Planning for kidney transplant

Planning for kidney transplant

Kidney transplant is the surgical process of replacing the diseased kidney with the healthy one. The need for kidney transplant arises when your kidney is not able to function normally. This is the end stage of the renal disease when it is necessary to replace the kidney. If both kidney’s are not function properly then you just need to replace only one kidney. A person can live normally on his one kidney and live his life normally.

Evaluation before kidney transplant

Before going for kidney transplant, you must have to get full health evaluation by taking proper tests and examinations. It will help you in decision making for the kidney transplant. After deciding for the kidney transplant you have to go through the following steps.

  • Find out the best match with your kidney. The donor can be a family member or an outsider whose blood group is matching with yours.
  • The evaluation will take one day or the several days. On the day of evaluation, you and your family will meet the transplantation team.
  • Several health tests and examinations will take place at the transplantation centre and decide that you have need surgery or not.
  • Tests you need to do are: blood and tissue type tests, HIV and hepatitis test, prostate exam for men, mammogram and pap smear for women, heart and lung examination, kidney and liver test, colon exam etc.
  • You have to ready yourself for the kidney transplant physically as well as mentally. If you are not ready for the surgery then it make your transplantation process dangerous.
  • Before surgery, you have to follow the instructions by the doctors about caring yourself as well as your kidney.
  • Clear all the doubts about your surgery, by asking the questions about financial support system, insurance policy that will help you to plan and prepare the best care of yourself.

After the evaluation, if you are ready for the transplantation then you need a kidney donor. If you do not have living donor then the team of transplantation will added your name in the waiting list of kidney donor. If living donor is available then your transplantation process can be start earlier.

Post kidney transplantation planning

Once your transplantation process has done then you have to stay in the hospital till doctor’s measure your good health condition.  Your stay in the hospital will be depend on some factors like type of transplant procedure, body acceptance of new organ and your overall health condition. Doctors and nurses will take care of you until you will feel comfortable and confident to go home. You need to follow some instruction before going home that is given below.

  • Without any assistance you have to follow your medicine schedule correctly.
  • Keep thermometer and blood pressure cuff with you to take care of your temperature and blood pressure.
  • If any medication problem arise then report immediately to transplant coordinator.
  • Keep a record of fluid intake and urine output regularly.
  • Regularly follow appointments with transplantation team and tell them your health condition. So that they can give you proper medication.
  • After going home keep a record of your weight, blood pressure and temperature daily.
  • You need to avoid being around infected people (with colds and flu) at least three months because in this case the danger of infection is more.

After following the above instructions you will recover from the surgery successfully. It will also help the doctors to identify that your body is accepting the new kidney or not. If not then the prescribed medication treatment by doctors will help you to control the rejection.

Kidney Transplant in Delhi

Why is Kidney Transplant better than Dialysis?

A kidney is a bean-shaped fist-sized organ which is responsible for excreting the waste particles and other harmful substance out from the blood by producing urine. Kidney Transplant in Delhi has become quite common. A Kidney transplant might require for many reasons which mostly includes any chronic kidney disease or kidney failure. Kidney transplant helps in restoring the fatal condition of the kidney by surgery or replacing a kidney with a new one. A kidney transplant is a last-minute solution for all the patients suffering from chronic kidney disease.

What is a Kidney Transplant?

In simpler words, a kidney transplant in Delhi is a surgery or a surgical process that involves the replacement of an old and damaged kidney with a new one given by a donor. Thus, the normal functioning of the kidney is affected when it is negatively impacted by any chronic disease.

The need for a Kidney transplant : There are certain malfunctions of kidneys that can be treated by dialysis. Dialysis is a treatment procedure under which a machine undertakes the responsibility of the kidney when they become incapable of doing their duties. Dialysis can be troublesome whereas consulting kidney transplant doctors in Delhi could be a wise idea.

The proper functioning of the kidney is measured with the GFR or glomerular filtration rate. If the measurement resulted in 20ml/min or less, then it is considered to be a chronic kidney disease or the last stage of renal disease. Following are the reasons why one should prefer a kidney transplant over dialysis:

  •    A successful kidney transplant can give lifelong freedom from visiting the medical center on a regular basis and improve the quality of your life.
  •    Dialysis helps in improving the function of kidneys; however, the fatality might reoccur. Having a kidney transplant will eventually reduce the risk of uncertain death.
  •    Under Dialysis, the subject might need to maintain a strict diet that might not involve in case of a kidney transplant.
  •    Kidney transplant incurs onetime payment whereas Dialysis may incur regular expenses.

When will you not be eligible for a Kidney Transplant? : As discussed earlier, the benefits of having a kidney transplant are mentioned through the comparison with dialysis. However, there is a certain time when you might not be eligible for having a kidney transplant even after being diagnosed with chronic kidney diseases. Following are the condition where a kidney transplant hospital in Delhi considers before undertaking the transplant process:

  • The first thing that would be a matter is age, which is far more important than kidney transplant costs in Delhi.
  • A person above the age of 70-75 might be at a higher risk.
  • Any other underlying chronic diseases that might not get better even after having a transplant. This includes cancerous disease and infections that cannot be cured.
  • Any health condition caused due to high drug dosage or alcohol consumption is non-curable.

