Kodi mukudziwa za Living Liver Donation?

Matupi athu ndi olengedwa odabwitsa kwambiri. Komabe, pali chiwalo chimodzi m'thupi lathu chomwe chingadzibwezeretse chokha, ndiko kuti, kukulanso. Ndiko kuti, chiwindi chathu. Monga momwe mchira wodulidwa wa namwali ungamerenso, ngati gawo la chiwindi litachotsedwa, gawo limenelo lidzakulanso kukula kwake konse. Chifukwa cha luso lodabwitsa limeneli, munthu akhoza kupereka gawo la chiwindi chake chathanzi kwa munthu wina amene chiwindi chake chikulephera kugwira ntchito akadali ndi moyo. Ichi ndi chomwe timachitcha kuti kupereka chiwindi chamoyo .

Kodi kupereka chiwindi chamoyo n'chiyani?

Mwachidule, awa ndi maopaleshoni awiri omwe amachitika nthawi imodzi. Limodzi la munthu wathanzi (wopereka) amene amapereka chiwindi chake, ndi lina la wodwala yemwe chiwindi chake chalephera kugwira ntchito (wolandirayo). Ngati mudzipereka monga wopereka, dokotala adzachotsa gawo la chiwindi chanu (nthawi zambiri chidutswa chimodzi, kapena chochepa kwa mwana wamng'ono) ndikuchiyika kwa wodwala wina nthawi yomweyo.

Chodabwitsa n'chakuti pambuyo pa opaleshoni iyi, gawo lotsala la chiwindi chanu, ndi gawo la chiwindi lomwe linaikidwa kwa wodwala wina, lidzakulanso kukula kwake mkati mwa miyezi ingapo. Izi zikutanthauza kuti mudzakhala ndi chiwindi chimodzi chathanzi, ndi ziwiya ziwiri zathanzi. Kodi sizodabwitsa zimenezo?

Kodi ndingaperekenso chiwindi changa? Kodi ziyeneretso zake ndi ziti?

Ngati muli ndi thupi labwino komanso chiwindi chathanzi, inunso mungakhale wopereka chithandizo chopulumutsa moyo. Koma izi si zomwe mungachite mwadzidzidzi. Kuti muchite izi, muyenera kuyesedwa kwathunthu ndi dokotala kuti muwonetsetse kuti ndinu woyenera izi.

Tiyeni tiwone zina mwa ziyeneretso zofunika. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.

Kodi izi zimachitika bwanji?

Ngati mukufuna kukhala wopereka chithandizo, choyamba muyenera kulankhula ndi woyang'anira chipatala chomwe chimachita opaleshoni yoika chiwindi. Adzatenga mfundo zofunika kuchokera kwa inu ndikuyankha mafunso anu. Ngati akuganiza kuti ndinu oyenera, adzakutumizani kuchipatala kuti mukayezedwenso.

Kumeneko mudzayenera kuonana ndi madokotala osiyanasiyana odziwa bwino ntchito.

• Katswiri wa mankhwala oletsa ululu
• Dokotala wodziwa bwino matenda a chiwindi (Hepatologist)
• Dokotala wochita opaleshoni yopatsirana
• Katswiri wa zamaganizo kapena katswiri wa zamaganizo

Pambuyo pa mayeso ndi kuyankhulana konseku, magulu awiri azachipatala odziyimira pawokha adzawunikanso pempho lanu. Gulu limodzi lidzayang'ana chitetezo chanu. Gulu lina lidzapanga chisankho chomaliza ngati ndinu wopereka woyenerera komanso amene adzalandire chiwindi chanu choperekedwa.

Ndani adzalandira gawo la chiwindi lomwe ndipereka?

Mungapereke chiwindi chanu kwa munthu amene mumamudziwa, mwachitsanzo wachibale. Izi zimatchedwa “Directed Donation.” Koma mtundu wa magazi anu ndi kukula kwa chiwindi chanu ziyenera kugwirizana ndi wodwalayo.

Mungaperekenso chiwindi chanu kwa munthu amene simukumudziwa konse. Izi zimatchedwa "Chopereka Chosatsogoleredwa." Kenako chipatalacho chidzapereka chiwindi chanu kwa wodwala woyenera kwambiri pa mndandanda wa oyembekezera. Mutha kukhalabe osadziwika ngati mukufuna, kapena mutha kukumana pambuyo pake ngati nonse mukugwirizana.

Kodi mungakonzekere bwanji opaleshoni?

Inu ndi wolandira chithandizo mukangosankhidwa, gulu lachipatala lidzakumana nanu kuti mukonze nthawi yochitira opaleshoniyi. Muyenera kukhala m'chipatala kwa pafupifupi sabata imodzi mutachita opaleshoniyi. Zimatenga pafupifupi milungu 6 kuti muchire bwino mukapita kunyumba. Chifukwa chake muyenera kukonzekera pasadakhale, monga kutenga tchuthi kuntchito ndikupeza munthu woti akuthandizeni ndi ntchito zapakhomo.

