Imizimba yethu yindalo emangalisayo ngokwenene. Nangona kunjalo, kukho ilungu elinye emzimbeni wethu elinokuzivuselela, oko kukuthi, likhule kwakhona. Oko kukuthi, isibindi sethu. Njengokuba umsila we-gecko onqunyulweyo unokuphinda ukhule, ukuba inxalenye yesibindi iyasuswa, loo nxalenye iya kukhula ibuyele kubukhulu bayo obupheleleyo. Ngenxa yale khono imangalisayo, umntu unokunikela ngenxalenye yesibindi sakhe esisempilweni komnye umntu osibindi sakhe singasebenzi kakuhle ngelixa esaphila. Oku sikubiza ngokuba yi- living liver donation .
Yintoni ukunikela ngesibindi esiphilayo?
Ngamafutshane, olu lutyando olubini olwenzeka ngexesha elinye. Olunye lolwemntu ophilileyo (umxhasi) onikela ngesibindi sakhe, nolunye lolwesigulana esinesifo sesibindi (umntu ofumanayo). Ukuba uzinikele njengomxhasi, ugqirha uza kususa inxalenye yesibindi sakho (ngesiqhelo isilayi, okanye ngaphantsi komntwana omncinci) aze ayifake kwesinye isigulana ngoko nangoko.
Into emangalisayo kukuba emva kolu tyando, inxalenye eseleyo yesibindi sakho, kunye nenxalenye yesibindi esatyalwa komnye umguli, ziya kukhula zibuyele kubukhulu bazo obupheleleyo kwiinyanga ezimbalwa. Oko kuthetha ukuba uya kuba nesibindi esinye esisempilweni, isibindi esibini esisempilweni. Ayimangalisi loo nto?
Ngaba ndinganikela ngesibindi sam? Zithini iimfaneleko?
Ukuba unomzimba ophilileyo nesibindi esisempilweni, nawe ungaba ngumnikeli osindisa ubomi. Kodwa oku akuyonto onokuyenza ngequbuliso. Ukuze wenze oku, kufuneka uhlolwe ngokupheleleyo ngugqirha ukuqinisekisa ukuba ufanelekile na koku.
Makhe sijonge ezinye zeempawu ezibalulekileyo. Ukuze uziqonde kakuhle ezi zinto, jonga itheyibhile engezantsi.
| Ukufaneleka | Inkcazo |
|---|---|
| Ubudala | Kufuneka ube phakathi kweminyaka eli-18 nengama-60 ubudala. Abo bancinci okanye abangaphezulu abanalo ithuba lokufaka isicelo. |
| Ukusetyenziswa kweziyobisi notywala | Awunakuba likhoboka lotywala okanye iziyobisi. Ezi zinto zichaphazela ngqo impilo yesibindi. |
| Impilo yomzimba | Kufuneka ube sempilweni entle. Ezinye iimeko zempilo (umz. isifo seswekile, ukutyeba kakhulu, isifo sentliziyo) zenza olu hlobo lotyando lube yingozi. Ukufaneleka kwakho kuya kuvavanywa ngovavanyo lwegazi kunye novavanyo lwentliziyo. |
| Impilo yesibindi | Ungaba nesifo sesibindi nokuba awunazo iimpawu. Yiyo loo nto kwenziwa uvavanyo olukhethekileyo ukuqinisekisa ukuba isibindi sakho siphilile. |
| Impilo Yengqondo | Olu luxanduva olukhulu. Ngoko ke, kufuneka ube sempilweni entle yengqondo. Iqela lezonyango liza kuqinisekisa ukuba uyaziqonda ngokupheleleyo iingozi kunye nokuzincama okubandakanyekileyo, kwaye akukho mntu ukunyanzelayo. |
| Ukungabikho kwemali okanye inzuzo | Akukho mthethweni ukwamkela imali okanye ezinye izipho ngokutshintshiselana ngesibindi. Kufuneka ubonakalise ukuba ukwenza oku ngokuzithandela ngokupheleleyo. |
Le nkqubo yenzeka njani?
