27Mar

Kidney transplantation: before and after surgery

Kidney transplantation is a complex operation requiring a number of conditions. Finding a suitable donor organ is extremely difficult, unfortunately, many patients die and do not wait until all the indicators match. But if lucky enough, and the transplantation was successful, after an operation the person, although able to return to normal life, but without immunosuppressants, suppressing the mechanism of recognition of foreign organs, he can not do.

Conditions for kidney transplantation

A patient suffering from chronic renal failure receiving regular hemodialysis procedures is preparing for kidney transplantation - a transplant operation for a donor organ. At present, kidney transplantation uses either cadaveric kidneys or kidneys of close relatives of the patient. In the first case, the cadaver kidney is taken in accordance with the law on transplantation from a person who has just died, thus registering the so-called brain death, that is, the removal of an organ is allowed only by the corpse with the irreversible death of his brain. In this case, the kidneys, like many other organs, are still alive and able to return to performing their functions in the body of another person.

It is not enough to find a donor kidney, it needs to be transplanted in the shortest time, but not for every patient it can come up.

Before the operation it is necessary to make sure that a number of conditions are met: the kidney should belong to a person whose blood type, Rh factor and other blood antigens will coincide with those of the patient( recipient) who is going to transplant this kidney. When the kidney is transplanted from the donor, there is also a need for compliance across a range of immunological factors.

Therapy after kidney transplantation

After a kidney transplant, a large volume of postoperative drug therapy is prescribed. The basis of treatment is the drugs that suppress the immune( protective) system of the patient, the so-called immunosuppressants, which are prescribed so that there is no rejection of the transplanted kidney. In the body of each person there is a system of recognition of foreign organs and tissues, and if it is not suppressed, the transplant will reject and cease to function.

How long are immunosuppressants taken? For life. As much as a transplant lives in the patient's body.

Unfortunately, kidney transplantation operations in Russia are not conducted in all regions of the country. But transplantology( the branch of medical science and practice dealing with organ and tissue transplantation) does not stand still. Over the past 7-10 years, new immunosuppressants have appeared, new transplantation centers are opening in our country. Nobody doubts that the development of transplantology will bring new solutions to old problems.