I taksaa taksa peng pakhat chauh hmangin mi dang nunna i chhanhim thei ang tih i ngaihtuah ngai em? Tin, chu pawh chu hun rei tak chhunga harsatna thlen lovin? Liver hi chutiang taksa peng mak tak pakhat, theihna danglam tak nei a ni. Liver hian a insiam thar leh theihna thiltihtheihna mak tak a nei a, chu chu a tlem berah pawh a lian zawng zawngah a lo thang leh thei tihna a ni. Hei vang hian mi hrisel chuan an thin (liver) thenkhat chu a thin (liver) a chhiat tawh hnenah a hlan thei a ni. Mak tak mai chu i thilpek i pek hnuah i thin leh i thin (liver) thlak danglam (transplanted part of the liver) te hi thla engemaw zat chhungin liver kimchang leh hrisel tak pahnih ah an lo thang lian ta a ni.
Live donor liver donation chu eng nge ni?
Organ transplant hi mi thi tawhte tih a ni tlangpui. Mahse liver hi taksa peng bik tak a ni. Kan sawi tawh ang khan liver hi taksa peng pakhat chauh a ni a, a insiam thar leh thei a ni . Chuvangin mi hrisel, nung chuan a duhthusamin an thin (liver) thenkhat chu mamawhtu hnenah a pe thei a ni.
A awlsam zawngin, living liver transplant chu operation pahnih, a ruala thleng a ni. Liver petu (donor) tan pakhat, tin, liver dawngtu (recipient) tan pakhat. I liver i donate chuan surgeon chuan i liver thenkhat (a tlangpuiin lobe) a la chhuak thin. Naupang tê têah chuan a te zawk daih. Vawikhat lakchhuah a nih chuan chu a ṭhen chu mi dang taksaah dah luh a ni. He surgery hi a hlawhtlin hnuah chuan i thin (liver) la awm zawng zawng leh midang taksaa dah luh (liver) thenkhat chu thla engemaw zat chhungin a lian leh ta vek a ni.
Ka liver thenkhat pawh ka donate thei ang em?
Ni e, nang leh i thin hi in hrisel ve ve a nih chuan liver donor nung i ni thei a, mi nunna pawh i chhanhim thei a ni. Mahse, i hriat mi pakhat hnenah liver pek chu a theih reng reng lo mai thei. Hei hi a chhan chu i thisen chi leh liver size chu mi ta nen a inmil tur a ni.
Mahse, i thisen chi chu a inmil lo niin han ngaihtuah teh. Chuti chung pawh chuan i tanpui theih dan tur a awm. I liver chu mi hriat loh hnenah i donate thei bawk. Chu chuan waiting list-a mi awm zat a tihtlem phah dawn a ni. Chuvangin, i puih tum mipa nena inmil, donor dang atanga liver dawn theihna chance chu a pung zel a ni.
Liver pek tur hian eng qualification bulpui nge mamawh?
I liver pek tura i inpek hunah chuan doctor-te chuan screening process an kalpui ang che, chu chu i tih dan tur atana i fit tawk em tih leh i tan pawh a him em tih an enfiah ang. Chumi atan chuan thil tul bulpui thenkhat a awm.
| Eligible theihna tur | Hrilhfiahna |
|---|---|
| Kum | Kum 18 leh 60 inkar i ni tur a ni. Chumi aia naupang leh upa zawk chu hemi atan hian thlan an ni lovang. |
| Ruihhlo/zu hman dan | Zu emaw ruihhlo emaw i ngah thei lo, a chhan chu direct-in liver hriselna a nghawng a ni. |
| Taksa hriselna tha | Taksa hriselna tha tak i neih a ngai a ni. Damdawi lam thil thenkhat chuan he surgery chi hi a ti hlauhawm thei hle. Chuvangin thisen test leh heart test te hi surgery atan i tha em tih hriat nan an ti thin. |
| Liver hrisel tak a ni | I liver hi a hrisel a ngai a ni. A chang chuan thin natna hi a lan chhuah lohvin a awm thei bawk. Chuvangin, donation atan i liver chu a hrisel em tih enfiah nan special test an nei thin. |
| Rilru hriselna tha | Rilru hriselna tha tak i neih a ngai a ni. He surgery-a hlauhawmna leh inpekna tur i hriatthiam kim a ngai a ni. Hetiang ti tura nawr luih theih i ni lo. |
| Sum leh pai lama hlawkna awm lo | Organ pek let nan pawisa emaw thilpek dang emaw pawm chu dan kalh a ni. Medical team chuan 100% zeta i duhthusamin i tih a, hlawkna i beisei lo tih an hriat chian a ngai a ni. |
Engtin nge thawhhlawk tak nihna kalphung hi a thawh?
Hetianga tih tan tur hian i awmna hmuna transplant hospital-ah i biak theih a ni. Coordinator pakhat chuan a bia ang che, thu bulpui engemaw zat a la ang a, i zawhnate chu a chhang ang che. Candidate tha takah an ngai che a nih chuan damdawi ina lo kal hun tur an ruat ang a, test dang neih belh leh tur a ni.
