Kidney transplant in iran
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Kidney transplant in iran
A kidney transplant is the transfer of a healthy kidney from one person into the body of a person who has little or no kidney function.
The main role of the kidneys is to filter waste products from the blood and convert them to wee. If the kidneys lose this ability, waste products can build up, which is potentially life-threatening.
This loss of kidney function, known as end-stage chronic kidney disease or kidney failure, is the most common reason for needing a kidney transplant.
It's possible to partially replicate the functions of the kidney using a blood filtering procedure known as dialysis. However, this can be inconvenient and time-consuming, so a kidney transplant is the treatment of choice for kidney failure whenever possible.
The living kidney transplantation program in Iran has evolved in the past 20 years and is currently the one of the largest program in world.
Transplantation from deceased donation where neurological criteria are used for determination of death has been possible since 2000 after the Iranian parliament passed the law related to transplantation.
[ It is estimated that globally, chronic kidney disease is associated with approximately 735,000 deaths annually.
currently, approximately 40000 kidney transplantations have been performed kidney transplant centers in Iran.
Approximately 60% of the kidney transplant in Iran is from people with brain deaths and other survivors. This has led to an increase in the number of kidney transplants in Iran.
Approximately 85% of those who carry out kidney transplants, after 3 years, also work on their kidneys, which shows that there are good successes in this area.
kidney transplant in iran for foreigners
Transplant tourism is one of the main unacceptable aspects of medical tourism, implicating travel to another country to receive an allograft. Organ shortages in wealthier countries have persuaded patients to preclude organ waiting lists and travel to other countries for getting organs especially kidneys. On the other hand, in many countries, there is no transplant program, and hemodialysis is expensive. Hence, patients with end-stage kidney disease may have to travel to get a kidney allograft for the sake of their lives. In Iran, a legal compensated and regulated living unrelated donor kidney transplant program has been adopted since 1988, in which recipients are matched with liveunrelated donors through the Iran Kidney Foundation and the recipients are compensated dually by the government and the recipient. In this model regulations were adopted to prevent transplant tourism: foreigners were not allowed to receive a kidney from Iranian donors or donate a kidney to Iranian patients; however, they could be transplanted from donors of their own nationality, after full medical workup, with the authorization of the Ministry of Health. This was first considered as a humanitarian assistance to patients of the countries with no transplant program and limited and low quality dialysis. However, the policy of "foreign nationality transplant" gradually established a spot where residents of many countries, where living-unrelated donor transplant was illegal, could bring their donors and be transplanted mainly in private hospitals, with high incentives for the transplant teams. By June 2014, six hundred eight foreign nationality kidney transplants were authorized by Ministry of Health for citizens for 17 countries. In this review, we examine the negative aspects of transplant for foreign citizens in Iran and the reasons that changed "travel for transplant" to "transplant tourism " in our country and finally led us to stop the program after more than 10 years.
Who can have a kidney transplant?
Most people who need a kidney transplant are able to have one, regardless of their age, as long as:
they're well enough to withstand the effects of surgery
the transplant has a relatively good chance of success
the person is willing to comply with the recommended treatments required after the transplant – such as taking immunosuppressant medication and attending regular follow-up appointments
Kidney donations in iran
Unlike many other types of organ donation, it's possible to donate a kidney while you're alive because you only need 1 kidney to survive. This is known as a living donation.
People who want to be considered as a kidney donor are carefully tested to ensure they are a suitable donor and are fit for the operation needed to remove a kidney.
Ideally, living donations will come from a close relative because they are more likely to share the same tissue type and blood group as the recipient, which reduces the risk of the body rejecting the kidney.
Kidney donations are also possible from people who have recently died. This is known as deceased kidney donation. However, this type of kidney donation has a slightly lower chance of long-term success.
The kidney transplant procedure in iran
If you receive a kidney from a living donor, this will be a carefully planned operation.
If you're waiting for a deceased donor kidney, the transplant centre will contact you when a suitable kidney becomes available. This can happen at any time of the day or night. Staff at the centre will check you don't have any new medical problems and will ask you to go to the centre, where final checks will be performed to be sure the transplant should go ahead.
You'll then have surgery to insert the new kidney and connect it to your blood vessels and bladder. The new kidney will be placed in the lower part of your abdomen (tummy). Your own kidneys will usually be left in place.
