2013年3月6日星期三

Side Effects of Dialysis and Kidney Transplant in Kidney Failure


1.Long-term dialysis patients are at high risk to develop dialysis amyloidosis - carpal tunnel syndrome.
2. Hyperparathyroidism caused by metastatic calcification, pruritus, severe arrhythmias.
3. Renal osteodystrophy, renal rickets, the aluminum poisoning bone disease, amyloidosis osteodystrophy.
Dialysis encephalopathy, aluminum toxic dementia.
Uremic cardiomyopathy, myopathy.
6. Malnutrition.
Vision loss and blindness in severe cases.
Acquired renal cysts.
9. Immunocompromised, susceptible, prone to tumors.
What is a kidney transplant?
Kidney transplantation is commonly known as the "kidney transplant", but this is not a new kidney replacement original kidneys, but the new kidney is implanted in the patient's body, generally the iliac fossa, instead of the original work of the kidneys.
Kidney transplantation has been recognized as the best treatment method for the treatment of chronic renal failure and uremia. Used in clinical renal transplantation more than 40 years, all organ transplant, a kidney transplant efficacy and safety of the best. All renal failure, uremia patients can do a kidney transplant?
Kidney transplant surgery and other surgery compared to a high-risk surgery. Patients with renal failure because of the various systems of the body may damage and dysfunction, so not all patients with renal failure can do a kidney transplant, kidney transplant, said doctors in general clinical indications:
Kidney transplant is actually no longer age restrictions, but by age influence the effect of renal transplantation, kidney transplant from a baby of a few months to more than 80-year-old man can. General age requirement of 13-60 years old, good physical condition, may be appropriate to relax; older than 55 years old by surgery complications increased, the relative increase in the risk; younger than 13 years of age, especially in less than 4 years old the recipients, kidney transplant surgery significantly increased the difficulty of these affect the success rate of the surgery and effect.
By dialysis treatment in good physical condition uremic patients can renal transplant. But part of disease, kidney transplantation prone to complications should be careful.
Various primary or secondary kidney disease: glomerulonephritis, interstitial nephritis, hereditary nephritis, polycystic kidney disease, diabetic nephropathy, hypertension, arteriosclerosis nephropathy, drug-induced renal damage, lupus nephritis and so feasible renal transplantation.
Abnormal liver function, ulcer disease, lung infections, urinary tract infections, tuberculosis, heart failure, pericardial effusion must be cured before kidney transplantation.
For hepatitis B, hepatitis C virus infection required after treatment, liver function to normal one month after renal transplantation as well. Interferon therapy should not be within a short time after renal transplantation. Contraindications and relative contraindications kidney transplant?
Uremic patients at the same time suffering from cancer, chronic respiratory failure, severe vascular disease, coagulation disorders, intractable heart failure, psychosis, severe urinary tract malformations and difficult to cure infected are not suitable for renal transplantation.
Uremia associated with more severe coronary heart disease and nephritis, polycystic kidney disease associated with severe polycystic liver renal transplantation should be careful. Significantly increased risk of postoperative infection, severe liver damage, kidney disease recurrence in the short term, and heart attack increased cardiac accidents.
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