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Kidney Transplant Tips

Kidney Transplant - How To Identify Right Donor & Recipient?

Dr.Ravinder Singh Bhadoria 88% (10ratings)
DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Kidney Transplant - How To Identify Right Donor & Recipient?

The kidneys are responsible for the elimination of waste from the body. The blood is filtered in the kidneys and all toxic wastes are filtered out and excreted through urine. When this filtration does not happen effectively, a lot of waste can be found in the blood, which affects normal body function.

Kidneys may lose their functioning either due to age, injury, or disease conditions. Whatever the reason, when kidney function is hampered, the body suffers. If there was an injury or congenital problem, it could be unilateral and the non-affected kidney could still do the function. However, if it is infection or old age, normally both kidneys are affected and then replacement should be looked for externally. This is where a kidney transplant comes into the picture.

What is it?

It is a surgery where a healthy, functioning kidney is placed into the body. The donor could be

  1. Living: These donors have to be related or unrelated. Related is often termed someone, who is a family member and is willing to donate one kidney (one kidney is sufficient for normal, healthy individuals) to the diseased person.
  2. Cadaver: If a person is willing to donate kidneys post death, these are used for transplant, within a specified time.

Identifying the right donor and recipient:

  1. Blood type and tissue type should be matched; a good tissue type match improves the chances of success
  2. Overall health of the donor to ensure there is no heart disease, lung disease, or diabetes
  3. The recipient also should be healthy

What to expect during surgery?

  1. Once a donor is identified, in living donors, the surgery to remove the kidney and to transplant it are done simultaneously
  2. The surgery usually takes about 3 to 4 hours
  3. Antibiotics are given prior to the surgery to prevent infection
  4. The blood vessels and ureter are connected back to the kidney after the transplant
  5. Hospital stay can range from 5 days to 2 weeks, depending on the overall health of the patient and the anticipated risk of rejection.
  6. Most transplanted kidneys work effectively almost immediately. A kidney stored from a cadaver may take a little longer compared to a fresh kidney from a living donor
  7. People who have had transplants are put on immunosuppressants on a chronic basis to reduce chances of rejection. The new kidney will always be recognised by the body as a foreign body, and so this is essential.

Kidney transplant success rates are quite high, and more and more people are opting for transplants as opposed to dialysis.
 

1475 people found this helpful

Dialysis Or Kidney Transplantation - Which To Opt For?

Dr.Amit Goel 91% (40ratings)
MCh Urology & Kidney Transplant, MS - General Surgery, MBBS, Fellowship in Uro-Oncology & Robotic Surgery
Urologist, Gurgaon
Dialysis Or Kidney Transplantation - Which To Opt For?

Severe disorders in one or more kidneys can be debilitating since the quality of life is severely affected. If you suffer from such a condition, you may already be undergoing dialysis. But, have you considered a kidney transplant yet?

Here is a look at some benefits of kidney transplant over dialysis.

1.Increased life expectancy

  • You may not know this, but dialysis restricts your life expectancy. For instance, a person undergoing dialysis at 30 will have a life expectancy of 15 more years. However, with a transplant, you can go on to lead a full life. The same 30-year old person will have a life expectancy of 30 additional years in case of a transplant from a brain-dead donor. If the donor is a healthy individual, life expectancy may extend to 40 years as well.
  • Therefore, if you want to live longer, you need to seek a kidney transplant.

2. Enhanced quality of life
Not only does severe kidney disorder mean relying on dialysis, but it also imposes other major restrictions in regards to diet and lifestyle. However, kidney transplant is a more permanent solution to the problem. Once the transplant is completed and you recover from the surgery, you can resume a normal life. Additionally, some of the dietary restrictions are also lifted in such a case. 

Why dialysis is more common?

Dialysis is more common for the following reasons-

•   The kidney to be transplanted may not be readily available. You would be placed on a list and it may take a while for a suitable kidney to arrive. During this period, you would need to undergo dialysis.
•   Since dialysis is a minimally invasive procedure, it is often preferred by patients. However, kidney transplantation is better in the long-term.

 

2244 people found this helpful

Renal Failure - How Can Homeopathy Tackle It?

