Kuika Impso (Living Related Donor) mankhwala kunja,
Kuika impso ndi njira yochitira opaleshoni yoyika impso zathanzi kuchokera kwa wopereka moyo kapena wakufa mwa munthu yemwe impso zake sizigwiranso ntchito bwino.
Impso ndi ziwalo ziwiri zooneka ngati nyemba zomwe zili mbali zonse za msana pansi pa nthiti. Iliyonse ili pafupi kukula kwa nkhonya. Ntchito yawo yayikulu ndikusesa ndikuchotsa zinyalala, mchere, ndi madzi m'magazi ndikupanga mkodzo.
Impso zanu zikalephera kusefa, kuchuluka kwa madzi amadzimadzi ndi zinyalala zimadzaza mthupi lanu, zomwe zimatha kukweza kuthamanga kwa magazi anu ndikupangitsa kulephera kwa impso (matenda omaliza a impso). Matenda a impso omwe amatha kumapeto amapezeka pamene impso zatha pafupifupi 90% yokhoza kugwira bwino ntchito.
Zomwe zimayambitsa matenda a impso kumapeto kwake ndi awa:
Anthu omwe ali ndi matenda a impso kumapeto kwake amafunika kuchotsa zinyalala m'magazi awo kudzera pamakina (dialysis) kapena impso kuti akhale ndi moyo.
Mtengo Womuika Impso kunja
Mtengo wa opaleshoni ya impso kunja kwa dziko ukhoza kusiyana malinga ndi zifukwa zingapo, kuphatikizapo malo a chipatala, zochitika za ogwira ntchito zachipatala, ndi kupezeka kwa impso zopereka. Nthawi zambiri, mtengo wa opaleshoni ya impso kumayiko akunja ndi wotsika kwambiri kuposa mtengo wanjira yomweyi m'maiko aku Western. Mwachitsanzo, mtengo wa opaleshoni ya impso ku India ukhoza kukhala wotsika kwambiri ngati $25,000, pamene mtengo wa ndondomeko yomweyo ku United States ukhoza kupitirira $100,000.
# | Country | Zowonjezera mtengo | Kuyamba Mtengo | Mtengo Wapamwamba |
---|---|---|---|---|
1 | India | $15117 | $13000 | $22000 |
2 | nkhukundembo | $18900 | $14500 | $22000 |
3 | Israel | $110000 | $110000 | $110000 |
4 | Korea South | $89000 | $89000 | $89000 |
Pali zinthu zambiri zomwe zingakhudze mtengo
Kupatsirana kwa impso ndi opaleshoni yofuna kusintha impso (kapena zonse ziwiri) kuchokera kwa wopereka wamoyo kapena wakufa kupita kwa wodwala matenda aimpso aakulu. Impso ndi sefa yachilengedwe ya thupi la munthu popeza cholinga chawo chachikulu ndikuchotsa zinthu zonyansa m'magazi athu. Pamene ena pathologies amataya luso, zikutanthauza kuti wodwalayo akudwala impso kulephera.
Njira ziwiri zokha zochizira impso kulepherakapena matenda omaliza a impso, ndiyenera kukhala nayo dialysis kapena kukhala ndi kupatsirana kwa impso. Popeza ndizotheka kukhala ndi impso imodzi, impso imodzi yathanzi idzakhala yokwanira m'malo mwa impso zonse zomwe zalephera ndikuwonetsetsa kuti wodwalayo akuchira. Impso zoumbiridwazo zitha kukhala zopereka zovomerezeka kapena zopereka zakufa. Akulimbikitsidwa Odwala omwe ali ndi vuto la impso kapena matenda a impso kumapeto kwa nthawi Zofunikira Nthawi ya masiku kuchipatala 5 - masiku 10 Avereji ya kutalika kokakhala kunja Kochepera 1 sabata. Nthawi yopuma Osachepera milungu iwiri.
Asanachite opaleshoni yoika impso kunja, odwala adzafunika kuyezetsa bwino zachipatala kuti adziwe ngati ali oyenera kuchitapo opaleshoniyo.
Kuunikaku kudzaphatikizanso kuyezetsa magazi, maphunziro oyerekeza, ndi mayeso ena owunikira kuti awone thanzi la wodwalayo komanso momwe impso zake zimagwirira ntchito.
Kuonjezera apo, odwala ayenera kupatsidwa uphungu wamaganizo kuti atsimikizire kuti ali okonzeka m'maganizo kuti athandizidwe komanso kuchira.
Wodwalayo atatopa komanso atagona, dokotalayo adzaika impso za woperekayo pamimba kuti athe kulumikizidwa ndi mtsempha wa mitsempha ndi mtsempha wa wolandirayo.
