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Nice to Know Stuff About Kidney Transplant

Updated on January 18, 2019
shalikac profile image

Medical doctor with MBBS, currently following up masters degree in University of Colombo

nice to know stuff about kidney transplant

The kidneys are a pair of organs inside the human body which helps to regulate the fluid balance and mineral balance inside the body. They can excrete waste products, foods, minerals, toxins, medications and many more. Also they act as endocrine organs by excreting hormones.

Renal failure occurs due to various reasons. But the main causes include

  • Diabetes Mellitus
  • Poly cystic kidney disease
  • Long standing and recurrent urinary tract infections
  • High and uncontrolled blood pressure
  • Renal stones which cause obstruction to the urinary flow

The main symptoms include

  • Reduce urine output
  • Swelling of whole body or part of the body
  • Shortness of breath
  • Nausea and vomiting

Treatment options are mainly two

  1. Haemodialysis
  2. Renal transplant

There are two types of renal transplants

  • Live donor renal transplant
  • Cadaveric renal transplant

In live donor renal transplant we take the kidney from a relative or a friend or other known person. He/ she should give the kidney with a good will but not for money because organ selling is not allowed in, most of the countries.

In cadaveric renal transplant we take the kidney from a person whose brain is death.

Renal transplant is not an easy task. It needs a good preparation with regular investigations. So first you have to discuss about it with your doctor. The doctor will explain you about current condition and options you have. If you do not have a live kidney donor, you can register in the cadaveric transplant awaiting list. If you have a donor, both donor and you have to undergo series of investigations including blood group matching. Also you have to undergo full screening for infectious diseases.

If your blood group is matching, both you and donor have to undergo HLA typing. Your doctor will explain that report to you. If it is matching you can go ahead with other screening investigations.

After all investigations and if they are normal, you can go for the renal transplant.

Post-transplant complications are the other problem you have to face.

Immediate transplant you may have to face

  • Bleeding from the sites of anastomosis
  • Fluid and electrolyte imbalance

Within few days of transplant you may have to face

  • Acute rejection of the kidney
  • Urinary tract infections
  • Numbness over the inner aspect of the thigh

Post-transplant long term complications

  • Chronic graft rejection

As a Post renal transplant patient, you have to be careful about

  • To take specially prescribed drugs after the transplant on time
  • To be careful from the urinary tract infections
  • Regular monitoring of renal functions

Ultimately as a doctor, my advice is to discuss about the transplant with your doctor before you make the decision. If you have already taken the decision, be alert and follow your doctor’s instructions.

© 2019 shalika chularatna


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