Ukwelashwa Kwezinso (Living Related Donor) ukwelashwa phesheya,
Ukufakelwa kwezinso kuyindlela yokuhlinza ukufaka izinso ezinempilo kusuka kumnikeli ophilayo noma oshonile kumuntu izinso zakhe ezingasasebenzi kahle.
Izinso ziyizitho ezimbili ezimise ubhontshisi ezitholakala ohlangothini ngalunye lomgogodla ngezansi kwezimbambo. Ngayinye icishe ilingane nenqindi. Umsebenzi wabo omkhulu ukuhlunga nokususa imfucuza, amaminerali, noketshezi egazini ngokukhiqiza umchamo.
Lapho izinso zakho zilahlekelwa yileli khono lokuhlunga, amazinga ayingozi oketshezi nodoti ayaqoqana emzimbeni wakho, okungakhuphula umfutho wegazi lakho futhi kuholele ekuhlulekeni kwezinso (isifo sezinso sesigaba sokugcina). Isifo sezinso sesigaba sokugcina senzeka lapho izinso zilahlekelwe cishe ama-90% amandla azo okusebenza ngokujwayelekile.
Izimbangela ezivamile zesifo sezinso sokugcina zifaka:
Abantu abanesifo se-renal sokugcina badinga ukuthi kususwe imfucuza egazini labo ngomshini (dialysis) noma ukufakelwa izinso ukuze bahlale bephila.
Izindleko Zokufakelwa Kwezinso phesheya
Izindleko zokuhlinzwa kokufakelwa izinso phesheya zingahlukahluka kuye ngezinto eziningi, okuhlanganisa indawo yesibhedlela, ulwazi lwabasebenzi bezokwelapha, nokuba khona kwezinso ezinikelayo. Ngokuvamile, izindleko zokuhlinzwa kokufakelwa izinso kwamanye amazwe ziphansi kakhulu kunezindleko zenqubo efanayo emazweni aseNtshonalanga. Isibonelo, izindleko zokuhlinzwa kokufakelwa izinso eNdiya zingaba ngaphansi kuka-$25,000, kuyilapho izindleko zenqubo efanayo e-United States zingadlula ama-$100,000.
# | Izwe | Izindleko ezilinganiselwe | Izindleko zokuqala | Izindleko eziphakeme kakhulu |
---|---|---|---|---|
1 | India | $15117 | $13000 | $22000 |
2 | igalikuni | $18900 | $14500 | $22000 |
3 | Israel | $110000 | $110000 | $110000 |
4 | INingizimu Korea | $89000 | $89000 | $89000 |
Kunezici eziningi ezingathinta izindleko
Ukufakelwa kwezinso ukuhlinzwa okuhloswe ukushintsha izinso (noma zombili) zisuka kumnikeli ophilayo noma oshonile ziyiswe esigulini isifo sezinso esingamahlalakhona. Izinso ziyisisefo semvelo somzimba womuntu njengoba inhloso yazo enkulu kuwukukhipha ukungcola egazini lethu. Uma kwamanye ama-pathologies elahlekelwa leli khono, kusho ukuthi isiguli sihlushwa ukwehluleka kwezinso.
Okukhethwa kukho okubili kuphela ukuphatha i ukuhluleka kwezinso, noma isifo sezinso sokugcina, kufanele ube dialysis noma ukuba ne- ukufakelwa kwezinso. Njengoba kungenzeka ukuthi uphile ngenso elilodwa kuphela, izinso elilodwa eliphilile lizokwanela ukufaka zombili izinso ezihlulekile nokuqinisekisa ukululama okunempilo kwesiguli. Izinso ezifakwe kabusha zingaba ngumnikeli ophilayo ohambisanayo noma umnikeli oshonile. Kunconyelwe Iziguli ezinenkinga yokuhluleka ukusebenza kwezinso noma isifo sezinso esekugcineni Izidingo zesikhathi Inani lezinsuku esibhedlela 5 - 10 izinsuku Isilinganiso sobude bokuhlala phesheya Ubuncane besonto eli-1. Isikhathi sokuya emsebenzini Ubuncane amaviki ama-2.
Ngaphambi kokuhlinzwa kokufakelwa izinso phesheya, iziguli zizodinga ukuhlolwa okuphelele kwezempilo ukuze kutholwe ukuthi zingabantu abafanelekile yini kule nqubo.
Lokhu kuhlola ngokuvamile kuzobandakanya ukuhlolwa kwegazi, izifundo zezithombe, nokunye ukuhlola ukuze kuhlolwe impilo yesiguli iyonke kanye nesimo sokusebenza kwezinso zaso.
Ukwengeza, iziguli zizodinga ukwelulekwa ngokwengqondo ukuze kuqinisekiswe ukuthi zikulungele ngokomzwelo inqubo kanye nenqubo yokululama.
