1.How should I make good observation and record after kidney transplantation?
Prepare items: thermometer, blood pressure meter, measuring cup, weighing scale, notebook.
The symptoms of exclusion are as follows: fever, temperature above 38 degrees, decreased urine output, weight gain, enlarged transplanted kidney, pain, loss of appetite, acidity, tachycardia, emotional instability, irritability, increased blood pressure, unexplained weakness, abdominal distension, headache, blood creatinine. For elevated urea nitrogen, it is recommended to record the following.
Blood pressure measurement; twice a day (fixed time, fixed site, fixed blood pressure meter) and record.
Urine volume: record 24-hour urine volume, pay attention to the relationship between urine volume changes and water intake.
Weight measurement: weight should be controlled at standard weight (height cm-105), which can reduce the drug dosage and reduce drug toxic side effects.
Temperature measurement: twice daily (in the morning and in the afternoon).
Self-palpation: Check the size of the transplanted kidney, its softness and hardness, and whether there is any pressure or pain.
Besides, you should record the type and dose of medication, the change of immunosuppressant dosage and examination results, which are helpful for the doctor to adjust the medication reasonably and carry it during the follow-up.
2.Why do I need to take medication as prescribed by the doctor after kidney transplantation?
Immunosuppressants (neostigmine, neozandiamide, prednisone, primaquine, bretylium, FK506) after kidney transplantation
The application of these drugs directly affects the survival of the transplanted kidney, and renal transplant patients need to take them for life. Therefore, at any stage after kidney transplantation, it is necessary to take the medication and follow up on time and in accordance with the requirements of the doctor, not to adjust the medication by oneself, and if occasionally missed, it should be taken as soon as possible.
3.How to review and follow up regularly after kidney transplantation?
The procedure of follow-up check-up: go to the organ transplantation center for follow-up check-up according to the specified time, go to the laboratory department for blood test on an empty stomach before taking medication at 8:00 a.m., then go to the transplantation center office to register and get the follow-up book after the results are released, then go to the follow-up doctor for follow-up check-up, and send back the follow-up book for filing after the end, and the nurse will write the next lab order for you.
Follow-up tests: routine blood, urine, liver and kidney function, cyclosporine (Fk506) concentration, detailed records should be kept and the test results should be saved.
Periodicity of review: generally once a week for 3 months, once every 2 weeks for 3-6 months, once a month for 6-12 months, once every 2 months after one year, chest X-ray and hip X-ray once a year. Ultrasound of the transplanted kidney once a year. Regular eye exams. Of course the interval is flexible, the situation is abnormal should be reviewed more often, if there are changes in the condition at any time to review.
4.How to prevent infection after kidney transplantation?
Keep the room clean, fresh air, suitable temperature, frequent ventilation, try to avoid visitors or crosstalk, less to crowded places, go out with a good mask, keep personal hygiene clean (mouth, hair, female perineum) to prevent infection, prevent colds.
5.How to arrange the diet reasonably after kidney transplantation?
A good and reasonable diet is important for the recovery of kidney transplantation to maintain normal kidney function. A high quality, low protein, low salt, low fat, high vitamin diet should be given, and it is forbidden to eat tonic products that enhance immune function, such as ginseng or ginseng products, sea cucumber, royal jelly, fungus, jujube, etc., because they can increase the immune function to promote the body to recognize the exogenous transplanted kidney and promote the occurrence of rejection, so they are absolutely forbidden. Grapes can affect cytochrome P450 acidin, thus affecting cyclosporine metabolism, prone to drug toxin is also prohibited.
6, how to adhere to exercise after kidney transplantation?
Do not lift heavy objects or do sit-ups or similar exercises within three months after surgery, and do not do strenuous exercises, such as playing soccer or swimming, to avoid pulling the abdominal wound and spraining the muscles, after three months, you can exercise properly. Aerobic exercise is the best way, such as walking, riding a stationary bicycle, dancing, tai chi, strictly prevent trauma to the transplanted kidney, and develop good habits to resume work as soon as possible.