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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.

1Who is eligible for kidney transplant?
In order to be eligible to receive a kidney transplant: You must have chronic irreversible kidney disease that has not responded to other medical or surgical treatments. You are either on dialysis or may require dialysis in the near future. You must qualify for and be able to tolerate major surgery.
2What's involved in a kidney transplant?
A kidney transplant is a surgery done to replace a diseased kidney with a healthy kidney from a donor. ... In rare situations, he or she may get 2 kidneys from a deceased donor. The diseased kidneys are usually left in place. The transplanted kidney is placed in the lower belly on the front side of the body.
3Is there an age limit for kidney transplant?
There was a slower increase in kidney transplantation in patients older than age 65 during the same time period, such that by 2006, patients older than age 65 accounted for 13.3% of all kidney transplant recipients. Nevertheless, only a limited number of elderly ESRD patients are considered for transplantation.
4Which kidney is used for transplantation?
The left kidney is preferred because of implantation advantages associated with a longer renal vein; however, in some donors, the right kidney is preferable because of anatomic issues.
5Can donating a kidney shorten your life?
Donating a Kidney Doesn't Shorten Donor's Life. ... However, the findings do show a higher rate of death in the first 90 days after surgery for the live kidney donors compared with the control group. And certain subgroups have a greater mortality risk over the long-term than others.
6How many years a person can live after kidney transplant?
As a result, the average life expectancy for a patient on dialysis is generally five years. On the other hand, patients who receive a kidney transplant typically live longer than those who stay on dialysis. A living donor kidney functions, on average, 12 to 20 years, and a deceased donor kidney from 8 to 12 years.
7How long can you live with one kidney?
This usually takes 25 years or more to happen. There may also be a chance of having high blood pressure later in life. However, the loss in kidney function is usually very mild, and life span is normal. Most people with one kidney live healthy, normal lives with few problems.
8How serious is a kidney transplant?
Potential risks. The most serious risk of a transplant is that your body rejects the kidney. However, it's rare that your body will reject your donor kidney. The Mayo Clinic estimates that 90 percent of transplant recipients who get their kidney from a living donor live for at least five years after surgery.
9Is kidney transplant better than dialysis?
Kidney transplantation is considered the treatment of choice for many people with severe chronic kidney disease because quality of life and survival (life expectancy) are often better than in people who are treated with dialysis. However, there is a shortage of organs available for donation.
10Is it painful to donate a kidney?
Most kidney donors recover in the hospital for 2 to 5 days before they head home. You'll probably still have some discomfort for the next week or two, but you'll get a prescription for pain medication to keep you comfortable. Full recovery takes time. ... You may need 6 to 8 weeks to fully heal.

 

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

  1. Avatar janatan says:

    What causes rejection after a kidney transplant?

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      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

  2. Avatar leroy says:

    How expensive is a kidney transplant?

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