Hiki iā ʻoe ke noho me ke ake ʻole?

Anter

• Nā kuleana he nui o ke ake
• No laila, hiki iā ʻoe ke noho me ka ʻole o kekahi?
• Akā pehea inā ʻaʻole e pau kou ate?
• ʻAʻole kahi ʻōlelo make
• Ke hoʻoiho mea hāʻawi make
• Kanu hoʻoiho ola
• Hiki ke noho me ka ʻāpana o ka mea hoʻokahi?
• Lawe i ka ate i ka lawe ʻana i nā mea hāʻawi ola
• ʻO ka lawe lawe ʻana

Nā kuleana he nui o ke ake

ʻO kou akepa he hale mana, e hana ana ma mua o 500 mau hana e ola ai. ʻO kēia ʻōhua 3-paona - ka mea nui o loko o ke kino - aia ma ka ʻaoʻao ʻākau luna o kou ʻōpū. Hana kēia i kēia:

• kānana i nā toxins mai kou koko
• hoʻopuka i nā enzyme digestive i kapa ʻia he bile
• hale kūʻai nā wikamina a me nā minelala
• hoʻoponopono i nā hormones a me ka pane pale
• kōkua i ke koko koko

ʻO kou ake ka mea hoʻokahi o kou kino e hiki ke hoʻoulu hou ma hope o ka lawe ʻia ʻana o nā ʻāpana a i ʻole hōʻino ʻia. I ka ʻoiaʻiʻo, hiki i kou ake ke ulu i kona nui piha i nā mahina wale nō.

No laila, inā ulu hou ke ake, hiki iā ʻoe ke noho me ka ʻole o kekahi no kekahi manawa? E nānā pono kākou.

No laila, hiki iā ʻoe ke noho me ka ʻole o kekahi?

ʻAʻole. Nui ke koʻikoʻi o ke akepaʻa i ke ola ʻoiai hiki iā ʻoe ke noho me kahi ʻāpana o ke akepaʻa, ʻaʻole hiki iā ʻoe ke noho me ke ake ʻole. Me ka ʻole o ke ake:

• ʻAʻole e kō pono kou koko, e hoʻoulu ana i ke kahe o ke kahe ʻole
• e kūkulu nā toxins a me nā kemika a me nā huahana digestive i ke koko
• e loaʻa iā ʻoe nā mea pale liʻiliʻi e kūʻē i nā maʻi bacterial a me fungal
• hiki iā ʻoe ke loaʻa i ka pehu, me ka pehu ʻana o ka lolo i ka make

Me ka ʻole o ke akepaʻa, make ka make i kekahi mau lā.

Akā pehea inā ʻaʻole e pau kou ate?

Hiki i ke akepaʻa ke holo ʻole no nā kumu he nui.

ʻO ke kūpikipiki ʻole o ke ake akepau, i kapa ʻia hoʻi he fulmatant hepatic ʻole, alakaʻi i ka hōʻemi wikiwiki o ke ake, pinepine ke olakino olakino maikaʻi. Wahi a ka noiʻi, he kākaʻikahi loa ia, e hanana ana i kēlā me kēia makahiki ma lalo o 10 mau kānaka i ka miliona. ʻO nā kumu maʻamau ka:

• nā maʻi viral
• lāʻau ʻona, pinepine ma muli o nā overdoses o acetaminophen (Tylenol)

ʻO nā hōʻailona me:

• jaundice, i kumu i ka melemele ʻana o ka ʻili a me nā keʻokeʻo o nā maka
• ʻeha o ka ʻōpū a me ka pehu
• nausea
• disorientation noʻonoʻo

ʻO ke ʻano ʻē aʻe o ke kūpaʻa ʻole o ka ate i ʻike ʻia ma ke ʻano he ake ʻana i ke ake. Hoʻokumu ʻia ia e ka mumū a me ka scarring i kū i kahi mau mahina a mau makahiki paha. Pili pinepine kēia hōʻino ate āpau i nā mea e like me:

