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Kidney transplantation, also known as kidney replacement, is to transplant healthy kidneys to patients with kidney diseases and renal function loss. The human body has left and right kidneys, and usually one kidney can support normal metabolic needs. When both kidneys lose their function, kidney transplantation is the most ideal treatment. When chronic renal insufficiency develops to the end stage, renal transplantation can be performed.
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After kidney transplantation, the quality of life of patients has improved obviously, and kidney transplantation is undoubtedly the best method to treat chronic renal failure. However, not all patients with renal failure can well tolerate transplantation and high-dose hormone and immunosuppressant therapy after transplantation. Before renal transplantation, it is necessary to know whether the case is suitable for renal transplantation and how the prediction effect is after transplantation. Some patients even have serious life-threatening complications after operation in some cases. In particular, patients with the following diseases must be cautious before considering transplantation:
1. Patients with active hepatitis are not suitable for kidney transplantation. As for hepatitis carriers (hepatitis B virus surface antigen positive), it is controversial, and it is best to determine them according to the results of liver puncture. Kidney transplantation is not suitable for patients with liver cirrhosis.
2. For patients with coronary heart disease and unstable angina pectoris, it is generally not suitable for kidney transplantation immediately. For patients with coronary heart disease with obvious symptoms, coronary angiography should be performed first, and kidney transplantation should be performed after the successful "bypass" operation if necessary.
3. Patients with active peptic ulcer are not suitable for immediate transplantation. Because a lot of hormones were used after operation, the ulcer must be cured before operation.
4. Patients with active chronic infection in the body should be treated systematically first, and then do kidney transplantation after the control is stable.
5. It is forbidden to transplant patients with malignant tumor who have metastasized or developed within two years, because immunosuppression may lead to tumor development or recurrence.