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                                                              KIDNEY TRANSPLANTATION
        different way – a special fluid is fed
        into the abdominal cavity (a part of      For someone who has developed kidney failure (or end stage
        the body called the peritoneum)           kidney disease, or Stage 5 CKD), either type of dialysis will keep
        through a catheter and tube. This         their body functioning and therefore keep them alive. A kidney
        fluid cleanses the blood by absorbing     transplant, when deemed viable, is the best long-term treatment
        the waste through the abdomen’s           for patients whose kidneys are no longer functioning.
        mucous membrane.                            The idea of having a kidney transplant may seem daunting
           This type of dialysis is continuous    but the procedure has been carried out for many years and is
        (continuous ambulatory peritoneal         carried out frequently.
        dialysis or CAPD) and changing the          Not everyone will be
        fluid can be carried out by the patient   suitable for kidney
        themselves during the day time or         transplant – you will
        can be carried out by a small machine     have to undergo an
        at night while he or she sleeps           assessment to see
        (automated peritoneal dialysis).          if you are.
           Dialysis has an impact in terms of       To receive a
        the amount of time the treatment          kidney transplant,
        consumes every week and some              you must be in
        people report feeling tired after         reasonable good
        having dialysis. However, it is a crucial  health, apart from your
        treatment and there are supports in       kidney disease. You will
        place for patients who need advice or     have to go through medical
        support while going through dialysis.     tests to determine your health.

                                                    The next stage is that you will be placed on a kidney
                                                  transplant waiting list – you will be put in touch with a transplant
                                                  co-ordinator who will detail the process with you.
                                                    There are two different types of kidney transplant. A
                                                  deceased donor kidney transplant, and a living donor kidney
                                                  transplant. The IKA/Beaumont book Kidney Transplantation - A
                                                  Guide for Patients is one of the sets of books in this series.
                                                  Thinking about Donating a Kidney is another book in the series
                                                  that your relatives, or a close friend, might consider reading. If
                                                  you are called for a kidney transplant, this would take place at
                                                  Beaumont Hospital in Dublin. The IKA have a Patient Support
                                                  Centre on the hospital campus that all renal patients and their
                                                  families can avail of.
                                                    You will be closely monitored after your operation for risk of
                                                  infection and to check if the kidney is accepted or rejected by
                                                  the body. You will be given medications to help give the kidney
                                                  the best chance of being accepted by the body by reducing the
                                                  immune system.
                                                    A patient may consider not going forward for dialysis and/or
                                                  transplant. In such circumstances, the patients will be made
                                                  aware of the possible consequences of such a decision and the
                                                  support services that are available. If this is the case,
                                                  conservative treatment will be used (diet and medication to try
                                                  and manage kidney failure).

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