Hloov cov kev pabcuam

Kev hloov ntshav yog qhov txheej txheem uas tau ua los hloov ib qho ntawm koj cov plab hnyuv siab raum nrog kev noj qab haus huv los ntawm lwm tus. Qhov kev phais mob tsuas yog ib feem ntawm cov txheej txheem nyuaj, ntev ntev.

Ntau tus kws tshaj lij yuav pab koj npaj rau hauv txoj kev ua, thiab ua kom koj xis nyob ua ntej, thaum, thiab tom qab phais.

Kev hloov ntshav phais yog ib txwm ua los hloov cov ntu mob hauv lub cev nrog lub dag zog.

COV CAIJ NYOOG TRANSPLANTS

• Auto islet cell hloov tau ua tom qab ib tus neeg muaj lawv cov txiav tawm los ntawm kev mob caj dab ntev (mob ntev). Cov txheej txheem yuav siv cov tshuaj insulin-tsim cov hlwb los ntawm tus txiav thiab xa rov qab rau tus neeg lub cev.
• Corneal hloov chaw ntawm lub pob txha puas uas mob los sis mob. Tus mob pob tsuas yog qhov nqaij ntshiab nyob ntawm sab xub ntiag ntawm lub qhov muag uas pab tsom teeb rau lub retina. Nws yog ib feem ntawm lub qhov muag uas lub chwv chwv tiv thaiv tuag.
• Kev hloov lub plawv yog qhov kev xaiv rau ib tus neeg muaj lub plawv tsis ua hauj lwm uas tsis tau teb rau kev kho mob.
• Kev hloov khoom noj hauv plab yog qhov kev xaiv rau cov neeg muaj plob tsis so plab lossis plab hnyuv lossis daim siab mob siab heev, lossis leej twg yuav tsum tau txais tag nrho cov as-ham los ntawm kab noj.
• Kev hloov raum yog ib qho kev xaiv rau ib tug neeg uas muaj lub raum tsis ua haujlwm ntev (mob raum). Nws tuaj yeem ua tiav nrog lub raum-txiav caj dab.
• Txoj kev hloov siab tuaj yeem yog qhov kev xaiv tsuas yog rau tus neeg muaj kab mob siab uas ua rau lub siab tsis ua haujlwm lawm.
• Lub ntsws hloov ntshav yuav hloov ib lossis ob lub ntsws. Tej zaum nws tsuas yog txoj kev xaiv rau ib tus neeg muaj mob ntsws uas tsis tau zoo dua los siv lwm cov tshuaj thiab kev kho mob, thiab cia siab tias yuav muaj sia nyob tsawg dua 2 xyoos.

KEV NTSHAV NTSHAV / KHWV MARROW TRANSPLANTS (STEM CELL TRANSPLANTS)

Tej zaum koj yuav xav tau qog cell hloov yog tias koj muaj kab mob uas ua rau cov hlwb hauv pob txha hlwb tawg, lossis yog tias koj tau txais cov kws kho mob siab lossis tshuaj tua hluav taws xob ntau.

Ua raws li hom kev hloov ntshav, koj txoj kev taug ua hu ua hloov hlwb pob txha, hloov ntshav txoj hlab ntshav, lossis hloov ntshav ntawm pob txha caj qaum. Tag nrho peb siv cov qia hlwb, uas yog lub hlwb tsis paub qab hau uas ua rau muaj tag nrho cov qe ntshav. Kev hloov pauv qia yog zoo li kev hloov ntshav thiab feem ntau tsis tas yuav phais.

Muaj ob yam sib txawv ntawm kev hloov chaw:

• Hloov ntshav hloov ntshav siv koj tus kheej cov qe ntshav lossis cov hlwb pob txha.
• Allogeneic hloov ntshav siv cov ntshav pub ntshav los yog hlwb pob txha. Kev hloov ntshav syngeneic allogeneic siv hlwb los yog pob txha los ntawm tus neeg ntxaib zoo tib yam.

QHOV KEV PAB CUAM TSO CAI

Pab neeg hloov ntshav muaj cov kws txawj tau xaiv, suav nrog:

• Cov kws phais neeg uas paub tshwj xeeb hauv kev hloov khoom nruab nrog cev
• Kws tshuaj kho mob
• Kws xoo hluav taws xob thiab kev ntsuas tshuab kho mob
• Cov kws ntsuas mob
• Kws txawj kis tus kab mob
• Kev saib xyuas lub cev
• Kws kho mob hlwb, kws kho hlwb, thiab lwm tus kws sab laj
• Cov neeg ua haujlwm sib raug zoo
• Kev noj zaub mov zoo thiab kev noj haus

UA NTEJ YUAV TSO NYIAJ TRANSPLANT

Koj yuav muaj kev kuaj mob tag nrho los txheeb xyuas thiab kho txhua yam mob, xws li mob raum thiab mob plawv.

