According to information from the National Hospital of Pediatrics, S.A boys were diagnosed with end -stage chronic renal failure on the background of Von Willebrand, causing blood clotting disorders, accompanied by heart failure.This is considered one of the most difficult kidney transplants ever of the hospital.
4 years old detected chronic kidney failure
S.A was found to have chronic kidney failure since 4 years old, accompanied by thrombocytopenia.During the past 4 years, the family persevered with the baby in parallel with two diseases and periodically checked at the National Hospital of Pediatrics.In November 2023, the situation of children worse, causing complications of the heart and lung function, so the child was prescribed dialysis to replace the kidneys in the kidney and dialysis.However, this process is very difficult because S.A was found to have more hematology Von Willebrand tube 2B.This is a hemostatic disorder due to a shortage or a decrease in the activity of Von Willebrand factor in the blood.
Each successful kidney transplant is a new life to be revived (Photo: BVCC)
“In addition to losing the factor of S.A, Von Willebrand is active, platelets.In the process of periodic dialysis, the child's platelets are often low and have to transmit platelets, and at the same time, there are prolonged bleeding, we have to intervene to prevent this situation. ”- Dr. Nguyen Thi Mai Huong - Head of Clinical Hematology Department - National Hospital of Pediatrics said.
Along with that, the child's heart failure also causes the treatment process to be greatly affected, the child has to dialysis daily to reduce the overload for the heart, however, every day they can only endure.1 hour of dialysis is to stop, so the dialysis is ineffective.
This kidney transplant is a huge challenge but also the only way to save the life
According to Dr. Nguyen Thu Huong - Head of Kidney and dialysis department, National Hospital of Pediatrics: “Kidney transplant techniques at National Hospital of Pediatrics have become regular for many years, but this is a very complicated case.Magic.Membership for S.A patients faces many difficulties, otherwise the kidney transplant will die.However, the transplant has many risks because children with blood clotting disorders, thrombocytopenia and prolonged heart failure.We have consulted with specialties many times, clearly identifying risk factors, surgical methods, anesthesia, specific resuscitation and determination to resolve kidneys to save young life. ”
Under the chairmanship of Dr.BS Cao Viet Tung - Deputy Director of the Hospital and the close guidance of the Board of Directors, on August 27, the specialties in the hospital such as: Urology, cardiovascular, kidney and kidneyDialysis, resuscitation anesthesia, external resuscitation, endocrine - metabolism - genetics, diagnosis of imaging, blood banks, biochemistry, hematology have participated in coordinating the implementation of kidney transplantation for children S.A.
After the whole situation has stabilized, children continue to take care, monitor at the Department of Kidney and dialysis and daily children are injected with Von Willebrand element, platelet transmission as directed by the clinical hematology (Photo: BVCC)
Before and during the surgery, clinical hematologists are constantly on duty, ensuring the injection of drugs to improve the concentration of Willebrand and platelet transmission to the surgical crew and anesthesia in the surgery.
After 5 hours of surgery, the urine appeared after the ureter connection, the patient was controlled the bleeding, the tense kidney transplantation took place successfully in the broken joy of the whole crew.After the transplant, the child was transferred to the Department of Active Surgical Treatment to monitor and take care of resuscitation.Children are supported with regular living functions, control and prevention of infections, ensuring good nutrition, good blood pressure, ensuring optimal kidney perfusion, compensating the volume of circulation, water balance and electrolyte,Maintain anti -grafted drugs.
“Very happy, very happy!My family is nervous since the child has a kidney transplant, but the doctor encourages, advises and knows the careful preparation of the doctors, the family is very confident.Fortunately, the miracle has come to me, I have passed the door of death, recovered faster than expected, it has been a long time since I performed the functions of the kidney like normal people.My family is grateful to the Hospital's Board of Directors, the doctors of the kidney and dialysis with the doctors of the specialties very much because they wholeheartedly cure their children.My family also sincerely thanked the Hospital's Social Work Department for calling for benefactors to support all funds for S.A's surgery very much. ”- Ms. P.A (Children's mother) choked.
Ms. P.A (Children's mother) was touched when she recounted the journey with her child to fight with the disease (Photo: BVCC)
Currently, after 14 days of kidney transplantation, children have been completely stable, alert, normal eating and being discharged on 11/9.Now, S.A will be able to return to the school of play like her peers, her family no longer has to quit their jobs to take her daily dialysis, the family economy will also be less burdened.
Since 2004, the National Hospital of Pediatrics has successfully transplanted kidneys for nearly 70 children, opening the door of life for many children with end -stage chronic kidney failure.In particular, the monitoring and treatment of post -kidney treatment is also focused on the hospital to extend the life of the transplant, helping patients with better quality of life.