2016年6月23日星期四

How and why does the body reject a transplanted kidney

Rejection is when the organ recipient's immune system recognizes the donor organ as foreign and attempts to eliminate it. It often occurs when your immune system detects things like bacteria or a virus. Some degree of rejection occurs with every transplant, but how clinically significant the rejection depends on the individual.

At least one episode of acute rejection is common within the first year after a transplant, but it can also occur years after a transplant. Despite the use of immunosuppression therapy, acute rejection can occur and often lead to chronic rejection. Chronic rejection, which is characterized by gradual loss of organ function, is an ongoing concern for transplant recipients because it can occur weeks, months or years after transplantation. Therefore, organ recipients should be aware of the signs of both acute and chronic rejection. Call your doctor as soon as you experience any of them. Symptoms include:

.Pain or tenderness over the transplant site

. Fever

.Flu-like symptoms such as chills, nausea, vomiting, diarrhea, tiredness, headache, dizziness and body aches and pains

. Change in pulse rate

. Weight gain

. Swelling

.Less urine


You can help prevent rejection by taking your medicines and following your diet, but watching for signs of rejection – like fever or soreness in the area of the new kidney or a change in the amount of urine you make – is important. Report any such changes to your health care team. Transplantation isn’t for everyone; however, medical advances are making the procedure safer and easier for donors and recipients.

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