Ungaphila Ngaphandle Kwesibindi?

-Delile

• Izindima eziningi zesibindi
• Ngakho-ke, ungaphila ngaphandle kweyodwa?
• Kepha kuthiwani uma isibindi sakho sihluleka?
• Hhayi isigwebo sentambo
• Ukufakelwa komnikeli okungasekho
• Ukufakelwa komnikeli ophilayo
• Kungenzeka yini ukuhlala nengxenye eyodwa?
• Ukususwa kwesibindi okuyingxenye ekufakelweni kabusha komnikeli ophilayo
• Ukuthatha

Izindima eziningi zesibindi

Isibindi sakho sinamandla, senza imisebenzi engaphezu kwama-500 esekela impilo. Lesi sitho esinamakhilogremu amathathu - isitho sangaphakathi esikhulu kunazo zonke emzimbeni - sisengxenyeni engaphezulu kwesokudla esiswini sakho. Yenza okulandelayo:

• kuhlunga ubuthi egazini lakho
• ikhiqiza ama-enzyme wokugaya ukudla okuthiwa yi-bile
• ugcina amavithamini namaminerali
• ilawula ama-hormone nokuphendula komzimba
• kusiza ukugoqa igazi

Isibindi sakho ukuphela kwesitho emzimbeni wakho esingabuyela emuva ngemuva kokuthi izingxenye zaso zisusiwe noma zonakalisiwe. Eqinisweni, isibindi sakho singakhula sibuyele ngosayizi waso ogcwele ezinyangeni ezimbalwa nje.

Ngakho-ke, uma isibindi sivuseleleka, ungaphila ngaphandle kwesinye isikhathi esithile? Ake sihlolisise.

Ngakho-ke, ungaphila ngaphandle kweyodwa?

Cha. Isibindi sibaluleke kakhulu ekubeni khona ukuthi yize ungaphila nengxenye yesibindi kuphela, awukwazi ukuhlala ngaphandle kwesibindi nhlobo. Ngaphandle kwesibindi:

• igazi lakho ngeke livale kahle, lidale ukopha okungalawuleki
• ubuthi namakhemikhali kanye nokwenziwa kokugaya ukudla kuzokwakha egazini
• uzoba nokuzivikela okumbalwa ekulweni nezifo ezibangelwa amagciwane nezikhunta
• ungaba nokuvuvukala, kufaka phakathi ukuvuvukala okubulalayo kobuchopho

Ngaphandle kwesibindi, ukufa bekuyokwenzeka ezinsukwini ezimbalwa.

Kepha kuthiwani uma isibindi sakho sihluleka?

Isibindi singahluleka ngenxa yezizathu eziningi.

Ukwehluleka kwesibindi okunamandla, okubizwa nangokuthi ukwehluleka okuphelele kwe-hepatic, kuholela ekuwohlokeni okusheshayo kwesibindi, imvamisa lapho isibindi sasiphilile kahle ngaphambili. Ngokuya ngocwaningo, kuyivelakancane ngokudlulele, kwenzeka minyaka yonke kubantu abangaphansi kwabayishumi esigidini ngasinye. Izimbangela ezivame kakhulu yilezi:

• ukutheleleka ngegciwane
• ubuthi bezidakamizwa, imvamisa ngenxa yokweqiwa kwe-acetaminophen (Tylenol)

Izimpawu zifaka:

• i-jaundice, edala ukuphuzi kwesikhumba nabamhlophe bamehlo
• ubuhlungu besisu nokuvuvukala
• isicanucanu
• ukuphazamiseka kwengqondo

Olunye uhlobo lokwehluleka kwesibindi lwaziwa njengokuhluleka kwesibindi okungapheli. Kubangelwa ukuvuvukala nokusikeka okwenzeka esikhathini esiyizinyanga noma iminyaka. Lokhu kuwohloka kwesibindi kukonke kuvame ukubangelwa izinto ezinjengalezi:

