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ARTICLES ON Kidney disease

Latest Articles on Kidney disease

Best Kidney Transplant in Mumbai

Kidney Transplant in Mumbai: A Step-by-Step Journey from Surgery to Recovery

A Kidney Transplant is a life-saving option for those who are at the end stage of a Kidney-related issue. Although it offers a new lease on life, the process of Kidney Transplant is quite intimidating, with too many questions popping up in the head, like what will be the procedure, the recovery time, etc. Getting the picture of the entire process can immensely help a patient manage their expectations and initiate a smooth transition to health. If you are thinking of getting treatment in Mumbai, then you are on the right page to start with. Mumbai is India’s one of the best medical hubs, equipped with highly advanced medical technology, skilled medical experts, and experience. This blog will take you through the lore of Kidney Transplants in Mumbai—providing a comprehensive, step-by-step guide: from initial consultation, post-surgery recovery, and everything in between. What is Kidney Transplant? A Kidney Transplant is basically the replacement of a damaged or deceased Kidney with a healthy one. This can be from a living person (mostly family) or a deceased individual. A Kidney Transplant is recommended to patients with Kidney failure due to some chronic disease or to people who are not anymore responding to dialysis. The key aim of Kidney Transplants is to banish the need for Kidney dialysis and, hence, enhance the quality of life. The Lore of Kidney Transplant Here is the step-by-step process of a Kidney Transplant from surgery to recovery: 1. The Consultation & Evaluation Before performing surgery like a Kidney Transplant, your doctor will go through your previous medical records. This will help the doctor evaluate whether you are ready for the surgery or not. You can expect these for evaluation: A Detailed Talk on Your Medical History A doctor will review your medical history, concentrating on your previous health issues that may or may not be related to Kidney issues. Expect a thorough discussion on dialysis if you are already receiving one. Physical Exams & Diagnostic Tests: You will undergo a series of physical tests, blood tests, and imaging scans to ensure your overall health and surrounding organs. Psychological Exams: As mentioned earlier, a Kidney Transplant is a daunting process that requires a lot of emotional and mental courage. A psychological exam will help you get ready mentally and emotionally for the surgery. 2. Finding a Kidney Donor: Two main types of Kidney donors are living donors or deceased donors. Let’s take a closer look at both: Living donor Kidney Transplant: The ideal scenario for you is to get yourself a living donor, they can be a family or close relative. The living donor goes through a series of tests to ensure that s/he is fit to donate. Kidney matching is done by blood type testing and tissue matching. Deceased donor Kidney Transplant: When a living donor is not available for any reason, the patient may need to wait for a deceased donor. In India, deceased organ donation is managed by a national and state registry. But, here the availability depends on factors like blood type, and tissue matching. The patient will be put on dialysis until doctors find the right donor. 3. Pre-surgery Preparation: Once the donor is found, the date of the surgery is scheduled. Here are some steps of pre-surgery you need to take: Hospital admission and Medication adjustment: You need to get admitted at least a day before surgery for some final tests, and your doctor will answer some last-minute questions if you have any. For any existing medical condition that you may have, your doctor will adjust some medications to tackle any potential infection. Anesthesia consultation: The anesthesia team will contact you to provide information about the type of anesthesia used during the transplant. 4. The Kidney Transplant: The overall time to commence a Kidney Transplant is 3 to 4 hours under general anesthesia. Here is what happens during the surgery: Incision:The surgery starts with making a small cut on the lower abdomen, to place the donor Kidney. The damaged Kidney is usually not removed until it is required meaning the Kidney is placed over the deceased one. The Transplantation:The surgeon carefully places the new kidney on the previous one and connects it to the blood vessels (renal arteries and veins) and ureters (tubes that join the kidneys and urinary bladder). Monitoring (during and after the surgery):We closely monitor your vital signs, including heart rate and blood pressure, throughout the transplantation to ensure everything proceeds smoothly.After the surgery, we transfer you to the intensive care unit for continuous observation. This ensures your body responds well, with no bleeding or rejection of the new kidney. 5. Post-operative Care: The ICU team will monitor you for a few hours before shifting you back to your ward. You will then begin the recovery process, which typically lasts 7 to 10 days in any hospital in Mumbai. Antibiotics and immunosuppressants:During Post-operative care, the patients are provided with antibiotics, pain management medications, and immunosuppressants(Medicines that suppress immune response from attacking the new Kidney) to get relief from pain and to prevent any infection. Urine monitoring:In most cases, the new Kidney has started working by now, if it has not then the patient will be put on dialysis. Doctors will regularly monitor the new Kidney to ensure proper functioning. 6. Discharge, Home Recovery, & Long-Term Care: You will go home to continue your recovery once you stabilize after surgery. You’ll take lifelong medication to prevent your body from rejecting the new kidney. You can attend regular follow-up check-ups, starting more frequently, to ensure your new kidney functions properly. Maintaining a good diet, gentle exercises, and avoiding heavy exertion is healing. Emotional support can be valuable. Recovery can be tough mentally. You’ll continue with your medication, regular check-ups, and healthy habits like exercising and a balanced diet to keep your Kidney healthy in the long run. Conclusion With Kidney Transplant Surgery in Mumbai, there is the possibility of a new life for patients experiencing failure in their Kidneys. The best