Opaleshoni isanachitike,

• Sinthani zakudya zanu, mankhwala, ndi zina zomwe mumachita monga momwe dokotala wanu walangizira.
• Pezani CT scan kapena MRI scan kuti mupeze zithunzi za 3D za chiwindi.
• Saina zikalata zalamulo zosonyeza kufunitsitsa kwanu kukhala wopereka.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Inu ndi wolandira chiwindi mudzatengedwera ku chipinda chochitira opaleshoni nthawi yomweyo. Pamene gulu limodzi la opaleshoni likuchotsa gawo la chiwindi chanu, gulu lina likuchotsa chiwindi cha wodwalayo chomwe sichikugwira ntchito bwino ndikukonzekera gawo latsopanolo kuti liikidwenso. Opaleshoni yanu itenga pafupifupi maola 4-6. Mudzapatsidwa mankhwala oletsa ululu , kotero simudzamva chilichonse.

Opaleshoniyi ingachitike m'njira ziwiri:

1. Opaleshoni ya Laparoscopic : Iyi ndi njira yomwe kamera ndi zida zimayikidwa kudzera m'mabala ang'onoang'ono ochepa, m'malo mwa kudula kwakukulu. Njirayi imapangitsa kuti munthu achire mwachangu komanso kuti zipsera zichepe.

2. Opaleshoni yotsegula m'mimba: Ngati opaleshoni ya laparoscopic siingatheke, opaleshoniyi imachitika kudzera mu kudula kwa mainchesi 6-12 m'mimba.

Kodi ubwino wa ntchito yabwinoyi ndi wotani?

M'dziko lathu muli odwala masauzande ambiri omwe akuyembekezera kuikidwa chiwindi. Ena ali mu mkhalidwe womwe miyoyo yawo ingatayike m'masiku ochepa chifukwa cha kulephera kwadzidzidzi kwa chiwindi. Ena amafunikira chiwindi chifukwa cha khansa. Nthawi ndi yamtengo wapatali kwa onse.

Angadwale kwambiri akamayembekezera chiwindi chakufa. Koma ngati pali wopereka wamoyo, angapulumutse moyo mwa kukonza nthawi yochitira opaleshoniyo mwachangu, popanda kudikira pa mndandanda woyembekezera.

Kuphatikiza apo, monga wopereka, mumapezanso chikhutiro chachikulu cha m'maganizo.

• Kudzidalira kwawo kumawonjezeka.
• Zimawonjezera tanthauzo lalikulu pa moyo.
• Kafukufuku wasonyeza kuti pafupifupi 100% ya opereka ndalama amanena kuti angapange chisankho chomwecho ngati atapatsidwa mwayi kachiwiri.

Kodi pali zoopsa zilizonse pa opaleshoniyi?

Monga opaleshoni iliyonse yaikulu, pali zoopsa zina zomwe zimakhudzidwa. Koma kumbukirani kuti chitetezo chanu ndicho chinthu chofunika kwambiri kwa gulu lachipatala. Sadzakulolani kuchitidwa opaleshoni ngakhale pali chiopsezo chochepa.

Zoopsa zomwe zimachitika nthawi zambiri zimaphatikizapo:

• Kutuluka magazi
• Kuundana kwa magazi
• Matenda
• Ululu wotsatira opaleshoni

Pali zoopsa zinazake zokhudzana ndi opaleshoni ya chiwindi. Koma sizichitika kawirikawiri. Lankhulani ndi dokotala wanu za izi momasuka ndipo funsani mafunso aliwonse omwe mungakhale nawo.

Kodi nthawi yochira imakhala bwanji?

Pambuyo pa opaleshoni, moyo wanu udzabwerera pang'onopang'ono kukhala wabwinobwino.

• Sabata yoyamba: Muyenera kukhala m'chipatala. Mudzapatsidwa zinthu monga mankhwala ochepetsa ululu ndi saline. Mutha kuyamba pang'onopang'ono kuyenda ndi kudya.
• Masabata 2-3: Mudzatha kuyendetsa galimoto mukabwerera kunyumba.
• Masabata 2-6: Zilonda za opaleshoni zimachira.
• Masabata 6-8: Mutha kubwerera ku zochita zanu za tsiku ndi tsiku.
• Miyezi iwiri kapena itatu: Chiwindi chanu chimakulanso kukula kwake.

Mu nthawi yonseyi, dokotala wanu adzakuyang'anirani nthawi zonse ndikukupatsani malangizo ofunikira.