Encouraging Healthy Physical Rehabilitation
Protecting Your Single Kidney From Injury
If you have a single kidney, injuring it can be a big problem because there isnt another one to compensate. If the injury is severe and your kidney stops working completely, you would need dialysis or a kidney transplant to survive.
To avoid this, its very important to protect your single kidney from injury. Avoid contact sports that could lead to kidney injury. These include:
- bungee jumping
Over the long term, unless your kidney gets injured, loss of function in your single kidney is usually very mild and unnoticeable.
Most people with a single kidney dont need to follow a special diet, but like people with two kidneys, you should eat a healthy balanced diet.
Staying normally hydrated and drinking when thirsty is better than overhydration or dehydration.
If you have a single kidney because you had a transplant or if you have kidney disease, you may need to limit the amount of sodium, phosphorous, and protein in your diet. This is because your kidney cant remove them from your blood very well, so they build up.
You may also have to limit the amount of fluids you drink.
Talk to your healthcare provider about your nutritional needs and dietary restrictions.
What Are The Benefits Of Living Kidney Donation
It can take up to three to five years for someone on the kidney transplant waitlist to get a kidney from a deceased donor. During this time, theyre on dialysis. Sometimes, a persons health declines, making them ineligible for a transplant. A living donor can cut this wait time.
People who receive a kidney from a living donor reap other benefits:
- Less risk of rejection: A kidney from a family member is often a better genetic match than a kidney from a stranger. As a result, theres less risk of organ rejection.
- Longer organ life: Living donor kidneys can last 15 to 20 years. Kidneys from deceased donors function for about 10 to 15 years.
- Faster function: A kidney from a living donor begins working quickly after transplantation because its out of the body for a short time. Some people who get kidneys from deceased donors may need dialysis until the transplanted kidney starts to work.
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What If Me And My Donor Are Not A Match
If blood types are not compatible, the donor will not be able to donate directly to you. However, the donor may consider donating through a paired exchange program. Paired exchange programs allow you to get a kidney from another donor who is not a match for their intended recipient. Paired exchange involves two living donors and two recipients. If the recipient from one pair is compatible with the donor from the other pair, and vice versa the transplant center may arrange for a “swap”for two simultaneous transplants to take place. This allows two transplant candidates to receive organs and two donors to give organs though the original recipient/donor pairs were unable to do so with each other.
Figure 1:In paired exchange, an incompatible donor/ recipient pair are matched with another incompatible donor/recipient pair for a “swap”. Each donor gives a kidney to the other person’s intended recipient.
Both donors and candidates are carefully evaluated and tested medically and psychologically to assure that the benefits outweigh the risks. It is important for both surgeries to be scheduled for the same time in case either donor changes their mind at the time of surgery. Surgeries can take place at the same or different hospitals. It can be advantageous if the surgeries take place at the same hospital though this may mean extra costs of travel and housing for one couple.
What Are The Different Types Of Kidney Transplants
There are two kinds of kidney transplants depending on who donates the new kidney.
A living-donor transplant is when a person with kidney failure gets a kidney from someone who is still alive and well. It’s usually from a relative or close friend, but sometimes strangers donate.
A is when people donate their kidneys for transplant after they die. This requires people who need kidneys to put their names on a waiting list until a suitable donor can be found.
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What Happens During A Kidney Transplant
A kidney transplant requires a stay in a hospital. Procedures may varydepending on your condition and your healthcare provider’s practices.
Generally, a kidney transplant follows this process:
You will remove your clothing and put on a hospital gown.
An intravenous line will be started in your arm or hand. More catheters may be put in your neck and wrist to monitor the status of your heart and blood pressure, and to take blood samples. Other sites for catheters include under the collarbone area and the groin blood vessels.
If there is too much hair at the surgical site, it may be shaved off.
A urinary catheter will be inserted into your bladder.
You will be positioned on the operating table, lying on your back.
Kidney transplant surgery will be done while you are asleep under general anesthesia. A tube will be inserted through your mouth into your lungs. The tube will be attached to a ventilator that will breathe for you during the procedure.