Pab neeg hloov ntshav yuav tshuaj xyuas koj thiab saib koj li keeb kwm kev noj qab haus huv los txiav txim seb koj puas ua raws li cov qauv rau kev hloov khoom nruab nrog cev. Feem ntau ntawm kev hloov khoom nruab nrog cev muaj cov lus qhia piav qhia txog hom tus neeg zoo li cas feem ntau yuav tau txais txiaj ntsig los ntawm hloov ntshav thiab yuav muaj peev xwm tswj xyuas cov txheej txheem nyuaj.

Yog hais tias pawg neeg hloov ntshav ntseeg tias koj yog tus neeg sib tw ua tiav rau qhov hloov ntshav, koj yuav raug muab tso cia hauv daim ntawv tos npe hauv lub tebchaws. Koj qhov chaw nyob hauv daim ntawv tos yog nyob ntawm ntau ntawm ntau yam, uas nyob ntawm seb hom kev hloov dab tsi uas koj tau txais.

Thaum koj nyob rau hauv daim ntawv tos, qhov kev tshawb nrhiav rau qhov kev sib haum xeeb pub dawb pib. Hom kev pub twg nyob ntawm qhov hloov ntshav tshwj xeeb rau koj, tabsis suav nrog:

• Qhov nyiaj pub dawb uas cuam tshuam nrog koj, xws li niam txiv, kwvtij, lossis menyuam yaus.
• Tus nyob uas tsis txheeb cov neeg pab nyiaj yog tus neeg, ib yam li phooj ywg lossis tus txij nkawm.
• Tus uas tau tag sim neej yog tus uas nyuam qhuav tuag. Lub siab, nplooj siab, raum, lub ntsws, plab hnyuv, thiab kab mob hlwb ua kom zoo tuaj yeem rov qab los ntawm cov khoom nruab nrog cev.

Tom qab muab khoom nruab nrog cev, cov neeg pub dawb tuaj yeem nyob tau lub neej zoo thiab muaj kev noj qab haus huv.

Koj yuav tsum txheeb xyuas tsev neeg, cov phooj ywg, lossis lwm cov neeg saib xyuas uas tuaj yeem muab kev pab thiab txhawb nqa thaum lub sijhawm hloov pauv.

Koj tseem yuav xav npaj koj lub tsev kom muaj kev yooj yim rau koj thaum koj rov qab los tom qab tso tawm hauv tsev kho mob.

TOM QAB NYIAJ HLOOV

Lub sijhawm koj nyob hauv tsev khomob ntev npaum li cas yog nyob ntawm hom kev hloov ntshav uas koj muaj. Lub sijhawm koj nyob hauv tsev khomob, koj yuav ntsib txhua hnub los ntawm pab neeg hloov ntshav.

Tus kws saib xyuas koj txoj kev hloov ntshav yuav kho koj lub chaw tawm haujlwm. Lawv yuav sib tham nrog koj txoj kev npaj tu mob hauv tsev, tsheb thauj mus rau tom tsev kho mob, thiab tsev nyob, yog xav tau.

Luag yuav qhia koj kom paub tu koj tus kheej tom qab hloov ntshav tas. Qhov no yuav suav nrog cov ntaub ntawv hais txog:

• Cov tshuaj kho mob
• Koj yuav tsum tau mus ntsib kws kho mob lossis chaw kho mob ntau npaum li cas
• Yuav ua dab tsi txhua hnub ua si tau tso cai lossis tawm-txwv

Tom qab koj tawm hauv lub tsev kho mob, koj yuav rov qab mus tsev.

Koj yuav muaj sij hawm rov qab nrog pab pawg hloov ntshav, nrog rau koj tus thawj kws kho mob thiab lwm tus kws tshaj lij uas yuav raug pom zoo. Pab neeg hloov ntshav yuav muaj teb rau cov lus nug uas koj muaj.

Adams AB, Ford M, Larsen CP. Kev hloov chaw immunobiology thiab immunosuppression. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 24.

Streat SJ. Kev pub khoom hauv lub cev. Hauv: Bersten AD, Handy JM, eds. Huag phau ntawv qhia kev saib xyuas hnyavCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 102.

United Network rau Organ Sharing website. Hloov Mus. unos.org/transplant/. Nkag mus rau Lub Plaub Hlis 22, 2020.

Tsoomfwv Meskas Cov Ntaub Ntawv Qhia Txog Organ Donation thiab Hloov Chaw lub vev xaib. Kawm txog kev pub khoom nruab nrog cev. www.organdonor.gov/about.html. Nkag mus rau Lub Plaub Hlis 22, 2020.