Umntu othile kusapho lwakho, mhlawumbi nomhlobo wakho, unesifo sezintso. Kunzima kangakanani kuwe ukubabukela besiya kwi-dialysis yonke imihla? Ngoko ke, kuthekani ukuba ungamnika loo mntu ubomi obutsha ngokunikela ngenye yezintso zakho? Esi sisigqibo esikhulu kakhulu. Kwaye yinto entle kakhulu. Ke ngoko, namhlanje siza kuthetha nje ngale nkqubo imangalisayo ebizwa ngokuba yi-kidney donation.
Kuthetha ukuthini ukunikela ngezintso ngokufutshane?
Ngamafutshane, ukunikela ngezintso kukususwa kwezintso ngotyando komnye umntu kuze kufakwe omnye umntu onesifo sezintso.
Khawucinge nje, umntu ophilayo unikela ngesinye sezintso zakhe. Umntu ofileyo engqondweni angazifumana zombini izintso. Umbuzo omkhulu onokuba nawo ngulo, "Ungaphila nentso enye?" Ewe, unako! Umntu onentso enye ephilileyo unokuphila ubomi obude nobunempilo ngaphandle kweengxaki.
Zeziphi iimeko ezinokunyangwa ngokunikela ngezintso?
Ukunikela ngentso kunceda umntu onengxaki yokungasebenzi kakuhle kwezintso . Ukungasebenzi kakuhle kwezintso yimeko apho zombini izintso zakho zingasebenzi kakuhle.
Izintso zezinye zezitho eziphambili zenkqubo yomchamo emzimbeni wethu. Umsebenzi wazo kukucoca inkunkuma kunye namanzi angafunekiyo egazini size sizikhuphe emzimbeni njengomchamo.
Kwakhona, izintso zibaluleke kakhulu ekulinganiseni ii-electrolytes ezifana ne-potassium kunye ne-sodium emzimbeni kunye nokulawula uxinzelelo lwegazi.
Xa izintso zingaphumeleli, amanzi ayaqokelelana emzimbeni, nto leyo ebangela ukudumba kwemilenze (edema). Ulwelo luyaqokelelana lujikeleze imiphunga (pleural effusion) kwaye lujikeleze intliziyo (pericardial effusion). Oku kunokubangela ukuba intliziyo ingasebenzi kakuhle, nto leyo ekhokelela ekusileleni kwentliziyo. Amanqanaba ePotassium nawo anokunyuka kakhulu, nto leyo ebangela ukubetha kwentliziyo okungahambelaniyo (arrhythmias) kwanokufa kwentliziyo ngequbuliso.
Yiyo loo nto ukungasebenzi kakuhle kwezintso kusisifo esibulalayo ngaphandle konyango. Umntu onesi sifo kuya kufuneka afumane i-dialysis ubomi bakhe bonke okanye afakelwe izintso.
Ziziphi iindlela zokunikela ngentso?
Kukho iindlela ezimbini eziphambili zokunikela ngezintso. Nokuba zivela kumntu ophilayo, okanye kumntu osandula ukusweleka (ubuchopho bufile). Kukho iindlela ezahlukeneyo umntu ophilayo anokunikela ngazo. Masichaze oku ngakumbi kule theyibhile.
| Indlela yokunikela | Ingcaciso elula |
|---|---|
| Kwisizalwane esiphilayo (esinxulumene nabantu abaphilayo) | Ukunikela ngentso ngumntu ozalana naye ngegazi (abazali, abantakwabo noodadewabo). |
| Kusuka kumntu ophilayo ongadibaniyo (Ohlala Engadibaniyo) | Ukunikela kumhlobo, iqabane, okanye umntu onganxulumananga naye. |
| Umnikelo Oqondisiweyo | Umnikeli ukhetha ngqo ukuba uza kunika bani izintso zakhe. |
| Utshintshiselwano oluDibeneyo | Oku kuyinkimbinkimbi kancinci. Khawuthelekelele ukuba ufuna ukunikela ngentso kwisalamane sakho, kodwa iindidi zegazi lakho azihambelani. Kwaye ufuna ukunikela ngentso kwesinye isalamane, kodwa azihambelani. Kodwa intso yakho iyafana nesalamane sesibini, kwaye intso yomnye umntu iyafana nesalamane sakho. Emva koko, abanikeli ababini batshintshisana ngezintso. |
| Umnikelo wobubele | Umnikeli akamazi umntu oza kufumana izintso zakhe. Banikela ngenjongo entle yokusindisa ubomi bomntu abangamaziyo ofuna uncedo. |
Ngubani ofanelekileyo ukunikela ngentso esaphila?
