Again Patient With a Blood a Positive and Had Had Cancer Could They Be a Kyney Donor?
In this section:
- What is the process for getting a kidney transplant?
- Who is on my transplant team?
- How will I feel later my transplant?
- How do I know my new kidney is working?
- What are the possible problems afterward a kidney transplant?
- What are the symptoms of transplant rejection?
- What are the side effects of anti-rejection medicines?
- What should I eat or avoid eating with a kidney transplant?
- How do I pay for my transplant?
Some people with kidney failure may be able to accept a kidney transplant. During transplant surgery, a healthy kidney from a donor is placed into your torso. The new, donated kidney does the work that your two kidneys used to exercise.
The donated kidney tin can come from someone you don't know who has recently died (deceased donor), or from a living person—a relative, spouse, or friend. Due to the shortage of kidneys, patients on the waiting listing for a deceased donor kidney may wait many years.
A kidney transplant is a treatment for kidney failure; it's not a cure. Y'all volition demand to have medicines every day to make sure your immune arrangement doesn't reject the new kidney. You will also need to see your health care provider regularly.
A working transplanted kidney does a better job of filtering wastes and keeping you healthy than dialysis. However, a kidney transplant isn't for everyone. Your doctor may tell y'all that you're not salubrious plenty for transplant surgery.
Sentinel a video nearly kidney transplant.
What is the process for getting a kidney transplant?
If you want a kidney transplant, the process includes these steps:
- Tell your doctor or nurse you lot want to have a kidney transplant.
- Your physician volition refer you to a transplant center for tests to come across if y'all're healthy enough to receive a transplant. Living donors need to be tested to make sure they're salubrious enough to donate a kidney.
- If you don't take a living donor, you'll exist placed on a waiting list to receive a kidney. You'll have monthly blood tests while you expect for a kidney.
- You must become to the hospital to have your transplant as shortly as you learn a kidney is available. If you lot have a living donor, y'all tin schedule the transplant in advance.
Talk with your doctor
The first footstep is to talk with your md to find out whether yous're a candidate for a transplant. If you're on dialysis, your dialysis team volition also be office of the process. If you and your md recall a kidney transplant is right for you, your medico will refer you to a transplant centre.
Get tested at a transplant center
At the transplant middle, you'll run into members of your transplant team. You lot'll have tests to make sure you're a good candidate for transplant.
Tests will include blood tests and tests to cheque your heart and other organs—to make certain you're healthy enough for surgery. Some conditions or illnesses could brand a transplant less likely to succeed, such equally cancer that is not in remission, or current substance abuse.
Y'all'll likewise have tests to check your mental and emotional wellness. The transplant team must be sure y'all're prepared to intendance for a transplanted kidney. Y'all'll need to be able to understand and follow a schedule for taking the medicines you demand afterward surgery.
In a process called cross-matching, the transplant team tests the donor'southward blood confronting your blood to help predict whether your body'due south allowed organisation will accept or reject the new kidney.
If a family member or friend wants to donate a kidney and is a adept match, that person will need a health exam to make sure he or she is healthy plenty to exist a donor. If you take a living donor, you don't demand to be on a waiting list for a kidney and can schedule the surgery when it'south best for you, your donor, and your surgeon.
Testing and evaluation at the transplant center may take several visits over weeks to months.
Get on the waiting list
If your tests show you can have a transplant, your transplant middle will add together your proper name to the waiting list. Wait times can range from a few months to years. Most transplant centers give preference to people who've been on the waiting list the longest. Other factors, such as your age, where y'all live, and your blood blazon, may make your wait longer or shorter.
A transplant eye tin can place you on the waiting list for a donor kidney if your kidney role is 20 or less—even if you aren't on dialysis. While you wait for a kidney transplant, you may demand to get-go dialysis.
Take monthly claret tests
While you wait for a kidney, y'all'll demand monthly claret tests. The middle must have a recent sample of your blood to match with any kidney that becomes available.
Have your kidney transplant
During kidney transplant surgery, a surgeon places a healthy kidney into your torso. You'll receive full general anesthesia earlier the surgery. The surgery usually takes three or 4 hours. Unless your damaged kidneys crusade infections or high blood pressure or are malignant, they can stay in your body. Surgeons usually transplant a kidney into the lower abdomen virtually the groin.
If you're on a waiting list for a donor kidney, you must go to the infirmary to accept your transplant surgery as soon as y'all larn that a kidney is available.
If a family unit member or friend is donating the kidney, you'll schedule the surgery in advance. Your surgical team volition operate on you and your donor at the same time, usually in side-by-side rooms. One surgeon will remove the kidney from the donor, while some other prepares you lot to receive the donated kidney.
Who is on my transplant team?
A successful transplant involves working closely with your transplant team. Members of the team include:
- You—you are an of import office of your transplant squad.
- Your family members—this may include your spouse, parents, children or whatever other family member yous would like to involve.
- Transplant surgeon—the doc who places the kidney in your body.
- Nephrologist—a dr. who specializes in kidney health and may piece of work closely with a nurse practitioner or a physician's assistant.
- Transplant coordinator—a specially trained nurse who will be your point of contact, arrange your appointments, and teach you what to practise before and subsequently the transplant.
