" Cadaver Organ donation" is full of complications in India, an intensive discussion for solutions---Part---4

Cadaver donation Continued from Part--3

 

Cadaver donation

Any patient after death or found to be “brain dead”; the body organs of the person will be tested for viability that means whether the organs are fit to be transplanted to any other living ones so that the latter can be helped by the donated organ.

In case anyone was suffering from heart condition, kidney disease and liver failure types of serious diseases, the harvesting will not be done on these organs because they are already of lesser importance to the donor and so cannot be used for other.

What are the organs you can donate (as on date)?

You can donate eyes, liver, skin, lungs, kidneys and in some cases intestines. Many latest developments vouch for many other micro items. Example is blood stem cells.

Who can be the eligible recipients?

To be eligible for receiving any organ from others (donors), a patient needs to register him or herself on a transplant registry. The registry will help a doctor to know about the availability of the organ.

A few important things to be noted here:

Ø There is an authority, ZTCC (Zonal Transplant Coordination Center) for coordinating the transplantation of Cadaveric donations cases. In some cases NOC is also needed, depending upon the state rule, even though you are donating or receiving any organ.

Ø The best mediator in this case is your physician. Because he or she will be in a position to keep track on the availability of the organ. Since the case of donation is after the death of the person or when doctors declare the person is “brain dead”, then only the chance of transplantation take place.

Ø After the chance of availability of the organ, a “cross match test is done” for ensuring the compatibility of the organ from the donor and to the recipient. In case of any mismatch, the doctor is the sole authority to cancel the transplantation.

What are the tests involved for a donor?

Whatever type of transplantation may be the case, a donor has to undergo following tests before donating any organ.

1) Testing of blood type: The test is done for establishing the donor’s ABO blood group. There are 4 types of blood groups, they are O, A, B and AB. Blood group matching is very important because every human being has inherent blood group. So, matching blood group is very important. No transplantation can be undertaken if this first type of mismatch is detected.

2) HLA (Human Leukocyte Antigens) test: This is the 2nd test in the case for knowing about human leukocyte antigens (HLA). In other terms this is known as tissue type matching.

3) Cross match: Our antibodies help us from contacting illness or infections in our body system. The case is very important to match, because the donor kidney must not mismatch with the antibodies of recipient’s kidney system. If it is not cared for, there is every possibility that the recipient’s kidney will be damaged by the mismatched antibody system, being transplanted.

4) Serology: It is a type of blood test. By this test it can studied whether the donor has any transmittable disease(s). The most dangerous ones are hepatitis and cytomegalovirus (CMV) or human immunodeficiency virus (HIV).

 

Continued to part--5

 

 

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