A kidney transplant is a major surgical procedure with a wide range of potential risks. In the short term, these risks include blood clots and infection. Longer-term problems, which include diabetes and an increased risk of infections, are usually related to the medication you need to take to reduce the chance of rejection.
Because of the risk of further problems, people who have had a kidney transplant require regular check-ups for the rest of their life.
Living with a kidney transplant
Having a healthy lifestyle after a kidney transplant goes a long way to minimise the risk of complications.
Therefore, it's recommended that you:
stop smoking if you smoke
eat a healthy diet
lose weight if you are overweight or obese
take steps to reduce your risk of developing infections.
.
kidney transplant in iran for foreigners
Transplant tourism is one of the main unacceptable aspects of medical tourism, implicating travel to another country to receive an allograft. Organ shortages in wealthier countries have persuaded patients to preclude organ waiting lists and travel to other countries for getting organs especially kidneys. On the other hand, in many countries, there is no transplant program, and hemodialysis is expensive. Hence, patients with end-stage kidney disease may have to travel to get a kidney allograft for the sake of their lives. In Iran, a legal compensated and regulated living unrelated donor kidney transplant program has been adopted since 1988, in which recipients are matched with liveunrelated donors through the Iran Kidney Foundation and the recipients are compensated dually by the government and the recipient. In this model regulations were adopted to prevent transplant tourism: foreigners were not allowed to receive a kidney from Iranian donors or donate a kidney to Iranian patients; however, they could be transplanted from donors of their own nationality, after full medical workup, with the authorization of the Ministry of Health. This was first considered as a humanitarian assistance to patients of the countries with no transplant program and limited and low quality dialysis. However, the policy of “foreign nationality transplant” gradually established a spot where residents of many countries, where living-unrelated donor transplant was illegal, could bring their donors and be transplanted mainly in private hospitals, with high incentives for the transplant teams. By June 2014, six hundred eight foreign nationality kidney transplants were authorized by Ministry of Health for citizens for 17 countries. In this review, we examine the negative aspects of transplant for foreign citizens in Iran and the reasons that changed “travel for transplant” to “transplant tourism ” in our country and finally led us to stop the program after more than 10 years.
Who can have a kidney transplant?
Most people who need a kidney transplant are able to have one, regardless of their age, as long as:
they’re well enough to withstand the effects of surgery
the transplant has a relatively good chance of success
the person is willing to comply with the recommended treatments required after the transplant – such as taking immunosuppressant medication and attending regular follow-up appointments
Kidney donations in iran
Unlike many other types of organ donation, it’s possible to donate a kidney while you’re alive because you only need 1 kidney to survive. This is known as a living donation.
People who want to be considered as a kidney donor are carefully tested to ensure they are a suitable donor and are fit for the operation needed to remove a kidney.
Ideally, living donations will come from a close relative because they are more likely to share the same tissue type and blood group as the recipient, which reduces the risk of the body rejecting the kidney.
Kidney donations are also possible from people who have recently died. This is known as deceased kidney donation. However, this type of kidney donation has a slightly lower chance of long-term success.
The kidney transplant procedure in iran
If you receive a kidney from a living donor, this will be a carefully planned operation.
If you’re waiting for a deceased donor kidney, the transplant centre will contact you when a suitable kidney becomes available. This can happen at any time of the day or night. Staff at the centre will check you don’t have any new medical problems and will ask you to go to the centre, where final checks will be performed to be sure the transplant should go ahead.
You’ll then have surgery to insert the new kidney and connect it to your blood vessels and bladder. The new kidney will be placed in the lower part of your abdomen (tummy). Your own kidneys will usually be left in place.
A kidney transplant is a major surgical procedure with a wide range of potential risks. In the short term, these risks include blood clots and infection. Longer-term problems, which include diabetes and an increased risk of infections, are usually related to the medication you need to take to reduce the chance of rejection.
Because of the risk of further problems, people who have had a kidney transplant require regular check-ups for the rest of their life.
Living with a kidney transplant
Having a healthy lifestyle after a kidney transplant goes a long way to minimise the risk of complications.
Therefore, it’s recommended that you:
stop smoking if you smoke
eat a healthy diet
lose weight if you are overweight or obese
take steps to reduce your risk of developing infections.
3 Comments
What causes rejection after a kidney transplant?
Rejection is due to the same immune response that protects yourself against colds and other viruses. Though we run tests to indicate how likely rejection will be, there is no way to be sure about whether rejection will happen or not
How expensive is a kidney transplant?