People who are at the last stage of renal disease can avail of extra years of life after a successful kidney transplant. However, it’s always better to take safety measures to stay away from the medical as well as fatal diseases.

Kidney Transplant & COVID-19

Kidney Transplant & COVID-19

Kidney Transplant & COVID-19 Patients Guidelines

You must know a few facts about kidney transplant recipients, then only you can understand the implications. These patients are continuously required to take immunosuppressive drugs. Therefore, they have a higher risk of infection from corona virus or any other simple virus, such as cold or flu. To lower the chances of getting the coronavirus, kidney transplant patients should follow the CDC’s guidelines. They know how to avoid catching or spreading viruses. Moreover, they can contact their doctors, if they develop symptoms of COVID-19.

Are post-transplant patients at higher risk from contracting the disease?

Yes, this is a relevant question. If you have just undergone kidney transplant and staying with family members. You should be cautious of members who have contracted the disease. There might be additional sanitization norms for such patients.

How can I get emergency kidney treatment? 

You should keep your dialysis center number handy. In case, you face a situation where you need dialysis, call them up. They will schedule you, if it is urgent or else they will recommend you to the nearest center.

Moreover, during this time, you should have food with low sodium and potassium. It increases the risk all the more.

Do the transplant kidney patients and donors get affected by the virus?

As already told, kidney transplant patients are at a higher risk of contracting Covid -19. However, the risk comes after the surgery. You cannot get the virus from donors. Donors are properly screened. Moreover, living donors are asked to stay in 14 days’ isolation to avoid the contamination themselves.

However, if things go awry then the below symptoms do crop up.

Cold symptoms

Sore Throat

Fever

Less urine generation

Weight imbalance

Pain over transplant area

 

What should I know about medicines and treatments?

As reported worldwide, there is no miracle cure. No patients can be cured overnight. It depends on the patient’s immune system in totality. In fact, research on vaccinations are underway. There has been no concrete success on the same.

 

What are the Prevention tips Kidney Transplant & COVID-19

It is very important, that you take proper care of yourself. You can undergo routine tests. Moreover, you can also get your urine samples checked. If there is no option for home testing, you need to go to the lab to give your samples. All healthcare areas are sanitizing their equipment and machinery before staring tests. So, you can be privy to that. Moreover, they are using PPEs while interacting with customers and patients. You yourself can wear a mask. Also, come back home and wash properly. Use hand sanitizers, wherever possible.  Moreover, you have to be well prepared.

You should buy extra supplies, that includes masks and disposable gloves.  This is to enable you to fight the virus, should you come into contact with someone at a medical center or someone in your locality. Also remember to disinfect touched surfaces such as doorknobs and countertops.

Will there be any drugs supply delays in future?

There is no report on drug supply delays yet. However, if people like you start hoarding drugs and medicines, there might be. The government is aiming at maintain a steady supply of all necessary medicines. Moreover, the Food and Drug Administration is keeping a close watch on drug supply and management. So, you need not worry. Just, buy what has been prescribed to you. Do not change the medicines without speaking to your doctor.

Are you feeling stressed out and depressed?

It is natural for those, who have been diagnosed with chronic kidney diseases to feel scared. Moreover, there are other patients as well, like those on dialysis, kidney transplants patients and donors to feel depressed. The most that you can do in such cases is to maintain the sanitization norms that the government has advised.  WHO has some great ways for helping you to manage your stress and anxiety. They have even started helplines to assist you.

 

Do any of the kidney medications increase the risk from COVID-19?

Yes, it is true. Those who have co-morbidities are at a higher risk of the infection. Cancer patients and those on this drug are at a higher risk. These medicines and drugs reduce the body’s immune system. The immune system becomes powerless. Oral steroids taken as a part of the treatment also reduce the bodies normal immune power. Moreover, if you are taking it for a longer time, it becomes all the more evident.

 

Are other medical conditions responsible for aggravation?

The Covid -19 virus aggravates the satiation even more. The virus that causes the disease infects people of all ages. They are the older people over sixty years old.  Then people with medical conditions such as heart diseases, diabetes, asthma, other respiratory disease, and cancer. The risk of severe disease gradually increases with age starting from midlife. It is important that adults in this group save themselves from the virus. WHO is advising older people to meet people, if necessary without touching. Ask everyone to wash hands for 20 seconds. They should clean their clothes and body regularly with disinfectant soap.

What are various modes of distancing like?

They are self-isolation, quarantine and distancing. The self-isolation refers to separate and stay away in a room or a far off place. You should not talk or interact with anyone. They may be infected.

Quarantine means restricting all your activities. These are people with exposure to Covid conditions. They may not be infected yet but taking precaution. They may carry symptoms.

Physical distancing means distancing norms for normal people. You should follow these norms when visiting markets and other public places.

Can children catch the disease?

