打印 无透析肾移植 无透析肾移植 医学博士 Mikel Prieto 讨论无透析肾移植。 开始您的供体评估 要成为活体肾脏捐献者或活体肝脏捐献者,首先请完成这份健康史问卷。 无透析肾移植是指在透析开始前进行的肾移植。透析是一种在肾脏衰竭时清除体内多余液体和废物的治疗方法。 大多数肾移植是在透析患者中进行的,因为这些患者的肾脏无法继续净化其血液。 无透析肾移植被认为是终末期肾病的最佳治疗方案。但在美国,只有大约 2.5% 的肾移植是无透析移植。 无透析肾移植率低的原因有很多,例如: 供体肾脏短缺。 太晚转诊到移植中心。 无法获得医疗服务。 活体器官捐献者评估延迟。 目的无透析肾移植有许多优点,例如: 身体排斥新肾脏的风险较低。 延长寿命。 提高生活质量。 降低治疗费用。 不需要透析,也没有透析的饮食限制和健康并发症。 无透析肾移植的上述优点对于患有终末期肾病的儿童和青年人非常重要。 风险像任何手术一样,无透析肾移植也有风险。两种最常见的风险为: 比等待肾移植更早地面临手术问题。 可能会丧失您现有的肾功能。 尽管无透析肾移植通常比透析开始后进行的肾移植更成功,但肾移植并不能治愈疾病。您需要终生服用抗排斥药物。这些药物也可能产生风险和副作用。医疗护理团队会为您介绍移植手术的所有风险和副作用。 如何进行准备首先,您与医护团队成员沟通。他们可以帮助您了解移植过程以及移植是否适合您。 时机至关重要。在您的肾脏衰竭之前,向医护团队咨询无透析肾移植。如果您有愿意捐献肾脏的朋友或家人,他们应立即接受检查,了解其肾脏是否匹配。等待已故供者的肾脏可能意味着等待更长时间。 选择一家移植中心如果医疗护理团队建议无透析肾移植,则您将被转诊到移植中心进行评估。您或许能自行选择移植中心,也可能需要从您保险公司的优选中心列表中选择一家。 选择移植中心时要考虑的一些事项为: 移植中心每年进行的移植手术数量和类型。 患者生存率。 保险承保范围和费用。 如果您有一位活体器官捐献者,移植中心是否能进行活体捐献。 任何可用的支持服务。 可能出现的情况在移植中心,移植团队将对您进行几项检查,以确定无透析肾移植是否适合您。他们会考虑许多不同的因素,例如: 您肾脏的工作情况。 你的整体健康状况,包括心理健康。 任何可能影响移植成功的慢性病。 是否有合适的供体肾。 您是否能够遵循医护团队的指示并终身服用抗排异药物。 如果您已获准进行无透析肾移植并且有肾源,则医生将安排移植手术。如果没有肾源,您可能会被列入等待名单。 结果肾移植后,您需要继续到医护团队处就诊,进行定期检查。医护团队成员会确认您的肾脏功能正常,并且您服用的抗排斥药物剂量适当。如果您有以下任何排斥反应的体征,请立即告知医护团队: 发热。 尿少或排尿次数少。 肿胀。 体重增长。 肾脏疼痛。 您可能需要几周后才能恢复日常活动。大多数人在 6 到 8 周后可以重返工作岗位,但每个人的恢复情况不一样。您的恢复取决于许多个人因素,如您的其他医疗状况以及您的身体对新肾脏的反应如何。 来自妙佑医疗国际员工 申请预约 March 28, 2024 打印 显示参考文献 National Kidney Foundation. https://www.kidney.org/atoz/content/kidney-transplant. Accessed Nov. 20, 2023. Yishak AA, et al. Early referral, living donation, and preemptive kidney transplant. Transplantation proceedings. 2022; doi:10.1016/j.transproceed.2021.11.038. Brennan DC, et al., eds. Kidney transplantation in adults: Timing of transplantation and issues related to dialysis. https://www.uptodate.com/contents/search. Accessed Nov. 20, 2023. Warady BA, et al., eds. Overview of kidney replacement therapy (KRT) for children with chronic kidney disease. https://www.uptodate.com/contents/search. Accessed Nov. 20, 2023. Azegami T, et al. Efficacy of pre-emptive kidney transplantation for adults with end-stage kidney disease: A systematic review and meta-analysis. Renal Failure. 2023; doi:10.1080/0886022X.2023.2169618. Rossi AP, et al., eds. Kidney transplantation in adults: Evaluation of the potential kidney transplant recipient. https://www.uptodate.com/contents/search. Accessed Nov. 20, 2023. National Kidney Foundation. https://www.kidney.org/atoz/content/transplant-waitlist. Accessed Nov. 20, 2023. National Kidney Foundation. https://www.kidney.org/transplantation/livingdonors/general-information-living-donation. Accessed Nov. 20, 2023. National Kidney Foundation. https://www.kidney.org/atoz/content/preemptive-transplant. Accessed Nov. 20, 2023. 相关 Infographic: Paired Donation Chain Infographic: Pancreas Kidney Transplant 他是我见过的最勇敢的孩子 多囊性肾病 姐姐给弟弟的肾脏 慢性肾病 我患有 IgA 肾病。我需要肾脏移植吗? 硬皮病 移植朋友 肉芽肿性多血管炎 肾小球肾炎 肾源性系统性纤维化 肾移植 肾移植 肾脏捐赠:是否存在长期风险? 肾脏疾病常见问题解答 视频:肾脏移植 过敏体质患者的器官移植 降低器官移植的排异反应 显示更多相关内容 相关医疗程序 活体移植 Mayo Clinic 新闻 Mayo Clinic Minute: Battling barriers to transplant surgery Nov. 13, 2024, 03:00 p.m. CDT 7 advances in CAR-T cell therapy at Mayo Clinic Sept. 19, 2024, 05:00 p.m. CDT Mayo Clinic Q and A: Diagnosed with chronic kidney disease. Now what? 