After 00, a girl suffers from uremia. Phase 5 Parents want to donate their kidneys but suffer from blood types.

Author:Beijing Beijing Time:2022.09.26

Xiaoliang is 20 years old and was originally in a youthful flower season. Now, she can only help lying on the bed helplessly.

Xiaoliang was a doctor due to abnormal blood pressure value. I did not expect that the results of the examination reminded that she was suffering from chronic renal failure, that is, people often said that the course of uremia had developed to Phase 5, and the kidney function was severely damaged! Compared with a normal person's 2 liters of urine per day, the kidney's kidney urination can only reach 400 ml per day. A large amount of toxin and waste liquid accumulate in her body, which is safe and safe in her life.

01

The 20 -year -old flower season girl is facing life choices

Parents want to donate their kidneys but suffer from blood type

The sudden advent of the disease disrupted the girl's original life plan. Now, there are only two forks in front of Xiaoliang: switching to kidney or dialysis. If the dialysis is selected, Xiaoliang will accept three times a week and a four -hour dialysis. This means that she will accompany the hospital for the rest of her life and can no longer work like a normal person. Xiao Liang was born in a countryside in Zhangjiakou, Hebei. His parents lived in zero work. His brother had become a family and was the pillar of the entire family. In order to save their children, parents decided that one of them would donate kidneys to the younger daughter.

Unfortunately, Xiao Liang did not match his parents' blood type. This is because her father is type A blood, and her mother is type B. According to genetic laws, the children born can be any of the four types of type A, B, AB, and O.

Due to the limited technology of the local hospital, the kidney transplantation cannot be performed for two people with different blood types, and the hope of the family's just ignited was instantly wiped out. There is no way, and the family heard that the organ transplantation technology transplantation of Beijing Friendship Hospital is at the forefront of the country, and it can also implement across blood transplants between relatives. So with the last hope, the whole family came to Beijing together, thinking of the last fight, and grasping the vitality.

02

"Change the blood" for the whole body is waiting for the kidney to change the kidney

Cross -blooded transplant surgery risk and hope parallel

Cross -blooded kidney transplantation is a difficult operation. Because of the disagreement of blood type, antibodies for different blood types will cause super -acute exclusion reactions during transplantation, resulting in failure of surgery. Doctors must effectively remove blood -type antibodies in the small beam before surgery. The most effective measure is to perform several plasma replacement. Only when the antibody is controlled within a certain range can the patient have the opportunity to perform surgery, otherwise the patient's kidney changes will be far away.

Hearing that the hospital was willing to try to transplant her daughter, her mother Li Haiyan was excited. After discussing the family, the mother finally decided to donate the kidneys for her daughter. According to the plan, Xiaoliang will check the antibody value after two plasma replacement to determine whether she can adapt to the kidney of different blood types of her mother.

After an anxious waiting, the results of the antibody examination showed that the beam reached the standard of surgery. Although there is still a high risk of acute rejection of the kidneys after surgery, the girl in the flower season finally ushered in the dawn of hope.

03

Two kidney and kidney surgery for surgery to fight against time

Mother and daughter experienced life and death test ward reunion over Mid -Autumn Festival

With the urgency of saving her daughter, Li Haiyan was lying on the operating table. Master Dr. Zhu Yichen uses laparoscopic minimally invasive technology to enter the surgical operation equipment at Li Haiyan's left waist position. However, the mother's kidney tissue was tightly wrapped and adhered by the surrounding fat and vascular tissue, and the branch of the vascular branch was complicated, which made the kidney taking the kidney extremely difficult.

When the mother surgery was performed, the daughter waiting in the ward alone suddenly vomited again. Because the blood pressure of Xiaoliang has been around 200, which is far higher than ordinary people. When the blood pressure before surgery is reduced to the value of normal people, Xiaoliang has symptoms of hypotension vomiting. For this reason, the nurse had to stop vomiting for her.

Human kidneys will be in the normal temperature ischemia before cutting the blood supply of the arteries and the inside of the body until the frozen kidney preservation liquid that is irrigated from the body. The longer the heat ischemia, the more severe the damage to the renal function. Once the kidney's kidney is lost, everyone's efforts will lose their efforts. Under the operation of the doctor's scramble, the mother's kidneys are intact from the body, and the heat ischemia time of the kidney is controlled within a half!

At this point, a difficulty of cross -blooded kidney transplantation surgery officially kicked off. The mother's kidneys will be transplanted in her daughter's right abdomen. Because Xiaoliang has been suffering from high blood pressure different from ordinary people for a long time, the doctoral Chinese need to pay attention to her blood pressure changes at any time to avoid problems such as insufficient infusion of kidney blood flow or bleeding. At the same time, the diameter of changing the renal arterial blood vessels is only 0.5cm or even smaller. It must be fully designed to match the angle and method. Once the error causes a stenosis, it will lead to poor recovery of the function of the transplantation of the kidney.

The medical staff did not dare to neglect at all. Finally, when the blood of her daughter flowed into the mother's kidneys, the pale kidneys had a color instantly. The flow of blood means that there is no acute exclusion, and Xiao Liang finally escaped the most dangerous level! Next, she will continue to observe in the ward to avoid rejection after surgery.

Twenty years ago, the mother gave Xiao Liang's life. Twenty years later, when the girl's kidneys withered in the flower season, the mother once again injected her vitality into her life with her own selflessness, and her daughter's life went longer. Under the care of love, I believe that Xiaoliang will definitely restore the vitality of girls at this age, and her face will eventually re -show a bright smile!

Life Fate of Life

Cross -blooded kidney transplantation has been considered to be a "restricted area" for kidney transplantation in the past, but in recent years, it has been developed in major domestic transplant centers. It is now because the contradiction between organ supply and demand is prominent, which is also an effective means to expand the source of organs.Before the transplantation of transplants of the blood type, the blood type antibody titer in the body needs to be measured. If the titer of the antibody is high, the pre -treatment methods such as immune adsorption, plasma replacement, and Lifenab should be reduced.Only within the range of 1: 8 can the kidney transplant be safe.After transplantation, the blood type antibody level needs to be monitored regularly. If the level of blood type antibody rises significantly and rebounds, the patient needs to actively lower the blood type antibody treatment after transplantation to help transplant the risk of rejection of rejection.

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