Surgeons around the world began performing living donor 肝移植 using adult donors for children who needed transplants. 加州大学旧金山分校健康 surgeons have performed these transplants between adults and children since 1992.
美国以外的外科十大赌博平台排行榜, mostly in countries where organs from deceased donors are unavailable, expanded the technique to adult recipients in the mid-1990s. 从那时起, many centers throughout the world have begun to perform living donor 肝移植 between adults. UCSF performed its first adult-to-adult living donor transplant in January 2000 and has since performed hundreds of these operations.
捐赠资格
Potential donors must meet certain basic requirements to be considered. First, the donor must want to make this gift. During the evaluation process, we want to make sure you are not being coerced to do this in any way. You do not need to be a relative of the recipient so long as you're a good match in other respects, 比如血型.
捐赠者不能怀孕或超重, although overweight candidates who lose weight may be considered.
捐助者应:
- 18至65岁
- In good health with no major medical or psychiatric illnesses
- A nonsmoker for at least six weeks before surgery
- Off birth control pills for at least six weeks before surgery
- Able to understand and comply with instructions for surgery preparation and recovery
If live donation is a feasible option for a patient, we will perform a donor evaluation after the recipient's testing is complete. If the transplant team determines that the donation can be performed, a surgery date is scheduled for both the donor and recipient. This process usually takes up to four to six months.
捐赠的评价
一旦你的血型被确认, you'll receive a detailed confidential questionnaire about your family medical history, 生活方式和其他信息. The evaluation includes a series of tests and consultations to check your blood type and overall health. 测试包括:
- 实验室工作
- 腹部CT加静脉造影剂
- 腹部核磁共振及静脉造影剂
- 超声心动图
- Treadmill stress test (males over 35 years old, 45岁以上女性, 五年内积极吸烟, 还有高脂血症患者, 糖尿病或高血压)
- 病史和体格
- Independent living donor advocate and social worker consultation
- Psychiatric consultation (depending on medical history)
A doctor who is not a member of the transplant team will complete your medical evaluation and serve as the "donor advocate" doctor throughout your surgery and recovery.