Ukuba unomdla wokuba ngumnikeli, kufuneka uqale uthethe nomququzeleli kwisibhedlele esenza utyando lokufakelwa isibindi. Baza kuthatha ulwazi olusisiseko kuwe baze baphendule imibuzo yakho. Ukuba bacinga ukuba ufanelekile, baza kukuthumela esibhedlele ukuze ufumane uvavanyo olongezelelweyo.
Apho kuya kufuneka ubone oogqirha abahlukeneyo abaziingcali.
- Ingcali yokubulala iintlungu
- Ugqirha ochwephesha kwizifo zesibindi (Hepatologist)
- Ugqirha wotyando lokufakelwa izityalo
- Ingcali yezengqondo okanye ingcali yezengqondo
Emva kwazo zonke ezi mvavanyo kunye nodliwano-ndlebe, amaqela amabini ezonyango azimeleyo aza kuhlola isicelo sakho. Elinye iqela liza kujonga ukhuseleko lwakho. Elinye iqela liza kwenza isigqibo sokugqibela sokuba ungumnikeli ofanelekileyo na nokuba ngubani oza kufumana isibindi sakho esinikelweyo.
Ngubani oza kufumana inxalenye yesibindi endinikela ngayo?
Unganikela ngesibindi sakho kumntu omaziyo, umzekelo ilungu losapho. Oku kubizwa ngokuba yi- “Directed Donation.” Kodwa uhlobo lwegazi lakho kunye nobukhulu besibindi kufuneka zihambelane nesigulana.
Khawucinge ukuba omnye wezalamane zakho ufuna isibindi, kodwa uhlobo lwegazi lakho aluhambelani. Kwimeko enjalo, kukho iindlela zokutshintshana ngabanikeli ngokudibana nesinye isibini esingahambelaniyo somnikeli nommkeli, njengawe.
Unganikela ngesibindi sakho kumntu ongamaziyo konke konke. Oku kubizwa ngokuba yi- "Non-directed Donation." Isibhedlele siya kunika isibindi sakho isigulana esifanelekileyo kuluhlu lokulinda. Ungahlala ungaziwa ukuba uyafuna, okanye ungadibana kamva ukuba nobabini nivumelana.
Ungayilungiselela njani utyando?
Nje ukuba wena kunye nomntu oza kuchongwa nikhethiwe, iqela lezonyango liza kudibana nawe ukuze kucwangciswe utyando. Kuya kufuneka uhlale esibhedlele malunga neveki emva kotyando. Kuya kuthatha malunga neeveki ezi-6 ukuba uphile ngokupheleleyo emva kokuba ubuyele ekhaya. Ngoko ke kuya kufuneka ucwangcise kwangaphambili, njengokuthatha ikhefu emsebenzini nokufumana umntu oza kukunceda ngemisebenzi yasekhaya.
Ngaphambi kotyando,
- Yenza utshintsho kwindlela otya ngayo, amayeza, kunye nezinye iindlela zokuphila njengoko ugqirha wakho ekuyalele.
- Fumana i-CT scan okanye i-MRI scan ukuze ufumane nemifanekiso yesibindi ye-3D.
- Sayina amaxwebhu asemthethweni abonisa ukuzimisela kwakho ukuba ngumnikeli.
Kwenzeka ntoni ngexesha lotyando?
Wena kunye nomntu ofumene isibindi niza kuthathwa nisiwe kwigumbi lotyando ngaxeshanye. Ngelixa iqela lotyando elinye lisusa inxalenye yesibindi sakho, elinye iqela lisusa isibindi sesigulane esingasebenzi kakuhle kwaye lilungiselele inxalenye entsha ukuba ifakelwe. Utyando lwakho luza kuthatha malunga neeyure ezi-4-6. Uza kunikwa i-anesthesia jikelele , ngoko awuyi kuva nto.
Utyando lungenziwa ngeendlela ezimbini:
1. Utyando lweLaparoscopic : Le yinkqubo apho ikhamera kunye nezixhobo zifakwa khona ngokusebenzisa imingxunya embalwa emincinci, endaweni yokusika okukhulu. Le ndlela ikhokelela ekupholeni ngokukhawuleza kwaye inciphise amanxeba.