The anesthesiologist will closely watch your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
The skin over the surgical site will be cleansed with an antiseptic solution.
The healthcare provider will make a long incision into the lower abdomen on one side. The healthcare provider will visually inspect the donor kidney before implanting it.
The renal artery and vein of the donor kidney will be sewn to the external iliac artery and vein.
The donor ureter will be connected to your bladder.
How Can My Donor Kidney Help
Every 10 minutes, another person is added to the national transplant waiting list and 82% of patients waiting are in need of a kidney. On average, a living donor kidney can function anywhere between 12 to 20 years, and a deceased donor kidney can improve quality of life for 8 to 12 years. Plus, patients who receive preemptive kidney transplant see a number of benefits .
Per Mayo Clinic, other benefits include lower risk of rejection of the donor kidney, improved survival rates, improved quality of life, lower treatment costs, and avoiding the restrictions and complications of dialysis.
Kidney transplant recipients can expect to spend several days to a week in the hospital. Transplant recipients may take a number of medications after transplant, many for the rest of their lives. The medications help reduce the risk of complications after transplant.
By signing up to become an organ, eye, and tissue donor, you can make a difference in the lives of more than 75 people. Register to become a donor.
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Ethical And Legal Analysis
Agenda for ethical debate: axes of ethical evaluation and two types of contracts
First, to set an agenda for ethical debate, we will sort out possible attitudes that may be assumed by key persons A and B. As attitudes towards organ restitution can be classified into a Yes condition and the opposite No condition. Similarly, Bs attitudes can be classified into positive Yes and negative No conditions .
Matrix of attitudes towards organ restitution
The ethical question that we will repeat throughout this paper is whether or not organ restitution is ethically permissible under each condition . In the following sections, we extract ethical issues in the context of each of these four conditions.
There have been various critiques of Robert Nozicks libertarian principle of self-ownership. One of the most prominent holds that permitting libertarianism with respect to organs would make possible a market in human organs. Opinions are divided on the marketing of organs, but we are opposed to it . Furthermore, some argue against Nozicks thesis of libertarian self-ownership itself, and others point out differences between the thesis and Lockes own doctrine of self-ownership. For the sake of argument, however, in order to emphasise the contrast between donation contracts and loan for use contracts, this article assumes a Nozick-style principle of strong self-ownership.
Condition I: does the consent of both parties justify the act of returning the donated organ?
Am I Healthy Enough To Donate A Kidney
Your doctor will do some tests to find out for sure. Theyâll check your blood and urine, andÂ;may also do an ultrasound or take X-rays of your kidneys. You may not be able to donate if you have medical issues like diabetes or high blood pressure.
If your doctor gives you the green light, theyâll schedule you for surgery. You can expect to take 4 to 6 weeks to recover. Be sure to line up someone to help you during that time.
You don’t usually have to change your routine or even your diet to get ready for surgery.
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Who Can I Give My Kidney To
You can donate a kidney to a family member or friend who needs one. You can also give it to someone you don’t know. Doctors call this a ânondirectedâ donation, in which case you might decide to meet the person you donate to, or choose to stay anonymous. Either way, doctors will give your kidney to the person who needs it most and is the best match.
Helping During The Procedure
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Who Can Have A Kidney Transplant
Most people who need;a kidney transplant;are able to have one, regardless of their age, as long as:
- they’re well enough to withstand the effects of surgery
- the transplant has a relatively good chance of success
- the;person is willing to comply with the recommended treatments required after the transplant such as taking immunosuppressant medication and attending regular follow-up appointments
Learn About Living Kidney Transplant
Introduction to living kidney donation
As a kidney donor, you can greatly improve someones life. To the recipient, you will always be their hero. More than 80 percent of the people on the national organ transplant wait list need a kidney, and wait times are increasing. Living with kidney disease is very difficult. Dialysis treatments are tiring and do not end the disease. Living kidney donation is the best way to save more lives.
