Ka hoʻoliʻi ʻana i nā puʻupaʻa: pehea e hana ai a he aha nā pōʻino

Anter

• Pehea e hana ai i ke transplant
• Pehea e loiloi ai inā kūlike ka transplant
• Pehea ka hope hana
• Nā pilikia a me nā pilikia i hiki

Hoʻoholo ka hoʻoneʻe ʻana i nā puʻupaʻa e hoʻihoʻi i ka hana o ka puʻupaʻa ma ke pani ʻana i kahi puʻupaʻa maʻi me kahi puʻuwai olakino maikaʻi, mai kahi mea hāʻawi ola olakino.

ʻO ka maʻamau, hoʻohana ʻia ka transplantation kidney ma ke ʻano he lapaʻau no ka holo pono ʻole ʻana o ka puʻupaʻa a i ʻole ka hihia o nā mea maʻi i loaʻa i kekahi mau hālāwai hemodialysis i kēlā me kēia pule. Kū mau ka transplant ma waena o 4 a me 6 mau hola a ʻaʻole kūpono loa ia no ka poʻe i loaʻa nā liona i nā lālā ʻē aʻe, e like me cirrhosis, maʻi ʻaʻai a i ʻole nā ​​pilikia puʻuwai, no ka mea hiki ke hoʻonui i nā pilikia o ke kaʻina hana.

Pehea e hana ai i ke transplant

Hōʻike ʻia ke transplantation hakuʻala e ka nephrologist i nā hihia o ka hemodialysis he nui i kēlā me kēia pule a i ʻole, pinepine pinepine, nā maʻi puʻuwai maʻi maʻamau ma hope o ke kālailai ʻana i nā hana hakuʻala ma o nā hoʻokolohua hoʻokolohua. ʻO ka puʻukū i kanu ʻia mai loko mai paha ia o kahi mea hāʻawi ola, me ka ʻole o nā maʻi, a pili a pili ʻole paha i ka mea maʻi, a i ʻole mai kahi mea hāʻawi i make, a ma ia hihia e hiki ai ke hāʻawi ʻia ka makana ma hope o ka hōʻoia ʻana o ka make o ka lolo a me ka ʻohana ʻohana.

Lawe ʻia ka puʻuwai hāʻawi me kahi ʻāpana o ke aʻa, ke aʻa a me ka ureter, ma o kahi ʻoki liʻiliʻi i loko o ka ʻōpū. I kēia ala, kau ʻia ka hakuʻala transplanted i loko o ka mea e loaʻa ana, pili nā ʻāpana o ke aʻa a me ke aʻa i nā aʻa a ka mea loaʻa a pili ka ureter transplanted i ka maʻi maʻi o ka mea maʻi. ʻAʻole lawe pinepine ʻia ka puʻuwai hana ʻole o ke kanaka transplanted, no ka mea, maikaʻi ʻole kāna hana maikaʻi ʻole ke hoʻohana ʻole ʻia ka hakuʻala transplanting. Wehe ʻia ka hakuʻala maʻi inā ke kumu ia i ka maʻi, no ka laʻana.

Hana ʻia ke kāpili ʻōpala e like me nā kūlana olakino o ka mea hoʻomanawanui, a ʻaʻole kūpono loa ia no nā poʻe i loaʻa ka puʻuwai, ka ate a me nā maʻi infectious, no ka laʻana, no ka mea hiki ke hoʻonui i nā pilikia o ke kaʻina hana.

Pehea e loiloi ai inā kūlike ka transplant

Ma mua o ka lawe ʻia ʻana o ke transplant, pono e hana i nā hoʻokolohua koko i mea e nānā ai i ka launa ʻana o nā puʻupaʻa, a pēlā e hoʻēmi ai i nā manawa o ka hōʻole ʻia ʻana o ke ʻokana.I kēia ala, pili a pili ʻole paha nā mea hāʻawi i ka mea hoʻomanawanui e hoʻōla ʻia, inā aia ke kūlike.

Pehea ka hope hana

He maʻalahi ka hoʻōla ma hope o ka hoʻoneʻe ʻana o ka puʻupaʻa a hala ʻekolu mau mahina, a pono ke kanaka i ka haukapila no hoʻokahi pule i hiki ke nānā pono ʻia nā hōʻailona kūpono o ke ʻano o ka hana ʻoki a hiki ke hana koke ʻia ka lāʻau. Hoʻohui ʻia, i loko o ʻekolu mau mahina ua hōʻike ʻia ʻaʻole e hana i nā hana kino a hana i nā hōʻike i kēlā me kēia pule i ka mahina mua, e hoʻokaʻawale ana no ʻelua mau kūkā kūkā ʻana a hiki i ka mahina 3 ma muli o ka makaʻu o ka hōʻole ʻana o nā meaola e ka meaola.

Ma hope o ke kaha ʻana, hōʻike pinepine ʻia ka hoʻohana ʻana i nā lāʻau antibiotic, i mea e hōʻalo ai i nā maʻi hiki ke loaʻa, a me nā lāʻau immunosuppressive, e pale aku ai i ka hōʻole ʻia ʻana o ke kino. Pono e hoʻohana i kēia mau lāʻau e like me ka ʻōlelo aʻoaʻo a ka lāʻau.

Nā pilikia a me nā pilikia i hiki

ʻO kekahi mau pilikia o ke kanu ʻana o ka hakuʻala hiki ke:

• ʻO ka hōʻole ʻana i nā mea kanu i kanu ʻia;
• Nā maʻi āpau;
• Thrombosis a lymphocele paha;
• Urist fistula a i ʻole keakea.

I mea e hōʻalo ai i nā pilikia koʻikoʻi, pono ka makaʻala e makaʻala i nā hōʻailona hōʻailona e komo pū ana me ke kuni ma luna o 38ºC, ke ahi i ka wā he mimi, loaʻa ke kaupaona i kahi manawa pōkole, ka puʻu pinepine ʻana, ka palahē, ka hanu ʻana i ka hanu a me ka pehu ʻana, ka wela a me ka ʻula ma ke kahua o ka ʻeha. Eia hou, pono e pale aku i ka launa pū ʻana me ka poʻe maʻi a me nā wahi haumia a e hana i kahi papaʻai kūpono a hoʻopili ʻia. E aʻo pehea e hānai ai ma hope o ke kanu ʻana o ka hakuʻala.