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Book Details
Abstract
The facts about kidney transplantation, from the experts.
A successful kidney transplant can transform the life of a person with kidney failure, and people with a well functioning transplant often feel much fitter than they did on dialysis. Not everyone is suitable for transplant, however, and even those who are may not be suitable all the time.
It is essential to be thoroughly prepared for your kidney transplant. This book will help you by answering all your questions about transplants and what they involve. Indispensable to people considering having a transplant or already living with one, this guide will also be valuable to anyone thinking about donating a kidney.
Kidney Transplants Explained includes:
Table of Contents:
Part 1 Introduction
Part 2 Suitable for transplant?
Part 3 Matching a kidney to a patient
Part 4 Decreased donor transplants
Part 5 Living donor transplants
Part 6 The donor's operation
Part 7 Living donor transplantation: some considerations
Part 8 The transplant operation
Part 9 Medication
Part 10 The first three months
Part 11 Looking after yourself and your transplant over the years
Part 12 Living with your transplant
Part 13 Relationships, sec and having childrens
Part 14 Transplant failure
Part 15 Research and future developments
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Contents | vii | ||
| Foreword | xi | ||
| Authors’ Acknowledgements | xii | ||
| Introduction | 1 | ||
| 1 - Suitable for transplant? | 5 | ||
| WHO CAN HAVE A TRANSPLANT? | 5 | ||
| FITNESS FOR TRANSPLANTATION | 7 | ||
| TESTING FOR INFECTIONS | 9 | ||
| GETTING INFORMATION EARLY | 10 | ||
| GETTING ONTO THE LIST | 11 | ||
| KEY FACTS | 11 | ||
| 2 - Matching a kidney to a patient | 12 | ||
| MATCHING THE BLOOD GROUP | 12 | ||
| MATCHING THE TISSUE TYPE | 14 | ||
| THE PERFORMANCE OF UK TRANSPLANT CENTRES | 16 | ||
| NEW KIDNEYS AND OLD DISEASES | 20 | ||
| KEY FACTS | 21 | ||
| 3 - Deceased donor transplants | 22 | ||
| HEARTBEATING DONORS | 22 | ||
| NON-HEARTBEATING DONORS | 23 | ||
| THE TRANSPLANT LIST | 24 | ||
| AVERAGE WAITING TIME FOR A DECEASED DONOR KIDNEY | 27 | ||
| BEING ON THE TRANSPLANT LIST | 29 | ||
| DO YOU HAVE TO BE ON DIALYSIS FIRST? | 30 | ||
| TESTS BEFORE THE OPERATION | 31 | ||
| PHYSICAL EXAMINATION | 31 | ||
| THE CROSS-MATCH | 32 | ||
| BEING READY FOR A TRANSPLANT | 32 | ||
| YOU AND YOUR DONOR | 34 | ||
| CONTACTING THE DONOR FAMILY AFTER TRANSPLANTATION | 37 | ||
| HOW LONG WILL A DECEASED DONOR TRANSPLANT LAST? | 37 | ||
| KEY FACTS | 38 | ||
| 4 - Living donor transplants | 39 | ||
| WHO CAN DONATE A KIDNEY? | 40 | ||
| TESTS BEFORE LIVING DONOR TRANSPLANTATION | 42 | ||
| RISKS TO THE DONOR | 45 | ||
| KEY FACTS | 46 | ||
| 5 The donor’s operation | 47 | ||
| OPEN NEPHRECTOMY (OPEN SURGERY) | 47 | ||
| LAPAROSCOPIC NEPHRECTOMY (KEYHOLE SURGERY) | 47 | ||
| AFTER THE OPERATION | 50 | ||
| KEY FACTS | 53 | ||
| 6 - Living donor transplantation: some considerations | 54 | ||
