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8 Kinds Of Patients Are Not Suitable For Kidney Transplantation.


Provided by Expert Zhang Youkang on 2018-08-15 15:59

Kidney Transplant,Patients Kidney Transplantation is a highly demanding operation, not only the operation method, but also the specific conditions of the patients have an impact on the results of the operation. Some people are not suitable for kidney transplantation after routine examinations. What kinds of patients are not suitable for kidney transplant?

1. Malignant Disease

Most non-metastatic tumors, 2 years after cure without recurrence can be considered for kidney transplantation, if there is a tendency to metastasis and metastasis can not be surgery.

2. Cardiovascular Status

Uremic patients often have cardiovascular complications. After dialysis treatment, most of the cardiovascular complications such as hypertension and heart failure can be controlled. However, about 5% of the patients can not correct their hypertension despite adequate dialysis. If a kidney transplant is performed, the diseased kidney should be removed before transplantation.

3. Mentally ill and mentally unstable.

4. History of hepatitis

Patients with active hepatitis are not suitable for kidney transplantation. Long-term use of immunosuppressive agents after operation can promote HBV replication and aggravate liver damage. Therefore, the HBsAg can be accepted for more than 6 months after the HBsAg is turned negative.

5. Abnormal anatomy and function of lower urinary tract

Urethral stricture, contracture of the bladder, neuronal bladder and other causes urinary tract obstruction, dysuria, if not corrected before renal transplantation, will affect the recovery of renal transplant function. In order to relieve the obstruction of lower urinary tract, operation is necessary before transplantation.

6. Lymphocytes toxic antibody or PRA strongly positive are not suitable for surgery, and <10% is needed before renal transplantation.

7. Infection foci

Patients with active infection can not be transplanted into kidney.

8. Alimentary canal ulcer

Because a large number of glucocorticoids and large doses of immunosuppressive agents must be used after kidney transplantation, these drugs can cause gastrointestinal ulcer bleeding, so kidney transplant recipients must know whether there is a history of gastrointestinal ulcer, do a good job of gastrointestinal examination, if found to have ulcer disease should be given treatment. Surgical resection is necessary before transplantation.

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