21 سنوات
Hi, i did kidney transplant, does success in the beginning last like that and for how much,the donor was my brother, results shows that tissues were about 100% identical,from what should I be scared?
17 أغسطس 2014
the best transplant is the one coming from a living-donor ,so taking if your brother is the donor and the match is highthen the success rate is high too.
-Better long-term results
-No need to wait on the transplant waiting list for a kidney from a deceased donor
-Surgery can be planned at a time convenient for both the donor and recipient
-Lower risks of complications or rejection, and better early function of the transplanted kidney
>Kidneys from living donors generally last longer. Most kidney losses are due to rejection, but infections, circulation problems, cancer, and return of the original kidney disease can also cause kidney loss.
>Kidney transplant surgery carries a risk of significant complications, including:
Blood clots
Bleeding
Leaking from or blockage of the tube (ureter) that links the kidney to the bladder
Infection
Failure of the donated kidney
Rejection of the donated kidney
The success rate following transplantation depends upon the closeness of the tissue match between donor and recipient. A kidney from a brother or sister with a “complete” match has a 95% chance of working at the end of one year
>>>Living Donor Graft survival in the
-first 3 years is 95%
after 5 years 88%
after 10 years 80%
above 10 years is 57%
>>>Concerning patient survival
3 YEARS LATER 98%
5 YEARS LATER 95%
10 YEARS LATER 90%
ABOVE 10 YEARS 64%
On average, transplanted kidneys last between 10 and 12 years and this of course depends on following doctor instructions and rules and taking the medications as directed.
Two weeks after the surgery, you should start to feel good.
however, you need to take drugs to prevent rejection for the rest of your life. Beyond that, the only other lifestyle change we encourage is for transplant patients not to be involved in contact sports.
Rejection is due to the same immune response that protects yourself against colds and other viruses. Though we run tests to indicate how likely rejection will be, there is no way to be sure about whether rejection will happen or not.
Medical conditions of the patients through out his life will affect this rate too .
Even though rejection may be prevented by medication, the possibility of rejection never goes away. The body will not adapt to the kidney, nor will the kidney change to accommodate the body, although after the first 3 – 6 months, rejection is less of a problem.
Sometimes your body may make an extra effort to reject the kidney despite the immunosuppressive medications. This is referred to as a rejection episode.
The symptoms and signs of such an episode may be decreased urine output, fever, tenderness over the kidney, high blood pressure, and a rise in creatinine, although not all of these will necessarily be present. Sometimes a biopsy of the kidney is required to make the diagnosis. This is done with a needle under ultrasound guidance and is a minor and non-painful procedure. When a rejection episode occurs, an addition to your immunosuppression is required. Normally, this is a steroid pulse, three daily intravenous injections of high doses of a steroid drug .
THEREFORE ,You will need close follow-up by a doctor and regular blood tests for 1 - 2 months.
The recovery period is about 6 months. Often, your transplant team will ask you to stay close to the hospital for the first 3 months. You will need to have regular check-ups with blood tests and x-rays for many years.
SO REMEMBER THE SUCCESSFUL RATE OF A KIDNEY TRANSPLANT requires close follow-up with your doctor and you must always take your medicine as directed.
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