All you need to know about kidney Transplant - complete guide - PowerPoint PPT Presentation

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All you need to know about kidney Transplant - complete guide

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In this Presentation, you'll get to know more about Kidney Transplant or it's procedure. This presentation will help you in taking the decision of rhinoplasty ( whether you should go for it or not ). You can also download it to watch for later, if you want to get an appointment with Nephrologist, you can contact us at www.lazoi.com or you can call us at - 080103 35566 Thank you! Copyright: © Lazoihealthcare You can Download it as PPTX, PDF and TXT. – PowerPoint PPT presentation

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Title: All you need to know about kidney Transplant - complete guide


1
Guide for Kidney transplant
  • Complete Guide on kidney Transplant

2
Introduction to  kidney transplant 
  • The kidneys are two bean - shaped organs located
    on either side of the spine just below the rib
    cage. Each one is about the size of a fist. The
    main function of the kidney is to filter and
    remove excess waste, minerals and fluid from the
    blood by producing urine.
  • A kidney transplant is a surgery to place
    a healthy kidney from a donor into your body. A
    donor is a living person or a person who has just
    died, most often a family member. A kidney from
    someone who has just died is a deceased donor
    kidney. A kidney from a living person is a living
    donor kidney. The transplanted kidney takes over
    the job of filtering your blood. Kidney
    transplant is done by Nephrologists.

3
  • Only one donated kidney is needed to replace two
    failed kidneys, making living-donor kidney
    transplantation an option. If a compatible living
    donor isn't available for a kidney transplant,
    your name may be placed on a kidney transplant
    waiting list to receive a kidney from a deceased
    donor. The wait is usually a few years.
  • A kidney transplant is used to cure kidney
    failure, a condition in which the kidneys can
    function at only a limited amount of normal
    capacity. People with end-stage kidney
    disease need either to have waste removed from
    their bloodstream (dialysis) or a kidney
    transplant to stay alive.
  • It is achievable to partially replicate the
    functions of the kidney using a blood filtering
    procedure known as dialysis. However, dialysis
    can be inconvenient and time consuming, so a
    kidney transplant is the treatment of choice for
    kidney failurewhenever possible.

4
Different types of kidney transplant are
  • Deceased-donor kidney transplant
  • Living-donor kidney transplant
  • Pre-emptive kidney transplant
  • Deceased-donor kidney transplant
  • A deceased-donor kidney transplant is done when a
    kidney from someone who has recently died is
    removed with consent of the family and placed in
    a recipient whose kidneys have failed and no
    longer function properly and is in need of kidney
    transplantation.

5
  • The donated kidney is either stored on low
    temperature or connected to a machine that
    provides oxygen and nutrients until the kidney is
    transplanted into the recipient. The donor and
    recipient are often in the same geographic region
    as the transplant center to minimize the time the
    kidney is outside a human body.
  • Only one donated kidney is needed to fulfil the
    body's needs. For this reason, a living person
    can donate a kidney, and living-donor kidney
    transplant is an alternative to deceased-donor
    kidney transplant.
  • Overall, about two-thirds of the nearly 18,000
    kidney transplants performed each year are
    deceased-donor kidney transplants, and the
    remaining are living donor kidney transplants.

6
  • Why Deceased-donor kidney transplant is done?
  • People with end-stage kidney disease need to have
    waste removed from their bloodstream via a
    machine (dialysis) or a kidney transplant to stay
    alive.
  • For most people with advanced kidney disease or
    kidney failure, a kidney transplant is the
    preferred treatment. Compared to a lifetime on
    dialysis, a kidney transplant offers a lower risk
    of death, better quality of life and fewer
    dietary restrictions than dialysis.
  • The health risks linked with a kidney transplant
    include those associated directly with the
    surgery itself, rejection of the donor organ and
    the side effects of taking immunosuppressant
    medications needed to prevent your body from
    rejecting the donated kidney, which include
    a higher risk of infection and some types of
    cancer.

