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Doctors will advise liver transplant for children with severe liver disease, who will die if they do not receive a new liver. Biliary atresia is the most frequent liver condition in children who need transplants. It is a rare liver and bile duct disorder that affects new-borns.
Cancer of the liver and various malignancies of the liver
The following are some of the possible side effects of a liver transplant:
Rejection is the immune system’s (or disease-fighting system’s) natural response to a foreign substance or tissue. When the child’s body receives a new liver, the immune system perceives it as a threat and assaults it.
Doctors will prescribe anti-rejection medications to the child for the new liver to survive in their body. Immunosuppressant’s are medications that weaken the immune systems. These medicines must be taken by your child for the rest of his or her life.
Pediatric liver transplant surgeon will refer your child to transplant centre for evaluation if your child is good candidate for liver transplant.
The transplant centre’s team will meet the child and they will put child’s name on a transplant waiting list. The following people will be part of the transplant centre’s team:
The tranplant personnel will perform a full evaluation on the child before putting him/her on the transplant waiting list. The transplant centre team will do many tests, including:
Psychological and social evaluation: Before the transplant team puts child on the transplant waiting list, they must undergo a thorough evaluation. The transplant centre personnel will be perform many examinations, including psychological and social evaluations. They will also perform these tests on parents and child if she/he is old enough
Team of expert doctors will run diagnostic tests and examine overall health of child’s liver. X-rays, blood tests, ultrasounds, a liver biopsy, and dental checkups are examples of these testing.
The transplant center team will look at all of your child’s test results and information. Each transplant center has rules about who can have a liver transplant.
Your child may not be able to have a transplant if he or she:
The transplant system puts people who require a new liver the most urgently at the head of the list. Your child may only be on the waiting list for a donated organ for a few days or weeks. If transplant team will fails to discover living donor then he/she has to wait months or years. Transplant team will closely monitor child’s provider throughout this period. During this time of waiting, there are also support groups available to assist you.
Because a donor has died, doctors will inform when a liver becomes available. You must immediately go to the hospital so that your child can prepare for surgery.
The transplant team will prepare in advance if the liver comes from a living donor. The donor and the child will both have surgery at the same time. The donor must be in good physical condition. He or she must have a blood type that is similar to that of the child. Doctors or counsellors in hospital will do psychological examination of donor. This is to ensure that he or she is happy with the decision.
The transplant doctor or some one from the transplant team will call the parents and child to visit the hospital as soon as a liver becomes available. Hospital can call at any time, so parents has to prepare themselves to reach hospital on time. The child will have some final blood testing and tests at the hospital to ensure that the liver is a match.
Transplant team will take the child to surgery. It’s possible that the transplant will take many hours. This will depend on your child’s situation. During the procedure, a member of the transplant team will update you on the progress.
After surgery the ICU staff will monitor your chlid closely. The amount of time you’re the child spends in the ICU varies. Child’s health will determine how much time she/he will spend in ICU.
Transplant staff and doctors will transfer the child to a dedicated hospital unit for liver transplant patients once he or she is stable. Doctors and staff will monior your chlid closely.
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