After Kidney Transplant
A successfully transplanted kidney works like a normal kidney to filter your blood. You won't need dialysis. But you will need to take medicines to keep your new kidney healthy.
Talk with your healthcare team about your medicines and discuss any guidelines you will need to follow to keep your new kidney working right.
The body's immune system attacks germs and prevents infection. Because the transplanted kidney is not a natural part of your body, your body's immune system may attack it. This is called rejection. Certain medicines can help keep rejection from happening. You must take these anti-rejection medicines for the rest of your life.
Organ rejection is detected and confirmed by doing a kidney biopsy. A small sample of kidney tissue is removed through a needle and examined by a specialist called a pathologist. Biopsy is done under local anesthesia. This means medicines are used to numb the area where the needle will be put into your body. If rejection does happen, treatment may stop it. If it can't be stopped, your new kidney will no longer work. You will then need dialysis to keep you alive. In time, you may also be able to have a second transplant.
Possible side effects of transplant medicines
Medicines to prevent rejection can have many side effects. The medicines weaken the immune system, so you may get more infections and they may be more serious. Talk with your healthcare provider about these and other possible side effects.
Possible complications of transplantation
Kidney transplant surgery, like any surgery, can have complications in the period right after the operation. In addition, there is always the risk that the new kidney will be rejected. The anti-rejection medicines have some possible complications that include infections and some types of cancer. Your healthcare provider can talk to you about all of these in more detail.
Eating and drinking
If the kidney stays healthy you won't need dialysis. This means you will have more choices about what to eat and drink. A dietitian can teach you what guidelines you need to follow.
Take your medicines as directed. If you don't, your new kidney will stop working and you will need dialysis again.
Visit your healthcare provider regularly for blood tests. These check how well your kidney and transplant medicines are working.
Call your healthcare provider right away if you get any kind of infection.
February 22, 2018
Kidney Disease Improving Global Outcomes. Transplant Work Group Clinical Practice Guideline for the Care of Kidney Transplant Recipients. American Journal of Transplantation (2009); 9(3); pp. s1-s157, Overview of care for the adult kidney transplant recipient, Up To Date
Latif, Walead, DO,Walton-Ziegler, Olivia, MS, PA-C