A kidney transplant is a procedure to put a new, healthy kidney in a person with kidney disease or kidney failure.
Those people who have kidney failure or are on dialysis. When the normal functions of kidney like cleaning the blood and removing of extra salt and water are failed patients need external support. This external support keep there body free of harmful toxins. External support can taken from either dialysis (hemodialysis or peritoneal dialysis) or patient can undergo kidney transplant. Both longevity and quality of life are better with kidney transplant as compared to other kidney supports like dialysis. The transplanted kidney will do all the functions for patients as is expected from a patient’s normal kidney.
As organs are made at birth in womb and they grows in size and function with age, the new organs cant be created in external world. So the people with kidney diseases gets a kidney from either of following source.
Far related donors- all relatives other than above mentioned are far related donors.
Unrelated donors- All the donors who are not listed in above categories makes up unrelated donors.
The donors are usually motivated for donation from their emotional connect with the patients. In any case of live donor the reward to donor is only empathy, future renal health support in deceased KT program and social respect and support. Any reward outside these boundaries are considered illegal and are exempted form our KT program.
You need to undergo clinical examination, lab tests and legal process. This part is undertaken to use the available scientific data to ensure that your life will improve both in quantity and quality as compared to other treatment.
Exclusion of infections and malignancies which might be detrimental to your life and new kidney too
Matching of blood groups and tissues for as best possible result as could be
Anatomical workup with the help of CT, USG, ECHO and ECG etc are done to make a blue print of operation before actually starting OT.
This is a sample list of lab work up done. It is though not limited and some times patient may need extra or a fewer tests.
DONOR EVALUATION PROTOCOL FOR KT | RECIPIENT EVALUATION PROTOCOL FOR KT |
A. PHASE -1 1. Blood Group 2. FBS, PPBS, HbA1C 3. Serum TSH 4. Complete Hemogram 5. LFT 6. Lipid Profile 7. Serum IgG, IgM for CMV 8. Urine R/E and ACR 9. USG (Whole Abdomen) 10. Chest X Ray (PA View) 11. X ray KUB 12. 2D Echo and ECG 13. DTPA GFR B. PHASE -2 1. CT renal vessels 2. HLA Typing (A,B, DRDP DQ) 3. T-Cell and B-Cell Cross matching 4. FCM PRA -> Class – I & II 5. HLA DSA SAB PHASE -3 1. BT CT, PT aPTT INR 2. Interdepartmental reviews 3. Optional 4. Pap smear 5. Mamogram 6. Stool occult blood 7. Serum PSA 8. Interdepartmental reviews |
PHASE -1 1. Blood Group 2. FBS, PPBS, HbA1C 3. Blood Urea, Serum Creatinine, Serum TSH 4. Complete Hemogram 5. HbsAg, Anti HCV, HIV-I & II by ELSIA method 7. LFT 8. Lipid Profile 9. Serum Na, K, Calcium 10. Uric acid 11. Serum IgG, IgM for CMV 12. 24hrs Urinary Protein and Creatinine Clearance 13. Urine R/E and ACR 14. USG (Whole Abdomen) 15. Chest X Ray (PA View) 16. X ray KUB 17. 2D Echo and ECG PHASE -2 1. HLA Typing (A,B, DR) 2. T-Cell and B-Cell Cross matching 3. Flow Cytometric Cross matching 4. HLA DSA SAB 5. PRA -> Class – I & II PHASE -3 1. BT CT, PT aPTT INR 2. Optional 3. Pap smear 4. Mamogram 5. Stool occult blood 6. Serum PSA 7. Interdepartmental reviews |
A kidney transplant is a procedure to put a new, healthy kidney in a person with kidney disease or kidney failure.
Those people who have kidney failure or are on dialysis. When the normal functions of kidney like cleaning the blood and removing of extra salt and water are failed patients need external support. This external support keep there body free of harmful toxins. External support can taken from either dialysis (hemodialysis or peritoneal dialysis) or patient can undergo kidney transplant. Both longevity and quality of life are better with kidney transplant as compared to other kidney supports like dialysis. The transplanted kidney will do all the functions for patients as is expected from a patient’s normal kidney.
As organs are made at birth in womb and they grows in size and function with age, the new organs cant be created in external world. So the people with kidney diseases gets a kidney from either of following source.
Far related donors- all relatives other than above mentioned are far related donors.
Unrelated donors- All the donors who are not listed in above categories makes up unrelated donors.
The donors are usually motivated for donation from their emotional connect with the patients. In any case of live donor the reward to donor is only empathy, future renal health support in deceased KT program and social respect and support. Any reward outside these boundaries are considered illegal and are exempted form our KT program.
You need to undergo clinical examination, lab tests and legal process. This part is undertaken to use the available scientific data to ensure that your life will improve both in quantity and quality as compared to other treatment.
Get All the Answer About Kidneys From Kidney Transplant Physician in Kolkata