By 121 News
Chandigarh Oct. 20, 2021:- To create awareness on Chronic Kidney Disease and Kidney Transplant a team of Doctors from Alchemist Hospital Panchkula addressed the media persons. Present on the occasion were Dr. S K Sharma, HOD Renal Sciences, Dr Neeraj Goyal, Senior Consultant Urology & Kidney Transplant, Dr Rajeev Goyal, Senior Consultant Urology & Kidney Transplant, Dr Ramesh Kumar Senior Consultant Nephrology & Dr Charanjitlal Senior Consultant Nephrology from Alchemist Hospital Panchkula.
Speaking on this occasion Dr S K Sharma said that every year 1.80 Lacs patients in India need Kidney Transplant, but not more than 6000 Kidney Transplants are being done in our country every year. He said that it is a pleasure sharing with you all that our Team at Alchemist has recently completed 100 successful Kidney Transplants. Patients not only from Tricity and adjoining cities, but patients from far off places like Jammu, Srinagar, Bihar, Bhatinda, Saharanpur, Jind, Dehradun also got their kidney transplant done at our Hospital.
Sharing his views on this occasion Dr Neeraj Goyal said that India ranks 2nd in world in Kidney transplants from Live Donor as 95% of transplants in India were living donor, whereas only 5% were cadaver (deceased). Dr Neeraj also said that the huge discrepancy between need and supply of organs in our country can be bridged, if organs from accident victims (around 4 lakh) dying every year, are made available for transplant.
Speaking on this occasion Dr Rajeev Goyal said now with the advancements in Operating techniques and availability of newer drugs is Donor swapping and transplantation from ABO-blood group incompatible donors is also possible. Such transplants which were considered to be high risk in the past, are now days possible with good short term and acceptable long term results in lieu of efficient immunosuppressive treatment protocols available.
Discussing how chronic kidney failure leads to irreversible damage to the kidneys, Dr Charnjitlal said that Chronic Kidney Failure (CRF) is progressive in nature and irreversible damage to the kidneys (occurring over a long period of time-often many years) could happen mainly because of diabetes, hypertension, infection, urinary obstruction, stone disease and some inherited abnormalities. Advanced stage of Chronic Renal Failure (or End Stage Renal Disease -ESRD) requires some form of Renal Replacement Therapy (RRT) like Haemodialysis (filtering the blood off toxins & waste products), Continuous Ambulatory Peritoneal Dialysis (CAPD) or a Transplant. As of now, Kidney Transplant is the best treatment option for any suitable patient with end stage renal disease.
Elucidating the benefits of a renal transplant to the patient in the long run, Dr Ramesh Kumar said that although it appears to be an expensive investment at the outset, kidney transplant is the most economical amongst the three Renal replacement therapy options in long run, and also provides the best quality of life compared to that in dialysis or CAPD. Because of growing population of Diabetes and Hypertension, each year about 2 lakh new patients develop CRF in our country -- but transplant takes place in only about 6000 cases, because of lack of awareness of people and unavailability of donor.
Talking about organ donation, Dr Neeraj Goyal specified that generally we are more sceptical about our own well-being, when somebody is asked to donate one kidney -- we need to understand that donating one kidney does not affect the physical abilities, quality of life or longevity of a person. Many cross sectional observations in persons who have lost one kidney to trauma, infection or other disease, retrospective analyses, as well as long term prospective studies have proven long term safety of kidney donors. Again the best match for a kidney would be that from a twin (which is a rarely available), and better match is that from first degree relatives in terms of graft take up and long term out come. Now days, donor's operation can be done by laparoscopy which is less painful (than open operation), enabling faster recovery and early return to work.
On the occasion, Dr Rajeev Goyal said that Kidney transplant procedure needs several legal formalities. As per the law of our country, kidney donation by a medically fit 'near relative' (siblings, parents, spouse or children) entails minimum hassle and also provides best outcome. Donation of kidney by any person other than 'near relatives' requires approval from respective state govt, and for foreign national permission from the Embassy as well as MEA.
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