arsenalfan.
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Report Thread starter 13 years ago
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anyone help me please? thanks!
the only one i got was that a kidney transplant is cheaper in the longer run.

discuss the advantages and disadvantages of
kidney transplants, compared with dialysis
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j00ni
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Dialysis takes upwards of 4hrs a session, of which most patients will require 3 or more sessions per week. Factoring in journey time, you are looking at 16+ hours per week spent in a dialysis unit. Also you have to maintain a very strict diet whilst on dialysis, limiting salt, potassium, protein, and (probably most difficult) water intake (water is limited to about 500ml a day!).

Overall 2 year survival figures are 88% on home dialysis and 75% on hospital dialysis. The 10 year survival rate is 50%. It is not uncommon for patients to survive more than 20 years on dialysis.

Patients on dialysis often get cramps, headaches, anaemia, uraemia, nausea or dizziness as side effects of treatment. Also, as a smaller issue, Renal physicians are in painfully short supply in the NHS.

With kidney transplant there is the usual risks of a major operation - especially in an already compromised patient (due to their renal failure) - infection being a major cause of peri-operative morbidity and mortality.

The immunosuppressants that need to be taken, finding a donor, long waiting lists, etc.

Transplant recipients are at significantly higher risk for cancers than the general population because of
(1) chronic immunosuppression
(2) chronic antigenic stimulation
(3) increased susceptibility to oncogenic viral infections
(4) direct neoplastic action of immunosuppressants.

But it does offer a long-term cure (rather than bridging measure that haemodialysis is - as it is only ever meant as a temporary measure) - and the patient will regain a comparable QoL to before their renal failure. It is not however a permanant cure as the graft survival rate for kidneys from living donors is approximately 95% at 1 year and 76% at 5 years, whereas the graft survival rate for kidneys from cadaveric donors is 89% at 1 year and 61% at 5 years.

This is just a summary of the subject, there are far more issues, but these are the major ones - but more detail can be found at:

http://www.emedicine.com/med/topic3406.htm
http://www.gpnotebook.co.uk/simplepa...48437&cook=yes
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arsenalfan.
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thanks alot, really apprecaite it
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