Ke kuʻi ʻōhua

ʻO ke kīkī transplant kahi ʻoki e hoʻonoho i kahi puʻuwai olakino i loko o ke kanaka me ka maikaʻi ʻole o ka puʻuwai.

ʻO nā transplants kidney kekahi o nā hana transplanti maʻamau i United States.

Pono kahi hakuʻala i manawaleʻa ʻia e pani i ka hana i hana mua ʻia e kāu mau puʻupaʻa.

ʻO ke kola i hāʻawi ʻia mai:

• ʻO ka mea hāʻawi e pili ana i ka nohona - pili i ke kanaka e loaʻa ana i ka transplant, e like me ka makua, kaikaina, a keiki paha
• Noho mea hāʻawi pili ʻole - e like me kahi hoaaloha a wahine paha
• Mea hāʻawi manawaleʻa - he kanaka i make iho nei a ʻaʻohe ona ʻike i ka maʻi puʻuwai maʻi mau

Lawe ʻia ka puʻuwai olakino i kahi hopena kūikawā e mālama ai i ka naʻau a hiki i nā hola he 48. Hāʻawi kēia i nā mea mālama ola i ka manawa e hana i nā hoʻokolohua e hōʻoia i ke kūlike o ke koko a me ka mea loaʻa.

HANA NO KE KIDNEY ALOHA OLA

Inā ʻoe e hāʻawi manawaleʻa nei, e hoʻonoho ʻia ʻoe ma lalo o ka anesthesia laulaha ma mua o ke kaha ʻana. ʻO kēia ka mea e hiamoe ʻoe a ʻaʻohe ʻeha. Hiki i nā kauka hana i kēia lā ke hoʻohana pinepine i nā ʻoki liʻiliʻi me nā hana laparoscopic e hemo ai ka puʻupaʻa.

Ke Kaʻina Hana no ke Kanaka e loaʻa ana i ke keiki (RECIPIENT)

Hāʻawi ʻia ka poʻe i loaʻa i kahi transplan kidney i ka anesthesia ākea ma mua o ka ʻoki ʻana.

• Hoʻokiʻoki ke kaukipoki i ka wahi o ka ʻōpū o lalo.
• Hoʻokomo kāu kauka lāʻau i ka puʻukū hou i loko o kou ʻōpū haʻahaʻa. Hoʻopili ke aʻa a me ke aa o ka puʻupaʻa hou i ke aʻa a me ke aa i kou pelvis. Holo kou koko i loko o ka puʻupaʻa hou, kahi e mimi ai e like me kāu mau puʻupaʻa ponoʻī i ko lākou olakino. Hoʻopili ʻia ka paipu e hāpai i ka mimi (ureter) i kāu ʻōpū.
• Waiho ʻia kāu mau puʻupaʻa ponoʻī inā ʻaʻole lākou e hoʻokumu i kahi pilikia olakino. Pani ʻia ka ʻeha.

ʻO ke kahakaha ʻana o ka hakuʻala ʻekolu mau hola. Loaʻa paha i ka poʻe me ka maʻi diabetes kahi transplant pancreas i hana ʻia i ka manawa like. Hiki i kēia ke hoʻohui i 3 mau hola i ke ʻoki kino.

Pono ʻoe i kahi transplan kidney inā loaʻa ʻoe i ka maʻi ʻōpū hopena. ʻO ke kumu maʻamau o nā maʻi ʻōiwi hopena ma ka U.S. ʻo ka maʻi diabetes. Eia nō naʻe, nui nā kumu ʻē aʻe.

ʻAʻole hiki ke hana i kahi transplan kidney inā loaʻa iā ʻoe:

• ʻO kekahi mau maʻi, e like me TB a me nā maʻi iwi
• Nā pilikia e lawe i nā lāʻau i nā manawa he nui i kēlā me kēia lā no ke koena o kou ola
• Ka maʻi puʻuwai, haupō, a me ke akepaʻa
• Nā maʻi hoʻoweliweli ʻē aʻe
• ʻO ka mōʻaukala o ka maʻi ʻaʻai
• Nā maʻi ʻino, e like me ka maʻi hepa
• Nā hana i kēia manawa e like me ka puhipaka ʻana, ka ʻalekohola a i ʻole ka hoʻohana ʻana i ka lāʻau, a i ʻole nā ​​ʻano nohona ʻē aʻe

ʻO nā pilikia kikoʻī e pili ana i kēia kaʻina hana:

• Koko koko (deep venous thrombosis)
• Ka hōʻeha puʻuwai a i ʻole hōʻeha
• Nā maʻi hōʻeha
• Nā hopena ʻaoʻao mai nā lāʻau i hoʻohana ʻia e pale i ka hōʻole transplant
• Ka nalowale ʻana o ke kōpaʻa i kanu ʻia

E loiloi ʻia ʻoe e kahi hui ma ke kikowaena transplant. Makemake lākou e hōʻoia he moho maikaʻi ʻoe no ka hoʻoliʻiliʻi kīʻaha. He mau kipa kāu ma kahi o kekahi mau pule a mau mahina paha. Pono ʻoe e kiʻi i ke koko a lawe ʻia nā kukuna.

Hana ʻia nā hōʻike ma mua o ke kaʻina hana:

• ʻO ka miki a me ke kikokiko ʻana i ke koko e kōkua e hōʻoia i ka hōʻole ʻole o kou kino i ka puʻupaʻa i hāʻawi ʻia
• Nā ho'āʻo koko a i ʻole nā ​​hoʻāʻo ʻana o ka ʻili e nānā ai no nā maʻi
• Nā ho'āʻo puʻuwai e like me kahi EKG, echocardiogram, a i ʻole catheterization puʻuwai
• Nā hoʻāʻo e nānā no ka maʻi ʻaʻai mua

Makemake pū ʻoe e noʻonoʻo i hoʻokahi a ʻoi paha o nā kikowaena transplant e hoʻoholo ai i ka mea ʻoi loa nāu.

