It is estimated that the number of dialysis patients in our country has reached 530,000 by 2017, which, owing to the length of the dialysis per week, is a major inconvenience to the lives of dialysis patients, which can be changed through kidney transplants. To answer some of the dialysis questions about kidney transplants, we continue today to invite vice-president joo yoo yu, affiliated with the university of joodan。
Q: the two or three months are very prone to fatigue, yellow on the face, foam in the urine, and when you brush your teeth for almost a year in the morning, you can also get sick and sick. I wonder, after this kidney transplant, after survival, can we get dialysis
Joo-yu: yes. After the transplant, the kidneys were disabled and could be cut off and retained. But more of us are safe to make the transition to blood dialysis or peritoneal dialysis. So the diarrhea, the diarrhea and the transplantation are triads, the medical instruments that guarantee the continuity of our lives. We can switch。
Q: what tests are to be performed before kidney transplants, and do you need some early observation
Zhu jinyu: a set of examinations is to be performed in front of the kidney transplants, which have just been said to include examinations of the liver, kidneys, heart, colour, formulations, including the genetic spot and antibody examinations. Others do not need to be particularly special. But if they take too long, it's been over a year or two, but the genes don't have to be checked because they don't change forever. But the liver function and the kidney function often change, and they are reviewed back。
Q: after the operation, nearly a year later, the submersible blood changed from 1+ to 2+ last month, but no protein. Then it took another month to become 3+ and protein 1+. What do we do
Juya: there's hidden blood or submersible blood in the urine, and we're going to do a test to see what causes it. The blood urine may come from bladders, bladders, mestizo bladders, linear bladders, etc. Second, there could be kidney inflammation. In some cases, the previous kidney disease caused urine poisoning, iga kidney disease or other kidney diseases, and blood urine. Re-emergence of kidney diseases can also cause blood urine. So for this, to check the extent of blood urine, in the middle of the urine, the form of red cells is from the kidney, which, if taken from the ball, tends to produce a cell deformation called an alien red cell. The form of the red cell is usually normal if the bladder or the urinary tube are sources. So we're going to do a check on him, and we're going to find out where the red cells come from. So we're going to judge whether it's the rejection of renal inflammation, or the problem inside the bladder, and sometimes the problem of stones。
Q: what time does it take to prepare for this kidney transplant? Including now that we have some new formulations, for example, some early drops, what was the whole preparation process
Zhu yuyu: this is a bigger problem. First, when you're going to do the transplant, you're going to do it, and when i'm going to do it. Previously, it had been said that dialysis would take some time before transplantation, but now, after decades of observation, a large number of cases have been followed up and we have found that dialysis is necessary and transplantation is necessary. If you need a dialysis, you can have a transplant. And the sooner the transplant, the better without dialysis。
We're gonna do a whole body test and so on. If we do the transplant tomorrow, what will we do tonight? Tomorrow's transplant, today's hospital, the blood type has to be re-examined, the blood type reviewed, some basic tests have to be done, and sometimes we take immunosuppressants. If we're going to use these antibodies, maybe we're going to have to open the abdomen during surgery, and i'm going to give him a shot when the kidneys are on. Different immunosuppressants may require a fourth day after the operation or two weeks after the operation. There is a more stringent set of rules for the immediate surgery, pre-operative treatment, treatment during the immediate surgery, etc。
Q: there are two options for renal transplantation if dialysis is possible. Which patients are not suitable for surgery in this choice
Zhu yumyu: there are, for example, transmissible tumours, transmissible tumours, mental abnormalities, mental disorders, these, and serious malformations, which are likely to cause such problems that we do not recommend. In the absence of these exceptional circumstances, it should be said that everyone can do it. Now surgery, from a few months old to an eight or 90-year-old. I've been an 81-year-old, alive to 89. His quality of life is different. Now there are a lot of people in their 90s, an old man i made, and now he's 93, and he's had a kidney transplant in his 70s, and he's written five books from the time he finished the transplant, and he's given me every book. So age is not an absolute factor, nor is disease an absolute factor. We'll see his comprehensive evaluation. So most patients can have kidney transplants。
Ju yumyu: vice-president, chief medical doctor, professor, ph. D. Postgraduate mentor, director of the shanghai city centre for public health clinics, director of the shanghai city centre for organ transplantation, director of the shanghai city institute for bacteria and drug resistance, member of the shanghai medical association organ transplant branch
Specialized in: kidney transplants, kidney tumours, bladder tumours, persistent urine frequency, terminal renal cancer immunisation
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