常见问题:心脏移植
- 我怎么知道我是否需要移植?
- 移植手术将如何改变我的生活?
- 评估很难吗?
- 等候名单有多长?
- 当一个器官可用时会发生什么?
- 手术很复杂吗?
- 移植后我要住院多久?
- 移植后我必须待在十大赌博平台排行榜附近吗?
- 手术后我会痛吗?
- 我的家人能和我住在一起吗?
- 我的伤疤会是什么样子?
- 移植手术后我要服用什么药物?
- 我什么时候可以开车?
- 我什么时候可以回去工作?
- 完全恢复需要多长时间?
- 我的保险会支付移植和后续护理的费用吗?
- 有接受移植的病人支持小组吗?
我怎么知道我是否需要移植?
一些患有严重心脏病的患者可能会受益于 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
移植手术将如何改变我的生活?
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.
评估很难吗?
移植评估是非常彻底的. 除了具体的心脏评估, 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. 许多测试, 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.
等候名单有多长?
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里等待, sometimes it is necessary for patients to be admitted to the hospital in order to remain in satisfactory condition until 移植.
当一个器官可用时会发生什么?
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. 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.
手术很复杂吗?
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.
移植后我要住院多久?
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.
移植后我必须待在十大赌博平台排行榜附近吗?
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.手术后我会痛吗?
Generally, most patients do not report a lot of pain after heart transplant surgery. 当你咳嗽时,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.
我的家人能和我住在一起吗?
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, 任何患感冒或流感的人, 比如——不应该去拜访.
我的伤疤会是什么样子?
伤疤在胸部中央. 午夜开始, 或者胸骨的顶部, 就在你的脖子下, 然后穿过胸骨的末端. 最初疤痕比较突出. 随着时间的推移,它会逐渐变淡,变成一条非常细的线.
移植手术后我要服用什么药物?
你要服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.
我什么时候可以开车?
After heart 移植, you can drive when your sternum, or breastbone, is fully healed. 这大约需要六个星期.
我什么时候可以回去工作?
You may return to work two to three months after the transplant surgery.
完全恢复需要多长时间?
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.
我的保险会支付移植和后续护理的费用吗?
We have a financial counselor who will verify your insurance coverage. We will obtain authorization for your transplant and follow-up care.
有接受移植的病人支持小组吗?
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查了这些信息. 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.