Below is a guide for one of the most common problems of today’s world – Renal Failure and also its ultimate solution – Kidney Transplant.
Due to strenuous life in last decade man has started suffering with diseases which were not so common previously. One of them which lead to renal failure is kidney disorder. Kidney disorder can be due various reasons. Some of them which are common in India and developing countries are diabetes, in-take of pain relieving drugs for a long stretch of time, genetic disorder, adulteration in fruits and vegetables like lead and calcium carbide.
In case the kidney starts deteriorating, it often goes on worsening as time goes by ,though by timely prevention it can be slowed down to some extent, by taking medicines and avoiding some vegetables and fruits as advised by nephrologist.
Usually with the help of simple Kidney tests called kidney function test (KFT) and liver function test (LFT), one can detect about the performance of the kidney. In cases where the kidney has started malfunctioning creatinine and urea levels are high. Once it reaches 7 or higher levels doctors advise patients for making fistula, which is basically a cannel for Dialysis. Preferably it’s better to prepare fistula in advance, as without fistula dialysis is even more painful and risky for infection. Dialysis is just a symptomatic treatment, not a cure, which has to be done on regular basis, two to three times a week as required. To some extent patient gets temporary relief through dialysis, but still it cannot perform all the functions of kidney. Each individual patient has different problems relating to shortcoming of different minerals in body. Hangover post dialysis is experienced by most of the patients, that’s why it is advised not to drive post dialysis.
The only option for kidney failure patients other than dialysis is kidney transplant, which is not available in all countries. It’s expensive and healthy donors are not easily available. In south East Asia well known destinations for transplants are India, Pakistan and Singapore. Of course it’s held in Germany, U.K, and U.S, but then it’s very expensive and it’s beyond the reach of common patients. In case patient decides to go for transplant in India, then it’s held in Chennai, Vellore, Hyderabad, Mohali, Delhi, Mumbai and Kolkata. As stated by Central Government rule one can only go for transplant with closely blood related relatives or wife/husband. It’s better to search and find donors directly but it’s easier said than done. Often an agent is required to find a donor as donors are located at far off villages and towns. Also agents have knowledge of the donor’s whereabouts, his background, family etc. these agents are not recognized by the hospital authorities and often against them as not all of them are fair in business. But still as there is no other method, authorities accept these back door agents. These agents never come in view of the hospital staff as they work from outside on phone only. Once the donor and patient meet together then various medical test are done also along his authentic document are verified. Then after that various official documents are prepared, which usually takes 2 to 3 months. In these various permissions, agreements and recordings most important is the final permission from Ministry of West Bengal Health. Only then one can proceed for actual transplant. If complications don’t rise up then transplant cost in Kolkata along with 10 days post-operative stay in ICU works out to be nearly 5 lakhs Indian rupees, which may differ hospital to hospital. The donors cost is separate and borne by the patient. Various other costs may add up extra to 10-12 lakhs. Post-transplant the patient stays in hospital for 8-10 days as required and the donor for 4-5 days. After hospitalization the donor has to take special drugs, diet and care for 1 year to remain healthy.