BHMS
Homeopathy Doctor, Surat
Renal Failure - How Can Homeopathy Tackle It?

Elimination of the waste products is the core function performed by our kidneys. Any failure or any infections to the kidney can hamper this process thus leading to a condition where the waste could accumulate in the body. These body fluids can rise to dangerous levels and are often life-threatening. In medical terms, they are known as acute kidney failure. Though there are countless options and medical treatments available in treating them, nothing can beat a homeopathy approach in treating the symptoms. Come, let us take a look at how homeopathy can be used in treating acute renal failure.

Acute kidney renal failure happens over a period of time and can be due to many reasons. Some of them are severe or sudden dehydration, toxic kidney injury due to certain medications, autoimmune kidney diseases, and urinary tract obstruction. Reduced blood flow can also damage the kidneys to a considerable extent, and these can include low blood pressure, internal hemorrhage, injury, surgery or a serious illness. Kidney failures are themselves, not a disease but they lead to many complications that may result in utmost discomfort and life-threatening consequences. The main symptoms of kidney failure can include bloody stools, generalized swelling or fluid retention, fatigue, pain in the ribs, hand tremor, prolonged bleeding, nausea, vomiting and high blood pressure. Urinary discharges can entirely stop or can flow continuously; often with a lot of pain.

In some extreme cases, the degeneration can happen very quickly and can be a medical emergency. Though conventional medicines can help in treating the symptoms, homeopathy offers the most practical solutions available in the market with a long-term focus in mind. Homeopathy uses a simple principle of treating the person as a whole. The complete nature of the individual is understood first before imparting the treatment. The medical history of the patient and his physical and mental constitution are all taken into the picture before the treatment is prescribed. The patient can find himself only talking with the homeopathic doctors initially in the sessions. This is done so that the patient is looked upon as a person - as an individual first and not as an element of the disease. This helps in imparting the best homeopathy treatment depending on the individual's vulnerability and their preferences.

Homeopathy has a high success rate in treating a person with acute renal kidney failure. The biggest advantage is that there are no side effects, unlike conventional treatments. The doctor focuses the treatment plan in such a way that the condition is arrested first and no further degeneration occurs. Then in the second stage, they start to estimate the root cause. A patient can feel the results mostly within a few weeks and if treatment is followed properly, a person can get completely cured within a few months. Many homeopathy medicines would be prescribed during the treatment. However, care should be taken to not exceed the dosage.

Conventional medicines can treat these renal failures. However, the biggest disadvantage is that in more chronic cases they lead to kidney transplantation and other complications. In other words, homeopathy can be your sensible choice of medicine in the long run. This medicine focuses more on the human value of the person rather than the medical condition.

1666 people found this helpful

Nephrectomy - A Surgical Way To Treat Kidney Conditions!

Dr.Garima Sharma 93% (461ratings)
MBBS
General Physician, Fatehabad
Nephrectomy - A Surgical Way To Treat Kidney Conditions!

Nephrectomy is a surgical procedure where the kidney is removed. It can be just the one kidney or both. This procedure is resorted to in cases of kidney cancer and other kidney problems. It is also done during kidney transplantation where a healthy kidney is removed from a donor.

Types of nephrectomy

Nephrectomy is of two types – partial and radical.

In a partial nephrectomy, only the diseased parts of the kidney are removed. In the radical variant, the entire kidney along with the ureter, adrenal gland and the surrounding fatty tissues are removed. If both the kidneys are removed then it is called bilateral nephrectomy.

For donors in kidney transplant, the procedure is called donor nephrectomy.

How is it done?

There are two ways in which this surgery can be done – laparoscopic and open.

Laparoscopic method

In this method, a laparoscope is inserted from a small incision in the abdominal wall. Once the laparoscope is in place, the kidney is removed through a small incision made by the doctor.

This procedure is carried out under general anaesthesia. The advantages of this method are – quicker recovery, a short stay at the hospital and lesser chances of complications.

Open nephrectomy

In this method, the doctor makes a relatively larger cut in the abdomen to reach the kidney. Once the kidney is removed then the incision is sutured.

Recovery

Once the surgery is complete, you will be taken to recovery where your vitals will be monitored. A urinary catheter will be attached to your bladder to drain away urine.

