Nangmah emaw, i hriat mi emaw chuan kal (kidney transplant) i nei tawh a nih chuan nun beiseina thar a ni tak zet a ni. Nun thar a intan ang maiin a lang. Mahse he surgery lian tak hnua a chang chuan a lo awm thei dinhmun kan hriat vek a pawimawh hle. Chu chu taksain kal (kidney) thlak thar chu a " hnawl" tihna a ni. He thumal hi hriat a hlauhawm deuh thei a, mahse dik taka i hriatthiam a, i ngaihven chuan he dinhmun hi a tam zawkah chuan hlawhtling taka enkawl theih a ni. Chuvangin, hemi chungchanga i rilru a zawhna awm zawng zawng hi vawiinah hian i chinfel sak vek ang u.
A awlsam zawngin, kidney rejection chu eng nge ni?
Kan taksa hi ram invenna tha tak nei ang maiin han ngaihtuah teh. He ram hian sipai thiam tak tak a nei a. Chu sipai chu immune system kan ti a . He sipai hna ber chu ram dang thil eng pawh, hrik (bacteria, virus) te hriatchhuah a, beih leh tihchhiat hmanga taksa venhim hi a ni.
Tunah chuan kidney transplant i neih chuan i taksaah hian taksa peng thar, ram dang mi i hmu ta a ni. Donor chu eng ang pawhin i match tha mahse, i taksa "sipai," immune system chuan kidney thar chu "kan zinga pakhat ni lo, hei hi invader a ni" tiin a hmu a ni. Chuvangin, i taksa humhim nan he sipaite hian kal thar chu an rawn bei tan ta a ni. Hei hi "rejection" kan tih chu a ni a, chu chu immune system-in transplanted kidney tihchhiat a tum hian a ni.
Hei hi ven nan doctor-te chuan immunosuppressants , emaw kan tih angin, "anti-rejection drugs" emaw an pe che a ni. Heng ruihhlo te hian chu sipai chakna chu tlem a ti tlem a, ti thlamuang rawh. Tichuan kal thar chu an bei dawn lo.
A pawimawh ber chu kal (kidney rejection) hi khawvel tawpna a ni lo tih hi a ni. A tam zawkah chuan hriat hmasak a nih chuan i doctor chuan i damdawi ei zat thlak danglam emaw, damdawi thar pe emaw hmangin i natna chu a enkawl thei a ni.
Hnawlna chi hnih a awm a.
Kidney rejection hi a thlen hun azirin chi hnihah then theih a ni.
1. Acute Rejection tih a ni
A hming ang bawkin hei hi thil thleng rang tak a ni . Operation hnu kum khatnaah a thleng tlangpui a, a bik takin kar hmasa lamah a thleng thin. Hei hi mi tam zawkin an hlauh chi chu a ni. Mahse a tha ber chu, he hnawlna chi hi tunlai damdawi hmasawn tak tak awmte hmang hian a tam zawk chu enkawl theih a ni .Chuvang chuan kum khatnaah clinic-ah lo kal fo tur leh thisen test tir turin an ti che a ni. Hemi hun chhung hian doctor ten uluk takin an lo vil reng che a ni.
2. Hnawlna rei tak (Chronic Rejection).
Hei hi a danglam deuh hlek a ni. Zawi zawiin a thleng thin a, kum tam tak chhung chu a thleng thin . Phên dangin sawi ila, taksa immune system-in kidney thar chungchangah "war of hurt" a kalpui ang mai a ni. Hun a kal zel a, kal (kidney) chu a chhe tan ta a ni. A symptoms hi a tir lamah a lang lo mai thei. Chuvang chuan clinic-a kal emaw, i damdawi ei emaw kha bansan mai mai chu a tha lo hle a, i surgery atanga kum tam tak a liam tawh a nih pawhin. Thisen test neih fo hi i doctor-in he chhiatna zawi zawia a hriat theihna awmchhun a ni.
Eng symptom nge i fimkhur tur?
Kidney transplant dawngtu i nih angin heng symptoms te hi i hriat chian a pawimawh hle. Chung zinga pakhat tal i tawn chuan i doctor emaw, transplant unit emaw hnenah hriattir nghal rawh . Heng symptoms te hi chhan dang vang pawh a ni thei a, mahse chu chu i doctor kutah a awm.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | 38 degree Celsius (101 Fahrenheit) aia sang khawsik nei. |
| Khawsik ang chi symptoms a awm | Khua a vawt leh khur, taksa na, lu na, leh rilru hah. |
| Kidney awmna hmunah natna | Surgery an tihna hmun, chu chu pum chhunga kal thar awmna hmuna press a nih chuan natna thar emaw, natna thar emaw a awm. |
| Taksa rihna a san thut | Hun rei lote chhunga kg 1-2 aia tam a tihpun thut, darkar 24 chhung (hei hi tui tlakchham vang pawh a ni thei). |
| Zun a tlahniam | Zun tlem emaw, a tlangpui aia tlem emaw. |
| Ankle a hring chhuak | Ke ah a hring a, a bik takin ke ruh chhungah a hring. |
| Chauhna nasa tak a awm | Engmah tih theih loh khawpa chau leh thiltihtheihna nei lo anga inhriatna. |
Mi ṭhenkhat chuan a langsar berah chuan chhinchhiahna an nei lo mai thei tih hre reng ang che . Hnawlna hi chhungril lamah a thleng mai thei. Chuvang chuan i clinic-ah a hun taka kal a, i thisen test neih a pawimawh em em a ni.