Damdawi inah chuan medical test hrang hrang neih a ngai dawn a, specialist hrang hrang i hmuh a ngai dawn a ni. Entir nan:
- Anesthesiologist hmanga enkawltu a ni
- Doctor, thin natna lama tui tak (Hepatologist) .
- Psychiatrist emaw psychologist emaw a ni
- Social worker a ni
- Transplant surgeon a ni
Heng test leh sawihona zawng zawng hi tih zawh a nih hnuah independent team pahnih chuan i dilna chu an enfiah leh ang. Team hmasa ber chuan i himna an en ang . An pawm che chuan recommendation chu liver transplant selection committee hnenah an thawn ang. Chu committee chuan liver transplant atana candidate tha tak i nih leh nih loh leh i liver dawngtu tur chungchangah thutlukna hnuhnung ber a siam ang.
Ka liver part ka pek hi tuin nge dawng ang?
I liver chu i hriat mi pakhat hnenah i pe thei a, entirnan, chhungte emaw, i thian emaw hnenah i pe thei bawk. Hei hi "Directed Donation" tih a ni. Mahse chutiang a nih theih nan chuan i thisen chi leh liver size a inmil tur a ni.
Match i ni lo tih han ngaihtuah teh. Chutiang a nih chuan "Paired Exchange" method hmangin i kal thei ang. Chumi awmzia chu, nang, i liver mamawhtu chu donor dang leh damlo match nei lo nen paired in, donor pahnih chu an inthleng tihna a ni. Chumi awmzia chu i liver chu damlo dang hnenah i pe a, a petu dang chuan i liver chu i damlo hnenah a pe tihna a ni.
Tin, i liver chu mi hriat loh tak hnenah i pe thei bawk. Hei hi "Non-directed Donation" an ti a. Donor atana pawm i nih hnuah chuan damdawi in chuan waiting list atang hian donor tling tak a thlang ang. Hei hi i nihna puanzar lovin i ti thei a ni. A nih loh leh, in pahnih hian in duh chuan hun danga inhmuh theihna option a awm bawk.
Operation hmain engtin nge i inbuatsaih thin?
Nang leh i liver dawngtu tur i thlan zawh chuan transplant team chuan in pahnih hian an inbia ang a, surgery pahnih neih hun tur inang an ruat ang. Date set a nih veleh a tul angin i inbuatsaih thei tawh ang.
- Operation hnuah kar khat vel damdawi inah i awm a ngai dawn a ni.
- In lama i haw hnuah kar ruk vel i chawlh a ngai dawn a ni .
- Chuvângin, hna aṭanga chawlh lak leh i fate enkawltu tûr zawn ang chi chu ruahmanna i siam lâwk a ngai a ni.
Chu bâkah, heng thilte hi i tih a ngai bawk ang:
- Operation hmain ei leh in, leh damdawi chungchanga doctor thupek zawm rawh.
- Liver dinhmun enfiah lehzual tur chuan `CT scan` emaw `MRI` emaw ang chi test te tih tur a ni.
- Liver donor nung nih i duhzia nemnghehna document-ah sign rawh.
Chutih laiin, surgical team chuan i liver chu three-dimensional (3D) image an la a, eng part nge lak chhuah tur tih leh surgery tih dan tur tha ber tur chu uluk takin an ruahman thin.
Surgery neih chhung hian eng nge thleng?
Nang leh liver dawngtu (in inhriat emaw inhriat loh emaw) chu a rualin operation in nei ang. Surgical team pakhatin i liver thenkhat an lakchhuah laiin, team dang chuan midang liver tha lo chu an la chhuak ang a, i liver chu transplantation atan an buatsaih ang.
I surgery hi darkar 4-6 vel a ni ang. Procedure chhung zawng hian general anesthesia hnuaiah i awm dawn a, chuvangin engmah i hre lo ang a, i conscious lo bawk ang.
Surgery hi kawng lian pahnih hmanga tih theih a ni:
1. Laparoscopic surgery: Hei hian i pum chhungah incision tenau tak tak tlemte siam a, camera hmanga surgery tih a ni. Hetiang tih dan hian damna hun a tawi zawk a, a na lo zawk bawk.
2. Open abdominal surgery: He surgery hi laparoscopy tih theih loh laiin pum chhungah incision rei tak siamin tih a ni.
Doctor chuan a hmaa liver section tihfel tawh chu uluk takin a la chhuak a, thisen kalna kawng leh bile duct atanga then hran a ni. Vawikhat lakchhuah a nih chuan transplant team chuan damlo dang hnenah an hruai a, a thisen kalna kawng leh bile duct-te nena inzawm tir hna an thawk tan ta a ni. Chutih lai chuan i doctor chuan i incision te chu a khar a, surgery chu a zo ta a ni.
Hetiang thilpek hian eng hlawkna nge a neih?
Liver transplant nghaktu an tam hle. Ṭhenkhat chu liver failure nghal vangin damdawi inah dah an ni. Midangte chuan hun rei tak chhung thin natna (liver disease) an vei bawk. An zavaia tan chuan hun hi a hlu a ni.
