How good is China for liver transplants

TRANSPLANTATION

Course of an operation

 

If an organ is available on the waiting list, everything has to go quickly. In the case of a post-mortem donation, it usually only takes a few hours from the notification of the organ to the transplant. It is therefore important that potential organ recipients are easily accessible at all times. In addition, patients should be prepared for a longer stay in the clinic.

With a kidney transplant, more time is available for the preparations than with other organs: It can take up to 36 hours from the organ removal to the transplant. The liver must be transplanted within 8 to 9 hours.

A few more tests will then be carried out in the clinic to ensure that the transplant will not endanger the patient's health. Before the operation, the patient is given the first medication that suppresses the immune system's natural defense reaction against foreign organs during the procedure - so-called immunosuppressants.

 

Kidney transplant

 

With kidney transplants, the kidneys of the person to be treated that are no longer functional are often left in the body. The donor organ is implanted in the lower abdomen and connected to the large blood vessels in the pelvis. The ureter is sewn into the urinary bladder so that the urine can flow out of the new kidney. This connection is often stabilized by a special catheter that can be removed a few weeks after the transplant.

 

Liver transplant

 

With a liver transplant, the recipient's entire liver is always removed, with the exception of a few metabolic diseases. The transplanted organ, on the other hand, can either be a whole liver or a partial organ. Partial organs grow back to their original size within a few months. The donor organ is inserted in the place of the removed organ and connected to the necessary structures.

 

Immunosuppression

 

In the first time after the transplant, frequent and regular checks are necessary to check how the transplant is accepted by the immune system. Despite the blood group compatibility and the high degree of correspondence between the tissue characteristics of the recipient and the donor, the body recognizes the new organ as "foreign". The body's natural defense reaction can lead to the rejection of the transplanted organ. To prevent this, the transplant recipient must take medication that inhibits the body's own defenses. These drugs, known as immunosuppressants, are administered before and during the operation and must then be taken for a lifetime according to precise dosage instructions. The irregular intake or the unauthorized discontinuation of the medication endangers the transplant and can lead to functional impairment in the short or long term up to complete failure with loss of organs.

  

THE LIFE AFTER

The new organ

 

The person to be treated has successfully survived the transplant. But what's next? What is the process like during the hospital stay and later in the home environment?