You may feel pain in the incision area for which pain medications will be given. You will also be asked to do breathing exercises to protect yourself from pneumonia. You have to avoid stressful activities like heavy lifting for 6 weeks once you return home from surgery.

You may also need to undergo tests like urinalysis, kidney function tests and blood pressure checks on a regular basis to detect complications after the surgery.

Kidney Transplant - 5 Must Know Things About It!

DNB (Nephrology), MRCP (UK), MD - Medicine, MBBS
Nephrologist, Mumbai
Kidney Transplant - 5 Must Know Things About It!

kidney transplant is a procedure that employs an operation to transplant properly functioning kidney in the body. The main job of the kidneys is to remove the excess waste from a person’s body with the help of a filtration process. When the kidneys stop filtering the toxins properly, they become diseased as harmful waste products and toxins begin to accumulate in the body. Following this, the patient has to go through treatment measures like dialysis or kidney transplant.

Read on to know the five things you should keep in mind about a kidney transplant:

  1. Treatment: Transplant is one of the best ways to treat chronic kidney disease stage-V, until unless it is contraindicated. Life becomes near normal after transplant, though there is a possibility of rejection of transplant kidney. Patient has to take immunosuppressive medication life long. 
  2. Medication: Medications are mainly for:
    1. To prevent rejection: Patient takes immunosuppressive medications life long.
    2. Prevention of infection: Patient has to take care all the measures to prevent infections as they are more prone to infections.
    3. Other medication: To control diabetes, HTN etc. 
  3. Family Only: The donors are from family or emotionally related or cadavers (after brain death). HLA-matched donors are better because of less chances of rejections and first reduction of immunosuppressive. 
  4. Doing Your Part: Once transplant is done - patient becomes normal and he/she lives a normal life. However, they have to take regular medications and to protect themselves from various infection. 
  5. End Stage Renal Diseases: These diseases includes diabetes mellitus, HTN, polycystic kidney disease, chronic glomerulonephritis or interstitial nephritis etc.
2197 people found this helpful

A Detailed Study About Swap Kidney Transplantation!

Dr.Suresh Kumar Bhagat 89% (36ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS General Surgery, Christian Medical College Vellore
Urologist, Mumbai
A Detailed Study About Swap Kidney Transplantation!

Kidney failure is an acute health problem, which leads to either treatment through transplanting a new healthy kidney. Still, less than 10% of those, who suffer from kidney failure, undergo a kidney transplant with the help of a family donor and around 1% of the patients do so with the kidney of a deceased donor. The remaining candidates, who need to undergo treatment for kidney failure, go for dialysis as they cannot find a family donor or any deceased donor.

There are even hurdles faced by kidney failure patients, wherein they are unable to go ahead with the treatment as the blood group of the prospective donor does not match with the patient. This is when the SWAP Kidney Transplant becomes ideal for them.

What Is Swap Kidney Transplant?
Swap Kidney Transplant or Kidney Exchange is simply a barter system, where a give and take policy takes place between two pairs of people.

Some important points include:

  1. Each pair consists of a giver and a taker and both the pairs benefit by receiving an organ that gets matched completely.
  2. This barter framework gives the opportunity to maximize returns in an exponential manner where there is a large pool and complicated algorithms in order to get the kidneys exchanged, are built into it.
  3. Swap pair consists of a patient, who is the receiver and a donor, who can be a family member.
  4. These kinds of pairs are such that organs cannot get exchanged between one another in an ordinary manner, due to incompatibility of blood groups or tissues.

How does the treatment actually take place?
Swap Kidney Transplant is a process where the exchange of organs takes place between two families, who are not able to donate the organ to their own family member as there is a blood group mismatch. Hence, this method involves sharing of organs between pair of donor and recipient who are not related.
By doing a swap, where the two patients could not have undergone kidney transplant because of blood group mismatch, they can now easily go ahead with their kidney transplantation.
 

2253 people found this helpful

Kidney Transplant Or Dialysis - Which Is Best?

MBBS, MS - General Surgery, MCH- Urology
Urologist, Nashik
Kidney Transplant Or Dialysis - Which Is Best?

