Ukufakelwa komzimba kungukuhlinzwa okuyinhloko okungaba nemiphumela emangalisayo, eqhubekayo yokuphila: isitho esigulayo sithathelwa isitho esinempilo esivela kumnikeli. Umnikeli wesigungu angase abe ngumnikeli ophilayo, mhlawumbe umngane noma ilunga lomndeni, noma isitho singase sivela kumnikezeli oye wahlangabezana nengozi yokugula noma ukugula.
Ezimweni eziningi, iziguli ezinokuhluleka okukhulu kwegciwane zifinyelela endaweni lapho kudingeka khona ukucubungula ukuhlinzwa komzimba.
Ukufakelwa komzimba kuyinkqubo yokulondoloza impilo, kepha ukuthola isitho esisha kuyinkqubo, futhi kungaba nzima. Uma udokotela wakho esebenzile ukuthi uthola ukuhluleka komzimba, kuzodingeka akubhekise esikhungweni sokufakelwa komzimba, isikhungo sezokwelapha esenza uhlobo lokufakelwa okudingayo. Izikhungo zokutshala izitshalo ziyahlukahluka yiziphi izinhlobo zokufakelwa komzimba ezenzayo, ngakho-ke isikhungo esiseduzane singase singabi isikhungo esithunyelwe kuso.
Uhlu Lokulinda Ukutshala Umzimba
Uma usuhanjiswe esikhungweni sokufakelwa, inqubo yokuhlola impilo yakho futhi uthola ukuthi uhlangabezana yini nemigomo okufanele ifakwe ohlwini lokulinda lokufakelwa komzimba.
Uma ubhalwe ohlwini lokufakelwa kabusha, ungase uthande ukucabangela ukuthi ubhalwe ohlwini lwesikhungo esingaphezu kwesisodwa. Izinhlu eziningi ziphethe izimali ezengeziwe, kodwa kwezinye izimo zingandisa amathuba okuthola isitho.
Lokhu kuyiqiniso ikakhulukazi uma ukwazi ukufakwa ohlwini ezindaweni ezimbili ezisezindaweni ezihlukene, njengoba i-United Network ye-Organ Sharing ihlukanisa i-United States ezindaweni ezithinta indima ekunikezeni izitho.
Ukuphila Okuhlobene Nendikimba Ephilayo
Kwezinye izimo, ilunga lomndeni noma umngane bobabili bakwazi futhi bazimisele ukuhlinzeka isitho sokufakelwa kabusha.
Lolu hlobo lunikelo lombuso lubizwa ngokuthi i- Living Related Organ Donation , yize noma iphesenti elincane labaxhasi abaphilayo alihlobene nomuntu abanikela kuye.
Ukukhokhela Ukuhlinzwa Kwama-Organic Transplant
Ingxenye yenqubo yokubekwa ekulindeni isitho, noma ukuqala inqubo yokuxhaswa komzimba ehlobene nokuphila ikhombisa ukuthi ungakwazi ukukhokhela ukufakelwa, kuhlanganise nenqubo yokuhlinza, ukwelashwa ngemuva kokuhlinzwa kanye nemithi kanye nokwelashwa ngemuva kwenqubo. Umuntu akudingeki abe nocebile ukuze athole ukufakelwa, nakuba inqubo ingadla amakhulu ezinkulungwane zamaRandi.
Ukuguquka kwenhliziyo
Uma isiguli sithola ukuthi sinesifo senhliziyo esinzima esizoholela ekuhlulekeni kwenhliziyo , isiguli singase sibhekwe njenge-Transplant Heart. Ngesikhathi ulinde ukufakelwa, isiguli singase sibe nokuhlinzwa okudingekayo ukuze sifake i-LVAD, ipompo yebhaluni noma enye idivayisi ukuze kuthuthukiswe okwesikhashana umsebenzi wenhliziyo.
I-Dialysis kanye nezinguquko zezinso
Iziguli zezinso zingenye yezinhlobo ezimbalwa zokuthola izitshalo zokuthutha ezingakwazi ukuthola ukwelashwa okubuyisela ukusebenza komzimba owonakele. Izimbangela zokuhluleka kwezinso ziyahlukahluka, kodwa i-dialysis ivumela iziguli ekuhlulekeni kwezinso ukuba zibekezelele ukulinda isitho.
