Who is a good candidate for kidney transplant ?

Posted by Dr Priya Sharma
4
May 8, 2023
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Kidney transplant is usually recommended for patients with end-stage kidney disease, also known as chronic kidney failure. This is a condition in which the kidneys have lost almost all of their function, and the patient requires dialysis or a kidney transplant to survive. In general, good candidates for kidney transplant are those who: Have end-stage kidney disease, as mentioned above. Are generally healthy enough to undergo surgery and manage the aftercare that comes with a kidney transplant. Have a life expectancy of more than five years. Have no active infections or other medical conditions that would make a kidney transplant unsafe. Are willing to commit to a lifelong regimen of immunosuppressant medication to prevent rejection of the transplanted kidney. Have a suitable donor kidney available, either from a living donor or a deceased donor. It is important to note that each patient's situation is unique, and a healthcare professional will consider a variety of factors to determine if kidney transplant is the best treatment option. What is end stage kidney disease ? End-stage kidney disease, also known as stage 5 chronic kidney disease, is a condition in which the kidneys have lost almost all of their ability to function. In this stage, the kidneys are no longer able to filter waste products and excess fluid from the blood, which can lead to a buildup of toxins and fluids in the body. End-stage kidney disease is typically the result of a chronic, progressive disease that has damaged the kidneys over time, such as diabetes, hypertension, or glomerulonephritis. Symptoms of end-stage kidney disease may include fatigue, nausea, weakness, poor appetite, difficulty sleeping, and swelling in the legs or feet. Treatment for end-stage kidney disease includes dialysis or kidney transplant. Dialysis is a medical procedure that helps filter toxins and excess fluid from the blood using a machine, while kidney transplant involves replacing the damaged kidney with a healthy donor kidney. The treatment option chosen will depend on the patient's overall health, age, and other factors. How does dialysis help in end stage kidney disease ? Dialysis is a medical procedure that helps to remove waste products and excess fluid from the blood when the kidneys are no longer able to perform this function adequately, as is the case in end-stage kidney disease. There are two main types of dialysis: hemodialysis and peritoneal dialysis. Hemodialysis works by filtering the blood outside of the body through a machine called a dialyzer. During the procedure, a surgeon creates a vascular access point, typically in the arm, to allow blood to flow out of the body and into the dialyzer. The dialyzer filters the blood, removing waste products and excess fluids, and then returns the filtered blood back to the body through another access point. This process typically takes around four hours and is usually performed three times a week. Peritoneal dialysis involves inserting a catheter into the abdomen, which allows a special fluid called dialysate to be introduced into the peritoneal cavity. The dialysate absorbs waste products and excess fluid from the bloodstream across the peritoneum (a membrane that lines the abdomen). After several hours, the fluid is drained out of the body, and a fresh batch of dialysate is introduced. Peritoneal dialysis can be performed at home, making it a more convenient option for some patients. Both types of dialysis can help to manage the symptoms of end-stage kidney disease, but they are not a cure. Dialysis is a lifelong treatment that requires a commitment to regular appointments and monitoring. Some potential side effects of dialysis include fatigue, muscle cramps, low blood pressure, and infection. A healthcare professional can provide more information about the benefits and risks of dialysis and help patients make an informed decision about their treatment options.
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