评估成为活体肝脏捐献者
- 评估的步骤是什么?
- 评估过程的目的是什么?
- 我可以让我自己的十大赌博平台排行榜来做评估吗?
- 预约前我需要禁食吗?
- 我的评估是否包括在医疗保险之内?
- 我的家人应该和我一起去看十大赌博平台排行榜吗?
- 我什么时候能知道我能不能成为捐精者?
- If I am cleared to be a donor, when will the transplant take place?
- 我的肝脏多久才能恢复正常大小?
我们会做血液检查,a 胸部x光片, an 心电图(心电图),还有 超声波 腹部的. 如果这些测试表明你可以成为捐献者,a CT扫描 腹部的 will be performed to make sure that your liver is big enough to donate a piece. 你和你的肝脏必须成比例地足够大, 相对于接受者的大小, for the donated piece of your liver to be adequate for the recipient. We also look at the blood vessels to make sure that they branch in a pattern that will allow us to remove the right part of your liver. Other tests or consultations may also be necessary, depending on your individual circumstances. 在某些情况下,需要肝活检.
A physician who is not a member of the liver transplant team does the medical evaluation. This doctor serves as a "donor advocate" physician and looks at the donor transplant 手术 with only the donor's interests in mind.
这些测试都没有, procedures or consultations will be scheduled until insurance authorization has been obtained for both the recipient's transplant 手术 and the donor's work-up and 手术. You will meet with a social worker who can help you understand the issues related to donation.
The evaluation will make sure that your liver is normal and that you do not have any medical or psychiatric illness that would make this procedure risky or difficult for you. We also make sure you do not have any medical conditions that could be transmitted to the recipient. 最后, we want to make sure that you are becoming a donor voluntarily and that no one is pressuring you to donate. 完成供体评估, numerous tests and consultations are required over a period of several days to several weeks.
一般来说,这些测试是在加州大学旧金山分校进行的. Some insurance companies want some tests done at other hospitals. 我们坚持更关键的测试应该在加州大学旧金山分校进行. If you live at a distance, we can have some portions of the initial evaluation done near your home. 无论在哪里进行初始测试, 评估过程需要访问加州大学旧金山分校才能完成.
It may be necessary for you to fast for some of the tests and you will be instructed to do so.
You should not incur any medical expenses related to the evaluation, 手术, 住院或立即术后护理. All of these charges are billed to the recipient's insurance company. 在你出院之后, some insurance carriers do not cover additional medical expenses for the donor. 正因为如此, we insist that donors have their own medical insurance or have an agreement with the recipient's insurance company that it will cover all expenses related to the donor 手术 both in and out of the hospital.
It is important to have your immediate family or next of kin come with you to at least some of the appointments so they can participate in the process and understand what is involved before you decide to proceed. These appointments offer the opportunity for you and your family to ask questions and learn about the procedure so you can make an informed decision. Your designated next-of-kin or your health care proxy must participate in the evaluation process or attend the final appointment before the scheduled 手术.
Generally, we will let you know within two weeks of completing the evaluation. Further tests are sometimes needed that could delay your clearance for 手术. Allow yourself time to digest the information you are reading here and the additional information you will get when you meet with us. The decision to donate a piece of your liver is not one you should make lightly. You should consider it very carefully and discuss it with your family and significant others.
If I am cleared to be a donor, when will the transplant take place?
This decision is made jointly by the transplant team, you and the recipient. 移植团队, particularly the physicians involved directly in your recipient's care, will determine as accurately as possible the best time to perform the transplant, 根据受赠人的医疗状况. Once we know this, we ask what time suits you best and try to accommodate your schedule, if possible. There may be specific days when we are unable to perform living donor liver transplants due to operating room availability.
可能发生的一些事情会改变我们的计划. 例如, your recipient's condition might deteriorate to the point where he or she is too sick for a transplant. Or, you or the recipient might develop an infection or some other condition that needs to be treated before the transplant could be done.
肝脏几乎立即开始再生. Most of the regeneration occurs in the first two weeks after 手术, 接下来的一年将进入一个较慢的增长阶段.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.