The new liver is not your own. The body’s immune system treats it like a foreign body and attacks it. If this immune attack is significant we call it ‘ Rejection .’To prevent this happening, you will need anti-rejection medicines or ‘Immunosuppresants’. These will be started immediately after your transplant ,and at least one of them will continue lifelong.
What Is Living Liver Donation?
When a healthy person donates a portion of their liver to a transplant recipient who is suffering from end-stage liver disease it is living liver donation. At the time of transplant procedure, the patient’s diseased liver has to be removed and replaced with a small portion of the healthy donor’s liver. Because a healthy person’s liver is able to grow back, living liver donation is one of the most generous decisions some people decide to make.
Why Living Liver Donation??
Patients who have been suffering from end-stage liver disease have two options for treatment
The demand for liver for transplantation isexceeded the number available absolutely, and demand is steadily increasing. Indian Medical Council, has taken up the responsibility to allocate dead donor livers for transplant, reports that there are more than 16,000 candidates who had waiting for a liver transplant. In 2017, only 9,368 livers were donated from dead donors. For the patients who need a liver transplant, for them receiving a part of a liver from a living donor is the only option.
Then waitingtime for a liver from a dead donor can be ranging from many months to years, this depends on the patient’s ranking on the wait list. 70 patients in India transplant program have been awaiting for a liver transplant. Whereas for patients who are able to receive a living donor liver transplant get their reduced their wait time for transplantation and therefore it so, that they have more control over when the operation occurs.
Because in case of requirements for living liver donors at India, only selected patients are able to go ahead with a living liver donor transplant. A lot of times individuals interested in donating are family members, but a growing number are friends or co-workers. The main reason of liver failure are viral infections like Hepatitis C, cirrhosis of the liver, early-stage liver cancer, hemochromatosis, primary biliary cirrhosis, primary sclerosing cholangitis, Wilson’s disease, alcoholic liver disease, nonalcoholic fatty liver disease, biliary duct atresia, and cystic fibrosis. A living donor’s liver is able to fully regrow within 4 months and it is ultimately able to regainit’s full function.
The donated portion has the same effect for the recipient. A liver from a dead donor might also be split and transplanted into two different recipients. Indian transplant doctors and surgeons have had extensive experience with living-donor liver transplant ranging from adults to children. An adult to adult living-donor liver transplant program offers an alternative over dead-donor organ transplantation. Patients would have a shorter waiting period and equal or improved life expectancy with a living-donor transplant.
Who Can be a Donor of Liver
See the table Below
|Patient blood group||Matching donor groups|
|A+ or A-||A+ / A- /O+ / O-|
|B+ or B-||B+ / B- / O+ / O-|
|AB+ or AB –||Any blood group acceptable|
|O+ or O-||O+ / O-|
Occasionally a donor / patient combination of non compatible blood groups may be considered for ABO incompatible liver transplant – this involves additional cost, additional procedures pre-transplant and additional risks for the recipient ( not for the donor ).
Making The decision
Making the decision to donate an organ is a non-public one that merits cautious idea and attention of each the critical dangers and benefits. Speak via your decision with your pals, family and different trusted advisers. Making the selection to donate is personal one. You ought to no longer sense compelled to donate, and you could exchange your thoughts at any factor.
Some Beneficial Questions to consider:
Your medical information is saved exclusive by way of the transplant center. If you are rejected as a donor during the evaluation system, the donor is instructed simplest that your organ become declined. it is up to you whether or not you tell the recipient (if regarded) the motive in case you selected to accomplish that.
The living-donor transplant facilities offer an independent dwelling-donor suggest to guard the knowledgeable consent manner. This endorse is mostly a social employee or counselor who will let you talk your feelings, answer any questions you have and help in defensive your nice hobbies all through the donation process.
Life After Donation
Barring any post-operative complications, the living liver donor can expect to :
Some centres recommend an annual physical examination for all living liver donors by any doctor in the home country itself : no routine tests are recommended. Post donation , a donor should be able to lead a normal life. The scar will remain , although will become less prominent usually with time, and there may be an occasional mild discomfort at the scar site which may rarely require oral painkillers.
It isn’t necessary to match the donor and recipient for age, sex or race. All donors are screened for hepatitis viruses and the HIV virus. What’s more, all deceased donor organs are tested extensively to help ensure that they don’t pose a health threat to the recipient. Also, many studies – such as ABO blood type and HLA matching – are performed to ensure that the organs are functioning properly.
As soon as a deceased donor is declared brain-dead, the liver is removed and transplanted in the body of the recipient who is registered in the waiting list of Deceased donor Liver transplantation. The waiting list is maintained by NATIONAL ORGAN & TISSUE TRANSPLANTATION ORGANISATION (NOTTO) and by Artemis Hospitals. The national organization is responsible for fairly prioritizing recipients as organs become available for transplant. Priority is based on several factors, including:
Pledge your organs
Pledging organs is a very simple procedure. Just fill out Form No. 7 which is attached below and send it to the following address.
Director (NOTTO) 4th Floor, National Institute of Pathology, NIOP Building, Safdarjung Hospital Campus New Delhi-110029
Once the forms are filled and registry is completed NOTTO shall send you your donor card within two weeks. You must remember that at the moment, registering as a donor does not mean that your donor card is a legal entity. It is merely an expression of your wish to be a donor. The card that we will send you does not carry any legal weight. But do keep it with you at all times and make sure you let all your friends and family know about your choice.