7
What you can expect after Kidney Transplant ?
  • If your doctor recommends a kidney transplant,
    you may be referred to a transplant center or
    select a transplant center on your own.
  • You will be evaluated by the transplant center to
    determine if you are accepted as a kidney
    transplant candidate. Each transplant center has
    its own eligibility criteria.
  • If a living donor isn't available for a kidney
    transplant, your name will be placed on a kidney
    transplant waiting list to receive a kidney from
    a deceased donor.
  • UNOS categorizes deceased-donor kidneys according
    to how long they are expected to last. First
    choice to kidneys expected to last the longest
    goes to those candidates who are expected to need
    them the longest.

8
  • Additional factors used in matching
    deceased-donor kidneys include blood and tissue
    type matching and how long the candidate has
    spent on the waiting list. The federal government
    monitors the system to ensure that everyone
    waiting for an organ has a fair chance.
  • Some people get a match within several months,
    and others may wait several years. While on the
    list, you will have periodic health checkups to
    ensure that you are still a suitable candidate
    for kidney transplantation.
  • When a compatible deceased-donor kidney becomes
    available, you will be notified by your
    transplant center. You must be ready to go to the
    center immediately for final transplant
    evaluation.
  • If the outcomes of the final transplant
    evaluation are satisfactory, the kidney
    transplant surgery can proceed immediately.

9
Living-donor kidney transplant
  • A living-donor kidney transplant is done by
    the removal of a kidney from a living donor and
    placement into a recipient whose kidneys no
    longer function properly. Only one donated kidney
    is needed to replace two failed kidneys, which
    makes living-donor kidney transplant an
    alternative to deceased-donor kidney transplant.
  • About one-third of all kidney transplants
    performed are living-donor kidney transplants.
    The other two-thirds involve a kidney from a
    deceased donor.

10
  • Compared with deceased-donor kidney transplant,
    living-donor kidney transplant offers these
    benefits
  • Less time spent on a waiting list, which could
    prevent possible complications and deterioration
    of health
  • Potential avoidance of dialysis if it has not
    been initiated
  • Better short- and long-term survival rates
  • A pre-scheduled transplant once your donor is
    approved versus an unscheduled, emergency
    transplant procedure with a deceased donor
  • Living-donor kidneys almost always start working
    immediately after transplant compared with
    deceased-donor kidneys that can have delayed
    function

11
What you can expect After Kidney Transplant?
  • Living-donor kidney transplant usually involves a
    donated kidney from someone you know, such as a
    family member, friend or co-worker. Family
    members are most likely to be compatible living
    kidney donors.
  • A living kidney donor may also be someone you
    don't know, a non directed living kidney donor.
  • Both you and your living kidney donor will be
    evaluated to determine if the donor's organ is a
    good match for you. In general, your blood and
    tissue types need to be compatible with the
    donor's.

12
  • But even if your donor isn't a match, in some
    cases a successful kidney transplant may still be
    possible with additional medical treatment before
    and after kidney transplant to desensitize your
    immune system and reduce the risk of rejection.
  • If the living kidney donor isn't compatible with
    you, your transplant center may offer you and
    your donor the chance to participate in the
    paired donation program. In paired organ
    donation, your donor gives a kidney to someone
    else whose is compatible. Then you receive a
    compatible kidney from that recipient's donor.
  • Once you've been matched with a living kidney
    donor, the kidney transplant procedure will be
    scheduled in advance. The kidney donation
    surgery (donor nephrectomy) and your transplant
    will occur on the same day.

13
Pre-emptive kidney transplant
  • A pre-emptive kidney transplant is a kidney
    transplant that takes place before your kidney
    function deteriorates to the point of needing
    dialysis to replace the normal filtering function
    of the kidneys.
  • Currently, most kidney transplants are performed
    on people who are on dialysis because their
    kidneys are no longer able to adequately clean
    impurities from the blood.
  • Pre-emptive kidney transplant is considered the
    preferred treatment for end-stage kidney disease,
    but only about 20 percent of kidney transplants
    are performed pre-emptively.

