Is the donor’s body given back to the relatives?
Does
the donor have to die in a Hospital?
Will there be any conflict in saving donors life &
considering him for organ donation?
Is
it possible that the brain dead patient survives after
declaring dead?
Will
the body of the deceased be disfigured ?
Will
the decision to donate cost anything to donor’s
family ?
Will
the relatives of the donor know to whom the organs
are given?
Does
the rich get priority in the waiting list of the recipients?
Does
the religion approve organ donation?
From
where does one get organs for transplantation?
What
is brain stem death or brain death?
How
is Brain Death determined?
Is
it possible that the brain dead patient survives after
declaring dead?
What
organs and tissues can be donated?
Who
can be an organ donor?
What
medical conditions exclude a person from donating
organs?
How
one can be an organ donor?
Where
do the donor livers come from?
Do
the donor and the recipient have to be matched by
tissue type, sex, age, etc.?
What
happens if there are two suitable recipients for a
donated liver?
What
is living donation?
What
organs can come from living donors?
What
are the advantages of living donation over nonliving
donation?
Are
transplants from living donors always successful?
Is
there an age limit?
How
are organs and tissues removed?
How
Are Donors And Recipients Matched?
Is the donor’s body given back to the relatives?
YES. The concept
of organ donation is different from body donation.
The body is given back to the relatives after the
retrieval of the organs. Only the organs for which
the donor or his close relatives has given the consent
will be retrieved.
Does the donor have to die in a Hospital?
Yes, since by definition
a brain dead individual is on life support in an intensive
care unit. The eyes can however be removed for 6 hours
even after the heart stops beating and hence eyes
can be removed if the individual dies at home. The
donor’s family can contact the nearest eye bank
at earliest.
Will there be any conflict in saving donors life &
considering him for organ donation?
NO. Organ donor
will be considered only when all the efforts to save
the donor’s life have been made & the donor
is declared dead. The doctors who declare the patient
dead is in no way involved in organ transplant. Organs
are never taken at the cost of donor’s life.
Is it possible that the brain dead patient survives
after declaring dead?
NO. The brain death
once declared it is not possible the individual will
survive. THE PATIENT IS DEAD
Will the body of the deceased be disfigured ?
No. Organs are very
carefully removed and incisions are closed with the
same care provided to living persons. It will not
be apparent to anyone viewing the body that organs
have been donated.
Will the decision to donate cost anything to donor’s
family ?
NO. The cost required
for maintaining the donor will be born by the recipient’s
family or by the hospital from the time the consent
for organ donation is given. However, all the funeral
responsibilities & expenses remain with the relatives.
Will the relatives of the donor know to whom the organs
are given?
NO. The name &
address of the recipient is never given to the donor’s
family &vice versa.
Does the rich get priority in the waiting list of
the recipients?
NO. Organs are distributed
depending on clinical criteria like blood group, immunological
matching, body size, medical urgency, time waiting
& in some cases geographic proximity is also considered.
Factors such as race, religion gender, and wealth
are never the criteria for organ distribution.
Does the religion approve organ donation?
YES. All the religions
in India supports organ donation &consider it
as an act of charity. In any religion the GIFT OF
LIFE is considered as the most pious act.
From where does one get organs for transplantation?
Firstly organs can
be removed from a living individual if there is a
paired organ like the kidney. This is preferably done
from close relative for medical and social reasons.
Alternatively organs can be removed from cadaver or
dead bodies. However, death in the context of organ
donation refers to “brain stem death”
or “brain dead” which are interchangeable
terms.
What
is brain stem death or brain death?
Traditionally death
was declared only when the heart stopped beating.
Today the patient can be declared dead by measuring
brain stem functions. Brain stem is a part of the
central nervous system which if irreparably damaged,
the patient stops breathing, other functions can no
longer continue independently and the individual is
dead. The heart may continue to function on ventilator
and other support for a maximum up to 36-72 hours.
This is the phase of brain death. In essence we have
redefined death. It is during this period that organs
can be retrieved for transplantation after proper
consent.
How is Brain Death determined?
The criteria for
declaring brain death have evolved over the last 4
decades and are now uniformly accepted throughout
the world. Brain death is declared by the brain death
committee which involves a team of four doctors who
are not involved in the transplant team. This declaration
is legal. This team has to perform the tests twice
at a minimum gap of 6 hours so as to confirm the findings.
This can only be done in institutions recognized for
transplantations by the government.
Is it possible that the brain dead patient survives
after declaring dead?
No. The set of test
done by the experts leaves no possible doubts about
the diagnosis of brain death and hence there is no
question of the survival of the individual.
What organs and tissues can be donated?
Organs:
- heart
- lungs
- liver
- pancreas
- kidneys
Tissues:
- heart valve tissue
- eye tissue
- bone tissue
Can the brain be transplanted?
No. brain has not been successfully transplanted yet but brain cell transplantation has been done.
Why is the brain not transplanted?
The brain has a lot of connections including the spinal cord and thousands of nerve connections, blood vessels to the rest of the body. Hence it is extremely complicated.
Who can be an organ donor?
