The time for kidney transplant is not that the earlier, the better, nor the later, the better. Then when is the best time for kidney transplant? Go on reading to learn more information.
Generally speaking, many factors should be considered.
Firstly, patients are required to undergo dialysis for 3 to 6 months before kidney transplantation. Through dialysis, toxins can be removed, acidosis and electrolyte disorders can be corrected, and organ complications caused by toxins can basically disappear, which can ensure the smooth operation.
Hemodialysis can reduce the immune complexes and antibodies in patients with chronic nephritis, and decrease the immune level of patients so as to reduce the probability of rejection after kidney transplantation and increase the safety factor of successful kidney transplantation, thus ensuring the long-term survival of transplanted kidney: through dialysis, the patient's condition is stable, the general condition is improved, and the psychological state is gradually balanced to ensure the safety of transplantation operation and long-term survival of all recipients.
Furthermore, it is allowed to do some preoperative targeted treatment during this period, such as hypertension and anemia, so that patients can "reach the target" as soon as possible, which increases the success rate of kidney transplantation.
In addition, if the patient's condition and economic conditions change, the donor can also bring forward or delay transplantation.
Some patients want to wait until they have cloned kidneys or better immunosuppressive drugs or ideal HLA matching before carrying out kidney transplantation, so they delay the time of kidney transplantation indefinitely. It should be noted that long-term hemodialysis patients, due to inadequate toxin clearance, anemia, cardiovascular complications and various infections (hepatitis B, hepatitis C) increase the possibility of damage to important organs such as heart, liver, lung, and may lose the best time for transplantation.
5% to 10% of kidney transplantation patients do not undergo dialysis before operation. In uremic patients without dialysis, the functions of heart, liver, lung and other important organs must be good. And there are no complications such as pleural effusion, pericardial effusion, heart failure and so on in order to ensure the smooth operation.
Finally, if the patient is to do a second or third kidney transplant, and if the previous renal function loss is caused by rejection, in principle, the interval between retransplantation should be more than half a year. The aim is to reduce the level of antibody in vivo. At this time, the HLA matching and PRA index are more demanding, which is conducive to improving the success rate of retransplantation.
In short, the best timing of kidney transplantation depends on the constitution of each person, the condition of uremia, the function of each organ and the time of dialysis. So we can't generalize. Generally, it's up to the kidney transplantation doctor to make a decision according to each individual's specific situation. Before kidney transplantation, positive treatment should be carried out to achieve the best transplantation effect. Here we recommend you to try Toxin-Removing Treatment, which can improve internal environment so as to ensure the survival rate of transplanted kidney. It can even repair kidney damage and promote renal function. For more information on our treatment, please leave a message below or contact online doctor.
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