Transplants (transplant) discussed bustling heart lately, following a number of cases terkuaknya biliary atresia. The good news, the life expectancy of liver transplant recipients reached 90 percent. Unfortunately, these actions require complex preparation and a very large cost.
Anindya Bilgis passa (17 months), people with biliary atresia (abnormalities of the bile ducts were not formed or not fully developed), is waiting for the right time to undergo liver transplant surgery. Preparation for this action is complicated.
According to DR. Dr. Hanifah Oswari, Sp.A (K), a consultant hepatologist, son of gastroentero FKUI / RSCM, organ transplantation is necessary if the liver had failed to do its work. “If the liver is not functioning or liver failure, liver transplant is necessary to maintain the life of the person,” he said.
Many conditions and diseases that make a person needs a transplant, such as metabolic disease that causes liver is not functioning, biliary atresia, and others. However, not all liver failure requiring liver transplantation. Only permanent liver failure or inborn heart failure requiring transplantation.
“Acute liver failure does not always need a transplant,” added Dr. Hanifah, who helped bilqis case.
Life or death
The donor liver must be healthy so as not to cause problems for recipients. There should be no viruses or fat is too much. To obtain the necessary heart does not have to wait for a donor who had died. People who are still alive can also donate his heart.
“Donors are still alive only to donate part of it from his heart. If the donor of all, donors must be dead,” said Dr. Hanifah who studied liver transplant in Brisbane, Australia.
Although only a part, a donor liver will grow to normal size, both in the donor heart or taken part in the recipients who received some of these hearts. “So do not upset or worried, with this technique liver can grow normally,” he said.
This technique also allows donors who have contributed two people died at once. If you are a donor heart for one person, by dividing the heart into two, the dead donor can donate liver to two people in need. “This is beneficial because it can help two people at once,” added Dr. Hanifah.
Rid of
What about the recipient’s heart? “Yes discarded it entirely. Like I do not work anymore,” he said. What is clear, he continued, between the donor recipient clan common blood type is needed. “Rhesus blood can vary, as long as the same golongannya. It was most important to minimize side effects. So the recipient can get a donor from anyone. Not necessarily from his family,” he said.
However, the side effects of liver transplantation is still there. He explained that the normal rejection reactions occur. “Something that comes from outside the body, as happens in a transplant, will be rejected by the body. It is natural. However, the rejection will be less if the blood donor and recipient together,” he said.
The donors also affected. The side effects vary depending on the donor, but that rarely happens because the surgeons knew which parts of the heart and count the number that can be taken.
Fantastic prices
Life expectancy of liver transplant recipients is high. This number was different in each country. In developed countries, 90 percent of heart transplant recipients surviving after one year. In fact, the recipient can survive the boat five to ten years later.
“In Indonesia only two acts performed a heart transplant in Semarang. One managed to survive today. One more thing I did not know he was doing. What is clear, in general life expectancy will be greater if the liver transplant performed on the children rather than adults , “he said.
Not every person who needs a new heart can get it. Because the cost of very expensive transplants. “Ranging 800 million to 1.1 billion dollars. The price is fantastic for a heart,” he said.