• hoʻohana pono ʻole ʻana i ka wai ʻona
• nā maʻi, e like me ka maʻi hepitis A, B a me C
• maʻi ʻaʻai ate
• nā maʻi genetic, e like me ka maʻi o Wilson
• maʻi maʻi ʻalekiko ʻaʻaleka ʻole

ʻO nā hōʻailona me:

• ʻōpū pehu
• ʻōmaʻomaʻo ʻōiwi
• nausea
• luaʻi koko
• paopao maʻalahi
• poho kino

ʻAʻole kahi ʻōlelo make

Akā ʻo ke akepaʻa hemahema ʻaʻole ia he ʻōlelo make. Kaukaʻi ʻia i kou olakino a me ke olakino o kou ake, he moho paha ʻoe no ka hoʻoliʻiliʻi ate, kahi ʻoki kahi i lawe ʻia ai kahi ake maʻi a hoʻololi ʻia me kahi ʻāpana a i ʻole kahi olakino holoʻokoʻa mai kahi mea hāʻawi.

Aia he ʻelua ʻano o nā transplantants homa nā ake.

Ke hoʻoiho mea hāʻawi make

ʻO kēia ka mea i lawe ʻia ke akepaʻa mai ke kanaka i hala wale aku nei.

Ua kau inoa ke kanaka i kahi kāleka mea hāʻawi ma mua o ko lākou make ʻana. Hāʻawi ʻia ka ʻōnaehana postmortem me ka ʻae o ka ʻohana. ʻO ka National Institute of Diabetes and Digestive and Kidney Diseases hōʻike i ka hapa nui o nā ʻai i hāʻawi ʻia mai nā mea hāʻawi i make.

Kanu hoʻoiho ola

I kēia kaʻina hana, ʻae kekahi e ola mau nei - he lālā ʻohana a he hoa pili paha - e ʻae e hāʻawi i kahi ʻāpana o ko lākou ake olakino. ʻike ʻia o 6,455 transplants ate i hana ʻia ma 2013, 4 wale nō pākēneka mai nā mea hāʻawi manawaleʻa.

Koi paha kāu kauka i kahi transplant orthotopic a i ʻole heterotopic transplant. I loko o kahi transth orthotopic, hoʻopau loa ʻia ke akepaʻa maʻi a hoʻololi ʻia me ke ake kōkua ola a i ʻole ka ʻāpana o ke ake.

I loko o kahi heterotopic transplant, waiho ʻia ke akepaʻa i hōʻino ʻia a waiho ʻia kahi ate olakino a i ʻole ʻāpana o ke akepa.

• ua ilihune loa kou olakino hiki ʻole iā ʻoe ke kū i ke ʻoki hōʻoki ate
• Loaʻa i kāu maʻi maʻi he kumu kumu

Hiki i ke kauka ke koho no kahi transplant heterotopic inā kūleʻa ʻia kou akepaʻa e kahi ʻano kūlohelohe e loaʻa ai i kahi noiʻi gen ka wā e hiki mai ana i kahi lāʻau lapaʻau a lāʻau ola paha. Me ka paʻa o kou ake, hiki iā ʻoe ke hoʻohana i kēia mau holomua hou.

Hiki ke noho me ka ʻāpana o ka mea hoʻokahi?

ʻOiai paha ʻoe e loaʻa i kahi ʻāpana hapa wale nō, e hōʻoia kāu mau kauka ua lawa ka lawa e hoʻokō i nā hana pono āpau. I ka ʻoiaʻiʻo, kuhi kahi mea hōʻoki transplant ma ke Kulanui o Pittsburgh e pono wale ana iā 25 a 30 mau pākēneka o kou ake e mālama i nā hana maʻamau.

Ma hope o ka manawa, e ulu ana ke akepaʻa ma kahi o kona nui maʻamau. ʻAʻole maopopo ka poʻe loea i ke ʻano o ka hana hou ʻana o ke ake, akā ʻike lākou i ka wā e hoʻemi ʻia ai ke akepaʻa i ka nui, hoʻonā ʻia kahi pane pūnaewele e hoʻohua i ka ulu wikiwiki.