A kidney transplant can happen as soon as a donor is found, approved and ready to donate. Getting a kidney from a living donor is better for the recipient because:
The recipient will get transplanted sooner, ending or avoiding dialysis
Living kidney transplant surgeries can be scheduled, making recovery easier
The kidney may be a better match to the recipient, and will come from a person who has been tested to ensure they are very healthy
A kidney from a living donor will last much longer than one from a deceased donor, lessoning their need for another kidney in the future
Living kidney donation removes someone from the waitlist, so others can receive transplants
You do not need to be related to recipient. You do not need to have matching blood types. If you are older than age 18 and in good physical and emotional health you can apply to be a living donor. We offer many options for living kidney donation where you can save one life, or several.
How to find a living kidney donor
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You Dont Have To Be Related To Someone To Donate A Kidney To Them
In fact, one in four living organ donors is not biologically related to the recipient . Spouses, in-laws, close friends, church members, and even members of the same community can all be living donors.
It’s true that family members have a higher chance of being a good match. But living donor transplants are more successful compared to kidneys from deceased donors because these kidneys come from living donors.
Oranges And Orange Juice
While oranges and orange juice are arguably most well known for their vitamin C content, theyre also rich sources of potassium.
One large orange provides 333 mg of potassium. Moreover, there are 473 mg of potassium in 1 cup of orange juice .
Given their potassium content, oranges and orange juice likely need to be avoided or limited on a renal diet.
Grapes, apples, and cranberries, as well as their respective juices, are all good substitutes for oranges and orange juice, as they have lower potassium contents.
Oranges and orange juice are high in potassium and should be limited on a renal diet. Try grapes, apples, cranberries, or their juices instead.
Processed meats are meats that have been salted, dried, cured, or canned.
Some examples include hot dogs, bacon, pepperoni, jerky, and sausage.
Processed meats typically contain large amounts of salt, mostly to improve their taste and preserve flavor.
Therefore, it may be difficult to keep your daily sodium intake to less than 2,300 mg if processed meats are abundant in your diet.
Additionally, processed meats are high in protein.
If you have been told to monitor your protein intake, its important to limit processed meats for this reason as well.
Processed meats are high in salt and protein and should be consumed in moderation on a renal diet.
Pickles, processed olives, and relish are all examples of cured or pickled foods.
Usually, large amounts of salt are added during the curing or pickling process.
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What Are The Advantages Of Living Donation Over Deceased Donation
Kidney transplants performed from living donors may have several advantages compared to transplants performed from deceased donors:
What Are The Risks Of Being A Living Kidney Donor
Like any surgery, kidney donation carries the risk of surgical complications like blood clots and others, but these risks are low. You will lose a certain percentage of your kidney function after donation. This sounds scary, but after the surgery your remaining kidney will get bigger and you wont notice any difference.
Donating a kidney doesnt increase your future risk of kidney failure. However, if kidney failure occurs for whatever reason, UNOS has a priority system that ensures living organ donors are at the top of the waitlist and get it quickly. This happens very rarely.
Other risks of kidney donation include:
- Nerve damage .
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What Is A Kidney Transplant
A kidney transplant is a surgery done to replace a diseased kidney with ahealthy kidney from a donor. The kidney may come from a deceased organdonor or from a living donor. Family members or others who are a good matchmay be able to donate one of their kidneys. This type of transplant iscalled a living transplant. People who donate a kidney can live healthylives with one healthy kidney.
A person getting a transplant most often gets just 1 kidney. In raresituations, he or she may get 2 kidneys from a deceased donor. The diseasedkidneys are usually left in place. The transplanted kidney is placed in thelower belly on the front side of the body.
Living Kidney Donation Is Safe
If you are healthy, donating a kidney wont make you more likely to get sick or have major health problems. Like any surgery, the procedure does have some risks. But overall, living kidney donation is safe. In most cases, donating a kidney will not not raise your risk of kidney disease, diabetes, or other health problems.
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What Happens After A Kidney Transplant
After kidney transplant surgery, you’ll spend a week or two in the hospital as you recover. Your health care team will watch you to make sure there are no complications from the surgery, such as bleeding or infection.
