2024-07-01 15:15:26
Vitaly remembers that the primary signs of impaired kidney perform continued for about 3 years.
“I had kidney stones, I had hypertension, I felt weak, I suffered from insomnia and fatigue,” the person recollects. – After detailed blood assessments, it was observed that one thing is improper with the well being of the kidneys. I used to be instantly referred to Kaunas for therapy.”
Justina Karpavičiūtė, a nephrologist on the Nephrology Clinic of Kaunas Clinics, says that Vitaliy was recognized with Ig A nephropathy (power glomerulonephritis). “That is power autoimmune irritation of the kidneys, which ultimately turns into the reason for kidney demise,” explains the nephrologist. “This illness additionally brought on the affected person to finish up with kidney failure.”
The principle signs of the illness are precisely what Vitalij felt: elevated blood stress, common fatigue, weak spot. Different potential signs of the illness are blood within the urine, the colour of the urine is darkish brown, nearly black, swelling of the legs, lack of urge for food and nausea, lower in urine.
When the affected person reached end-stage renal failure, alternative kidney remedy – hemodialysis – was began.
“Though hemodialysis prolongs life, its high quality sadly suffers – the affected person has to go to the hemodialysis middle 3 times per week, modify work/holidays and the overall rhythm of life to the procedures,” explains J. Karpavičiūtė.
The affected person remembers that within the final month earlier than the transplant, he felt extraordinarily dangerous. “I had misplaced my urine, I used to be wanting breath, my legs had been swollen,” says Vitaly. “Nonetheless, after eight months of ready, an acceptable donor kidney was discovered for me and I used to be urgently invited to Kaunas clinics.”
The kidney transplant operation was carried out by prof. Mindaugas Jievaltas, Head of Kaunas Clinics Urology Clinic, along with the staff.
Each the course of the transplant and the post-transplantation interval had been clean, Vitaly’s kidney began working instantly. Vitalijus and his relations thank the whole staff of Kaunas clinics, which contributed to his therapy and gave him a second likelihood to stay.
Since 2000, when the primary kidney transplant operations had been carried out in Kaunas clinics, the Hospital’s staff has been creating quickly within the skilled subject. “I am glad that in 24 years along with the multidisciplinary staff, we managed to realize a lot – not solely are transplants carried out from residing or non-beating coronary heart donors, however final 12 months, for the primary time in Kaunas clinics, a kidney transplant was efficiently carried out when the blood teams of the donor and the recipient are completely different”, – provides prof. IA Bumblytė.
The start of the kidney transplant course of is the information of the relations’ resolution to donate the deceased’s organs. Then six recipients – three for every kidney – are requested to come back to the Hospital urgently.
“Previous to the transplant surgical procedure, nephrologists carry out a vital job – upon arrival, the recipients are urgently examined, throughout a multidisciplinary session, after evaluating the take a look at outcomes and contraindications, probably the most appropriate recipient for the donor organ is chosen,” says prof. IA Bumblytė. “Sadly, the remainder of the recipients go dwelling and proceed to attend for the decision informing them of their likelihood to obtain a donor kidney.” One other methodology of transplantation can also be potential – residing donation, throughout which the affected person’s relative agrees to be an organ donor.
After deciding on an acceptable recipient for a donor organ, two groups of urologists are despatched to the working room.
“The staff consists of 4-6 urologists, anesthesiologists, working room nurses. Usually, the transplant takes 3-4 hours, throughout which we’ve to stitch up the blood vessels, put together a brand new connection between the ureter and the bladder, – says Prof. M. Jievalts. – Kaunas clinics make use of 14 urologists, all of whom carry out each organ explantation and transplantation operations.”
The staff believes that the 700 carried out kidney transplants present their skilled maturity, however regardless of this, challenges are inevitable. “Every recipient is a novel particular person with their very own medical historical past.
Not too long ago, increasingly sufferers are coming for a second or third kidney transplant, – notes the top of the Urology Clinic. – Their immunological assessments are sometimes difficult, choosing the proper kidney for them is far more tough. Nonetheless, the collected expertise lets you really feel assured and make one of the best selections in varied conditions.”
“I wish to thank all my colleagues who’re targeted and patiently working within the routine. What we do is our obligation, however it’s actually not straightforward,” says the professor.
The primary kidney transplant carried out 24 years in the past in Kaunas clinics was the start of a brand new stage within the Hospital’s historical past, as different organ transplants – coronary heart, liver, and lung – had been quickly carried out.
The profitable course of kidney transplantation is ensured by a multidisciplinary staff: nephrologists, urologists, intensive care physicians, common observe nurses, transplant and donor coordinators, specialists utilizing the fashionable capabilities of the Laboratory Medication Clinic, performing immunological assessments, and plenty of medical professionals from varied fields.
2024-07-01 15:15:26