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Dual Organ Transplant

Some patients benefit from having a combined or “dual” organ transplant, meaning they receive a new liver and another new organ during the same surgical procedure. Types of combined organ transplants that are performed with liver transplant: Liver and kidney transplant Liver and heart transplant Liver and intestine transplant Liver and lung transplant If you are suffering from serious illness and multiple organ failure, your transplant team may recommend a combined organ transplant to help restore your quality of life. Patients requiring combined organ transplantation are listed on both organ waiting lists. Waiting time for transplantation will vary depending on the organs you need. Post-transplant care is similar to single-organ transplantation in that you will need to take anti-rejection medications for the life of your organs. A simultaneous Kidney Pancreas transplant is an operation to place the kidney and pancreas at the same time in a patient who has kidney failure and also suffers from diabetes, needing very high insulin dose to control sugars. It can be type 1 or burnt-out type 2 diabetes. Type 1 diabetes is an autoimmune disease where a patient’s body attacks and destroys insulin-producing beta cells located in the pancreas. It is typically seen in children and young adults. Type 2 diabetes is what we see commonly in adults. Over some time, these patient’s insulin-producing cells stop making insulin or they are unable to produce enough to meet the body’s demand. Diabetes affects every system in the body. In the eyes, it affects the retina and is the leading cause of blindness. It affects the blood vessels supplying the heart and is a common cause of heart attacks. It accelerates atherosclerosis which is a common cause of strokes/paralysis, heart failure, and kidney failure. Uncontrolled sugars affect the nervous system also. Once the peripheral nervous system is affected, sensation in the hands and feet comes down. Diabetic patients with kidney failure need a kidney transplant to prolong their life. Steroids used as immunosuppression will make treatment of diabetes difficult. Poorly controlled sugars will continue to affect the rest of the body including the transplanted kidney. Performing a pancreas transplant at the same time will eliminate all these problems by optimally controlling sugars. It will not only protect the transplanted kidney from future effects of diabetes but also reverse the effects of diabetes on other systems including peripheral neuropathy and thus protect the limbs.   Liver and intestine transplant An intestinal transplant is a complex procedure that requires the expertise of specialists trained in bowel or multi-visceral transplants. The surgery may take up to 12 hours and involves either an isolated intestinal transplant alone, a combined liver and intestine transplant, or a multi-visceral transplant. Depending on what caused your patient’s intestinal failure and his or her overall medical condition, your doctor will determine which type of transplant best meets your child’s needs. Isolated Intestinal Transplant — An isolated intestinal transplant involves removing the diseased portion of the small intestine and replacing it with a healthy small intestine from a donor. This type of transplant is considered for children with complications caused by intestinal failure, who don’t have liver failure. Combined Liver and Intestine Transplant — A combined liver and intestine transplant involves removing the diseased liver and intestine and replacing them with a healthy liver and intestine from an organ donor. This type of transplant is considered for patients with intestinal failure and irreversible liver failure. The cause of liver failure in this setting is usually due to complications of intravenous nutrition. This type of transplant is also required in patients with chronic liver disease patients whose abdominal veins carrying blood from the intestine to the liver are completely obliterated. Multivisceral Transplant — A multivisceral transplant is rare and may be considered for children who have multiple organ failure, including stomach, pancreas, liver, small intestine, and kidney failure. Intestinal transplant: The patient’s blood vessels are connected to the donor’s blood vessels to establish a blood supply to the transplanted intestine. The donor’s intestine is then connected to your patient’s gastrointestinal tract. An ileostomy is then made, which is a surgically created opening through which a portion of the patient’s small bowel, called the ileum, is brought up through the abdominal wall. After the transplant, this new opening on your patient’s abdomen allows body waste to pass directly out of the body and empty into a pouch. The ileostomy also allows the transplant team to assess the health of your child’s transplanted intestine. In time, most patients can have the ileostomy closed. A feeding tube is also placed into the stomach to help the patient transition to an oral diet.

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Acute kidney failure vs chronic kidney failure: Symptoms, Treatment, tips to keep kidney problems at bay

Currently, kidney failure problem is seen in a large number of people owing to various reasons where acute kidney failure happens when the kidneys are unable to filter waste products from one’s blood. When the kidneys fail to filter blood then the waste tends to get accumulated in the body and the blood’s chemical makeup will get unbalanced. Acute kidney failure is also known as acute renal failure or acute kidney injury which is progressing rapidly and is commonly seen in those who are critically ill? It is a known fact that acute kidney failure can be life-threatening and requires timely medical intervention. The Symptoms of it are shortness of breath, nausea, weakness, irregular heartbeat, fluid retention, low urine output, and chest pain. The causes of acute kidney failure ranges from simple dehydration , kidney infection, medicine allergy, poisons, kidney stones, heart related problems etc. Chronic Kidney Failure is seen when the kidneys cannot function as they are expected to. The symptoms of it are feeling sick, inability to breathe, swollen feet and ankles, and tiredness. The causes of it can be attributed to diabetes, high blood pressure, high cholesterol levels, polycystic kidney disease, blockages in the flow of urine, and mindless use of non-steroidal anti-inflammatory drugs (NSAIDs). Talking about the Treatment, “It depends upon the cause of the acute kidney failure, sometimes Kidney Dialysis may also be needed, while once chronic kidney failure is established kidney transplant is the treatment of choice/standard of care.” Some tips to keep kidney problems at bay. It will be imperative for you to maintain an optimum weight, exercise daily, drink enough water, eat a nutritious diet, and cut down on alcohol, smoking, and drugs. Check the blood pressure, blood sugar, and cholesterol levels as suggested by the doctor. Do not take any medication without the knowledge of the doctor and go for regular health checkup. Follow these tips and you will surely be able to improve your quality of life. Dr. Puneet BhuwaniaConsultant Nephrologist & Transplant PhysicianWockhardt Hospitals, Mira Road

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