Any individual of
any age, gender or religion can be an organ donor.
The decision to retrieve the organs will be based
on the health of the organs. The close relative of
the brain dead can give the consent for organ donation
if the deceased has not made a will. It is possible
that even if you have given the consent but you may
not be suitable for transplant.
The success of transplantation has given people the
chance not only of survival but renewed quality of
life. It is well recognized that it is only through
the generosity of individuals and their families that
transplantation is made possible.
What medical conditions exclude a person from donating
organs?
HIV and actively
spreading cancer (except localized cancer of the brain)
normally exclude people from donating organs; otherwise
the organs are evaluated at the time of death.
How one can be an organ donor?
Any individual who
wishes to be an organ donor can sign a donor card.
It is a legal document. Most important is to discuss
your wishes with your family. Generally the organs
are not taken if your relatives disagree even if you
have signed a donor card.
Where do the donor livers come from?
Livers are donated,
with the consent of the next of kin, from individuals
who have brain death, usually as a result of a head
injury or brain hemorrhage. When such a donor is identified,
transplant centers are contacted through a computer
network and arrangements are made to retrieve whatever
organs may be donated. Frequently this involves a
team from a transplant center flying to the donor
hospital to remove the organs, and returning with
them for the transplant operation.
Do the donor and the recipient have to be matched
by tissue type, sex, age, etc.?
No. For liver transplants,
the only requirements are that the donor and recipient
need to be approximately the same size, and of compatible
blood types. No other matching is necessary.
What happens if there are two suitable recipients
for a donated liver?
This is unusual
in practice but the decision would be to transplant
the patient with the more urgent need.
What is living donation?
Living donation
takes place when a living person donates an organ
(or part of an organ) for transplantation to another
person. The living donor can be a family member, such
as a parent, child, brother or sister (living related
donation).
Living donation
can also come from someone who is emotionally related
to the recipient, such as a good friend, spouse or
an in-law (living unrelated donation).
In some cases, living
donation may even be from a stranger, which is called
nondirected donation.
What organs can come from living donors?
The organ most commonly
given by a living donor is the kidney. People usually
have two kidneys, and one is all that is needed to
live a normal life. Parts of other organs including
the lung, liver and pancreas are now being transplanted
from living donors.
What are the advantages of living donation over nonliving
donation?
Transplants performed
from living donors have several advantages compared
to transplants performed from nonliving donors (individuals
who have been declared brain dead and their families
have made the decision to donate their organs):
1. Some living donor
transplants are done between family members who are
genetically similar. A better genetic match lessens
the risk of rejection.
2. A kidney from
a living donor usually functions immediately, making
it easier to monitor. Some nonliving donor kidneys
do not function immediately and as a result, the patient
may require dialysis until the kidney starts to function.
3. Potential donors
can be tested ahead of time to find the donor who
is most compatible with the recipient. The transplant
can take place at a time convenient for both donor
and recipient.
Are transplants from living donors always successful?
Although transplantation
is highly successful, and success rates continue to
improve, problems may occur. Sometimes, the kidney
is lost to rejection, surgical complications or the
original disease that caused the recipient’s
kidneys to fail. Talk to the transplant center staff
about their success rates and the national success
rates.
Although not everyone can be an organ donor, most
people can be a tissue donor, as tissues can be retrieved
up to 24 hours after the heart has stopped beating
- cardiac death. You do not need to have died in a
hospital to be able to donate tissues.
The success of transplantation has given people the
chance not only of survival but renewed quality of
life. It is well recognised that it is only through
the generosity of individuals and their families that
transplantation is made possible.
Is there an age limit?
Age limits are not
a consideration, as the condition of your organs will
be assessed at the time of your death, regardless
of your age. Some tissues may be donated by people
up to 90 years of age.
Some medical conditions may prevent you from donating
organs or tissues, such as transmissible disease,
for example, HIV or AIDS and cancer.
How are organs and tissues removed?
During organ or
tissue donation, your body will be treated with respect,
dignity and care. Organs which are removed for transplant
occur in the operating theatre of the hospital at
which the person died. It is a full surgical procedure
performed by specialist transplant surgeons. The incision
depends on which organs/tissues are retrieved and
are always sutured closed, as in any surgical operation.
If the person is
a donor of tissues only, that is, they are unable
to donate organs such as heart, lungs, liver, pancreas
and kidneys, then these tissues, (namely, eye tissue,
bone tissue and heart valve tissue) can be removed
in a mortuary under sterile conditions by specialist
staff.
If the circumstances
of the death of the person involve a Coroners inquiry,
then a post-mortem examination will be carried out
after the donation surgery. The donation of organs
and tissues does not interfere with the legal requirements
of a coronial investigation.
How Are Donors And Recipients Matched?
Donated organs such
as the heart, lungs, liver and pancreas are matched
to recipients by blood group and weight. Age and sex
are not relevant.
If there are two people on the waiting list who are
similarly matched, then the person who has been waiting
the longest or who is the most ill at the time would
receive the organ.
Kidney matching also requires blood group matching
but weight is not a relevant consideration. Kidneys
are always tissue typed to find the best matched recipients.
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