Lea Esteartículoenespañolaquí.
December 4th, Juan Candelaria We celebrated the 49 -year -old birthday with a 7 -mile hiking at Yosemite National Park. But a few months ago, this hiking or the chance to celebrate Christmas with his family -did not happen without the state -of -the -art liver transplant from a living donor.
“This is a brand new day for me,” said Candelaria, who lives in Sanfan Boutista. “I am still recovering some of the training wheels and who I am, and I have experienced it. All of it regains my strength and how I equate it with the world. Seeing.
Candelaria needs to thank Facebook in a small but important way. His 28 -year -old friend Ryan Gray saw his post about his condition and selected himself as a donor.
“I didn't hesitate to my side,” said Gray. “I think I have a friend I care about here. He needs something. I'm going to understand if I can help.”
Therefore, a year process has begun to confirm that the two are compatible.
According to the UCSF liver donor transplant coordinator Finesse Wong-Louie, the time is a serious factor if the patient is specified to need a new liver.
Candelaria was diagnosed with liver disease, which led to liver failure. Later, he was diagnosed with liver cancer and had to be treated for it before surgery. And the clock was over all the time in the cancer and high meld (model of terminal liver disease) score.
“We have discussed treatment,” said Candelalia. “I was informed that there was no treatment for liver cancer unless I removed cancer. They take it out of my body as soon as possible for me to bet as soon as possible. I said it.
UCSF has made a successful transplant of more than 5,000 this year, but its waiting list has now gained a total of more than 400 patients. Approximately 300 people in the list did not reach surgery within time.
Wong-Louie said that when UCSF was provided, he would go to the most needed person.
“So, people must be very sick to get a portable opportunity,” she said, “And they may die before the organs are available.”
She said that the more patient she got sick before the transplant, the longer the stability after surgery and the longer recovery.
Friends and family
Three of Candelaria's direct families agreed to be evaluated to judge whether they were safe. This test included the basic lab work, chest X -rays, electrocardiogram, echo diagram, heart stress test, abdominal ultrasound, and MRI.
“I was honored to have such a sacrifice for me,” said Candelaria. However, after the test and re -test, all my donors began to fall on the list. “
Gray was the only left wing that was qualified. After meeting social workers, psychologists, gray, Kanderaria, their supporters, surgeon, and transplant committee, we met to approve the surgery.
Gray was still delayed while he had to clear an unhealthy habit system. Drinking, smoking, or taking a specific medicine must be canceled to reduce the possibility of complications. In the case of gray, it took three months.
“It didn't scare me,” he said. “But it was very frustrating. I was ready to give it all, so it wasn't a big deal, but I have 6 months to one year for my friend to live. And are they delaying this process for my actions? “
To make things more complicated, Gray lives in Oregon and makes it difficult to defend or participate in this field for testing and counseling. But he said he had decided in advance after he was confirmed as a match.
“It's like everything frozen,” he said. At this point, I was investing in it, so I just wanted to finish the process. “
Candelaria said that it was great comfort to put his deputy secretary between him during his crisis.
“He made us feel together,” he said. “There was a person who understood my fear and anxiety. We are together in a rock step together, which made it much easier for me the whole process to the transplant.”
ordeal
WONG-LOUIE states that donors' 5 to 6 hours of transplant surgery is usually given half of the donor liver and starts at around 7:00 am, which lasts for 8-12 hours in half. I did it.
“They wake up and say” Let's go. “” Gray said. “They start the process. You are on a moving garnie. Everyone is talking to you, you wake up and it's over. A part of me is I want to know more in detail what they did, but I am not ready.
The surgery was performed side by side in the same room. This is because 60 % of the gray liver was removed after the final visual inspection. Candelaria's liver has been completely removed and all traces have been cleaned. After the new liver was installed, he had a hard time starting the function, so he was in the operating room for another two hours.
“I was scared to hear about it,” he said. “They said,” When we want it, it is the window when you do it at the right time. ” I did it. “
Donors take 5-7 days to recover. Recipients will take 10 to 14 days. Liver regeneration begins one hour after surgery. For both patients, the liver grows to a normal size within two months, but Candelaria is taking anti -drugs during his rest of his life.
Candelaria said one of the questions that would be heavier to his heart was whether he was a donor if the situation was reversed.
“You will start asking,” What are the motivations? ” “I can't believe I put this in someone, but it really changes people's lives. Not only those who saved lives, but all the people around them: love them. I am still trying to handle that feeling. “
Regarding gray, it was a simple choice.
“For me,” he said. “It's not all about the emotions and meanings of fear, but I just twist it, and it's a privilege to be part of this process.”
Please contact us for details of the living donor program.
Fines Won Rouie
Living liver donor transplant coordinator
UCSF Medical Center liver transplant service
(415) 518-7163
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