Wednesday, May 29, 2013

The Contraindication of Kidney Transplant

When patients with kidney disease develop into end stage of renal failure, they are eager to get a matched donated kidney which can help them survive for a long time. On one hand, the donated kidney is hard to find. On the other hand, even if a person volunteers to donated kidney, can the kidney disease patient receive kidney transplant? Actually, there are some contraindications of kidney transplant. Who is suitable for kidney transplant? Who is not? The questions patients often ask go as follows:
1. Can patients with primary kidney disease receive kidney transplant?
Primary kidney disease contains PKD, chronic pyelonephritis, chronic interstitial nephritis, etc. After receiving kidney transplant, such kidney diseases may recur as FSGS, IgA Nephritis, membranous nephritis, etc. These diseases can lead to the lost of renal function after transplantation. However, the rate is just less than 5%. Therefore, it can not be regarded as the contraindication of kidney transplant.
2. Can older people be suitable for kidney transplant?
As we know, kidney transplant is an operation. In most transplant center, there is no limitation in age. Whether patients can receive kidney transplant is up to patient’s physical condition.
3. Can patients with secondary kidney disease receive kidney transplant?
The effect of patients who have type 1 diabetes and have developed into renal failure is better. The treatment of selective renal failure caused by diabetes is the combination transplant of pancrease and kidney.
4. Can patients with insufficiency of heart cerebrovascular disease receive kidney transplant?
Patients with such disease can consider kidney transplant after the bypass operation. Patients with temporary cerebral ischemia can consider kidney disease 6 months later.
5. Can patients with tumor receive kidney transplant?
Generally, those with not so serious tumor can consider kidney transplant such as carcinoma in situ, carcinoma of urinary bladder. After treatment, kidney transplant can be adopted. Most patients with tumor should not receive kidney transplant until 2 two years.
From the above-mentioned, we can get a conclusion that some patients can not receive kidney transplant even they are found out to have renal failure. Is there a therapy for those who can not receive transplant? That is stem cell transplant. It is suitable for nearly all patients who have developed renal failure. What’s more, it has no contraindications or side effects. It need not any match in type, which is relatively more convenient compared with kidney transplant. In addition, it is not difficult the get in contrast to kidney transplant.

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