- Pharmacist—a person who tells you near all your medicines, fills your prescriptions, and helps you avert dangerous medicine combinations and side effects.
- Social worker—a person trained to help you solve issues in your daily life and coordinate care needs after your transplant.
- Dietitian—an expert in food and nutrition who teaches you lot about the foods you should eat and avoid, and how to program salubrious meals.
Your transplant team will exist able to provide the back up and encouragement you demand throughout the transplant process.
How volition I feel after my transplant?
Many people report feeling much better correct after having transplant surgery. For some people, information technology takes a few days for the new kidney to start working. You probably volition need to stay in the hospital several days to recover from surgery—longer if you have whatsoever bug afterward the transplant. You'll have regular follow-up visits with your nephrologist afterwards leaving the hospital.
If you take a living donor, the donor will probably also stay in the hospital for several days. Yet, a new technique for removing a kidney for donation that uses a smaller cut may make it possible for the donor to exit the hospital in two to three days.
Before you exit the hospital, y'all need to acquire how to stay healthy and take care of your donor kidney. You will have to have ane or more anti-rejection medicines—besides chosen immunosuppressants. Without medicine, your immune arrangement may care for your donor kidney every bit foreign, or non your own, and attack your new kidney. Anti-rejection medicines may have side effects.
You may too need to accept other medicines—for example, antibiotics to protect against infections. Your transplant team will teach you what each medicine is for and when to take each 1. Be certain you empathise the instructions for taking your medicines before you leave the infirmary.
How do I know my new kidney is working?
Blood tests help you know your donor kidney is working. Before you go out the hospital, you'll schedule an appointment at the transplant center to test your blood. The tests show how well your kidneys are removing wastes from your blood.
At showtime, you'll need regular checkups and blood tests at the transplant center or from your doctor. Equally time goes on, y'all'll have fewer checkups.
Your claret tests may show that your kidney is not removing wastes from your blood also as it should. You also may take other symptoms that your torso is rejecting your donor kidney. If you accept these problems, your transplant surgeon or nephrologist may lodge a kidney biopsy.
What are the possible problems after a kidney transplant?
The donated kidney may start working right away or may take up to a few weeks to make urine. If the new kidney doesn't outset working correct away, you'll need dialysis treatments to filter wastes and extra salt and fluid from your body until information technology starts working.
Other problems following kidney transplant are similar to other pelvic surgeries and may include
- bleeding
- infection, especially a bladder infection
- hernia
- pain or numbness along the inner thigh that unremarkably goes away without treatment
Transplant rejection is rare correct afterward surgery and can accept days or weeks to occur. Rejection is less common when the new kidney is from a living donor than when it'southward from a deceased donor.
What are the symptoms of transplant rejection?
Transplant rejection oft begins before you lot experience any changes. The routine blood tests that you take at the transplant centre volition reveal early signs of rejection. You may develop high claret force per unit area or notice swelling because your kidney isn't getting rid of extra salt and fluid in your body.
Your health care provider will care for early signs of rejection by adjusting your medicines to assist keep your body from rejecting your new kidney.
Transplant rejection is becoming less common. Still, your torso may still turn down the donor kidney, fifty-fifty if you do everything y'all should. If that happens, you may need to get on dialysis and go back on the waiting list for another kidney. Some people are able to become a second kidney transplant.
Seek medical care right abroad
When you're taking anti-rejection medicines, you're at a greater risk for infection. Anti-rejection medicines tin can dull symptoms of issues such as infection. Call your transplant center right away if y'all aren't feeling well or accept
- a fever of more than 100 degrees
- drainage from your surgical scar
- burning when you lot pass urine
- a cold or cough that won't go away
What are the side effects of anti-rejection medicines?
Some anti-rejection medicines may change your appearance. Your face may go fuller, you lot may gain weight, or you lot may develop acne or facial hair. Non all people have these side furnishings.
Anti-rejection medicines weaken your immune organisation, which can lead to infections. In some people over long periods of fourth dimension, a weakened allowed system tin increase their risk of developing cancer. Some anti-rejection medicines cause cataracts, diabetes, actress stomach acid, high blood pressure, and bone disease.
When used over time, these medicines may as well crusade liver or kidney damage in some people. Your transplant team volition social club regular tests to monitor the levels of anti-rejection medicines in your blood and to measure your liver and kidney function.
What should I eat or avoid eating with a kidney transplant?
You have more choices near what to eat after you receive a kidney transplant than you would if you were on dialysis. However, you volition need to work with a dietitian to develop an eating plan that can modify in response to your medicines, exam results, weight, and blood pressure.
Read more about kidney failure and eating, diet, and nutrition.
How exercise I pay for my transplant?
Medicare, the Federal Government health insurance program, will pay for transplant and care for 3 years after the transplant. Medicare will besides pay for your donor'south surgery and his or her intendance. Watch a video near Medicare and kidney transplant.
Paying for medicines
Medicare and individual insurance may help pay for your medicines. Additionally, drug companies give discounts to people who tin prove that they tin't afford to pay for their prescriptions. Talk with your transplant social worker to observe out what resources may be available to aid you pay for your transplant.
Read more about resource that may assistance pay for your kidney failure treatment.
Source: https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/kidney-transplant
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