Ngemuva kokuthi isiguli sizobe singenalutho ngokuphelele futhi silele, udokotela ohlinzayo uzobeka izinso ezinikelayo esiswini esingezansi ukuze zixhunywe emthanjeni we-iliac nomthambo womamukeli.
Ngemuva kwalokhu, kuzokwengezwa isinye ne-ureter bese kufakwa ipayipi elincane ukuze kukhishwe uketshezi oluningi olwenziwe ngesikhathi sokuhlinzwa. I-Anesthesia I-anesthesia ejwayelekile iyadingeka.
Isikhathi sokwenza inqubo emahoreni amathathu. Ithimba lezokwelapha elikhethekile liyadingeka kule nqubo,
Inqubo yokunakekelwa kweposi Ngemuva kokuhlinzwa isiguli siyohlala sichitha usuku olungu-1 noma 2 egumbini labagula kakhulu ngaphambi kokudluliselwa ewadini. Ngezinso ezinikelayo ezinikelayo, iziguli zivamise ukumisa i-dialysis ngemuva kokuhlinzwa njengoba izinso zisebenza khona manjalo. Ngezinso zabanikeli ezivela esigulini sesifo kungathatha isikhathi eside ukuthi izinso zisebenze ngokujwayelekile.
Iziguli ezifakela izinso zidinga ukuthatha ama-immunosuppressors. Le mithi yenza amasosha omzimba abe buthakathaka, ukuvimbela amasosha omzimba ekuhlaseleni izinso ezintsha. Ngenxa yalokhu, iziguli zisengozini yokutheleleka nezinye izifo, futhi kufanele zithathe izinyathelo ezithile zokuzivikela ukuze zihlale ziphilile.
Ukungaphatheki kahle okungaba khona esiswini nasemhlane, kepha kuzonikezwa imishanguzo yokuqeda izinhlungu Ukusiza ukugcina amaphaphu acacile, isiguli singacelwa ukuthi sikhwehlele Ipayipi lokukhipha umchamo esinyeni lizofakwa, futhi lokhu kungadala umuzwa wesidingo sokuchama, kepha awunomphela Umsele ofakwa ngesikhathi sokuhlinzwa ungahlala ezinsukwini ezi-5 kuya kweziyi-10 bese kufanele ususwe,
Okulandelayo yizibhedlela eziyi-10 ezihamba phambili zokufakelwa kwezinso emhlabeni:
# | Isibhedlela | Izwe | imizwa | Inani | |
---|---|---|---|---|---|
1 | I-Fortis Flt. Lt. Rajan Dhall Hospital, Va ... | India | New Delhi | $14500 | |
2 | Isibhedlela iMedicana International Istanbul | igalikuni | Istanbul | $18000 | |
3 | Isibhedlela iManipal Bangalore | India | Bangalore | $15800 | |
4 | Isibhedlela i-Rela | India | Chennai | --- | |
5 | Isibhedlela Somhlaba Wonke iPerumbakkam | India | Chennai | $14000 | |
6 | Isibhedlela iPrimus Super Specialty | India | New Delhi | $16000 | |
7 | Isibhedlela iManipal Dwarka | India | New Delhi | $15800 | |
8 | Izibhedlela zeBGS Global | India | Bangalore | $13500 | |
9 | I-Fortis Flt. Lt. Rajan Dhall Hospital, Va ... | India | New Delhi | $14500 |
Okulandelayo odokotela abaphambili be-Kidney Transplant emhlabeni:
# | DOKOTELA | EZIKHETHEKILE | ISIBHEDLELA | |
---|---|---|---|---|
1 | UDkt Lakshmi Kant Tripathi | Isazi sefilosofi | Isibhedlela sase-Artemis | |
2 | UDkt Manju Aggarwal | Isazi sefilosofi | Isibhedlela sase-Artemis | |
3 | UDkt Ashwini Goel | Isazi sefilosofi | I-BLK-MAX Super Specialty H... | |
4 | UDkt Sanjay Gogoi | Urologist | Isibhedlela iManipal Dwarka | |
5 | UDkt P. N Gupta | Isazi sefilosofi | Izibhedlela zeParas | |
6 | UDkt Amit K. Devra | Urologist | I-Jaypee Hospital | |
7 | UDkt Sudhir Chadha | Urologist | ISir Ganga Ram Hospital | |
8 | UDkt Gomathy Narashimhan | I-Gastroenterology I-Hepatologist | Isibhedlela iMetro kanye nenhliziyo... |
Isikhathi sokutakula esimaphakathi cishe izinsuku eziyi-14. Kodwa-ke, kufanele kulandelwe izinyathelo zokuqapha ngemuva kokufakwa kabusha kokufakelwa impilo yonke. Gwema ukudlala imidlalo yokuxhumana njengoba indawo yezinso ingashaywa kepha ungenza omunye umsebenzi womzimba ukuzigcina ulungile.