| REJECTION | 54 | ||
| SOME ADVANTAGES OF LIVING DONOR TRANSPLANTS | 54 | ||
| THE HUMAN TISSUE AUTHORITY (HTA) | 58 | ||
| ANTIBODY INCOMPATIBLE TRANSPLANTS (AIT) | 59 | ||
| ‘EXCHANGE’ OR ‘PAIRED DONOR’ TRANSPLANTATION | 60 | ||
| ALTERNATIVES TO ANTIBODY INCOMPATIBLE AND EXCHANGE TRANSPLANTATION | 62 | ||
| GIVING A KIDNEY TO SOMEONE YOU HAVE NEVER MET | 62 | ||
| BUYING AND SELLING ORGANS | 64 | ||
| KEY FACTS | 66 | ||
| 7 - The transplant operation | 68 | ||
| THE OPERATION | 69 | ||
| AFTER THE OPERATION | 70 | ||
| HEADING HOME | 74 | ||
| KEY FACTS | 75 | ||
| 8 - Medication | 76 | ||
| HOW IMMUNOSUPPRESSANT DRUGS WORK | 76 | ||
| TYPES OF IMMUNOSUPPRESSANT DRUGS AND THEIR SIDE EFFECTS | 78 | ||
| WORKING OUT WHAT IS BEST FOR YOU | 82 | ||
| MAKING SURE YOU KNOW WHAT TO EXPECT | 84 | ||
| CONTINUING YOUR MEDICATION | 85 | ||
| OTHER DRUGS AFTER A TRANSPLANT | 86 | ||
| KEY FACTS | 88 | ||
| 9 - The first three months | 89 | ||
| REJECTION | 89 | ||
| THE REJECTION PROCESS | 89 | ||
| ACUTE REJECTION | 90 | ||
| TESTS TO INVESTIGATE REDUCED TRANSPLANT FUNCTION | 91 | ||
| TREATMENT FOR ACUTE REJECTION | 93 | ||
| INFECTIONS | 93 | ||
| PREVENTION OF INFECTION AFTER A TRANSPLANT | 98 | ||
| IF IT ALL GETS TOO MUCH | 98 | ||
| THREE MONTHS OUT, AND OK? | 100 | ||
| KEY FACTS | 100 | ||
| 10 - Looking after yourself and your transplant over the years | 102 | ||
| STAY IN TOUCH | 103 | ||
| TAKE CONTROL | 104 | ||
| CHRONIC REJECTION (OR CHRONIC ALLOGRAFT NEPHROPATHY) | 105 | ||
| CIRCULATION PROBLEMS AND HIGH BLOOD PRESSURE | 107 | ||
| CHOLESTEROL | 108 | ||
| DIABETES | 110 | ||
| CANCER | 114 | ||
| PROBLEMS WITH YOUR BONES | 117 | ||
| KEY FACTS | 120 | ||
| 11 - Living with your transplant | 121 | ||
| SOCIAL LIFE | 121 | ||
| BACK TO WORK | 122 | ||
| HOLIDAYS | 123 | ||
| EATING AND DRINKING | 126 | ||
| ENJOYING YOUR FREEDOM WHILE KEEPING YOUR KIDNEY HEALTHY | 126 | ||
| KEEPING FIT | 127 | ||
| KEY FACTS | 128 | ||
| 12 - Relationships, sex and having children | 129 | ||
| DRUGS TO HELP WITH ERECTIONS | 129 | ||
| CONTRACEPTION | 130 | ||
| PLANNING A PREGNANCY | 131 | ||
| KEY FACTS | 134 | ||
| 13 - Transplant failure | 135 | ||
| SUCCESS RATE FOR SECOND TRANSPLANTS | 135 | ||
| CAUSES OF TRANSPLANT FAILURE | 135 | ||
| HOW DOES REJECTION CAUSE TRANSPLANT FAILURE? | 136 | ||
| WAITING FOR A KIDNEY AFTER TRANSPLANT FAILURE | 137 | ||
| COPING WITH A FAILED TRANSPLANT | 138 | ||
| STRESS FOR KIDNEY TRANSPLANT PATIENTS | 139 | ||
| FACTORS AFFECTING THE ABILITY TO COPE | 141 | ||
| KEY FACTS | 143 | ||
| 14 - Research and futuredevelopments | 144 | ||
| HISTORY OF TRANSPLANTATION – A TIME OF RAPID CHANGE | 144 | ||
| WHAT IS RESEARCH AND HOW DOES IT APPLY TO ME? | 145 | ||
| POSSIBLE FUTURE DEVELOPMENTS | 148 | ||
| NEW THERAPIES | 149 | ||
| KEY FACTS | 150 | ||
| Glossary | 151 | ||
| Appendix 1 - Kidney disease – what do the numbers mean? | 161 | ||
| Appendix 2 - Useful addresses and websites | 162 | ||
| Index | 166 |