Post Date December, 03 2023
Recently, I heard a news that a small baby who was only 2 days old died of a serious illness. However, his parents donated his two kidneys to a uremic patient who had been successfully matched, allowing the patient to regain renal function. This great love moved us.
However, such donors are still lacking. In China, only one out of every 150 patients who need transplants has been transplanted, and the lack of donor sources is the most important factor limiting transplantation.
For kidney friends, they must be very concerned about topics related to kidney transplantation. Is the risk of kidney transplantation high? How effective is the transplant? How much does the transplant cost? What issues should be noted after migration? Don't worry, let's talk about kidney transplantation in this article.
How to view renal transplantation
Renal transplantation requires major surgery to implant the donor kidney into patients with renal failure. "Renal transplantation is not just possible with a kidney. The blood type (ABO blood type) and tissue type of the new kidney must match the recipient.". Otherwise, the patient's body will reject the new kidney. This will prevent the new kidney from working properly. Whether the blood type matches the tissue type should be tested through a blood test. However, it is worth pointing out that if all are matched, exclusion may also occur, even if it may not occur at the time of completion of the transplant, it may also occur many years later. After kidney transplantation, the quality of life of most kidney friends will greatly improve, but comprehensive factors such as rejection reaction, economic pressure, and so on affect the transplant effect. Therefore, before choosing kidney transplantation, nephrologists need to have a clearer and deeper understanding of kidney transplantation and have a rational view of it.
Where does the kidney come from?
1. Blood relatives (relative living kidney)
2. Spouse, in-laws, or friends (non blood related living kidneys)
3. Dead donor
Living related kidney transplantation and non related living related kidney transplantation
Family members, spouses, or friends of patients may choose to donate kidneys. The stronger the function of the living kidney, the longer it will function in the patient's body. Surgery can be performed as long as the time is appropriate, so patients do not have to wait for a long time. Renal donors also undergo physical examinations to ensure that they do not develop kidney disease or other factors that affect the health of the donor. "Our kidneys have a strong compensatory capacity. As long as we have a healthy kidney, it is sufficient to undertake the work of two kidneys. For example, people with some congenital isolated kidneys (born with only one kidney) can also live a normal life.". However, after all, if you work two jobs for one kidney, the load will increase. Kidney donors are more likely to develop kidney disease than normal people, and their immunity and affordability will be worse than healthy people after other diseases occur. Therefore, it is necessary to pay more attention to maintenance and rest than ordinary people. Living donors must undergo surgery to remove their kidneys, and it will take another three weeks to recover after surgery, during which time the donor cannot work. Before donating, the doctor will also inform the donor of the risks and consequences of the surgery in detail.
For many people, it may be difficult to imagine how to ask their family and friends to donate a kidney for themselves,
Some patients may become angry because friends and family are unwilling to provide kidneys. A while ago, there was news that the mother of a uremic patient had received widespread attention and discussion because she refused to donate her son's own kidney. She said she was more willing to make money for dialysis for her son. Everyone has a different perspective on this. Others worry about what to do if the donated kidney doesn't work.
Some patients may have one or more donors willing to donate their kidneys, but the matching has not been successful. Some transplant centers have solutions to this problem. If two living donors fail to match their original recipients, they can "swap" recipients. The two recipients then underwent surgery simultaneously. As a result, both recipients received live donations, and neither side needed to wait for a dead donor.
Dead donor transplantation
Dead donor kidney transplantation is another option, but there are not enough dead donors to provide kidneys for patients who need kidney replacements. In 2015, China also completely abolished the use of death penalty criminals as a source of organ transplantation, and deceased donors can only rely on voluntary donations. However, due to many complex factors involved in this process, such as morality, ethics, society, and the legal system, donors are also seriously insufficient. Therefore, patients may have to wait for a long time, possibly for months, or even years.
