The day has come when the final decision regarding kidney transplantation has been made. No, it is not a decision that is made by a urologist or a nephrologist, it is more a personal decision to be made by the individual. Hence, it should be thoroughly discussed among family, friends, and other advisors; risk assessments and benefits need to be understood before proceeding with it.
Basics about Kidney Transplant and Types of Donors
Firstly, you need to know that only one of the diseased kidneys is going to be transplanted; thus making it possible for a living donor to donate. Usually, living donors are closely related family members like a parent, son, daughter etc.
Another type of donor is a deceased donor. This is agreed upon when the arrangement is not possible with a living donor. Technically, it is a lengthier process to get them due to different genetical structures. The tentative wait-period can be anywhere between a few months to even several years.
Precautions to Follow before a Kidney Transplant
- This is mostly a planned procedure, so don’t rush, sit down with your loved ones and advisors and discuss the pros and cons first. For further discussion with a nephrologist and a urologist, take the most experienced confidantes along with you.
- Cost is going to be another factor for the transplant and for post-operative care. Plan accordingly and check with your insurance provider first-hand.
- Another important step is to choose the right transplant center. Check with the nephrologist, the urologist and a number of successful kidney transplant recipients about transplant survival rates and transplant centers. Do look around for a center with multiple donor banks and different donation criteria which may increase the chances of finding a donor.
- Thorough imaging studies such as X-ray, MRI or CT scans, a physical examination, blood tests and psychological evaluation need to be done as and when it is instructed by the transplant team.
- Some specific tests, viz., blood typing, tissue typing and cross-match testing are done to determine whether the donor kidney would be suitable for you.
- Daily medication is to be strictly taken as instructed by the doctor.
- Smoking and drinking also need to be stopped completely. If you are unable to do the same, Ask A Doctor without further delay.
- Eat in time, follow a diet plan and exercise regimen accordingly. Wash all fruits and vegetables thoroughly with clean (U.V.R.O. purified) water.
- Weigh yourself daily around the same time every morning after emptying the bladder. If weight gain persists then inform the transplant team. Maintain daily water intake exactly as instructed by the team.
- If you are a diabetic, it is extremely important to keep a strict check on blood glucose levels. Ask A Doctor immediately about any rapid fluctuations.
- Keep an eye open for fever. If an onset of fever resumes, inform your transplant team accordingly.
- Transplant guidelines vary from center to center. Even if you don’t get approved by one center immediately, don’t feel dejected. Apply at a different center without any further delay.
- Stay in touch with your pre-transplant coordinator to find out about the latest developments in your case.
- Don’t take cuts or bruises lightly, rather, ask a urologist promptly about all your doubts and all you need to know regarding a thorough evaluation.
Take-aways
- Kidney transplant is not an emergency procedure but a well-planned, well-executed procedure. Therefore, take your time.
- Follow the transplant team’s instructions to the T.
- Inform the nephrologist about any significant/recent onset of health changes.
- Stay stress free. Keep yourself surrounded by lovable company. Try and be physically active.
- Always maintain the daily water intake and output chart. Ask A Doctor even in case of the slightest amount of doubt.
- Remember, small cuts or bruises need immediate medical attention.
In case of any further assistance, feel free to Ask a Urologist online and get 24/7 verified medical guidance.
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