Ukunikela ngezintso luxanduva olukhulu. Ngoko ke, umntu onikelayo kufuneka abe sempilweni ngokupheleleyo. Kukho iziqinisekiso ezininzi ekufuneka zifezekiswe.
- Ubudala: Ukuze unikele ngentso, kufuneka ube neminyaka eli-18 ubudala ubuncinane. Kuba umntu omncinci kunoko akanakuvuma ngokusemthethweni isigqibo esikhulu kangaka. Nangona kunjalo, akukho mda wobudala obuphezulu. Kwanomntu oneminyaka engama-90 ubudala osempilweni unokunikela ngentso ngempumelelo.
- Impilo yomzimba:Ugqirha uza kuhlola umzimba wakho wonke. Baza kujonga izinto ezininzi, njengembali yakho yezonyango, ukuba kukho umntu kusapho lwakho okhe waba nesifo sezintso, amayeza owasebenzisayo, kunye nokusebenza kwezintso zakho kunye namanye amalungu omzimba. Abafazi abakhulelweyo abanakunikela ngezintso. Kufuneka babe ne-body mass index (BMI) engaphantsi kwama-35. Abantu abatshayayo okanye abathengisa nge-vape abanakunikela ngezintso. Konke oku kwenzelwa ukuqinisekisa ukhuseleko lomnikeli.
- Impilo yengqondo: Iqela loogqirha liza kujonga impilo yakho yengqondo. Le yingxaki enkulu, emzimbeni nasengqondweni. Baza kuthetha ngoxinzelelo olunokuvela emva kotyando kunye nokukwazi kwakho ukumelana nalo. Iingcali zengqondo kunye nabasebenzi bezentlalo baya kubandakanyeka koku. Ngamanye amaxesha, nabacebisi abakhethekileyo baya kubandakanyeka kule nkqubo ukuqinisekisa ukuba akukho mntu ukunyanzelayo .
Zeziphi iimvavanyo ekufuneka zenziwe ngaphambi kokunikela?
Ngaphambi kokuba uthathe isigqibo sokuba ufanelekile na ukunikela ngezintso, iqela lezonyango liza kwenza uthotho lovavanyo.
- Uvavanyo lwegazi
- Uvavanyo lwe-antibody
- Ukuhlolwa komhlaza okuhambelana nobudala (umz., i-colonoscopy, i-mammogram kunye ne-Pap smear yabasetyhini)
- Uvavanyo lokucinga ngemifanekiso olufana ne-X-ray kunye ne-CT scans
- Uvavanyo olufana ne-EKG kunye novavanyo loxinzelelo lokuzilolonga ukujonga impilo yentliziyo
- Uvavanyo lomchamo ukujonga ukuba izintso ziphilile na
- Uvavanyo loxinzelelo lwegazi oluhlala iiyure ezingama-24
- Uvavanyo lokukhulelwa
Lwenziwa njani utyando?
Utyando lokususa izintso (olubizwa ngokuba yi-'radical nephrectomy') ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu.
Okokuqala, ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo (i-anesthesia eqhelekileyo). Ngoko awuyi kuva ntlungu okanye ungabi nazingqondo. Emva koko, kuya kufakwa i-catheter ye-Foley ukuze kujongwe ukuphuma komchamo wakho.
Ngobuchwepheshe obuphambili bale mihla, olu tyando ludla ngokwenziwa kusetyenziswa indlela yesitshixo (indlela ye-laparoscopic) . Oku kuthetha ukuba endaweni yesithintelo esinye esikhulu, kwenziwa imingxunya emincinci emi-3-5 esiswini sakho. Isixhobo esincinci esinekhamera (i-laparoscope) sifakwa ngesithintelo esinye, sijongwe kwisikrini, kwaye izintso zisuswe kusetyenziswa izixhobo ezincinci ezifakwe kwezinye izithintelo. Le ndlela ibangela ukuphola ngokukhawuleza kunye nokungafumani amanxeba amaninzi.