Children and teens are also at a higher risk just like older adults and kidney patients. So, you must ensure to keep them well-protected. These groups should follow the same guidelines as followed by other members of the community. Do not allow children to play with other children from the community. This is a prerequisite. So, take care to follow it without fail.

kidney transplant

All you need to know about kidney transplant

Living kidney transplantation is a surgical treatment of placing a healthy kidney from a donor's body who is living. A deceased (brain dead or after donor’s death) donor's kidney can be helpful by placing the kidney through surgical treatment to the patient whose kidney is no longer functioning properly.  A patient with end stage renal disease needs kidney transplant as there are problems like

  • Kidneys loose its filtering ability
  • Harmful level of fluid and waste accumulate Major causes of chronic kidney disease are
  • High blood pressure
  • Diabetes
  • Reflux nephropathy
  • Chronic glomerulonephritis
  • Chronic interstitial nephritis
  • Kidney stones
  • Polycystic kidney disease
  • Ischaemic renal disease
  • Unexplained kidney diseases

So the transplantation eventually needs when your kidney loses its 90% ability to function normally. When you feel any of the symptoms of severe kidney failure like nausea, vomiting, breathlessness, swelling, weakness etc then there is a requirement for kidney transplantation. Subsequently consult a kidney doctor who will suggest the best treatment after doing all the tests and examinations.

Why is kidney transplant a better option?

Kidney transplant or dialysis are the last option when your kidney does not function properly. It can be compared with the lifetime on the dialysis. Kidney transplant has various benefits like better quality of life, lowering the risk of death, fewer restriction of dietary and low cost treatment.

There is also a procedure of kidney transplant which is called pre-emptive kidney transplant. In this treatment one can get the benefit of kidney transplant before going for dialysis.

There are two forms of kidney transplant.

  1.  Live related kidney transplant
  2.  Deceased donor kidney transplant

The outcome of live related kidney transplant is slightly better than deceased donor kidney transplant than in case of live related kidney transplant family donor is required whether blood relation or no blood relations. Blood related donor can be patient siblings, parents, grandparents and children. Non-blood related donor can be spouse, any close relation of spouse. Kidney transplant can be blood group matching (ABO compatible) or blood group mismatch (ABO incompatible).

Why kidney transplant has done?

Kidney transplant is the last option when your kidney does not function properly. It can be compared with the lifetime on the dialysis. It has various benefits like better quality of life, lowering the risk of death, fewer restriction of dietary and low cost treatment best doctor for kidney transplant in delhi.

There is also a procedure of kidney transplant which is called pre-emptive kidney transplant. In this treatment one can get the benefit of kidney transplant before going for dialysis. But certain people with kidney failure have more risky kidney transplant then dialysis. If you have certain health conditions then you have to prevent for kidney transplant.  These health conditions are advanced age, several heart disease, alcohol or other drug abuse, dementia or poor control on mental illness. If you are active or recently treat the cancer then you should not treat the kidney transplant doctors in Delhi.

There are certain other medical factors that could affect your ability to safely undergone for the transplant procedure. For this purpose you should regularly take the medications after the treatment to prevent your organs from protection kidney transplant cost in Delhi.

When kidney transplant not to be done?

Certain people with kidney failure have more risky kidney transplant than dialysis. If you have certain poor health conditions then you have to avoid kidney transplant.  These health conditions are advanced age, severe heart disease, alcohol or other drug abuse, dementia or poor control on mental illness. If there is an active infection or recently got treated for cancer then you should not opt for kidney transplant.

There are certain other medical factors that could affect your ability to safely undergo the transplant procedure.

Donor for kidney transplant

For your failed kidneys, you just need one healthy donor or donated kidney. So making the living organ kidney transplant is the best option. If you did not find any compatible kidney transplant then your kidney can be replaced with the deceased donor. Other options like blood group mismatch, after special treatment (desensitization including plasmaphaeresis, intravenous immunoglobulin, rituximab etc), exchange kidney transplant with other couples. The patient must have the matching compatibility at the time of dialysis, on transplantation waitlist and must have expectation to survive after the transplantation procedure. To get the compatible match, some can get it within a few months whereas some have to wait for several years. The donor also has to go through certain medical tests and examinations. It is preferable to have a donor with a matching blood group with the patient so that further less chance of rejection and less treatment cost. Blood group mismatch transplant is also successful with less complications.

Risks of kidney transplant

There are several risks of kidney transplantation. Some are present before the transplantation and some after the kidney transplant. There are certain health risks that directly associate with rejection of donor organ, side effects of taking medications and surgery itself.

Kidney transplantation also carries certain complications like blood clots and bleeding, infection, stroke, heart attack and death. There will be leakage or blockage of the tube that links your kidney to the bladder. The chances of failure or rejection of donated kidney arise thereby. If the patient is suffering from any infection or certain serious diseases like cancer then transplantation can be cancelled.

It is your personal decision to go for the kidney transplant or not. You need to think carefully and considerably about the certain risks and benefits  of kidney transplantation. You should take suggestions and advice from the nephrologist, friends, family and other trustworthy people for the kidney transplantation procedure.