Ukutshintshwa kwezintso

Ukufakelwa kwezintso kuqhaqho lokubeka izintso ezisempilweni emntwini onesifo sezintso.

Ukufakelwa kwezintso yenye yezona zinto zixhaphakileyo kwimisebenzi yokufakelwa eUnited States.

Intso enye enikelwayo iyafuneka ukubuyisela umsebenzi owenziwe ngaphambili zizintso zakho.

Izintso ekunikelwe ngazo zisuka:

• Umnikeli onxulumene nokuphila-onxulumene nomntu ofumana ukufakelwa, njengomzali, umntakwabo, okanye umntwana
• Ukuphila ngokungadibaniyo nomnikeli-njengomhlobo okanye iqabane
• Umntu oswelekileyo oswelekileyo - umntu osandula ukusweleka kwaye ongenasifo sezintso esinganyangekiyo

Izintso ezisempilweni zihanjiswa kwisisombululo esikhethekileyo esigcina ilungu kude kube ziiyure ezingama-48. Oku kunika ababoneleli bezempilo ixesha lokwenza iimvavanyo zokuqinisekisa ukuba igazi lomniki kunye nelomamkeli ziyahambelana.

INKQUBO YOKUPHATHA KWEZINTSIKANE EPHILAYO

Ukuba unikela ngezintso, uya kubekwa phantsi kwe-anesthesia ngokubanzi ngaphambi kotyando. Oku kuthetha ukuba uya kulala kwaye ungenazintlungu. Oogqirha namhlanje banokuthi basebenzise ukusika okuncinci kotyando ngeendlela ze-laparoscopic ukususa izintso.

INKQUBO YOMNTU OFUMANA IZINTSI (IRIPHODI)

Abantu abafumana ukufakelwa kwezintso banikwa i-anesthesia ngokubanzi ngaphambi kotyando.

• Ugqirha wenza ukusika kwindawo esezantsi esiswini.
• Ugqirha wakho ugqirha ubeka izintso ezintsha ngaphakathi kwesisu sakho esezantsi. Umthambo kunye nomthambo wezintso ezintsha zidityaniswe nomthambo kunye nomthambo kwisinqe sakho. Igazi lakho liphuma kwizintso ezintsha, ezenza umchamo kanye njengezintso zakho xa zazisempilweni. Umbhobho ophethe umchamo (ureter) emva koko uqhotyoshelwe kwisinyi sakho.
• Izintso zakho zishiywe endaweni ngaphandle kokuba zibangela ingxaki yonyango. Inxeba lize livalwe.

Utyando lwezintso luthatha malunga neeyure ezintathu. Abantu abanesifo seswekile banakho ukufakelwa iipancreas ngexesha elinye. Oku kungongeza ezinye iiyure ezi-3 kuqhaqho.

Unokufuna ukufakelwa kwezintso ukuba unesifo sesifo sokugqibela. Esona sizathu siqhelekileyo sesifo sesifo sokuphela e-US sisifo seswekile. Nangona kunjalo, zininzi ezinye izizathu.

Ukufakelwa kwezintso akunakwenziwa ukuba unayo:

• Usulelo oluthile, olunjengesifo sephepha okanye usuleleko lwethambo
• Iingxaki zokuthatha amayeza amaxesha ngamaxesha yonke imihla ubomi bakho bonke
• Intliziyo, imiphunga, okanye isifo sesibindi
• Ezinye izifo ezisongela ubomi
• Imbali yamva nje yomhlaza
• Usulelo, njenge-hepatitis
• Ukuziphatha kwangoku njengokutshaya, ukusebenzisa kakubi utywala okanye ukusebenzisa iziyobisi, okanye ezinye iindlela zokuziphatha eziyingozi

Imingcipheko ekhethekileyo enxulumene nale nkqubo ibandakanya:

• Amahlwili egazi (thrombosis enzulu yemithambo)
• Ukuhlaselwa yintliziyo okanye ukubetha
• Usulelo lwenxeba
• Iziphumo ebezingalindelekanga ezivela kumayeza asetyenziselwa ukuthintela ukungamkelwa
• Ukuphulukana nezintso ezifakwe kwenye indawo

Uya kuvavanywa liqela kwiziko lokufakelwa. Baza kufuna ukuqinisekisa ukuba ungumgqatswa ofanelekileyo wokufakelwa kwezintso. Uya kutyelelwa kaliqela kwithuba leeveki okanye iinyanga ezininzi. Uya kudinga ukuba utsale igazi kwaye uthathwe ii-x-reyi.

Uvavanyo olwenziwe ngaphambi kwenkqubo lubandakanya:

• Izicubu kunye nokuchwetheza kwegazi ukunceda ukuqinisekisa ukuba umzimba wakho awuzukuzikhaba izintso ezinikelweyo
• Uvavanyo lwegazi okanye uvavanyo lolusu ukukhangela usulelo
• Uvavanyo lwentliziyo olufana ne-EKG, i-echocardiogram, okanye i-catheterization yentliziyo
• Uvavanyo lokujonga umhlaza kwangoko

Uyakufuna kwakhona ukuqaphela enye okanye ngaphezulu kweziko lokufakelwa ukuze ubone ukuba kukuphi okulungileyo kuwe.

