Kidney TransplantationKidney transplantation is a procedure to place a healthy kidney from another person into your body. This new kidney does then the work that your two failed kidneys cannot do anymore. The new kidney inside your body is usually placed above your groin in the belly connecting the artery and vein of the new kidney to your arteries and veins and the ureter is connected to your bladder Your blood flows through the new kidney which produces urine. The new kidney usually starts working right away but sometimes urine production may start slowly… Your kidneys are left where they are unless they are causing infection or high blood pressure. You may receive a kidney from a member of your family. This kind of donor is called a living-related donor. You may receive a kidney from a person who has recently died. This type of donor is called a cadaver donor. Sometimes a spouse or very close friend may donate a kidney. This kind of donor is called a living-unrelated donor. It is very important for the donor’s blood and tissues to closely match yours. This match will help prevent your body’s immune system from fighting off or rejecting, the new kidney. A lab will perform special tests on blood cells to find out if your body will accept the new kidney. The surgery takes from 3 to 6 hours. The usual hospital stay may last from 10 to 14 days. After you leave the hospital, you will go to the clinic for regular follow up visits. To avoid rejection, you are required to always take immunosuppressants. While these drugs are mandatory to keep your new kidney healthy, they also weaken your immune system, so you have to be careful to avoid infections.
Peritoneal dialysisPeritoneal dialysis (PD) is another procedure to replace the work of your kidneys. It removes extra water, wastes, and chemicals from your body. This type of dialysis uses the peritoneum, the inner layer of your belly to filter your blood. A cleansing solution, called dialysate, travels through a special catheter into your belly. Fluid, wastes, and chemicals pass from tiny blood vessels in the peritoneal membrane into the dialysate. After several hours of the prescribed dwell time, the dialysate gets drained from your abdomen, taking the wastes from your blood with it. Then you fill your belly with fresh dialysate and the cleaning process begins again. Before your first treatment, a surgeon places a small, soft tube called a peritoneal catheter into your abdomen. This catheter always stays there and is safely covered. It helps to transport the dialysate to and from your peritoneal membrane. There are two main types of this PD process of filling and draining:
- CAPD (Continuous Ambulatory Peritoneal Dialysis), manually during the day.
- APD (Automated Peritoneal Dialysis), automatically at night with a cycler.