Udokotela nesibhedlela bazokusiza kuzo zonke izigaba. Kufanele ulandele izinyathelo zokuzivikela nemithi. Yenza ukuvakashelwa okudingekayo. Uma ubhekene nanoma iyiphi inkinga ngenkathi ulungiselela ukufakelwa, yazisa udokotela wakho ngokushesha okukhulu. Okubaluleke kakhulu ukuzilungiselela ngokwengqondo ukufakelwa kabusha. Gwema Ukubhema notshwala bese ulandela ukudla okunconyiwe.
Ukufakelwa kwezinso kuphephile kepha unezingozi ezithile ngakho. Kunoma iyiphi ingozi enkulu yokuhlinzwa ihileleka njalo. Ezinye izingozi zingagwenywa kalula ngokulandela izinyathelo zokuqapha nemithi.
Amathuba aphansi kakhulu, aphansi kangangoba mancane. Uma ilinganiswa ngamaphesenti, ime cishe ngo-0.01% kuya ku-0.04%. Kodwa-ke, asikho isiqinisekiso sokuthi umuntu onikelayo ngeke athole noma yisiphi isigaba sokugcina sezinso.
Kuhlala kunethuba lokuthi umzimba wakho ungazenqaba izinso zomnikeli, kepha manje izinsuku izinsuku zokunqatshwa ziphansi kakhulu. Okusha emkhakheni wezokwelapha kwehlise amathuba okulahlwa. Ingozi yokwenqatshwa iyahlukahluka ukusuka emzimbeni kuya emzimbeni futhi eziningi zazo zingalawulwa ngemithi.
Kunezinhlobo ezine zegazi: O, A, B kanye no-AB. Zihambisana nohlobo lwegazi lazo futhi ngezinye izikhathi nezinye: Iziguli ze-AB zingathola izinso zanoma yiluphi uhlobo lwegazi. Bangabamukeli bomhlaba wonke. Isiguli singathola izinso kumuntu onohlobo lwegazi O noma A. Iziguli B zingathola izinso kumuntu onohlobo lwegazi O noma B. O iziguli zingathola kuphela izinso kumuntu onohlobo lwegazi u-O.
Emnikelweni ophilayo, lezi zinhlobo zegazi ezilandelayo ziyahambisana:
Ngakho,
Isifo sezinso sokuphela kwesigaba yisimo lapho izinso zingasakwazi ukusebenza kahle, okuholela ekunqwabeleni kodoti kanye nobuthi emzimbeni.
Isifo sezinso esingamahlalakhona yisimo sesikhathi eside lapho izinso kancane kancane zilahlekelwa ukusebenza ngokuhamba kwesikhathi, okuholela ezinhlobonhlobo zezinkinga zempilo.
Ukwenqatshwa kokufakelwa kwenzeka lapho amasosha omzimba omamukeli ebona isitho esitshaliwe njengesingaphandle futhi ezama ukusihlasela.
Imithi ye-immunosuppressive yizidakamizwa ezicindezela umsebenzi wamasosha omzimba, okusiza ukuvimbela ukwenqatshwa kokufakelwa.
I-Dialysis yindlela yokwelapha ehlanganisa ukukhipha udoti kanye noketshezi oluningi egazini lapho izinso zingasakwazi ukwenza lo msebenzi.
Ukufakelwa kwezinso kunikeza umemukeli izinso ezisebenzayo, okuvumela umzimba ukuthi ukhiphe udoti noketshezi oluningi egazini, futhi ubuyisele ukusebenza okuvamile kwezinso.
Yebo, umnikeli ophilayo anganikeza izinso zokufakelwa kabusha, ngokuvamile ilungu lomndeni noma umngane oseduze womamukeli.
Inqubo yokufakelwa izinso ngokuvamile ithatha amahora ambalwa ukuqeda.
Isikhathi sokululama ngemva kokuhlinzwa kokufakelwa izinso singahluka kuye ngesiguli ngasinye kanye nempumelelo yenqubo, kodwa ngokuvamile sihilela amasonto ambalwa okuphumula nokuvuselela.
Ukuhlinzwa kokufakelwa kwezinso phesheya kungase kuphephe futhi kuphumelele uma kwenziwa izisebenzi zezokwelapha ezinokuhlangenwe nakho ezibhedlela ezinedumela elihle. Kodwa-ke, kubalulekile ukucwaninga ngokucophelela isibhedlela nabasebenzi bezokwelapha ngaphambi kokwenza inqubo.
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