• ukusetshenziswa kabi kotshwala
• ukutheleleka, kufaka phakathi i-hepatitis A, B no-C
• umdlavuza wesibindi
• izifo zofuzo, ezifana nesifo sikaWilson
• isifo sesibindi esingenawo utshwala

Izimpawu zifaka:

• isisu esivuvukile
• i-jaundice
• isicanucanu
• ukuhlanza igazi
• ukulinyazwa okulula
• ukulahleka kwemisipha

Hhayi isigwebo sentambo

Kodwa isibindi esihlulekayo akusona isigwebo sentambo. Ngokuya ngempilo yakho nempilo yesibindi sakho, ungahle ulungele ukufakelwa isibindi, ukuhlinzwa lapho kukhishwa khona isibindi esigulayo kufakwe isiqeshana noma konke okunempilo okuvela kumnikeli.

Kunezinhlobo ezimbili zokufakelwa kwabahlinzeki besibindi:

Ukufakelwa komnikeli okungasekho

Lokhu kusho ukuthi isibindi sithathwa kumuntu osanda kudlula emhlabeni.

Umuntu ngabe usayine ikhadi lomzimba womnikeli ngaphambi kokushona kwakhe. Lesi sitho singanikelwa nangemuva kwesidumbu ngokuvuma komndeni.I-National Institute of Diabetes and Digestive and Kidney Diseases ibika ukuthi izibindi ezinikelwe kakhulu zivela kubaxhasi abangasekho.

Ukufakelwa komnikeli ophilayo

Kule nqubo, umuntu osaphila - imvamisa oyilungu lomndeni noma umngani osondele - uyavuma ukunikela ngengxenye yesibindi sabo esinempilo. ithole ukuthi kokufakelwa kwesibindi okungu-6,455 okwenziwe ngo-2013, amaphesenti amane kuphela avela kubantu abanikelayo.

Udokotela wakho angancoma ukufakelwa kwe-orthotopic noma i-heterotopic. Ekufakelweni kwe-orthotopic, isibindi esigulayo sisuswa ngokuphelele bese kufakwa isibindi somnikeli onempilo noma ingxenye yesibindi.

Ekufakelweni kwe-heterotopic, isibindi esonakele sisele endaweni bese kufakwa isibindi esinempilo noma ingxenye yesibindi. Yize ukufakelwa kwamathambo kuyikho okuvame kakhulu, kungaphakanyiswa ukuthi kune-heterotopic eyodwa uma:

• impilo yakho ibuthakathaka ungahle ungakwazi ukumelana nokuhlinzwa okuphelele okususa isibindi
• isifo sakho sesibindi sinembangela yofuzo

Udokotela angakhetha ukufakelwa i-heterotopic uma ukwehluleka kwakho kwesibindi kubangelwa isimo sofuzo ukuthi ucwaningo lwesikhathi esizayo lofuzo lungathola ukwelashwa noma ukwelashwa okusebenzayo. Ngokuqina kwesibindi sakho, ungakwazi ukusebenzisa le ntuthuko entsha.

Kungenzeka yini ukuhlala nengxenye eyodwa?

Noma ungathola isibindi esinqunyelwe kuphela, odokotela bakho bazoqinisekisa ukuthi sikhulu ngokwanele ukwenza yonke imisebenzi edingekayo. Eqinisweni, omunye udokotela ohlinzayo wokufakelwa eNyuvesi yasePittsburgh ulinganisela ukuthi udinga kuphela amaphesenti angama-25 kuye kwangama-30 wesibindi sakho ukugcina imisebenzi ejwayelekile.

Ngokuhamba kwesikhathi, isibindi sizokhula size sibe ngosayizi waso ojwayelekile. Ochwepheshe abaqiniseki kahle ukuthi ukuvuselelwa kwesibindi kwenzeka kanjani, kepha bayazi ukuthi lapho isibindi sincishiswa ngosayizi ngokuhlinzwa, kuyenziwa kusebenze impendulo yeselula eveza ukubuyela emuva okusheshayo.

