Liver,And,Kidney,Donation,The, health Liver And Kidney Donation: The Opportunities And Challenges
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Very often the opportunity to donate willarise when a family member or close friend suffers liver or kidney failure. Even in the case of an altruisticdonation, (when someone donates to a stranger) the impulse to donate oftencomes from seeing a loved one suffer, or indeed recover when they receive a much-neededorgan. However, perhaps moreimpressively, some altruistic donations are now inspired by a simple desire togive something back to the world. Ten years ago the only option for kidneydonation was open surgery, but in recent years more and more kidney donationsare being carried out through keyhole surgery. This is designed to reduce the trauma and recovery time andso has opened up the option to donate for many more. Yet however simple and straightforward thesurgery may seem, it is still a highly unusual situation that presentsdifficult questions for donors, recipients and even medical staff, as it isessentially taking someone in good health and carrying out highly invasive,unnecessary surgery on them for the good of another. In fact it directly contravenes one of medicine's most basictenets "First do no harm." Although serious problems for the donor arestatistically rare, they do occur. Even if everything goes according to plan, the surgery may wellbe the first time that the donor has had to spend time in hospital, or dealwith the medical profession, and they may well feel as if they have been thrownin at the deep end. The long term prognosis for kidney donorsis excellent; they are statistically likely to live longer than non-donors, andit is entirely possible for female donors to become pregnant afterwards (withonly a very slightly elevated chance of developing complications), but removinga kidney can be a traumatic operation with serious musculoskeletal effects,with both short and long term impact on general health. This is not necessarily a negative thing;sometimes the focus on health and wellbeing continues. Following surgery the donor may wellhave an improved attitude toward taking care of themselves leading to amarked improvement in long-term health and fitness. Donating a kidney is also likely to have aprofound emotional impact on a living donor. Although the success of a transplant can lead to feelings ofelation, there are also sometimes negative emotions. Many talk of feeling depressed after the operation thereis a lot of build up and anticipation beforehand and then afterwards there is alittle to do but recover. Donorscan sometimes feel abandoned, particularly by the medical team as the attentionis switched to the recipient. Thedonor may not know anyone else who has gone through the experience and may feelisolated and unable to talk about their feelings with friends and family, whichcan add to the feeling of depression. However, just as the temporary setback inhealth and fitness can lead to a long term overall improvement, so too can theemotional upheaval of a donation. Whilst donating can open donors up to potential emotional difficulties,so too can it help them to focus on their emotions, seek support if necessaryand ultimately become happier in the long term. Some say that the Chinese symbol for crisiscan also mean opportunity in a time of danger. As well as the opportunity that living donation affords therecipient for a new lease of life after facing a medical crisis, so too can itoffer the living donor a powerful opportunity: The opportunity to reevaluate their own life; their fitness,their emotional wellbeing and even their life goals; to become the person thatthey truly wish to be.
Liver,And,Kidney,Donation,The,