一些患有严重心脏病的病人可能受益于 移植. Your cardiologist or pulmonary medicine specialist may refer you to a transplant center for an evaluation. 评价的目的有两个方面:
- To determine the severity of your disease and whether there are any more conventional treatments
- To determine whether you would be able to survive the transplant operation and have a good long-term result afterwards
A successful transplant will dramatically improve your symptoms of heart disease. Many transplant recipients can perform the same physical activities and enjoy the same quality of life as those without transplants. 所有移植受者, 然而, are committed to daily drug treatment and close medical supervision for the rest of their lives.
移植评估非常全面. 除了特定的心脏评估, tests are performed to determine the function of all the major organ systems, 筛查传染病和癌症, and try and predict how well you and your family will cope with the rigors of the transplant regimen. 很多测试, 即使是复杂的, are fairly standardized and can be performed in your local community. Some tests may require you to be briefly admitted to a hospital.
Every potential candidate must make at least one outpatient visit to UCSF Medical Center to meet with the transplant doctors, 协调员和社会工作者. Typically, most of the evaluation can be completed within a week or two.
The transplant team meets weekly to discuss patient evaluations and make decisions on appropriate treatment. 病人 who are felt to be good candidates for 移植 are then put on a national waiting list.
Unfortunately, the waiting times for heart transplants are long – often more than six months. Each patient on our waiting list returns for an outpatient visit to our transplant clinic every two to three months, 如果有必要，可以更频繁地使用.
而许多病人可以在家等待, sometimes it is necessary for patients to be admitted to the hospital in order to remain in satisfactory condition until 移植.
When the transplant team decides that a potential donor is suitable for one of our recipients, 我们会尽快联系病人的. Since it is not possible to predict when a suitable organ will become available and there is a limited amount of time to recover the organs successfully, it is very important that we be able to locate recipients quickly and get them into the hospital in a timely fashion.
这取决于每个病人的具体情况. 在评估面试中, the transplant surgeon will review the details of the surgical procedure, the risks of the procedure and the expected recovery after surgery.
这取决于你的具体情况. Although patients can recover sufficiently after heart 移植 to be discharged within 10 days, it is more typical for patients to be hospitalized for two weeks or more.
移植手术后我必须住在利来登录附近吗?We require all patients to be within 30 minutes driving distance of the transplant center for the first six weeks post discharge. The frequency of follow-up visits and lab tests during this interval can be a problem for patients who live far away. The social worker can help you locate suitable guest housing in the area.
Generally, most patients do not report a lot of pain after heart transplant surgery. 当你咳嗽时，这个切口确实会引起疼痛或不适. We will give you pain medication and specific instructions to lessen the pain.
Your family can accompany you until you go into the transplant surgery. While you are in the intensive care unit, family members may not stay in your room. If you need assistance finding guest housing, a social worker will help you.
We have very open visiting hours and encourage family members to spend time with you. 然而, 为了保护你不受感染, 任何生病的人——感冒或流感, 例如——不应该访问.
伤疤在胸部正中. 它从诺赫开始, 或者胸骨的顶部, 就在你的脖子下面, 就在胸骨的末端. 最初，疤痕更加突出. 随着时间的推移，它会变成一条非常轻的细线.
你要用三种主要的免疫抑制剂, 或排斥, 心脏移植后的药物治疗. Along with the immunosuppressive medications you will need to take several medications that help protect your body from infection.
After heart 移植, you can drive when your sternum, or breastbone, is fully healed. 这大约需要六个星期.
You may return to work two to three months after the transplant surgery.
It generally takes three to six months to fully recover from heart transplant surgery. 然而, age and previous medical problems may cause a longer recovery period.
We have a financial counselor who will verify your insurance coverage. We will obtain authorization for your transplant and follow-up care.
We have support groups for patients on the waiting list as well as for after the transplant. You will be notified of the support group meetings and the topic each month.
加州大学旧金山分校健康医学专家已经审阅了这一信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.