Ukususwa kwesibindi okuyingxenye ekufakelweni kabusha komnikeli ophilayo

Abantu abathola isibindi kumuntu oshonile bavamise ukufakelwa isitho sonke. Isibindi singahle sihlukaniswe, noma kunjalo, uma sikhulu kakhulu noma sihlukaniswa phakathi kwengane nomuntu omdala.

Labo abanomnikelo ophilayo wesibindi - okuvame ukuthi kuqhamuke esihlotsheni esinempilo noma kumngane ofaniswe nosayizi nohlobo lwegazi - bathola ucezu lwesibindi kuphela. Abanye abantu bakhetha le nketho ngoba abafuni ukuzibeka engcupheni yokugula njengoba belinde kuhlu lwesitho esingahle size noma singafiki ngesikhathi.

Ngokusho kwe-University of Wisconsin School of Medicine and Public Health:

• Cishe amaphesenti angama-40 kuye kwangama-60 wesibindi somnikeli ayasuswa afakwe kumamukeli.
• Kokubili umamukeli kanye nomnikeli bayoba nesibindi esanele ukuqinisekisa ukusebenza kahle.
• Ukuhluma kwesibindi kuqala cishe ngokushesha.
• Kungakapheli amasonto amabili, isibindi sesiseduze nosayizi waso ojwayelekile.
• Ukukhula kabusha okuphelele - noma okuseduze - kutholakala kungakapheli unyaka.

E-United States, abantu abayi-14,000 njengamanje basohlwini lokulinda isibindi esitshalwe kabusha. Kulabo, abangu-1 400 bazofa ngaphambi kokuba bathole okukodwa.

Yize kungakajwayelekile, umnikelo ophilayo wesibindi ubonakala kakhulu. Ngo-2017, ezinye izibindi ezingama-367 zanikelwa ngabaxhasi abaphilayo.

Inzuzo enkulu yomnikelo wesibindi ophilayo ukuthi ukuhlinzwa kungahlelelwa lapho kuvumelana kuzo zombili izinhlangothi. Ngaphezu kwalokho, isibindi singanikelwa ngaphambi kokuba umamukeli agule kakhulu. Lokhu kungakhuphula amazinga okusinda.

Ukuze ubhekelwe ukunikela ngesibindi kufanele:

• ube phakathi kweminyaka engu-18 no-60
• ube nohlobo lwegazi oluhambisana nomamukeli
• ahlolwe kabanzi ngokomzimba nangokwengqondo
• ube nesisindo esinempilo, ngoba ukukhuluphala ngokweqile kuyingozi engaba nesifo sesibindi esinamafutha, esilimaza isibindi
• zimisele ukungaphuzi utshwala kuze kube yilapho usululeme
• ube nempilo enhle ejwayelekile

Ngeminye imininingwane mayelana nokuba ngumnikeli wesibindi ophilayo, xhumana ne-American Transplant Foundation. Ngemininingwane yokuthi unganikela kanjani ngezitho zakho zomzimba ngemuva kokushona, vakashela i-OrganDonor.gov.

Ukuthatha

Isibindi senza imisebenzi ebalulekile, esekela impilo. Ngenkathi ungeke uphile ngaphandle kwesibindi ngokuphelele, ungaphila nengxenye eyodwa kuphela.

Abantu abaningi bangasebenza kahle ngaphansi kwengxenye yesibindi sabo. Isibindi sakho singakhula futhi sibuyele ngosayizi ogcwele kungakapheli izinyanga ezimbalwa.

Uma wena noma umuntu omaziyo enesifo sesibindi futhi edinga ukufakelwa, ukunikela kwesibindi okuphilayo kungaba yindlela ongayicabangela.