14
  • Several factors have been associated to the lower
    than expected rate of pre-emptive kidney
    transplants, such as
  • Shortage of donor kidneys.
  • Lack of access to transplant centers.
  • Low rates of physician referrals for the
    procedure among candidates of lower
    socio-economic status.
  • Lack of physician awareness of current
    guidelines.

15
Why Pre-emptive kidney transplant is done?
  • The benefits of pre-emptive kidney transplant
    before dialysis for people with end-stage kidney
    disease include
  • Lower risk of rejection of the donor kidney
  • Improved survival rates
  • Improved quality of life
  • Lower treatment costs
  • Avoidance of dialysis and its related dietary
    restrictions and health complications

16
What you can expect
  • If your doctor recommends a pre-emptive kidney
    transplant, you will be referred to a transplant
    center for evaluation.
  • At the transplant center, your doctor and
    transplant team will conduct several tests to
    determine if a pre-emptive kidney transplant is
    appropriate for you. Variety of factors will be
    considered, including
  • Level of kidney function
  • Overall health
  • Any chronic medical conditions that might affect
    transplant success
  • Availability of a donor kidney
  • Ability to follow medical instructions and take
    anti-rejection medications for the rest of your
    life

17
  • If you're approved for a pre-emptive kidney
    transplant and a living-donor kidney is
    available, the living-donor transplant procedure
    will be scheduled. If a kidney from a living
    donor is not available, you will be placed on a
    waiting list for a deceased-donor kidney
    transplant.
  • Why Kidney Transplant is done?
  • A kidney transplant is mostly the treatment of
    choice for kidney failure compared to a lifetime
    on dialysis. A kidney transplant can
    treat chronic kidney disease with glomerular
    filtration rate (GFR, a measure of kidney
    function) less than or equal to 20 ml/min and
    end-stage renal disease to help you feel better
    and live longer.

18
  • kidney transplant is associated with
  • Better quality of life.
  • Lower risk of death.
  • Fewer dietary restrictions.
  • Lower treatment cost.
  • Some people may also benefit from receiving a
    kidney transplant before needing to go on
    dialysis, a procedure known as preemptive kidney
    transplant.

19
How long do kidney transplants last?
  • 1 year - about 95.
  • 5 years - about 85-90.
  • 10 years - about 75.
  • If you have a kidney transplant that fails, you
    can usually be put on the waiting list for
    another transplant. You may need dialysis in the
    meantime.

20
Recommended hospitals for Kidney Transplant in
India.
  • Medanta - The Medicity, Gurgaon
  • BLK Super Speciality Hospital, Delhi
  • AIIMS, Delhi
  • Indraprastha Apollo Hospital, Delhi
  • Rajiv Gandhi Government Hospital, Chennai
  • Manipal Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Christian Medical College, Vellore
  • Manipal Hospital, Bangalore
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai

21
  • Rajiv Gandhi Government Hospital, Chennai
  • MIOT Hospital, Chennai
  • Coimbatore Kidney Hospital, Coimbatore
  • Sri Ramachandra Medical Center, Chennai
  • Rajagiri Hospital, Kerala
  • Baby Memorial Hospital, Kerala
  • Dharamshila Cancer Hospital, New Delhi
  • Columbia Asia Yeshwantpur, Bangalore
  • Wockhardt Super Speciality Hospital, Mumbai
  • Baby Memorial Hospital, Kerala
  • Olive Hospital, Hyderabad
  • Yashoda Hospitals, Secunderabad
  • Primus Super Speciality Hospital, New Delhi
  • Kokilaben Hospital, Mumbai
  • The approximate cost for Kidney transplant is
    Rs.10 To 15 Lakhs

22
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