• Buza iziko ukuba zingaphi izinto abazitshintshayo abazenzileyo minyaka le kwaye ngawaphi amazinga abo okusinda. Thelekisa la manani kunye namanye amaziko okufakelwa.
• Buza malunga namaqela enkxaso abanayo kunye nohlobo luni lokuhamba kunye namalungiselelo endlu abayinikezelayo.

Ukuba iqela lokufakelwa likholelwa ukuba ungumgqatswa ofanelekileyo wokufakelwa izintso, uya kubekwa kuluhlu lwesizwe lokulinda.

Indawo yakho kuluhlu lokulinda isekwe kwinani lezinto. Izinto eziphambili zibandakanya uhlobo lweengxaki zezintso onazo, ukuba sibuhlungu kangakanani isifo sentliziyo, kunye nokwenzeka kokuba ukufakelwa kungaphumelela.

Kubantu abadala, ixesha olichitha kuluhlu lokulinda ayisiyiyo eyona nto ibalulekileyo okanye eyona nto iphambili ekufumaneni izintso kungekudala. Uninzi lwabantu olulindele ukufakelwa kwezintso kwi-dialysis. Ngelixa ulinde izintso:

• Landela nakuphi na ukutya okucetyiswa liqela lakho lokufakelwa.
• Musa ukusela utywala.
• Musa ukutshaya.
• Gcina ubunzima bakho kuluhlu oluye lwacetyiswa. Landela nayiphi na inkqubo ekhuthazwayo yokwenza umthambo.
• Thatha onke amayeza njengoko emiselwe wena. Xela naluphi na utshintsho kumayeza akho kunye nazo naziphi na iingxaki ezintsha okanye eziya zisiba mbi kwiqela lokufakelwa.
• Yiya kulo lonke utyelelo rhoqo nogqirha wakho rhoqo kunye neqela ukufakelwa. Qiniseka ukuba iqela lofakelo lineenombolo zeefowuni ezichanekileyo ukuze banxibelelane nawe ngoko nangoko ukuba izintso ziyafumaneka. Njalo qinisekisa ukuba unokuqhagamshelana ngokukhawuleza kwaye kulula.
• Yilungiselele yonke into kwangaphambili ukuya esibhedlele.

Ukuba ufumene izintso, kuya kufuneka uhlale esibhedlele kangangeentsuku ezi-3 ukuya kwezi-7. Uya kudinga ukulandelelwa kufutshane ngugqirha kunye nokuvavanywa kwegazi rhoqo kwiinyanga ezi-1 ukuya kwezi-2.

Ixesha lokufumana kwakhona limalunga neenyanga ezi-6. Rhoqo, iqela lakho lokutshintsha liya kukucela ukuba uhlale kufutshane nesibhedlele kwiinyanga ezintathu zokuqala. Kuya kufuneka uhlolwe rhoqo kuvavanyo lwegazi kunye ne-x-ray iminyaka emininzi.

Phantse wonke umntu uziva ukuba unobomi obungcono emva kokufakelwa. Abo bafumana izintso kumnikeli ophilayo benza ngcono kunabo bafumana izintso kumxhasi oswelekileyo. Ukuba unikela ngezintso, unokuhlala ngokukhuselekileyo ngaphandle kwengxaki ngentso enye eseleyo.

Abantu abafumana izintso ezifakelweyo banokwala ilungu elitsha. Oku kuthetha ukuba amajoni abo omzimba abona izintso njengezinto zangaphandle kwaye bazama ukutshabalalisa.

Ukuthintela ukwaliwa, phantse bonke abafumana ukufakelwa kwezintso kufuneka bathathe amayeza acinezela amajoni abo omzimba ubomi babo bonke. Oku kubizwa ngokuba lunyango olungena emzimbeni. Nangona unyango luthintela ukwaliwa kwamalungu, lukwabeka izigulana kumngcipheko ophezulu wosulelo kunye nomhlaza. Ukuba uthatha eli yeza, kuya kufuneka uhlolwe umhlaza. Amayeza anokubangela uxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu kunye nokunyusa umngcipheko wesifo seswekile.

Ukufakelwa kwezintso ngempumelelo kufuneka kulandelwe kufutshane nogqirha wakho kwaye kufuneka usoloko usebenzisa amayeza akho njengoko kuyalelwe.

Ukufakelwa kwezintso; Transplant - izintso

• Ukususwa kwezintso - ukubhobhoza

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo
• Izintso
• Ukufakelwa kwezintso - uthotho

IBarlow AD, uNicholson ML. Utyando lokufakelwa kwezintso. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2019: isahl. 103.

U-Becker Y, Witkowski P. Izintso kunye nokufakelwa kwepancreas. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.

IGritsch HA, iBlumberg JM. Ukutshintshwa kwezintso. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 47.