Kan taksa peng pawimawh ber pakhat chu kal (kidney) hi a ni. Kan taksaa filter ang mai an ni. Thisen chhunga bawlhhlawh awmte chu an filter a, zun angin an paih chhuak thin. Mahse a chang chuan chhan hrang hrang avangin heng kal pahnih hnathawh hi a tlahniam zauh zauh thei a, a tawp vek thei bawk. Hetiang dinhmun hi kidney failure kan ti a. Chutiang a nih chuan dialysis emaw, kal (kidney transplant) emaw kan tih a ngai a ni. Chuvangin, vawiin hian he kidney transplant hi eng nge a nih leh a chungchanga i hriat tur te kan sawi dawn a ni.
Renal function (eGFR)
Measure kidney function based on creatinine value
A awlsam zawngin, kal (kidney transplant) tih hi eng nge ni?
Kidney transplant chu surgical procedure a ni a, a kal hrisel tak chu lakchhuah a, mahni kal (kidney) tha lo tak tak taksaah dah luh a ni. Chumi hnuah chuan kidney thar chuan taksa atanga bawlhhlawh paih chhuah hna chu a thawk ta a ni. Filter hlui, chhe tawh chu paih a, a thara thlak ang mai a ni.
Chumi atana mamawh kidney hrisel chu kawng lian pahnih hmangin kan hmu thei a ni.
1. Donor nung a\angin: Hei hian mi nung, kal hrisel neiin a duhthusamin an kal pakhat a pe tihna a ni.
2. Deceased Donor: Hei hian thluak thi tawh mahse a taksa peng dang la thawk reng reng hnen atanga kal (kidney) dawn tihna a ni.
Heng method pahnih hi chipchiar deuhin han thlir ila.
| Donor chi hrang hrang | Hrilhfiahna |
|---|---|
| Donor nung tak a ni | Hetah hian kal (kidney) hi mi nung atanga lak chhuah a ni. He mi hi chhungkaw member hnai tak (nu, pa, unaupa), nupui/pasal emaw, thian tha ber emaw a ni tlangpui. Hetianga kidney transplant hmuh hi a hlawhtling hle . Taksain a hnawl theihna chance a tlem hle. Mahse, hetiang donor tling tak hmuh hi a harsa deuh. |
| Donor thi tawh | Hetah hian kidney hi mitthi hnen atanga lak a ni. Heng mite hian an la dam laiin an taksa peng hrang hrang pek an duh thu an sawi a ni mai thei. A nih loh leh, taksa peng pekna hi chhungkaw phalna la hmasain thih hnuah pawh a awm thei bawk. Hetiang chi transplant hi a awm fo thin. |
A pawimawh ber chu kal petu leh a dawngtu inkara inmilna tha tak a awm leh awm loh uluk taka enfiah a ni. Chumi atan chuan thisen chi hrang hrang leh tissue typing dangte hi a pawimawh hle.
Tute nge kidney transplant ngai?
Kidney transplant hi chronic kidney disease hnuhnung ber thleng mek tan ngaihtuah a ni ber . Hei hi end-stage renal failure an ti a. Hetiang dinhmunah hian i kal (kidney) hian bawlhhlawh filter theihna a hloh vek a ni.
A tlangpuiin hetiang damlo tan hian duhthlan tur lian ber pahnih chu:
- Dialysis: Machine hmanga taksa thisen tihfai.
- Kidney Transplant: Kal hrisel tak thlak a ni.
An pahnih zingah hian kidney transplant hi damlo tling tan chuan a tha ber a, dialysis-a inkhung hran ai chuan nun tha zawk, pangngai zawka an nun theihna tur a nih avangin.
Engtin nge kidney transplant i nih theih ang?
Hospital tin hian hei hi tehfung hrang hrang an nei thei a, mahse a tlangpuiin a hnuaia qualification te hi zawm tur a ni:
- Kidney natna hnuhnung ber a nih leh dialysis hmanga enkawl mek.
- Glomerular Filtration Rate (GFR) chu 20 mL/min aia tlem lo a ni.
- Operation hnua zawm tur instruction leh damdawi te hriatthiamna tha tak neih.
- Transplant tuar thei turin taksa leh rilru hriselna tha tak nei rawh.
- Chhungkaw puihna (social support) tha tak neih, enkawltu leh tanpui tur che.
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Check Availability →Engtin nge surgery hi an tih thin?
Mi tam takin hei hi hlau mah se, tunah chuan hei hi khawvelah surgery hlawhtling tak a ni ta. Surgery neih chhung hian doctor-te chuan i pum hnuai lam, dinglam emaw veilam emaw-ah incision te tak te an siam a, kidney thar chu an dah lut thin. Tichuan i bula thisen kalna kawngah an thlunzawm ta a ni. Kidney thar ureter chu i bladder nen a inzawm a ni. Chu chu kidney thar atanga zun siam chhuah chuan i taksa a chhuahsan hun a ni.
