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Organ TransplantOrgan Transplant – General InformationAn Organ Transplant means the moving of a whole or partial organ from a body to another (or from a donor on the patient’s body), in order to replace the recipient’s damaged or failing organ with a new, working one from the donor site. The organ donors can be living or deceased (also named cadaveric). Organ Transplant – SymptomsThe immune system is the body’s defense against foreign invaders such as bacteria or viruses and unfortunately the immune system can not make the difference between an invader and a new organ, this is why rejection happens. The rejection can happen without being noticed and can be found on a normal doctor visit. Here is a list of the most common symptoms of the rejection that can appear after an Organ Transplant: The kidney transplant recipients may experience: The liver transplant recipients can experience the following symptoms: The pancreas transplant recipients can experience the following symptoms: Rejection is an ongoing concern for the Organ Transplant recipients. That is why it is very important that the patients take all of the medications, every day, exactly as prescribed after and before an Organ Transplant. Organ Transplant – TreatmentAfter an Organ Transplant rejection may appear, rejection means that the body’s immune system attacks the transplanted organ and tries to destroy it. There are several kinds of rejection that can appear after an Organ Transplant, which need different types of treatment. The acute cellular rejection is a direct recognition of the transplanted organ. The killer cells of the immune system see the organ as a foreign. The only way to diagnose this type of rejection is by biopsy and the treatment is based on high dose of steroids. If it does not respond to this kind of treatment then there may be used a medicine named Thymo, in order to treat it and the Organ Transplant to function. Thymo (also known as Anti-Thymocyte Globulin) is used to treat and to prevent the rejection by stopping the T cells. This medicine is infused through a central line or dialysis line. The common side effects of it are the followings: Before starting the treatment with Thymo patients who had an Organ Transplant usually receive acetaminophen, diphenydramine, and a steroid, and after starting the treatment the doctors will watch closely the vital signs and the blood counts, if it gets too low the dose will be adjusted. The antibody-mediated rejection, also known as humoral rejection, is an indirect recognition of the new organ. The B cells of the immune system recognize only part of cells from the transplanted organ and they start to produce new antibodies against the organ. This type of rejection may also be diagnosed after a biopsy and the treatment for it is CMV IgG, rituximab and steroids. If it does not respond to these treatments then plasmaphoresis may be needed, in order to remove the antibodies. The dose of this medicine will be increased slowly and the vital signs watch closely by the doctors and if the side effects appear the treatment is slowed down or even stopped for a period of time. Before starting the treatment with Rituximab patients who had an Organ Transplant usually receive acetaminophen and diphenhydramine and their vital signs will be closely watched by their doctors. |
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