For much of the Bay Area, June 4, 2015, 在NBA总决赛中为金州勇士队加油. 但在加州大学旧金山分校医疗中心和加州太平洋医疗中心(CPMC)上演了一出不同的戏剧, 医疗团队在哪里开始了一个涉及9个移植和18个人的肾脏移植链, started by a good Samaritan donor.
加州大学旧金山分校与CPMC联合开展罕见的九路肾移植链
该连锁店可能是单一城市中最长的连锁店,持续时间长达36小时.
"This has never been done before in the Bay Area," said Dr. Stephen Tomlanovich, medical director of UCSF's kidney transplant service. “从后勤上讲,在这么短的时间内做9个移植手术是相当具有挑战性的. It's a huge undertaking."
As part of the collaboration, 总共有18名活体捐献者和接受者在36小时多一点的时间里接受了手术, with nine people donating and nine receiving new kidneys. 手术进行时,快递员在两个中心之间来回运送器官.
Outside the chain, 在同一时期,加州大学旧金山分校的十大赌博平台排行榜又进行了三例活体供体移植手术, making for two very busy days at the center.
Why Are Transplant Chains Needed?
About 100,000 Americans and nearly 19,000 Californians are currently waiting for a kidney, according to the Organ Procurement and Transplantation Network. 其中约5200名患者正在加州大学旧金山分校的移植中心接受治疗. 在其51年的历史中,该中心实施的移植手术比美国其他任何十大赌博平台排行榜都要多.S. program.
In fact, UCSF和CPMC等待肾脏移植的患者总数约占全美患者总数的7%.S. wait list.
而从已故捐赠者那里获得肾脏的等待时间在全国各地各不相同, 旧金山湾区的病人通常会在名单上停留至少6到10年.
“我告诉我的病人,他们的几率只有五分之一,”汤姆兰诺维奇说. "There's an 80 percent chance that they'll never be transplanted."
As a result, 许多患有肾脏疾病的人寻找一个健康的亲戚或朋友愿意捐赠. 但由于血型或其他原因,这些潜在的献血者并不总是很匹配, more complex factors such as immune system response.
当不相容的配对与十大赌博平台排行榜和国家肾脏登记处等组织签约时,移植链就形成了, 在成百上千的捐赠者和受赠者中,哪一个能找到合适的匹配. With advances in software, 复杂的肾脏交换或多达60个人之间的“链条”变得越来越可能.
'Out of the Goodness of Their Hearts'
Typically an "altruistic donor,活着的人将自己的肾脏捐给陌生人,而不是亲戚或朋友, starts the chain.
"A chain often starts when someone off the street says, 'I want to donate my kidney to somebody,'" said Dr. Ryutaro Hirose, a UCSF transplant surgeon. "They don't have a friend or relative who needs a transplant. They're just doing it out of the goodness of their heart."
Reid Moran-Haywood, 这位无私的捐赠者使加州大学旧金山分校和加州医学中心的九次移植链成为可能, 他说,在听说一个熟人很难找到合适的肾脏后,他对肾脏捐赠产生了兴趣. Because of his excellent health and universal-donor blood type, the 56-year-old avid runner said he found the decision easy.
莫兰-海伍德说:“我很幸运,我一直过着健康的生活。. "I'm excited to help out. It's very little sacrifice as far as I'm concerned."
尽管对利他捐赠者的生理和心理筛查过程仍然很广泛, 十大赌博平台排行榜认为,对于健康的人来说,只有一个肾脏的长期风险很低.
Two San Francisco Hospitals Working Together
UCSF和CPMC的移植团队在移植链开始前几个月首次讨论了可能的合作, 在两家十大赌博平台排行榜开始使用相同的软件程序来匹配供体和受体后,这个梦想变成了现实.
The software, called MatchGrid, 使两个中心能够在不损害隐私的情况下合并患者数据,并比以前更快地分析可能的匹配.
"We have two separate groups of patients in two hospitals, 我们匿名地将它们连接在一起,看看两个程序中是否有匹配," said Dr. Steven Katznelson是加州医学中心肾脏移植项目的医学主任. "The more people in the pool, 我们就越有可能为我们的病人找到匹配的基因.
“我们都同意,通过合作而不是竞争,我们将更好地为患者服务," he added.
两家中心都希望继续合作,并预计将在湾区产生更多大规模的肾脏交换.
A Patient's Life Changed
接受肾脏移植的海伦·希尔曼(Helen Hillman)非常感谢团队合作,使她的移植成为可能. About 15 years ago, 这位69岁的核桃溪居民得知,她的肾脏功能只有正常水平的50%.
到2013年,希尔曼每天晚上都离不开透析机. 她不得不放弃自己喜欢的活动,比如旅行、尊巴舞课程和普拉提. 希尔曼还发现,抬起她3岁的孙女越来越困难了.
Then Hillman's former sister-in-law and dear friend, Cynthia Ginsburg, volunteered to donate a kidney. 这两名女性并不匹配,但却一起加入了加州大学旧金山分校的候补名单.
Hillman received her new kidney about a year later.
“这将给我一个开始新生活的机会,”希尔曼在手术前说. “我已经两年没有做任何事情了——我没有旅行过,因为这台机器大约有60磅重. I want to go to Eastern Europe, to Budapest, to Russia.
"There are so many places I want to go."
Becoming a living donor
Find out more
The gift of an organ offers someone another chance at life. 如果您有任何问题或想了解更多信息,请发送电子邮件至 [email protected].
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