Page 20 - beaumont_book_3
P. 20

The day after the operation most people will be                                      St. Damien’s Ward
        out of bed, sitting in a chair, and will be allowed to
        gradually start eating on day two. The catheter in
        your bladder will stay in place for up to five days.
        Sometimes a small plastic tube, called a stent, will
        be left near your bladder for 3-4 weeks. This will
        be removed through the bladder at a later date as
        a small procedure conducted as a day case. This
        involves a small camera being inserted via the
        urethra into the bladder. If you have been on
        dialysis for a long time, the bladder will be small
        which means you will probably have to urinate very
        often. This will improve with time.
           You length of stay in the hospital will depend on  know if there is rejection developing in the kidney.
        your health and how quickly your new kidney           An ultrasound machine is used to locate the kidney
        begins to work. Most patients spend between 7 and     and the skin in the area is numbed with a local
        14 days in hospital, after the transplant.            anaesthetic. A small needle is inserted through the
           It is not unusual for your kidney not to work      skin, into the kidney.
        straight away, and you might                             After a kidney biopsy, you will be admitted to
        need     dialysis   after    your                          hospital overnight, as it is necessary to monitor
        transplant. This does not mean                                        you for potential complications.
        the newly donated kidney is not                                        The    risks   associated    with
        going to work. It may take 2 or 3                                      performing a kidney biopsy are
        weeks to work fully.                                                   small. The main risk, is bleeding
           Your doctors will monitor many                                      after the biopsy. The risk of
        factors relating to your new                                            bleeding, such that you would
        kidney. In particular, they will                                        need a blood transfusion, is
        measure your creatinine level and                                       about 1 in 100 and it is about 1
        drug (immunosupression) levels                                           in 700 that it would bleed badly
        each day. The lower your                                                 enough to require surgery.
        creatinine level, the better your                                          If you develop some rejection,
        new kidney is working. If your                                           you will be prescribed a high
        creatinine does not come down                         Dialysis machine    dose of steroids for between 3
        as low as your doctors would like,                                        and 5 days. This almost always
        they might recommend a kidney biopsy.                 reverses the rejection. Occasionally, patients
           A kidney biopsy is a procedure where the doctor    develop a severe rejection that requires a
        puts a needle into the kidney to take out a small     treatment called ATG. It is also possible to develop
        piece of tissue to examine exactly what is going on   a form of rejection called humoral rejection that
        in the kidney. In particular your doctor wants to     requires a special treatment called Plasmapheresis.

                                               EMOTIONAL REACTION

        It is quite normal to feel emotional after a          Counselling will be available.
        transplant. Feelings can range from elation to           If you are being treated for depression, prior to
        tearfulness, from joy to sadness. People can feel     your transplant, it is advisable to continue taking
        vulnerable emotionally and even overwhelmed.          your anti-depressant medication. Your doctor will
        These feelings usually settle down quickly.           advise you about this.

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