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CHAPTER 10








                GENERAL INFORMATION






                                         THE RECIPIENT’S TRANSPLANT


               he kidney is put into the outer pelvis – protected by the hip
               bone – low down and to one side of the bladder. The blood
        Tvessels of the kidney are joined to the large blood vessels
        supplying the leg. The kidney lies here away from the intestines
        and their covering and the ureter can more easily be sewn into the
        bladder.
           The recipient should be out of bed within a day or two. After only
        a few days, most or all of the tubes will be removed. Medicines to
        suppress the immune system will be necessary. These drugs help
        the recipient’s body to tolerate a ‘foreign’ organ. In the early stages,
        the medication may be in the form of infusions. Later this will
        change to tablets. This medication will have to be taken, by the
        recipient, for the entire life of the transplanted kidney.
           The most anxious time for both donor and recipient is the ‘wait
        to see’ if the new kidney functions well. Depending on how
        successful the transplant has been, the recipient can expect to leave hospital between one and three
        weeks post-surgery. By this time, he/she will usually be feeling the benefit of the kidney transplant.
        Initially, recipients will have to be seen quite frequently in the out patients’ clinic but this becomes less
        frequent as time progresses.


                                    WHAT CAN I DO IF I AM NOT A MATCH?


           If you are not a match for the recipient because   recipient/donor pair consents to participate in the
        of blood group or antibody reasons there are a        paired kidney exchange programme, an attempt
        number of possibilities.                              would be made to match them with another
           If the recipient  is not highly sensitised         recipient/donor in the same situation willing to
        (PGEN<70%) and has a blood group incompatible         "exchange" kidneys. An example is if Mr. Jones who
        donor, the best option to consider would be to enter  is blood type A wants to donate a kidney to Ms.
        into a paired kidney exchange. That is where the      Jones who is blood type B and another donor-
        patient’s donor gives his kidney to a compatible      recipient pair, Mr. and Mrs. Smith, have the opposite
        recipient and another donor gives a kidney to our     circumstance (blood type B donor who wants to
        patient.                                              donate to blood type A recipient). The donor kidney
           An example could be a brother who wants to         could be exchanged and both groups would
        donate a kidney to his sister but is unable to        undergo a transplant procedure which would not
        because of a difference in blood type. If this        otherwise happen.





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