Donor thi tawh hnen atanga liver an nghah lai hian damlo thenkhat chu an na lutuk a, operation an nei thei lo. Ṭhenkhat chu chutih lai chuan an thi pawh a ni thei. Donor nung a awm chuan chu waiting list-ah chuan nghah a ngai lo. Surgery hi rang taka ruahman theih a ni.
Hlawkpuina:
- Damlo tan: Waiting list-a hun khawhral loh, thin hrisel avanga surgery hlawhtlinna tihpun, leh dam rei zawk.
- Thilpek petu (nangmah): Mi dang nunna chhanhimna tur mahni inrintawkna leh rilru hlimna i hmu a ni. Chutiang thawhlawm thawhtu tam tak chuan mahni inngaihhlutna nasa tak an nei niin an sawi. Thutlukna siam nawn leh a ngai a nih chuan chutiang bawk chuan thutlukna an siam ngei ang tih an sawi bawk.
Surgery hian eng nge a hlauhawmna leh a that lohna?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. I doctor chuan hengte hi chiang takin a hrilhfiah ang che.
| Risk chi hrang hrang | Harsatna awm thei te |
|---|---|
| Surgery eng pawha risk awm tlangpui | Thisen chhuak, thisen zam, natna hrik, nerve chhia, lung infection (pneumonia). |
| Liver surgery atana risk bik awm thei | Pum chhunga adhesions, bile ducts tihchhiat, leh incisional hernia te a awm bawk. |
| A tlem hle a, mahse risk lian tak a awm | Liver failure emaw thihna emaw. Report-a a lan danin, donor 500 zinga pakhat (0.2%) thihna hlauhawm a awm. |
| Psychological leh practical lama harsatna awm thei | Surgery result chungchangah lungkhamna, operation hnua natna, dam hun chhunga hnathawhna hmuna kal theih lohna, liver transplant chu a hlawhchham ang tih hlauhna te. |
Ka thin hi vawi engzat nge ka donate theih ang?
Liver donation nung hi dam chhunga vawi khat chauh tih theih a ni. I liver chu a lo thang leh thei a, mahse he surgery hi liver tan chuan harsatna lian tak a ni. Transplant vawi khat hnuah chuan liver chu a dam thei a, i tan a thawk tha thei bawk. Mahse, a vawi hnihna atana surgery ang chiah tih hi liver tan chuan a tawk lo mai thei a, chu chuan i nunna a tichhe nasa hle. Chuvangin, transplant team-te chuan thawhlawm pahnihna pek an rawt ngai lo.
Operation hnua dam leh hun chhung hi engtin nge a awm?
Surgery i neih zawh chuan i nun chu a pangngaiin a lo let leh ang.
- Kar hmasa berDamdawi inah i awm reng a ngai dawn a ni. Hei hi i dam lehna atana harsa ber a ni. Painkiller leh saline pek i ni ang a, kea kal leh ei leh in tur tube pek i ni bawk ang.
- Kar 2-3 hnuah i khalh leh thei tawh ang .
- Cuts chu kar 2-6 chhungin a dam tha hle .
- Kar 6-8 hnuah chuan hna pangngaiah i kir leh thei tawh ang.
- Thla 2-3 chhungin i liver chu a lian zawngin a lo thang leh tawh ang.
- Kum khat chhung zawng chu i surgeon hnenah check-up i neih a ngai ang .
I liver donate hi i thutlukna lian ber leh pawimawh ber pakhat a ni. He thutlukna hi hmanhmawh takin siam suh. Thu i dawn zawng zawng chu ngun takin zir la, i thinlunga i rilru put hmang zawng zawng chu ngaihtuah rawh. A tih dan tur, a hlauhawmna te, a dam leh hun tur te, leh a rah chhuah theih dan te hriatthiamna famkim nei rawh. Zawhna eng pawh, hlauhna eng pawh, hreh lovin i doctor nen sawiho rawh. Medical team te hi i lamah an awm reng tih hre reng la, i himna atan. Thutlukna i siam apiang an zah ang.
Take-Home Thuchah a ni
- Liver hi taksa peng bik a nih avangin a insiam thar leh thei a, chuvangin mi hrisel chuan a dam laiin an thin (liver) thenkhat chu a pe thei a ni.
- I liver pe tur chuan kum 18-60 inkar, hriselna tha leh hrisel tha tak i nih a ngai a ni.
- Hei hi dam chhunga vawi khat tih tur a ni. I liver chu operation atanga thla 2-3 chhungin a lian leh ang.
- Surgery dang ang bawkin risk a awm a, mahse mi pakhat nunna chhanhimna rilru lama lungawina nasa tak pawh a awm bawk.
- Hei hi nangmah chauhva thutlukna siam tur a ni lo. I chhungte nen uluk takin i sawiho tur a ni a, a bik takin i doctor nen in sawiho tur a ni a, thutlukna hnuhnung ber i siam hmain a lam zawng zawng ngaihtuah hmasa phawt tur a ni.











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