Pambuyo pake, chikhodzodzo ndi ureter zidzawonjezedwa ndipo kathumba kakang'ono kangalowetsedwe kuti kuthe madzi owonjezera omwe amapezeka panthawi yochita opaleshoniyi. Anesthesia Mankhwala ochititsa dzanzi ambiri amafunika.
Kutalika kwa Ndondomeko Pafupifupi maola atatu. Gulu lapadera lazachipatala ndilofunikira pakuchita izi,
Njira yothandizira positi Akachitidwa opaleshoni wodwalayo nthawi zambiri amakhala masiku 1 kapena 2 mchipinda chosamalira odwala asanasamutsidwe kuchipatala. Ndi impso zopereka zopereka, odwala nthawi zambiri amatha kuyimitsa dialysis pambuyo pa opareshoni pomwe impso imagwira ntchito nthawi yomweyo. Ndi impso zopereka kuchokera kwa wodwala matenda zimatha kutenga nthawi kuti impso igwire bwino ntchito.
Impso kumuika odwala amafunika kumwa ma immunosuppressors. Mankhwalawa amafooketsa chitetezo cha mthupi, kuteteza chitetezo cha mthupi kuti chisamenye impso zatsopano. Zotsatira zake, odwala amakhala pachiwopsezo chotenga matenda ndi matenda ena, ndipo amayenera kuwonetsetsa kuti akhale athanzi.
Zovuta zomwe zingachitike Kupweteka pamimba ndi kumbuyo, koma mankhwala adzaperekedwa kuti athetse ululu Kuti athandize kuti mapapu asamayende bwino, wodwalayo angafunsidwe kuti atsokomole Catheter yotulutsa mkodzo kuchokera mu chikhodzodzo idzaikidwa, ndipo izi zimatha kupanga kumva kuti mukufunika kukodza, koma sikukhazikika Kukhazikika komwe kumalowetsedwa nthawi ya opareshoni kumatha kukhala masiku 5 mpaka 10 kenako ndikuyenera kuchotsedwa,
Zotsatirazi ndi zipatala zabwino kwambiri za 10 Pazowonjezera Impso padziko lapansi:
# | Hospital | Country | maganizo | Price | |
---|---|---|---|---|---|
1 | Fortis Flt. Chipatala cha Lt. Rajan Dhall, Va ... | India | New Delhi | $14500 | |
2 | Chipatala cha Medicana International Istanbul | nkhukundembo | Istanbul | $18000 | |
3 | Chipatala cha Fortis Anandapur | India | kolkata | $14500 | |
4 | Chipatala cha Max Super Specialty Patparganj | India | New Delhi | $15000 | |
5 | Chipatala cha Jaypee | India | Noida | $14500 | |
6 | Fortis Hospital Vadapalani | India | Chennai | --- | |
7 | Chipatala cha Fortis Mulund | India | Mumbai | $16000 | |
8 | Chipatala cha Max Super Specialty - Gurgaon | India | Gurgaon | $15000 | |
9 | Chipatala cha Lilavati ndi Center Research | India | Mumbai | $17000 |
Otsatirawa ndi madokotala abwino kwambiri Opatsirana Impso padziko lapansi:
# | DOTOLO | WAPADERA | KUCHipatala | |
---|---|---|---|---|
1 | Dr. Lakshmi Kant Tripathi | Nephrologist | Chipatala cha Artemis | |
2 | Dr.Manju Aggarwal | Nephrologist | Chipatala cha Artemis | |
3 | Dr. Ashwini Goel | Nephrologist | BLK-MAX Super Specialty H... | |
4 | Dr. Sanjay Gogoi | Urologist | Chipatala cha Manipal Dwarka | |
5 | Dr. P. N. Gupta | Nephrologist | Mzipatala za Paras | |
6 | Dr.Amit K. Devra | Urologist | Chipatala cha Jaypee | |
7 | dr. Sudhir Chadha | Urologist | Sir Ganga Ram Hospital | |
8 | Dr.Gomathy Narashimhan | Gastroenterology Hepatologist | Chipatala cha Metro ndi Mtima ... |
Nthawi yochira imakhala pafupifupi masiku 14. Komabe, kusamala kuyenera kutsatiridwa pambuyo pouzika pambuyo pa moyo wonse. Pewani kusewera masewera olumikizirana chifukwa impso zitha kugundidwa koma mutha kuchita zina zolimbitsa thupi kuti mukhale olimba.
Adotolo ndi achipatala azikuthandizani magawo onse. Muyenera kutsatira zodzitetezera ndi mankhwala. Chitani maulendo oyenera. Ngati mukukumana ndi vuto lililonse mukamakonzekera, dziwitsani dokotala posachedwa. Chofunikira kwambiri ndikukonzekera m'maganizo anu ndikubzala. Pewani Kusuta ndi Mowa ndikutsata zakudya zomwe mukufuna.
