Chronic Renal Disease
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Transplantation
A kidney transplant represents the optimal option for both enhanced outcomes and quality of life. Successful kidney transplants are performed daily in the United States. Kidneys for transplantation can be sourced from living related donors, living unrelated donors, or individuals who have passed away from other causes (cadaveric donors). For individuals with type I diabetes, a combined kidney-pancreas transplant is often a more suitable choice.
However, not everyone is eligible for a kidney transplant. Patients must undergo comprehensive testing to determine their suitability for transplantation. Additionally, there is an organ shortage for transplantation, resulting in patients having to wait for months to years before receiving a transplant.
An individual in need of a kidney transplant undergoes various tests to identify characteristics of their immune system. The recipient can only accept a kidney from a donor whose characteristics match specific criteria. The closer the donor's characteristics align with the recipient's, the greater the likelihood of long-term transplant success. Kidney transplants from living related donors typically yield the best results.
Transplant surgery is a major procedure, usually necessitating a hospital stay of four to seven days. All transplant recipients require lifelong immunosuppressant medications to prevent rejection of the new kidney. The administration of immunosuppressant medications demands vigilant monitoring of blood levels and comes with an increased risk of infection and certain types of cancer.
Prevention
In most instances, chronic kidney disease cannot be prevented. However, it may be possible to shield your kidneys from damage or slow the progression of the disease by managing your underlying conditions.
By the time symptoms become apparent, kidney disease is typically in an advanced stage. If you are at high risk of developing chronic kidney disease, consult your healthcare provider for recommended screening tests.
If you have a chronic condition such as diabetes, high blood pressure, or elevated cholesterol, adhere to your healthcare provider's treatment recommendations and maintain regular check-ups. Aggressive management of these conditions is crucial.
Avoid exposure to drugs, particularly NSAIDs (nonsteroidal anti-inflammatory drugs), chemicals, and other toxic substances to the greatest extent possible.
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