You’ll also learn what medicines you need to keep your body from rejecting the new kidney. These are called immunosuppressants. Taking them can make you more likely to get infections, especially in the days right after surgery. So be sure to stay away from sick people. Everyone at home should wash their hands well and often.
For the first couple of months after surgery, you’ll need to see the doctor a lot to make sure your new kidney is working normally. If you get a fever or soreness in the area of the transplant, tell a doctor right away. These could be signs that your body isn’t accepting the new kidney or that you have an infection.
But with surgery and immunosuppressant medicines, the success rate of kidney transplants is very high.
What Processes Do You Have To Go Through To Be A Living Kidney Donor
The decision to donate a kidney is just the first step on a journey that may eventually lead to a kidney transplant operation.
Everyone who wants to donate is asked to go through a;number of tests and examinations. These checks are designed to ensure that;you are;healthy enough to give a kidney, that your kidneys are currently working well and that you;are physically and emotionally prepared for the donation. Your safety and well-being;is always the priority for the medical teams;and you should be aware from the beginning that;there may be a number of;reasons;why you might not be suitable to donate. The tests and checks;can take several months , which include medical, surgical and psychological assessments.
In England, Wales and Northern Ireland, no minimum age limit is specified under the Human Tissue Act 2004, but most donors will be over the age of 18 years. In Scotland, the law specifies that the donor has to be over 16. There is no upper age limit, and there have been donors in their 70s and 80s.
Throughout the process, anonymity and confidentiality are necessary, and most altruistic donors never meet the person who receives their donated kidney. It is, however, possible for both parties to contact each other after the transplantation, but only if both parties are willing.
Tests and examinations before the operation
General physical health
Glucose tolerance test
Blood pressure monitoring
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Can An Insulin Dependent Diabetic Be An Organ Donor After Death
Can an insulin dependent diabetic be an organ donor after death? Yes, if the organs are functioning normally. An insulin dependent diabetic cannot donate a pancreas, but could donate other organs. Are there any solutions for continued calf, ankle and foot swelling? My numbers are back to normal and I try to monitor salt intake, but it’s been a year and they look awful. I also have very strong muscle cramps, sometimes in the groin area and some times the calf. I take magnesium and Co Q10 every day. I came off Prednisone 2 months ago and still get very achy joints and stiff muscles. Takes a few moments to get started after sitting for awhwile. My heart is good and I’m anxious to get back to working out without additional cramping! Have lost 11 lbs with 40 more to go. The National Kidney Foundation is the leading organization in the U.S. dedicated to the awareness, prevention and treatment of kidney disease for hundreds of thousands of healthcare professionals, millions of patients and their families, and tens of millions of Americans at risk. The Better Business Bureau Wise Giving Alliance Charity Seal provides the giving public with an easily recognizable symbol which certifies that the National Kidney Foundation meets the comprehensive standards of America’s most experienced charity evaluator. We subscribe to the HONcode principles of the Health on the Net Foundation. Verify hereContinue reading >>
What Are Antibodies
The body makes millions of antibodies, which are primarily intended to fight off disease. However, when people have a blood transfusion, pregnancy, previous transplant or some infections, they can produce socalled HLA antibodies which react with donor tissue and possibly damage it.
We are aware that if we give a transplant to somebody that has HLA antigens, against which they have HLA antibodies, there is a higher risk of the kidney failing due to rejection. It is therefore preferable to find a kidney against which you do not have antibodies.
You will hear the doctor talk about PRA or PGEN. This is a measure of the probability of having antibodies against 1,000 Irish donors; it is a measure of how hard it will be to find a suitable compatible donor. If the recipient has a PGEN of 0% then they have no antibodies and should not have difficulty finding a suitable donor. Conversely, if the recipient has a PGEN of 100%, they will have great difficulty finding a suitable kidney donor and will most likely have a prolonged wait on dialysis. If the recipient has a sibling, who is a perfect match, then antibodies are generally not important. However, even patients with 100% PRA can be transplanted if the right donor comes along.
When testing donor and recipient compatibility, one of the main problems that has to be avoided is giving a patient a kidney to which they have formed antibodies, as this carries a high risk for the early failure of the transplant.
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