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April 02, 2024, 12:30 p.m. CDT Mayo Clinic, Terasaki Institute launch collaboration for transplant innovation April 01, 2024, 05:51 p.m. CDT Transforming Transplant Initiative aspires to save lives through bioengineering March 06, 2024, 02:30 p.m. CDT Type 2 diabetes no longer a barrier to becoming a living kidney donor Feb. 29, 2024, 05:00 p.m. CDT Mayo Clinic Minute: Expanding the living kidney donor pool to those with Type 2 diabetes Feb. 29, 2024, 04:31 p.m. CDT Celebrating the gift of life: Cousins raise awareness for organ donation on National Donor Day Feb. 14, 2024, 03:09 p.m. CDT Mayo Clinic transplant programs achieve record volumes in 2023 Jan. 03, 2024, 03:30 p.m. CDT Mayo Clinic Q and A: Myths about minority organ donation Dec. 29, 2023, 03:00 p.m. CDT A timeline of transplant innovation Nov. 22, 2023, 04:13 p.m. CDT Organ Transplant Innovation: Helping more people get the gift of life Nov. 20, 2023, 06:31 p.m. CDT At 81, woman is among world's longest-surviving transplant recipients Nov. 16, 2023, 04:30 p.m. CDT Four ways organ transplants are being transformed to save more lives Nov. 16, 2023, 03:36 p.m. CDT Mayo Clinic surgeons perform first robotic-assisted kidney transplant in Minnesota Oct. 24, 2023, 02:51 p.m. CDT Breaking barriers: Helping Native Americans in need get the gift of life April 19, 2023, 04:31 p.m. CDT Mayo Clinic Minute: Using AI to predict kidney failure in patients with polycystic kidney disease April 06, 2023, 04:00 p.m. CDT Consider organ donation during Donate Life Month April 05, 2023, 04:30 p.m. CDT Mayo Clinic expert: 3 advances lead to more lifesaving organ transplants April 05, 2023, 03:00 p.m. CDT Mayo Clinic Minute: Breaking barriers for patients who need kidney transplants April 04, 2023, 05:01 p.m. CDT Five ways AI promises to transform organ transplants March 21, 2023, 03:00 p.m. CDT Transplant program at Mayo Clinic in Florida celebrates its 25th anniversary with vision for future of transplant Feb. 27, 2023, 03:30 p.m. CDT From civil rights to transplant awareness, advocate continues to make a difference Feb. 26, 2023, 12:00 p.m. CDT Solid organ transplant patients are at higher risk of skin cancer and require coordinated care, Mayo Clinic researchers find Dec. 05, 2022, 04:30 p.m. CDT 显示更多来自妙佑医疗国际的新闻 产品与服务 书籍:《妙佑医疗国际家庭健康手册》 书籍:《身体的守护者》 简报:妙佑医疗国际卫生来信 — 数字版 显示更多来自妙佑医疗国际的产品和服务 肾移植关于医生与科室在 Mayo Clinic 治疗 Advertisement 妙佑医疗国际不为任何公司或产品背书。广告收入为我们的非营利使命提供支持。 广告与赞助政策 政策 机会 广告选择 妙佑医疗国际出版社 浏览妙佑医疗国际出版社提供的畅销书以及书籍和简报的特别优惠。 NEW: Listen to Health Matters Podcast - 妙佑医疗国际出版社NEW: Listen to Health Matters Podcast《妙佑医疗国际论失禁》(Mayo Clinic on Incontinence) - 妙佑医疗国际出版社《妙佑医疗国际论失禁》(Mayo Clinic on Incontinence)《糖尿病基本知识》 - 妙佑医疗国际出版社《糖尿病基本知识》妙佑医疗国际论平衡和听觉 - 妙佑医疗国际出版社妙佑医疗国际论平衡和听觉妙佑医疗国际免费饮食方案评估 - 妙佑医疗国际出版社妙佑医疗国际免费饮食方案评估妙佑医疗国际健康通讯 — 免费书籍 - 妙佑医疗国际出版社妙佑医疗国际健康通讯 — 免费书籍 无透析肾移植预约门诊 PRC-20201005 患者护理和健康信息 医学检查与医疗程序 肾移植