2. Utyando oluvulekileyo lwesisu: Ukuba utyando lwe-laparoscopic alunakwenzeka, olu tyando lwenziwa ngokusikwa kwesisu okuziisentimitha ezi-6-12.
Zithini iingenelo zesi senzo sibalaseleyo?
Kukho amawakawaka ezigulana kwilizwe lethu ezilinde ukufakelwa isibindi. Abanye bakwimeko apho ubomi babo bunokulahleka kwiintsuku ezimbalwa ngenxa yokungasebenzi kakuhle kwesibindi ngequbuliso. Abanye badinga isibindi ngenxa yomhlaza. Ixesha lixabisekile kubo bonke.
Basenokugula ngakumbi ngelixa belinde isibindi esifileyo. Kodwa ukuba kukho umntu ophilayo onikelayo, banokusindisa ubomi ngokuhlela utyando ngokukhawuleza, ngaphandle kokulinda kuluhlu lokulinda.
Ukongeza, njengomntu onikelayo, ufumana ulwaneliseko olukhulu lwengqondo.
- Ukuzithemba kwabo kuyakhula.
- Yongeza intsingiselo enkulu ebomini.
- Uphando lubonise ukuba phantse i-100% yabanikeli bathi bangenza isigqibo esifanayo ukuba banikwa ithuba kwakhona.
Ngaba kukho naziphi na iingozi kolu tyando?
Njengalo naluphi na utyando olukhulu, kukho iingozi ezithile ezibandakanyekileyo. Kodwa khumbula, ukhuseleko lwakho yeyona nto iphambili kwiqela lezonyango. Abayi kukuvumela ukuba wenze utyando nokuba kukho umngcipheko omncinci.
Iingozi eziqhelekileyo ziquka:
- Ukopha
- Ukugabha kwegazi
- Iintsholongwane
- Intlungu emva kotyando
Kukho iingozi ezithile ezinxulumene notyando lwesibindi. Kodwa azixhaphakanga kakhulu. Thetha nogqirha wakho ngale nto ngokukhululekileyo kwaye ubuze nayiphi na imibuzo onokuba nayo.
Linjani ixesha lokuchacha?
Emva kotyando, ubomi bakho buza kubuyela esiqhelweni kancinci kancinci.
- Iveki yokuqala: Kuya kufuneka uhlale esibhedlele. Uza kunikwa izinto ezifana neyeza lokuthomalalisa iintlungu kunye ne-saline. Ungaqala kancinci kancinci ukuhamba nokutya.
- Iiveki 2-3: Uya kukwazi ukuqhuba imoto emva kokuba ubuyele ekhaya.
- Iiveki 2-6: Amanxeba otyando ayaphola.
- Iiveki 6-8: Ungabuyela kwimisebenzi yemihla ngemihla eqhelekileyo.
- Iinyanga ezi-2-3: Isibindi sakho sikhula size sibe sikhulu ngokupheleleyo.
Kulo lonke eli xesha, ugqirha wakho uza kukuxilonga rhoqo aze akunike iingcebiso ezifunekayo.
Umyalezo Wokuya Ekhaya
- Umntu ophilayo nosempilweni unokusindisa ubomi bomnye umntu ngokunikela ngenxalenye yesibindi sakhe. Esi sisenzo esihle kakhulu.
- Inxalenye eseleyo yesibindi sakho kunye nenxalenye etyaliweyo iya kukhula ngokupheleleyo emva kweenyanga ezimbalwa.
- Ukuze ube ngumnikeli, kufuneka ube phakathi kweminyaka eli-18 ukuya kwengama-60 ubudala, usempilweni entle, kwaye ungabi naziyobisi.
- Esi sisigqibo esikhulu, ngoko ke thetha nogqirha wakho ngaso, mamela yonke into esengqondweni yakho, uze wenze isigqibo emva kokuqonda lonke ulwazi.
- Iqela lezonyango liza kukhathalela ukhuseleko lwakho kunye nempilo-ntle yakho kulo lonke eli xesha.
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