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WHAT ARE ANTIBODIES? contd.


           When testing donor and recipient
        compatibility, one of the main problems that
        has to be avoided is giving a patient a
        kidney to which they have formed
        antibodies, as this carries a high risk for the
        early failure of the transplant.
           The process of checking the suitability of a
        donor is a long, but in-depth one. To be as
        certain as possible that the transplant will be
        successful, for both recipient and donor, this
        extensive procedure is necessary and also
        gives the potential donor plenty of time to
        consider his/her options.






                                                      SUMMARY OF TESTS INVOLVED



                                      A sequence of tests are necessary to thoroughly
                                      examine the health of the potential living donor and

                                      the function and anatomy of the donor kidney. A
                                      potential living donor can expect:



         TEST                        PURPOSE

         Blood Pressure              Excludes high blood pressure.
         Urine Analysis              Identifies any underlying conditions.

         Blood Tests                 For routine analyses. Another blood test will be taken from both the
                                     potential recipient to check the recipient does not have antibodies which
                                     may react to the donor. This test will be repeated just before the operation.

         Isotope Kidney              If the kidneys are not functioning well, the creatinine level rises. In order to
          Function Test              get a precise measure of the level of your kidney function a tiny dose of
                                     radiation will be injected into you and then blood samples will be drawn for
                                     up to 4 hours later. This test gives a more precise measure of the level of
                                     your kidney function.

         X-rays                      Ensures normal function, especially of the chest area.
         ECG                         A cardiograph of the heart function is recorded to exclude heart disease.

         Ultrasound                  Checks the size and shape of the kidneys and excludes any anatomical
                                     abnormalities.

         Spiral CT Scan              Looks in detail at the kidneys and look and blood vessels going to the
                                     kidneys. After this test, the surgeon will discuss with the donor which
                                     kidney is recommended for removal.







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