活体捐献常见问题

所有诊所, 医院, and reasonable physician's charges from donor evaluation are covered by the Medicare End-Stage Renal Disease Program, whether or not the donor is accepted. You can discuss any questions, at any time, with the Transplant Program's financial coordinator.

As a living donor, you should be aware of the financial aspects of donation. Donors should check with their own insurance prior to donation. Although unlikely, the act of donating a kidney could possibly affect future insurance coverage. We recommend that you have insurance prior to donating a kidney. Some aspects of the donation may be covered by the Transplant Recipient's insurance.

Items typically covered by the Transplant Recipient's insurance:

• 手术
• 一些后续护理

Items typically NOT covered by the Transplant Recipient's insurance:

• 下班时间
• 差旅费用*
• Expenses for treatment of unrelated conditions (For example, if a screening test revealed cancerous cells, treatment for this condition would not be covered by the recipient's insurance).

*For travel expenses and other funds, the National Living Donor Assistance Center (NLDAC) offers a grant to donors. 然而, there are income qualifications that both the donor and the recipient must meet in order for the donor to be eligible.

Patients are admitted the day of surgery. Pre-operative testing will be performed approximately 7-10 days before admission to make sure the donor is still in good health. A member of the Transplant Team will also meet with the donor prior to admission. 一旦进了医院, the donor will have another opportunity to discuss final concerns with a provider.

手术 is usually scheduled early in the morning, lasts about three hours and is performed under general anesthesia. There are two surgical options: laparoscopic or open nephrectomy, which will be discussed in detail during your evaluation. Once the kidney is removed, it is immediately transplanted into the recipient. The donor's remaining kidney then takes over the work previously done by two kidneys. 手术后, the donor is moved to the recovery room for observation, then returned to a 医院 room when fully awake.

This depends on the donor's surgical procedure: for a laparoscopic kidney removal the 医院 stay is 2–3 days; for an open nephrectomy procedure the 医院 stay is 4–5 days. At the time of discharge, a follow-up appointment will be scheduled.

手术后马上, the donor can expect to be tired from the operation and anesthesia and will experience pain from the incision. Medication will be given to relieve the discomfort, which will decrease as the donor becomes more active. Usually pain medicine is not needed after the first week or two. 随着切口愈合, the pain will become less severe, 但是温柔, 刺痛, and itching may continue for a number of weeks.

Pain medication may be necessary for several days after discharge, but no other medicine is routinely needed, and no long-term diet changes are necessary.

Laparoscopic kidney donors tend to return to work in 4-6 weeks, while open nephrectomy kidney donors return to work in 6–8 weeks. Restrictions will be discussed based on the type of procedure performed. Generally, sexual activity can be resumed in one to two weeks after discharge from the 医院. There are no long-term restrictions on physical activities, 身体接触运动除外, which could injure the remaining kidney.

There will be a 6 month, 1 year and 2 year follow-up with the transplant team. We recommend that all kidney donors see their primary care doctor once a year for routine checkups. This annual visit should as a minimum include a physical, 血压检查, 验尿, 基本的血液检查. It is extremely important for living donors to pursue a healthy life style for the long term (getting regular exercise and maintaining a healthy weight) to minimize the risk of hypertension (high blood pressure) and diabetes.