Renal transplants, often known as kidney transplants, are organ transplants for patients with end-stage renal disease (ESRD). Depending on the source of the donor organ, kidney transplants are commonly categorized as either deceased-donor (formerly known as cadaveric) or living-donor transplantations. According to whether the donor and receiver are biologically related, living-donor kidney transplants can also be classified as genetically related (living-related) or unrelated (living-unrelated) transplants.
The procedure of kidney transplantation has become increasingly common over the last few decades due to its life-saving benefits. However, there are still many questions and misconceptions surrounding this medical intervention. In this blog post, we will address some of the frequently asked questions about kidney transplants, providing accurate information to help dispel any doubts.
A kidney transplant is a surgical procedure where a healthy kidney is transplanted from a donor into a recipient with end-stage kidney disease. The transplanted kidney takes over the essential functions of the failed kidneys, allowing the recipient to live a relatively normal life.
Kidney transplants are typically recommended for individuals with end-stage kidney disease or renal failure, where the kidneys have lost their ability to function adequately. This condition can be caused by various factors such as diabetes, hypertension, genetic disorders, or glomerulonephritis.
An early transplant is one that is performed soon after kidney failure (but after some time on dialysis). Whereas, Preemptive transplants are those performed on patients with renal disease before they require the start of dialysis. They both have advantages.
The organ donation process starts with the identification of a suitable donor, who can be a deceased or living individual. In the case of a living donor, they undergo a thorough evaluation to ensure compatibility and overall health. For deceased donors, their organs are retrieved soon after brain death, provided the individual has registered as an organ donor or their family consents to the donation.
People who are older or who have additional medical issues, such as diabetes, can often still have kidney transplants successfully. To comprehend and manage any unique risks, a thorough assessment at a transplant center is required. You might be urged to take certain actions that can reduce certain risks and raise the likelihood that the transplant will be successful. You might be urged to stop smoking or lose weight, for instance. If you are fit enough to have a kidney transplant, only a transplant center can make that determination. Consult a medical expert about receiving a pancreas transplant in addition to a kidney transplant.
Contact a transplant center in your area or request a referral from your doctor to one for an evaluation. Any kidney patient may request an assessment, with or without a doctor’s referral.
An extensive assessment is conducted prior to a transplant. To decide if a transplant is the correct choice for you, your medical team will need to know a lot about you. To find out more about your general health, medical specialists will perform a thorough physical examination on you, review your medical history, and order a number of tests and X-rays. Everything that might have an impact on your ability to handle a transplant will be examined.
To expedite the process, complete all testing as soon as feasible and maintain in touch with the transplant team. If you’re told you might not be a candidate for a transplant, don’t be hesitant to ask why. If one center declines to conduct the evaluation, you can also think about doing it at another. One of the best methods to maintain your health is to take an active role in it.
A deceased donor, often known as a healthy kidney donor, is someone who passed away and gave a healthy kidney. Living donors are another source of kidney donations. A brother, sister, or non-blood relative, such as a spouse or wife, could be this person. They might originate from a friend or perhaps a total stranger. If you are enrolled in a matched exchange program, you do not have to share the same blood type as your donor in order to receive a kidney.
Both living and deceased donors’ kidneys are functional and can be viable possibilities; however, a living donor’s kidney may survive longer and is more likely to begin functioning straight away. Another benefit of living kidney donation is that the procedures can be planned at a time that is convenient for both the patient and the donor. Since it can take years to receive a kidney from a deceased donor, finding a living donor can potentially help you receive one more quickly.
Once you have been given the all-clear for a transplant, you will be put on a waiting list to receive a kidney from a deceased donor. A suitable kidney donor may not become available to you for several years. You might need to undergo some type of dialysis from the point you are added to the list until a kidney is found. You will require routine blood testing as you wait to make sure you are prepared for when a kidney is identified. Your center will set up these tests if you are receiving dialysis. Your transplant center should always be able to get in touch with you. The procedure must be performed as soon as a kidney becomes available.
The waiting period for a kidney transplant can vary depending on several factors, including blood type, tissue compatibility, and availability of suitable donors. In some cases, patients may wait for months or even years before a suitable kidney becomes available. During this waiting period, patients usually undergo dialysis to maintain their kidney function
It takes roughly four hours to implant a donor’s kidney. In order to connect the donated kidney to your vital blood vessels and bladder, it is best to implant it in your lower abdomen (belly). You might be surprised to find that when you undergo a kidney transplant, your own kidneys are typically not removed. Unless there is a medical cause to remove them, the surgeon keeps them in place.
After surgery, you’ll initially feel sore, but in a day or two you should be able to get out of bed and go home from the hospital. If the kidney was from a living donor, it ought to function right away. A kidney that was obtained from a deceased donor can take two to four weeks or more to start working. The term “delayed graft function” describes this. It is possible that you will have to undergo dialysis until the kidneys begin to function again if that occurs. Read about, Kidney Transplant in India for more information about how it’s done and what are the things you should keep in mind.
Depending on the individual, transplanted kidneys can have a lifespan of up to 30 years. On average, a kidney transplant from a deceased donor can last around 10-15 years, while a kidney from a living donor can last even longer, often 20 years or more. However, with proper medical care and lifestyle changes, some individuals have successfully lived with their transplanted kidneys for over 30 years.
The recovery process after a kidney transplant typically involves a hospital stay of around one to two weeks. During this time, the medical team closely monitors the recipient for any signs of complications. After discharge, patients are required to take immunosuppressive medications as prescribed, attend regular follow-up appointments, and maintain a healthy lifestyle to ensure the long-term success of the transplant.
As with any surgical procedure, kidney transplants carry certain risks and potential complications. These can include rejection of the transplanted kidney, infection, bleeding, and side effects from immunosuppressive medications. However, advances in medical technology and improved post-transplant care have significantly reduced these risks in recent years.
The National Organ Procurement and Transplantation Network revealed that the success rate following a kidney transplant with a living donor kidney was recorded as 97% at 1 year and 86% at 5 years.
Acute rejection, or when your body is suddenly “attacking” or attempting to reject the transplanted kidney, is one thing that you and your healthcare team will be on the lookout for. A rejection event might not have any obvious symptoms or indicators. Because of this, it’s crucial to regularly check your blood to see how effectively your kidneys are functioning. Even though rejection can occur without warning, it’s important to let your medical team know if you experience fevers, swelling, weight gain, or pain in your kidney.
Right after surgery, your chances of experiencing a rejection episode are at their highest. The likelihood of this happening decreases the longer you have the kidney. Unfortunately, even when you follow all the proper procedures, rejection episodes occasionally occur. Sometimes the transplanted kidney simply isn’t accepted by the body. There are numerous ways to treat a rejection event, even if it does occur, so your transplant is not lost. It is crucial that you notify your transplant team as soon as you suspect you are experiencing rejection symptoms so they can help you and your kidney transplant remain healthy.
Generally speaking, transplant recipients should have a heart-healthy diet that is low in fat and salt and high in liquids. You may still be subject to some food limitations if you have diabetes or other medical issues. You can plan healthy meals with the aid of a dietician. In case you have any questions about the type of food to consume, you can also consult your doctor.
Kidney transplants offer a new lease on life for individuals suffering from end-stage kidney disease. By addressing some of the frequently asked questions surrounding kidney transplants, we hope to provide a clearer understanding of this life-changing procedure. If you or someone you know is considering a kidney transplant, it is essential to consult with a healthcare professional who can provide personalized guidance and support throughout the process.