Ukuguqula izinso kuyisici esivame kakhulu futhi esidinga ukufakelwa, nabantu abangaphezu kuka-70,000 okwamanje abalinde izinso ezintsha.
Isifo sikashukela namaPancreas Transplants
Isizathu esivame kakhulu sokufakelwa kwe-pancreas yi- Type 1 yesifo sikashukela esinzima ukuphatha nokulawula. Kwezinye iziguli, i-insulini, ukudla nokuzivocavoca akulawuli amazinga e-glucose egazi, kungakhathaliseki ukuthi isiguli siyakhuthaza kanjani ngokulandela imiyalelo kadokotela. Kulezi ziguli, ukufakelwa kwe-Pancreas kungaba yikhambi kuphela. Eqinisweni, isifo sikashukela esingalawuleki singabangela ukulimala kwezinso, ngakho ukufakelwa kwe-pancreas kungavimbela isidingo sokufakelwa kwezinso esikhathini esizayo.
Izifo zesibindi kanye nokuguquka
I-hepatitis, i-cirrhosis yokudakwa ngokweqile, kanye ne-idiopathic (engeyona utshwala) i-cirrhosis ziphakathi kwezimbangela eziyinhloko zokuhluleka kwesibindi. Kulezi zimo nezinye eziningi ezibangelwa ukuhluleka kwesibindi, ukuguqulwa kwesibindi ngokuvamile kuyindlela yokwelapha kuphela.
Izifo Zengculazi Nokuguquka
I-COPD, noma i- Chronic Obstructive Pulmonary Disease , iyindlela ejwayelekile kakhulu yesifo eholela ekuhlulekeni kwamapayipi kanye nesidingo sokuThengiswa Kwemfucuza. Iziguli zokufakelwa izilonda zingathola amaphaphu amabili kuphela, noma ngezimo ezithile ezifana ne-cystic fibrosis, amaphaphu amabili angafakwa.
Ukuguqulwa Kwamalungu Omzimba Omningi
Ukufakelwa komzimba okunama-multivisceral wuhlobo lokuhlinzwa okufakelwayo okubandakanya izidumbu ezingaphezu kweyodwa, njenge-Heart / Lung Transplants, ukufakelwa kwenhliziyo / kwezinso noma ukufakelwa kwezinso / i-pancreas.
Ezigulini zezingane, ukuguqulwa kwe-multivisceral ngokuvamile kuyinhliziyo / imaphaphu noma inhlanganisela ehlanganisa ukufakelwa kwamathumbu amathumbu.
Ngemuva kokufakelwa kwe-Organ
Ukubhekana Neziqu Emva Kokufakelwa Kwamagciwane akulula ngaso sonke isikhathi, nakuba ukufakelwa komzimba okulinde isikhathi eside sekugcineni kwenzeka. Kukhona izinkathazo mayelana nokulahlwa kwe-Organ, imiphumela emibi yokuguqula imithi njengoGout nokuzuza kwesisindo. Kukhona izihloko ezibuhlungu kakhulu ezifana nokubhala umndeni womhlinzeki womzimba futhi ucabange ngekusasa lezilwane ezifuywayo ezifuywayo.
Ingabe Intombazane Yami Iyongenza Ngigule?
Ukukhathazeka kwesikhathi eside mayelana nezifo ezingadluliselwa kumnikeli kumamukeli, njenge-Cytomegalovirus (CMV), umdlavuza, nasezimo ezingavamile kakhulu, i- HIV ijwayelekile kubantu abamukeliyo.
Abamukeli bezinhlaka bangase bafune ukuthola iqembu lokusekela, mhlawumbe ngokusebenzisa isikhungo sokufakelwa komzimba esisebenzisayo ekunakekelweni kwabo kwezempilo, edolobheni lakubo noma ku-intanethi. Abamukeli abaningi banzima ngokubhala incwadi emndenini wabanikeli babo, bengakwazi ukuthola amagama afanele ukuveza ukubonga kwabo.
Abamukeli begciwane kufanele baqaphele ukuthi bayakwazi ukusiza abaxhasi, futhi bangase bafune ukujoyina ukubhalisa kwabanikeli kumbuso wabo wasekhaya.
Imithombo
I-UNOS - I-United Network Ye-Organ Sharing http://www.unos.org
Ukuguqulwa kokuphila, i-Division of UNOS. I-TransplantLiving.org