Severe disorders in one or more kidneys can be debilitating since the quality of life is severely affected. If you suffer from such a condition, you may already be undergoing dialysis. But, have you considered a kidney transplant yet?

Here is a look at some benefits of kidney transplant over dialysis.

1.Increased life expectancy

  • You may not know this, but dialysis restricts your life expectancy. For instance, a person undergoing dialysis at 30 will have a life expectancy of 15 more years. However, with a transplant, you can go on to lead a full life. The same 30-year old person will have a life expectancy of 30 additional years in case of a transplant from a brain-dead donor. If the donor is a healthy individual, life expectancy may extend to 40 years as well.
  • Therefore, if you want to live longer, you need to seek a kidney transplant.

2. Enhanced quality of life
Not only does severe kidney disorder mean relying on dialysis, but it also imposes other major restrictions in regards to diet and lifestyle. However, kidney transplant is a more permanent solution to the problem. Once the transplant is completed and you recover from the surgery, you can resume a normal life. Additionally, some of the dietary restrictions are also lifted in such a case. 

Why dialysis is more common?

Dialysis is more common for the following reasons-

•   The kidney to be transplanted may not be readily available. You would be placed on a list and it may take a while for a suitable kidney to arrive. During this period, you would need to undergo dialysis.
•   Since dialysis is a minimally invasive procedure, it is often preferred by patients. However, kidney transplantation is better in the long-term.

 

1010 people found this helpful

Renal Transplant - How Safe Is It?

MCh - Urology & Kidney Transplant, MS - General Surgery, MBBS
Urologist, Jaipur
Renal Transplant - How Safe Is It?

The kidneys are primarily responsible for filtering blood and removing waste from the body. They also regulate fluid and electrolyte balance. If the kidneys stop functioning, a patient may need to undergo dialysis or have a renal transplant. Many patients prefer undergoing a transplant as it offers a better quality of life in the long run.

A kidney transplant can be described as a procedure to replace one’s own kidneys with a donor's kidney. In the case of a kidney transplant, there are two types of donors. The human body can function with one healthy kidney and hence family members and friends of the patient may choose to donate a kidney. Else, a kidney may be sourced from recently deceased donors who have chosen to donate their organs after death. In both cases, it is important that the donor kidney match the patient’s blood and tissue type.

Renal transplant surgery usually takes about 3 hours. The donor kidney is placed in the abdominal cavity and connected to the patient’s arteries, veins and bladder. Usually, the donor's kidney begins functioning immediately. The patient’s own damaged or diseased kidneys may not be removed unless there is a severe infection, cancer or a diagnosis of large polycystic kidneys.

The patient will need to be hospitalized for a few days after the surgery. In some cases, dialysis may be needed if the kidneys are unable to produce urine. In addition diuretics and other medication may be needed to remove excess water and salt from the body. Medication will also be prescribed to suppress the immune system so that the patient’s body does not reject the donor kidney. These medications typically need to be taken for the rest of the patient’s life.

A renal transplant is considered a relatively safe procedure. Less than 20 out of 100 people reject a donor kidney. However, there are a few other risks involved. These include:
Bleeding
• Severe infection
• Failure of the donor kidney
• Reaction to anesthesia
• Increased risk of infections due to the suppressed immune system

Kidney transplant is not advised for people suffering from diseases such as cancer or any significant lung or heart disease. If the patient is suffering from an infection, he or she may be advised to wait until the infection subsides before undergoing a renal transplant. A renal transplant may seem to be an expensive procedure but in the long run, this can work out to be more budget-friendly than dialysis.

1898 people found this helpful

Chronic Kidney Disease - How To Handle It?

Dr.Munindra Kumar 86% (14ratings)
MBBS, MD - General Medicine, DNB (Nephrology), MRCP (UK), CCEBDM(DIABETOLOGY)
Nephrologist, Delhi
Chronic Kidney Disease - How To Handle It?

Chronic kidney disease is categorized under various stages and your doctor will periodically assess the severity of kidney damage. Thankfully, the good news is that kidney disease progresses slowly and early detection will help to deter further complications.

