The provincial capital's naphthrology clinic closed in 2018 with a total of 82 kidney transplants, a figure that was reached year after year with very few variations. It is considered the second center of kidney transplants in the country.
Monica Ritacca | [email protected]
The nephrology, urology and cardiovascular disorders of the provincial capital are considered as the second center of kidney transplants in the country. Is that, on average, between 60 and 80 kidney transplants per year; Figures that have lasted several years and make the institution a leading center in the field.
Doctors Lewis Eduardo Gaite, a nephrologist and head of the Nephrology Department of Clinics, and Jose Hugo Paladini, a pediatric nephrologist and head of the Renal Transplant Service, talked to this device and made a report on what was done in 2018. It was a year more than positive since the reality of the country followed with the same amount of renal transplants that the clinic has been doing.
In total, in 2018, 82 kidney transplants have been done, which means that the number of people left dialysis and improved their quality of life.
"Renal, hepatic and cardiac transplants have been performed in the Nephrology, Urology and Cardiovascular Disease Clinic. The kidney, or kidney, tops the list because there are more patients on the waiting list," explained Dr. Hugo Paladini. "The clinic has completed the first kidney transplant in Santa Fe in November 1986, and since then it has been uninterrupted. The annual average ranges from 60 to 80 kidney transplants," adds Dr. Lewis.
The figures in Santa Fe
The Santa Fe province has always been an average of about 600 patients waiting for a kidney transplant.
In the provincial capital, the centers of transplants are the Nephrology Clinic and the Kulan Hospital. In Rosario, the Centennial Hospital and the Paranae de la Mujaer Sanatorium.
"As I said, in 1986, the first kidney transplant was done in our clinic. Since then, in the 32-year-old, in the province of the state, over the course of 32 years, we have begun 425 patients in the waiting period. List of kidney transplant and 111 liver of the 425 260 patients – adults and children – are of our clinic, "says Dr. Gaite and clarifies that since there is a reference center, the list of the clinic is Are people from other nearby provinces.
"No patient should grow differently because in Santa Fe we have everything: trained professionals, technology, drugs … It is the same as in the rest of the world. Moreover, in our clinic we have residences, so we are also A training center ", adds Dr. Paladini.
30,000 Argentine on dialysis
In Argentina there are 30,000 patients on dialysis as a result of kidney failure. About that number, about 6,000 are on the Incukawa waiting list to undergo a transplant; That is, they are waiting for the organ. But of the 6000 only about 1500 are transplanted, or 25%.
For both referring physicians from the clinic located on Avenida released 3074, the figures for kidney transplants in the country level are low. They consider that "a country that ours should take in a year, to be at European level, 50% of patients on the waiting list. So, 1,500 more transplants a year should be done."
Consulted on the need to reach the percentage, they said "an adequate policy of organization and management of resources that is more suitable for the treatment of kidney failure". "The medical and technological resources are, what happens is that transplants do not have the same sustainability as dialysis; because it would be more economical," remarked Dr. Gaite.
The causes of kidney failure
Both children and adults can suffer from kidney failure. According to doctors, in the adult population, among other reasons, kidney failure today is attributed to hypertension and diabetes. "The organs are fulfilling years with us. The combination of diabetes and hypertension, added to the age of the human, makes the kidney life threatened. Another cause is poorly treated urinary tract infections, especially in women," Dr. Gaite said: "That's what we insist on medical checks, because hypertension and diabetes can be silent and early enough to prevent kidney failure. With a full urine and blood creatinine and abdominal ultrasound, kidney failure can be prevented, but you need to do medical checkups. Of course, if one is diabetes, hypertensive or a history of kidney failure, there should be more open eyes.
In children, the most frequent causes of kidney failure, which can lead to the need for a transplant, are urological malformations – the existing urinary tract infections – and hemolytic uremic syndrome.
In this regard, it should be noted that in 2013, 13 minerals were transplanted into the Nephrology clinic. There are pediatric transplants since 1988 and 160 dates.
Doctors full time
The logistics to perform a transplant have involved several. To begin with, we must know that in the case of kidney transplants, donors can be living or cadaveric. When the menu owner is a living person, which of course must meet the criteria of compatibility and good health, everything is more organized and programmed. But when it comes to a deceased person, the story is different.
"Everything starts with a phone call. The coordinators call the clinic, where there are active guards all the time, and offer the organ. A round trip of questions begins between the coordinators and the center – where the original is set, The person died and the compatibility issues, and Incukai has an inaudible system, there is no possibility of accommodation or manipulation of the need to emphasize, and when you say you want the organ, an analysis of the blend R of the donor with the recipient's blood, and if the result is negative, the organ is suitable for transplantation, "says Dr.. Paladini, Head of Transplant Clinic of Nephrology, with his mobile phone in sight because he never knows when he can be called.
And it thinks, "That's what transport is about to begin. The original can be in Juji, Nekwon or around the clinic. When the organ is accepted, the patient is called to participate in optimal health conditions. And as soon as the order is transplanted, whichever day it is or whatever day it is, it does not matter if it is Christmas or New Year, sometimes some patients are transplanted in the same day. Accused by plane, or by land if It is less than 150 kilometers away and was brought to the clinic by people of Cudaio. "
Consulted on the possibility of rejection of the organ, Paladini said it exists, although the statistics are low. "The rejection depends on many factors: the quality of the organism and the drug of the patient. The medication is not taken away. The rejection is the case. Not all rejections are the cause of organ loss, you can try it out. Patients who reject a kidney transplant are low, but if the person is affected, they are re-entering the second transplant. "
30,000 Argentines are on dialysis. Of that number, about 6,000 are on the Incukai waiting list to undergo a transplant.