• E nīnau i ke kikowaena ehia mau transplants a lākou e hana ai i kēlā me kēia makahiki a he aha nā helu o ke ola. Hoʻohālikelike i kēia helu i nā helu o nā kikowaena transplant.
• E nīnau e pili ana i nā hui kākoʻo i loaʻa a me ke ʻano o ka huakaʻi a me nā hoʻonohonoho hale a lākou e hāʻawi ai.

Inā manaʻo ka hui transplante he moho maikaʻi ʻoe no kahi transplan kidney, e hoʻokau ʻia ʻoe i ka papa inoa kali aupuni.

Hoʻokumu ʻia kāu wahi ma ka papa inoa kali ma nā helu he nui. ʻO nā mea nui i loko o ke ʻano o nā pilikia kīwī āu, ka nui o kou maʻi puʻuwai, a me ka likelika e kūleʻa kahi transplant.

No nā mākua, ʻo ka nui o ka manawa āu e hoʻolilo ai i ka papa inoa kali ʻana ʻaʻole ia ka mea nui a kumu nui paha i ka manawa e loaʻa koke ai kahi ʻōpū. Ke kali nei ka hapanui o ka poʻe no ke kuʻi ʻana o ka puʻupaʻa ma ka dialysis. ʻOiai ʻoe e kali nei no kahi puʻupaʻa:

• E hāhai i nā papaʻai āpau a kāu hui transplant i paipai ai.
• Mai inu rama.
• Mai puhi.
• E mālama i kou kaupaona i ka pae i koi ʻia. E hāhai i kekahi papahana hoʻoikaika kino i koi ʻia.
• E lawe i nā lāʻau āpau e like me ka mea i kauoha ʻia ai nāu. Hōʻike i nā loli i kāu mau lāʻau a me nā pilikia olakino hou a maikaʻi ʻole paha i ka kime transplant.
• E hele i nā kipa maʻamau āpau me kāu kauka maʻamau a me ka hui transplant. E ʻike pono i nā kipa transplant i nā helu kelepona pololei i hiki ai iā lākou ke hoʻopili koke iā ʻoe inā loaʻa ke kīʻaha. E hōʻoia mau loa e hiki ke kiʻi koke aku iā ʻoe me ka maʻalahi.
• E hoʻomākaukau i nā mea āpau ma mua e hele i ka haukapila.

Inā loaʻa iā ʻoe kahi puʻuwai i hāʻawi ʻia, pono ʻoe e noho i ka haukapila ma kahi o 3 a 7 mau lā. Pono ʻoe e ukali kokoke e ke kauka a me nā hoʻokolohua koko maʻamau no 1 a 2 mau mahina.

ʻO ka wā hoʻōla e pili ana i 6 mau mahina. ʻO ka manawa pinepine, e noi ana kāu hui transplant iā ʻoe e noho kokoke i ka haukapila no nā mahina 3 mua. Pono ʻoe e nānā maʻamau me nā hoʻokolohua koko a me nā kukuna x no nā makahiki he nui.

ʻAneʻane pau ka poʻe i ka manaʻo he maikaʻi ko lākou ola ma hope o ke transplant. ʻO ka poʻe i loaʻa ka puʻupaʻa mai kahi mea kōkua e ola nei e hana ʻoi aku ka maikaʻi ma mua o ka poʻe i loaʻa i kahi puʻupaʻa mai kahi mea hāʻawi i make. Inā hāʻawi ʻoe i kahi puʻupaʻa, hiki iā ʻoe ke noho palekana me ka ʻole o nā pilikia me kāu puʻupaʻa i koe.

ʻO ka poʻe i loaʻa i kahi hakuʻala transplanted hiki ke hōʻole i ka mea hou. ʻO kēia ka ʻike ʻana o kā lākou ʻōnaehana paleʻaleʻa i ka puʻupaʻa hou ma ke ʻano he haole a hoʻāʻo e luku iā ia.

I mea e hōʻalo ai i ka hōʻole ʻana, kokoke i nā mea a pau e lawe i nā transplant kidney e lawe i nā lāʻau e kāohi i kā lākou pane pale pale no ko lākou koena o ko lākou ola. Kāhea ʻia kēia ʻo ka lāʻau hoʻomalu immunosuppressive. ʻOiai kōkua ka lāʻau lapaʻau i ka pale ʻana i nā ʻōpala, hāʻawi pū ia i nā mea maʻi i kahi kiʻekiʻe kiʻekiʻe no ka maʻi a me ka maʻi ʻaʻai. Inā ʻoe e lawe i kēia lāʻau, pono ʻoe e nānā ʻia no ka maʻi ʻaʻai. Hiki i nā lāʻau ke kumu i ke kiʻekiʻe o ke koko a me ke kiʻekiʻe o ka cholesterol a hoʻonui i ka makaʻi no ka maʻi kō.

Pono kahi transplant puʻupaʻa kūleʻa i ka ukali kokoke me kāu kauka a pono mau ʻoe e lawe i kāu lāʻau e like me ke kuhikuhi.

Ke kuʻi ʻana o ke kīhāpai; Transplant - hakuʻala

• Wehe i nā puʻupaʻa - hoʻokuʻu

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi
• Nā hakuʻala
• Ke kuʻi ʻōniʻoniʻo - series

ʻO Barlow AD, Nicholson ML. ʻOki kino transplantation. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 103.

Becker Y, Witkowski P. Kidney a me ka pancreas transplantation. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 26.

Gritsch HA, Blumberg JM. Ke hoʻoliʻiliʻi ʻana o ke kīhāpai. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 47.