Lawe i ka ate i ka lawe ʻana i nā mea hāʻawi ola

ʻO ka poʻe i loaʻa i ke akepaʻa mai ka mea kōkua i make i makemake e transplanted me ka meaola holoʻokoʻa. Hoʻokaʻawale ʻia ke akepaʻa, akā, inā nui loa a e māhele ʻia nei ma waena o kahi keiki a me kahi mākua.

ʻO ka poʻe i loaʻa kahi makana puʻupuʻu ola - kahi i hele pinepine mai i kahi hoahānau olakino a i ʻole hoaaloha i kūlike i ka nui a me ke ʻano o ke koko - loaʻa wale i kahi ʻāpana o ke ake. Koho kekahi poʻe i kēia koho no ka mea ʻaʻole lākou makemake e makaʻu i ka maʻi ʻana ke kali lākou ma kahi papa inoa no kahi meaola e hele mai paha i ka manawa.

Wahi a ke Kula Nui Lapaʻau o ke Kulanui o Wisconsin:

• Ma kahi o 40 a 60 paha pākēneka o ka ate donor e hemo a lawe ʻia i loko o ka mea e loaʻa ana.
• Loaʻa i ka mea loaʻa a me ka mea hāʻawi i ke ake e hōʻoia i ka holo pono ʻana.
• Hoʻomaka koke ka ulu ʻana o ke ake.
• I loko o ʻelua mau pule, ke kokoke nei ke akepaʻa i kona nui maʻamau.
• Huina - a i ʻole kokoke paha i ka huina - hoʻokō ʻia i loko o hoʻokahi makahiki.

Ma ʻAmelika Hui Pū ʻIa, aia nā kānaka 14,000 i kēia manawa i ka papa inoa kali no kahi akepaʻa i koli ʻia. No kēlā, 1,400 e make ma mua o ka loaʻa ʻana o hoʻokahi.

ʻOiai ʻaʻole maʻamau, ʻike pinepine ʻia nā makana akepaʻa ola. I ka makahiki 2017, ua hāʻawi ʻia kekahi mau liʻiliʻi 367 e nā mea hāʻawi ola.

ʻO kahi pōmaikaʻi nui o kahi makana ate e ola nei ka hiki ke hoʻonohonoho ʻia ke ʻoki ke kūpono ia no nā ʻaoʻao ʻelua. ʻO ka mea hou aku, hiki ke hāʻawi ʻia ke akepaʻa ma mua o ka lilo ʻana o ka maʻi i maʻi nui. Hiki i kēia ke hoʻoikaika i nā helu ola.

E noʻonoʻo ʻia no ka makana ola ate pono ʻoe:

• ma waena o nā makahiki 18 a 60
• he ʻano koko kona e kūlike me ka mea e loaʻa ana
• e hoʻāʻo i ka hoʻāʻo kino a me ka noʻonoʻo
• he kaupaona olakino, no ka mea ʻo ka momona ka mea e makaʻu ai ka maʻi momona o ka ate, ka mea e hōʻino ai i ke ake
• makemake e hōʻole i ka waiʻona a hiki i ka loaʻa hou ʻana
• i ke olakino olakino maikaʻi

No ka ʻike hou aku e pili ana i ka lilo ʻana o ke akepaʻa ola, e kāhea aku i ka American Transplant Foundation. No ka ʻike e pili ana i ka hāʻawi manawaleʻa ʻana i kāu ʻokena ma hope o kou make ʻana, e kipa iā OrganDonor.gov.

ʻO ka lawe lawe ʻana

Hana ke akepaʻa i nā hana e pono ai ke ola. ʻOiai ʻaʻole hiki iā ʻoe ke noho me ka ʻole o ke akepaʻa, hiki iā ʻoe ke noho me kahi ʻāpana o hoʻokahi wale nō.

Hiki i nā kānaka he nui ke hana maikaʻi me ka hapa o ko lākou ake. Hiki i kou ake ke ulu i ka nui piha i loko o nā mahina.

Inā ʻo ʻoe a i ʻole kekahi mea āu e ʻike nei he maʻi ate a pono i kahi transplant, hiki i kahi hāʻawi ate e noho nei i koho e noʻonoʻo ai.