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THE TRANSPLANT: Life with a new heart
The human being has always been interested in life and death being these processes inherent to their existence. One of the aspects that relates to this concern are the diseases, constant realities of individuals, unions and societies. Faced with these circumstances of discomfort, various medical alternatives can be used within which the most questioned, the heart transplantation is. The issue of heart transplant has to do with the conceptualization of life, health and finally that mysterious and incomprehensible that we have called death. For the entire society the issue is shocking;Many have cataloged it as a miracle, but at the same time baffles and confuses others, so it is reasonable to ask, what is the survival benefit that the transplant can contribute? From my point of view, I consider that the heart transplant provides the opportunity to continue living without assuming a degree of high risk. However, to better understand this matter, various aspects that clarify the irrefutable ones will be covered in the following paragraphs.
It is sad to hear or see reports in which they inform us that sometimes patients die or for not submitting to the operation due to the fear they feel, that there are patients who are taken from the list when they are considered not transplantable. But, if the intention of wanting to help by those who possess the possibility and if you inform all the controls that are carried out before and after the transplantation to reduce their risk, the story would be another. For reasons that can be effectively supported it is fair to mention that heart transplant can change this reality and provide high survival, a new beginning.
In general, a heart transplant is an operation in which a heart that is failing is replaced by the healthiest heart of a donor and in which many specialists participate in order to ensure adequate procedure. In other applabras, heart transplant is a surgical procedure not associated with complex risks and that consists in extracting a sick heart that cannot be cured with drugs or conventional surgery and replacing it with a healthy heart of a donor ensuring a better quality of life.
The heart transplant is found in the therapeutic arms owner of patients with terminal heart failure. It should be noted that this insufficiency syndrome can be a result or caused by many pathological entities, among which is ischemic heart disease, dilated heart disease, viral disease, among others. Being a condition that needs to be attended only with a transplant, you can’t look for other alternatives that may or may not work. The risk of the operation and the result is dismembered by recognizing that it is an intervention that requires certain precautions, which will be taken into account by professionals when they fulfill their work as doctors. In addition, to some extent the effectiveness of the results and a lower risk in them will depend on the indications that the transplanted patient continues before, during and after the operation.
However, some point out that the risk of this operation focuses on infections, and although there are alternatives to control them, they say they are irremediable. From his point of view there is a greater probability of acquiring a bacterial infection if the patient has an advanced age, diabetes, malnutrition and renal failure. In addition, they agree that this factor can lead to death even after having spent considerable time after the operation and that the organism’s vulnerability is high so it manifests inability to control the infection.
However, in order to reduce the risk of infections, appropriate antimicrobial cleaning, use of mechanical ventilation prior to transplantation, use of ventricular assistance devices, antimicrobial treatments and results of recent crops and results of recent crops should be used. Preview a hygienic environment and address the patient health. For its part, the patient must ensure that the place where he will be intervened has the necessary prophylactic auxiliary conditions in order to contribute to the withdrawal of any eventuality.
It can be affirmed that the number of transplanted organs and patients who have benefited from these procedures reaches very considerable figures in the world. It can be said that surgical technique has already been dominated and that immunosuppressive substances of great efficacy are available that control the rejection reaction in the vast majority of cases, allowing a healthy and uncomplicated life.
But, one more problem is essential in this topic since the number of donors also represents a risk for some patients. Obstacles can be found in relatives who still do not have enough education to allow the organs of their deceased relatives or difficulties in the donors who frequently refuse to transfer their organs to be transplanted when they die when they die when they die when they die. Indeed, some patients do not have an organ and therefore little by little they accept the idea of dying.
However, it is possible to solve the problem of the low number of donors. If campaigns are carried out or if in exchange for an organ, an amount of money is provided, a material good or other benefits, it can be encouraged that people who are in the possibility of donating their hearts, do so. Everything is basically in promoting in a generalized way a thought of help that more than carrying negative factors, I generated a very positive consequence, giving the opportunity to continue living. Faced with these cases it is very important to know that the one who does not live to serve does not serve to live.
On the other hand, it is worth mentioning that patients who have exceeded the early postoperative period are discharged and enter an outpatient monitoring program. The objective is to detect rejection, assess the function of the graft, make a general evaluation of the health status of the receiver and discard possible complications related to transplantation. This promotes a good quality of life and the inhibition of any type of risk that may arise. In addition, according to what the DR reports. Juan Delgado, a member of the Spanish Society of Cardiology (SEC), the hope of duration of a patient transplanted from the heart is about twelve years after the operation and the patients who receive the heart transplant are usually above 60 years. So, it is clear that the life expectancy they have is the one that corresponds to them in relation to their age so it is a time that cannot be associated with large complications.
The follow -up provided to transplanted patients focuses specifically on reducing risks. As in any other operation it is necessary for postoperative care that ensures positive results. In addition, the lifestyle of these patients should vary to some extent after the intervention, in the sense that they eradicate certain habits and promote others ensuring a better state without alarm presence.
In recent years the heart transplant has radically changed the prognosis of a selected group of patients with congestive heart failure (ICC) advanced. It is the best treatment, as it gives an important increase in terms of survival;From the functional aspect, more than 90% of the survivors are in functional capacity I (without limitation) or II (slight limitation in physical activity) and, in terms of quality these results allow a practically normal relationship, intellectual and labor relationship. Considering these data, is the presence of risks around heart transplantation evident?
In conclusion, it can be affirmed that the heart transplant provides the opportunity to continue living without assuming a degree of high risk. This surgical operation is effective in the cure of heart failure that is not improved with conventional medical and/or surgical treatments. Undoubtedly, the current results have improved natural history in terms of patient stability and their quality of life and, although there are limitations such as the shortage of available donors and rejection of transplantation, these from strategies in the social aspect anddoctor can be controlled. Although much has been achieved, it is necessary to continue investigating and developing new strategies to offer more patients with terminal heart failure the opportunity to receive the only effective treatment to increase their survival: heart transplantation.