How stages of Chronic Kidney Disease are Determined?
The stages are determined by glomerular filtration rate or GFR that measures kidney function. The glomerular filtration rate is a calculation that estimates how well the blood is filtered by the kidneys. It is usually calculated using a formula that takes into account the individual's age, gender, race and serum creatinine levels. The lower the GFR, the worse the kidney function and more the damage. 

Five Stages of Chronic Kidney Disease
The National Kidney Foundation has created a guideline for nephrologists to help identify the severity of kidney damage and provide the right care accordingly. Each stage calls for different tests and treatments:

Stage  Description GFR What Can Be Done
Stage 1 Early kidney damage 90 or above The exact cause of the kidney disease will be determined by your doctor. Your blood pressure and sugar levels are to be constantly watched out for. Opt for a kidney-friendly diet.
Stage 2 Mild kidney damage 60 to 89 Continuously monitor your condition and check how quickly the disease is progressing. Manage high blood pressure and diabetes.
Stage 3 Moderate kidney damage 30 to 59 Any complications like anemia, bone disease will be checked and treatment will be administered by your doctor
Stage 4 Greater kidney damage 15 to 29 Continue treatment and monitoring. If you are progressing towards kidney failure, consult the best treatment options you have based on your condition
Stage 5 Kidney failure Below 15 Start dialysis, consider kidney transplant and choose the right treatment

How is Chronic Kidney Disease Treated?
The first step is to determine the cause of the disease and then take the right measures to alleviate it. In most cases diabetes and high blood pressure are the prime reasons. So, simple lifestyle changes can help to prevent the progression of the disease and reduce your symptoms. Here’s what you can do:

  1. Follow a diet that is easy on your kidneys: Watch your protein and sodium intake. Drink the right amount of fluids and incorporate super foods that will not deter your kidney function
  2. Weight ManagementMake exercise a routine part and find the right exercise program that works for you. The more active you are, the lesser health problems you will have
  3. Avoid tobacco, smoking and alcohol

The first four stages of chronic disease focus on preserving the kidney function for as long as possible. The stages will help you analyze where you stand and what can be done to prevent kidney failure.

2865 people found this helpful

Kidney Transplants - Things To Remember!

Dr.C.S. Sidana 90% (106ratings)
MBBS, DNB, Indian Diploma In Critical Care Medicine
General Physician, Gurgaon
Kidney Transplants - Things To Remember!

A kidney transplant is a surgical procedure that patients of kidney disease go through in order to replace a non functioning kidney with a live one that is healthy and functions well. Other methods to treat this disease also include dialysis, which basically is an artificial way of doing what our kidneys are designed to do. When dialysis does not work, many doctors recommend a kidney transplant. A replacement or donated kidney can come from a living donor or a non living donor. This new kidney will mostly work towards keeping the blood clean, which is a function that stops when the old and diseased kidneys fail.

So, here's a list of five essential facts that you need to keep in mind if you are looking at a kidney transplant:
  1.  Donors: While there are living and non living donors, the doctor will have to ensure that your donor is someone who has no medical history of complications, kidney disease or any other medical condition like diabetes or hypertension. Also, the donor would have to have two proper functioning kidneys. Further, one of the most important factors is the blood group. The blood group of the donor and the patient must match for the transplant to be possible.

2.Procedure: During the surgery, the patient will be under general anesthesia. The surgeon will make an incision in the lower abdomen area and the blood vessels of the new kidney will be connected surgically with the vein and iliac artery of the patient. Thereafter, any excess fluid will be drained before wrapping up the surgery.

3.Rejection: The patient's body may also reject the kidney. The immune system of the patient may mistake the new kidney as an attacking body and its natural defenses may work against it, which will lead to complications. For this, doctors usually prescribe immunosuppressant medicines that will help in preventing such an eventuality. 

4.Longevity: While a living donor's kidney may last longer, a non living donor's kidney will not enjoy such a long life. In such cases, a second transplant can be conducted.

5.Diet: After the transplant, the patient will be required to go through a number of measures like coughing to show that the lungs are clear, as well as administration of fluids through IV and some amount of examination and dialysis.

Also, the patient will have to have a special diet that includes raw fruits and vegetables, and plenty of non fat dairy ingredients.
A kidney transplant is a major operation that can change your lifestyle in the long run. 
 

5140 people found this helpful
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