If you are on dialysis, a kidney transplant is the best long-term solution. But how do doctors choose the right kidney for you?
1. Donor Type
– Living Donor: Family, friend, or volunteer.
– Deceased Donor: Someone who agreed to donate after death.
2. Health Check
– Age 18 to 65
– Free from serious illness (diabetes, high blood pressure, infections)
3. Blood Type Match (ABO)
– Your blood type must match the donor’s.
– If it doesn’t match, doctors may suggest a kidney exchange program.
4. HLA Typing
This tissue matching test helps lower the rejection risk. More matches mean better success.
5. Crossmatch Test
Doctors mix your blood with the donor’s.
– Positive means not safe
– Negative means transplant is safe
6. Kidney Health
The kidney must be:
– Functioning well (creatinine, GFR)
– Free from infection
– Normal in scans (ultrasound, CT)
7. Fair Allocation
If it’s from a deceased donor, the kidney is matched through a national system based on:
– Urgency
– Compatibility
– Waiting time
In Short:
Doctors carefully test and choose only the safest, most compatible kidneys. This gives you the best chance at a healthy life after dialysis.