Who may need a kidney transplant? If your kidneys have stopped working completely, a kidney transplant may be an option....
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General Surgery Specialist Assoc. Prof. Dr. Soykan BARLAS
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While dialysis is a life-saving treatment, it only does 10 percent of the work of a functioning kidney. Due to its effect on the body, dialysis can cause other health problems as well. Patients typically live 10 to 15 years longer with a kidney transplant than if they remain on dialysis. And most people report that, by comparison, transplantation offers them a much better quality of life.
You will need a thorough evaluation by the staff of the Transplant Institute in consultation with the referring physicians to determine if a transplant is the best treatment option. Being a good candidate for a transplant depends on your physical health, emotional well-being, and ability to manage medication and care plans.
If possible, it is best to have a transplant before undergoing or spending a long time on dialysis. Patients with a living kidney donor have a better chance of avoiding dialysis or undergoing dialysis for a shorter time than they would have to wait for a deceased donor kidney. If you have a living donor, you may be able to have a “preventive transplant”; that is, before you need dialysis. Studies show that a kidney transplanted from a living donor works longer and the recipient lives longer than patients who go on dialysis before the transplant.
Sometimes a relative, spouse, or friend may donate a kidney to a loved one, provided that removal does not harm the health of the living donor. Or a Good Samaritan (a compassionate foreigner) steps forward to donate. The donor must undergo a thorough medical evaluation that includes blood work to assess tissue compatibility and the possibility of organ rejection, among other things.
You should always take anti-rejection medications as long as you have a functional transplant. You will also need medicines to prevent infection for a short time after your transplant. In addition, you may need medications from time to time to control blood pressure and prevent fluid retention.
Rejection is a sign that your immune system identifies the new kidney as foreign tissue and is trying to get rid of it. Preventing rejection with immunosuppressant drugs is a top priority. The most common sign of rejection is change in kidney function (an increase in creatinine, a waste product) as measured by a blood test. For this reason, you should have frequent blood tests in the first three months after sowing, and regular analysis afterwards.
If a kidney biopsy and kidney ultrasound confirm the rejection episode, the transplant team will either increase the amount of anti-rejection medication or prescribe a different combination of anti-rejection medication. If we detect it early enough, we can successfully reverse most rejection cases using medication. However, if the attack is severe,
Yeah! It will take time to regain strength and endurance after a transplant, but eventually you can resume normal activity. Walking and stair climbing are excellent exercises for maintaining muscle tone and strength. When you first come home after surgery, you should consider walking for 5 to 10 minutes a day, and then gradually increase your walking time each week.
Do not start strenuous exercise such as contact sports, jogging, tennis and weightlifting for at least two months after the surgery. It’s normal to get tired easily, so you need to rest when you’re tired.
You should not smoke after the transplant, and every attempt to quit before the transplant is crucial to prolonging your life and the life of your new kidney. The transplant team will let you know when you can start driving again, returning to work or school, and traveling. Depending on how you feel, you can decide when to resume sexual activity. Post-operative discomfort usually does not interrupt sexual activity for more than a few weeks.
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General Surgery Specialist Assoc. To be examined by Soykan BARLAS, you can make your appointment by choosing the appropriate day and time via the online appointment calendar.