Kuika Impso ndikotetezeka koma mumakhala pachiwopsezo nako. Pazochitika zilizonse zazikulu zochitidwa opaleshoni nthawi zonse zimakhudzidwa. Zowopsa zina zitha kupewedwa mosavuta potsatira njira zopewera ndi mankhwala.
Mwayi ndi wotsika kwambiri, wotsika kwambiri kotero kuti ndi wopepuka. Ngati yayesedwa kuchuluka, imayimirira 0.01% mpaka 0.04%. Komabe, palibe chitsimikizo kuti woperekayo sangapeze matenda omaliza a impso.
Nthawi zonse pamakhala mwayi woti thupi lanu likane impso za woperekayo, komabe masiku ano mwayi wokana ndi wotsika kwambiri. Kupanga kwatsopano pantchito zamankhwala kwabweretsa mwayi wokana. Chiwopsezo chakukanidwa chimasiyana thupi ndi thupi ndipo ambiri aiwo amatha kuwongoleredwa kudzera mu mankhwala.
Pali mitundu inayi yamagazi: O, A, B ndi AB. Amagwirizana ndi gulu lawo la magazi komanso nthawi zina ndi ena: Odwala AB amatha kutenga impso zamtundu uliwonse. Iwo ndiwo olandira onse. Wodwala amatha kutenga impso kuchokera kwa munthu yemwe ali ndi mtundu wa O kapena A. Odwala B amatha kutenga impso kuchokera kwa munthu yemwe ali ndi gulu la magazi la O kapena B. O odwala amatha kupeza impso kuchokera kwa munthu yemwe ali ndi gulu la O magazi.
Pazopereka zamoyo, mitundu iyi yamagazi imagwirizana:
kotero,
Kumapeto kwa matenda a aimpso ndi vuto limene impso sizikuthanso kugwira ntchito bwino, zomwe zimapangitsa kuti zinyalala zizichulukana ndi poizoni m'thupi.
Matenda a impso ndi nthawi yayitali yomwe impso zimalephera kugwira ntchito pakapita nthawi, zomwe zimapangitsa kuti pakhale zovuta zambiri zaumoyo.
Kukana kumuika kumachitika pamene chitetezo cha mthupi cha wolandirayo chimazindikira chiwalo choikidwacho ngati chachilendo ndikuyesa kuchiukira.
Mankhwala a immunosuppressive ndi mankhwala omwe amapondereza ntchito ya chitetezo chamthupi, zomwe zimathandiza kupewa kukana kukanidwa.
Dialysis ndi chithandizo chamankhwala chomwe chimaphatikizapo kuchotsa zinyalala ndi madzi ochulukirapo m'magazi pamene impso sizithanso kugwira ntchitoyi.
Kuika impso kumapatsa wolandira impso yogwira ntchito, zomwe zimalola thupi kuchotsa zonyansa ndi madzi ochulukirapo m'magazi, ndikubwezeretsanso ntchito yaimpso.
Inde, wopereka wamoyo atha kupereka impso kuti amuike, makamaka wachibale kapena bwenzi lapamtima la wolandirayo.
Ntchito yoika impso nthawi zambiri imatenga maola angapo kuti ithe.
Nthawi yochira pambuyo pa opaleshoni yoika impso imatha kusiyanasiyana malinga ndi wodwala payekha komanso momwe ntchitoyi ikuyendera, koma nthawi zambiri imakhala milungu ingapo yopumula ndi kukonzanso.
Kuchita opaleshoni ya impso kunja kungakhale kotetezeka komanso kothandiza pamene akuchitidwa ndi ogwira ntchito zachipatala odziwa bwino m'zipatala zodziwika bwino. Komabe, ndikofunikira kufufuza mozama zachipatala ndi ogwira ntchito zachipatala musanachite njirayi.
Njira Zosakira ndi Chipatala
Sankhani Zosankha zanu
Sungani pulogalamu yanu
Mukukonzekera moyo watsopano komanso wathanzi
Mozocare ndi njira yopezera zipatala ndi zipatala zothandiza odwala kupeza chithandizo chamankhwala chabwino pamitengo yotsika mtengo. Malingaliro a Mozocare amapereka Health News, Kukonzekera kwatsopano kwamankhwala, Udindo wa Chipatala, Zaukadaulo wa Makampani azaumoyo ndi kugawana kwa Chidziwitso.
Zomwe zili patsamba lino zidawunikiridwa ndikuvomerezedwa ndi Mozocare gulu. Tsambali lidasinthidwa pa 12 Aug, 2023.