Izintso ezisusiweyo zithathwa ngokukhawuleza zisiwe kwisigulana esiza kuzifumana, ngokuqhelekileyo kwigumbi lotyando elikufutshane kwisibhedlele esinye, zize zifakwe kwenye indawo.
Kwenzeka ntoni emva kotyando kwaye injani imeko yokuchacha?
Emva kotyando, uza kusiwa kwigumbi lokuchacha ukuze ujongwe. Xa uvuka emva kotyando, uza kuziva udiniwe kancinci. Uza kunikwa amayeza okulawula iintlungu. Ungaqala ukutya nokusela kancinci kancinci.Ukuphuma ebhedini nokuhamba ngokukhawuleza kuyakhawulezisa inkqubo yokuphiliswa.
Ngokwesiqhelo kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu. Emva kokuba ubuyele ekhaya, kubaluleke kakhulu ukuba nomntu oza kukukhathalela ubuncinane iveki.
Kuthatha phakathi kweeveki ezi-4 nezi-6 ukuba umntu aphile ngokupheleleyo aze aqalise imisebenzi yakhe yesiqhelo. Ngeli xesha, kufuneka uphephe ukuphakamisa izinto ezinzima (ezingaphezu kwe-5 kg) nokuqhuba (ubuncinane iiveki ezi-2). Ukuba ungumfazi, uyacetyiswa ukuba uphephe ukukhulelwa ubuncinane unyaka wonke.
Zithini iingenelo kunye neengozi zokunikela ngezintso?
Eyona nzuzo inkulu yoku kukwaneliseka okuvela ekunikeni ubomi komnye umntu. Kwakhona, xa izintso zithathwa kumntu ophilayo, zihlala zisebenza ixesha elide malunga neminyaka eli-15-20 kunokuba zithathwe kumntu oswelekileyo. Umngcipheko wokwaliwa nawo uphantsi.
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Amahlwili egazi
- Usulelo lweebhaktheriya
- I-Hernia
- Amanxeba
Emva kotyando, ukusebenza kwezintso zakho kuya kuncipha ngandlela ithile. Oko kunokuvakala kusoyikisa. Nangona kunjalo, emva kwexesha elithile, izintso zakho eziseleyo ziya kukhula zibe nkulu, zibe namandla, kwaye ziqale ukwenza umsebenzi wabantu ababini. Ngoko ke, akuyi kubakho ngxaki zexesha elide.
Eminye imibuzo embalwa ebalulekileyo
Ngaba ukunikela ngezintso kuyabufinyeza ubomi bakho?
Hayi. Izifundo zibonise ukuba ukunikela ngezintso akubufinyezi ubomi bomnikeli okanye konyuse umngcipheko wokuba nesifo sezintso kwixesha elizayo.
Kuthekani ukuba ndifuna izintso emva kokunikela?
Amathuba okuba oku kwenzeke mancinci kakhulu. Kodwa ukuba kuyenzeka, njengomnikeli wezintso, uza kunikwa ingqalelo ephambili kuluhlu lokulinda lokufakelwa izintso. Uza kufumana izintso kungekudala.
Udinga nini ukubona ugqirha?
Emva kotyando, ukuba ufumana ukopha kakhulu ngenxa yamanxeba, iimpawu zosulelo (umkhuhlane, ukuphuma kwegazi elibi kwinxeba), igazi kumchamo wakho, okanye isiyezi, yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukunikela ngentso sesona sipho sikhulu esinokusindisa ubomi bomntu.
- Ngezintso enye ephilileyo, ungaphila ubomi obude nobusempilweni ngokupheleleyo.
- Ngaphambi kokuba kunikelwe ngezintso, kwenziwa uthotho lovavanyo oluqatha lwezonyango nolwengqondo ukuqinisekisa ukhuseleko lomnikeli.
- Kuthatha ixesha elithile ukuba umntu aphile emva kotyando, kwaye umonde nokuphumla kubalulekile.
- Akukho mthethweni ukufumana imali yokunikela ngezintso. Iindleko zonyango zotyando zihlala zihlawulelwa yi-inshurensi yomntu ofumana loo nyango.
- Ukuba ucinga ngale nto, thetha nogqirha wakho ngaphambi kokuba wenze isigqibo kwaye ufumane ulwazi olupheleleyo malunga nalo lonke ulwazi kunye neengozi.
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