Kidney rejection awm chhan ber chu eng nge ni?
Hei hi chhanna tawi ber leh chiang ber chu, "Doctor-in immunosuppressant a pek dik tak ei loh" tih hi a ni.
Hei hi a chhan number 1 a ni. Heng damdawi te hi i taksa chhunga sipai awmte chu thunun theitu an ni. Dose pakhat i skip a, a hun taka i ei loh emaw, doctor hrilh lovin i ei tawh loh emaw chuan thil thleng chu a hmaa thunun tawh sipaite chu an harh leh a, "invader" chu an bei tan ta a ni. Vengtu te mut tir a, kaihthawh leh ang mai a ni.
Chumi piah lamah chuan hrisel lohna thenkhat emaw, taksa hriselna tichaktu hriselna lama harsatna dang emaw avang pawh hian hnawlna a awm thei bawk. Mahse a chhan ber leh ven theih ber chu damdawi ei dik loh hi a ni.
Doctor-te hian engtin nge hei hi an hmuh?
Clinic i kal hunah doctor chuan hei hi a chhui chian theih nan kawng hrang hrang a hmang ang.
- Thisen Test: Hei hi tih dan tlangpui a ni. I thisen a creatinine leh BUN (Blood Urea Nitrogen) te a teh thin.Level hrang hrang a check thin. Chungte chu kan taksaa bawlhhlawh awmte an ni. Kidney-in hna a thawh that chuan hengte hi thisen a\angin a filter a, zunah a paih chhuak \hin. Kidney hnathawh hi tlem pawh a tlahniam chuan thisenah hengte hi a sang chho zel a ni. Hei hi hnawlna chhinchhiahna hmasa ber a ni thei. Hei bakah hian complete blood count (CBC) leh special test a awm a, chu chuan kidney laka antibody a awm leh awm loh enfiah a ni.
- Kidney Biopsy: Hei hi i rinhlelh chuan rejection finfiah nan test tha ber a ni. Hei hian i vunah incision te tak te siam a, needle ang chi hmanraw tha tak tak hmanga i kal thar atanga buhfai chi khat vel zeta lian tissue te tak te chu lakchhuah a ngai a ni. Chumi hnuah microscope hmangin immune cells te hian kidney an bei em tih an enfiah leh thin. Hei hi hlauhthawn tur a ni lo.
Hnawl loh nan thil i tih theihte
Hei hi i doctor nen team game ang mai a ni. Medical team-in theihtawp an chhuah lai hian nang pawhin mawhphurhna lian tak i nei a ni.
- Damdawi, damdawi, damdawi: A pawimawh ber! I doctor-in anti-rejection damdawi a pek chu, a hun dik takah leh a dose dik takah ei la, vawi khat mah ei loh ngai suh . Damdawi chungchanga zawhna i neih emaw, side effect i neih emaw chuan i doctor nen inbia ang che. Damdawi hi mahni chauha ei kha bansan ngai suh.
- Clinic tlawh loh tur: Clinic appointment leh thisen test i pek zawng zawngte chu tel vek ngei ang che. Harsatna i neih loh pawhin heng appointment-a tel hi a pawimawh hle.
- Hrilhfiahna eng emaw a awm chuan report rawh: A chunga kan sawi tak symptoms te hi i neih chuan doctor hnenah hrilh nghal vat la, tihkhawtlai lohvin i doctor hnenah hrilh nghal rawh.
- Nun hrisel: Ei leh in inthlau tak ei rawh. Natna dang zunthlum leh thisen sang i neih chuan uluk taka thunun tur a ni.
- Infection lakah inveng rawh: I kut sil fo la, uluk takin i silfai thin ang che. Damlote lakah inthiarfihlim rawh. Damdawi ei avanga i immune system a chak loh avangin i natna a hlauhawm zawk.
Take-Home Thuchah a ni
- Kidney transplant hnua "rejection" tih thumal i hriat hian hlau suh. Hlawhtling taka enkawl leh enkawl theih a ni fo.
- I tih tur pawimawh ber leh number one chu i doctor-in a pek angin immunosuppressant te hi ei tur a ni a, chaw pakhat mah ei loh tur a ni.
- Clinic appointment leh thisen test te pawh tlawh loh ngai suh. Hengte hi symptoms nei lo mahse a pawimawh hle.
- Khawsik, taksa na, operation na hmuna natna, taksa rihna sang, zun tlem emaw ang chi symptoms i hmuh chuan doctor hnenah hriattir nghal rawh.
- A hriat hma poh leh enkawl a awlsam zawk. Nang leh i medical team te in thawhhona chuan i kal thar chu i humhim thei a, nun hrisel tak i hmang thei bawk.
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