kidney thar thlakna hmunah natna thar emaw, natna thar emaw a awm.
- A hring (edema) a awm.
- Khawsik emaw, flu emaw ang chi, rilru hahna, taksa na, lu na, leh rilru hahna te.
- I zun chhuah zat a tlahniam nghal, nasa takin a tlahniam.
- I hriselna pangngai nena danglam, symptom danglam tak.
Kidney transplanted hian eng chen nge a daih?
Hei hi mi tin a inang lo. Mahse a tlangpuiin, .
- Donor nung atanga lak lak hian kum 12-20 vel a thawk tha hle .
- Donor thi tawh atanga lak lak hian kum 8-12 vel a thawk tha hle .
Mi thenkhat chuan an dam chhungin kidney transplant vawi hnih vawi thum an nei a, nun pangngaiin an hmang thin. Transplant hlawhtling tak i neih hnuah chuan nun hrisel, hlim takin i nung thei a ni. Tunlai technology hmang hian heng surgery te hlawhtlinna hi 90% atanga 95% vel a ni.
Kal natna nena khawsak hi a harsa hle. Mahse kidney transplant hian nun thar leh beiseina thar a pe thei che a ni. Hei hi i hlau a nih chuan hlau suh, i doctor nen inhawng takin sawi rawh. I tana inenkawlna tha ber a hriattir ang che.
Take-Home Thuchah a ni
- Kidney transplant hi dialysis hmanga enkawlna aiin nunphung tha zawk leh zalenna pe theitu a ni.
- Surgery hlawhtlinna atan chuan donor leh recipient inkara match tha tak neih a pawimawh hle.
- I dam chhung zawngin i doctor-in immunosuppressive damdawi a pekte hi ei a pawimawh hle a, ni khat pawh tlai lo.
- Dam leh lai hian ei leh in, natna hrik laka invenna leh damdawi dang ei kawngah te fimkhur hle tur a ni.
- Symptom danglam bik i neih chuan doctor hnenah hriattir nghal rawh. Hlau lo leh i medical team te nen zalen taka inbiakna hmangin result tha ber i hmu thei ang.
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