"Anih chuan ka kal hlui pahnih kha engtin nge an awm ang?"
A tam zawkah chuan i kal hlui, thawk tha lo chu operation hmangin an la chhuak lo. I taksa chhungah an awm reng a ni. Mahse, natna thenkhat, polycystic kidney disease nei te tan chuan kal hlui te chu lakchhuah a ngai mai thei.
He surgery hi darkar li atanga darkar ruk vel a ni tlangpui .
Operation hnuah eng nge thleng?
Surgery zawhah ni thum vel damdawi inah i awm a ngai dawn a ni. Chumi chhung chuan doctor leh nursing staff ten uluk takin an enkawl ang che.
A chang chuan kidney transplant thar hian hna a thawk tan nghal thin . Mahse hun dangah chuan hna a thawh tan theih nan ni engemaw zat emaw, kar engemaw zat emaw a ngai thei. Chutih lai chuan hun eng emaw chen chu dialysis i tih a ngai mai thei.
A pawimawh ber chu, operation i neih zawhah i dam chhung zawnga ei tur damdawi bik pek i ni ang. Hengte hi immunosuppressive damdawi an ti a .
Heng damdawi te hian i taksa immune system tlem a tihchak loh avangin hna a thawk a ni. Chutiang a nih loh chuan i taksa chuan kal thar chu "ram dang" a ni tih a hre chiang ang a, hnawl a tum ang. Heng damdawi te hian chutiang thil chu a titawp thin. Chuvangin heng damdawi te hi i doctor-in a hrilh ang chiaha ei a pawimawh hle a , ni khat pawh tlai lo.
Surgery hnua nun chu engtin nge a awm?
Kidney transplant hlawhtling tak chu nunah second chance ang a ni. A hma aia chak leh chak zawkin i inhriat tan ang. Dialysis hmanga tihkhawtlai nun atang khan i zalen ang. I duh duh ei leh in turin i zalen ang (a dik e, khapna engemaw zat a awm). Kidney natna nena lo awm thin thisen tlakchham ang chi harsatna pawh a tam zawkin a chinfel theih dawn a ni.
Dam leh huna ngaihtuah tur thil
Recovery period hi kar ruk vel a ni tlangpui . Hemi hun chhung hian heng thilte hi uluk takin enkawl ang che.
- Thil rit chawi suh: Thla hnih tal chu thil rit chawi loh tur.
- Driving: Kar ruk vel chu lirthei khalh loh tur.
- Tui in tam: Ni khata tui litre 2 vel in hi kal thar hriselna atan a tha hle.
- Chaw raw ei loh tur: I taksa hriselna a chak loh avangin sa raw, sangha raw, salad raw, leh egg cooked tha lo ang chi thil ei hian natna i vei theihna a tipung a ni.
- Heng thilte hi ei suh:
- Grapefruit: Grapefruit leh grapefruit tui hian i immune system damdawi te nen an inzawm thei a, chuvangin pumpelh vek rawh.
- Painkillers (NSAIDs): Damdawi dawr atanga i lei theih painkiller thenkhat, Ibuprofen leh Naproxen te hi i kal tan a tha lo thei hle. Damdawi engmah ei loh tur a ni a, eng vang pawha doctor rawn hmasa lovin ei loh tur a ni.
- Vitamin leh herbal supplement thenkhat: Hengte hian i damdawi nen pawh a inzawm thei a, chuvangin supplement eng pawh i hman hmain doctor nen inbiakna neih hmasak phawt ang che.
Engtikah nge Doctor i hmuh a ngaih?
Clinic tlawh reng reng i nei ang. Mahse, a hnuaia symptoms te hi i neih chuan doctor ko nghal la , damdawi in Emergency Department (ETU) ah kal nghal rawh.
- Khawsik 37 Celsius (100 Fahrenheit) aia sang a ni.
- Kidney thlakna hmuna natna thar emaw, natna thar emaw a awm.
- Taksa a hring (edema).
- Flu ang chi ( chills , taksa na, lu na, nausea).
- I zun chhuah zat a tlahniam nghal a nih chuan.
- Symptom danglam emaw, danglam emaw i neih chuan.
Take-Home Thuchah a ni
- End-stage chronic kidney disease nei tan chuan kidney transplantation hi enkawlna hlawhtling tak a ni.
- Mi nung atanga kal (kidney) thlak chhuah hlawhtlinna hi a sang hle.
- Surgery zawhah chuan i dam chhung zawnga taksain kal thar a hnawl loh nan damdawi (immunosuppressants) pek thinte hi ei a pawimawh hle.
- I dam chhung hian i doctor thupek chu uluk takin zawm la, a bik takin diet leh weight lifting chungchangah.
- Vaukhânna chhinchhiahna, khawsik, injection na hmuna natna, emaw, hliam emaw i neih chuan doctor lam pan nghal rawh.
- Kidney transplant hian mahni inrintawkna leh nunphung tha zawk, dialysis tel lova nun a siamsak a ni.
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