This transplant is carried out for several reasons: atresia, biliary, active chronic hepatitis, fulminant hepatitis, and terminal cirrhosis with sequelae, metabolic diseases of the liver and liver tumors.
The patient will begin immunosuppressive therapy before the operation is carried out, which will continue with a very regular program after the operation.
Very rigorous monitoring of the hemodynamic, cardiovascular, neurological, and respiratory state of the hydro-electrolyte balance and liver function will be carried out. This will be done in the intensive care unit.
• Ensure that the patient stays in bed for several days after the intervention.
• Perform blood extraction to see the parameters of serum transaminases (ALT, AST), bilirubin, albumin, and coagulation factors. These parameters must present improvement within the first 24 hours after the intervention if it cannot lead to a complication.
• Help, as much as possible, the psychosocial needs of both the patient and their families.
Under medical prescription, the nurse will administer cyclosporine and corticosteroids to maintain immunosuppression. If signs of rejection are present, doses of immunosuppressive agents or additional agents will be increased.
• Try to maintain your nutritional status.
• Take measures to control the discomfort.
Hospital and follow-up treatment
After the transplant, the patient wakes up in the intensive care unit. Liver transplantation is major surgery and requires very careful monitoring during the first few days. Liver transplant hospitals monitor whether the liver is working well, whether the medication is optimally dosed and whether unwanted side effects occur.
But already on the first days, you will leave the bed to go for a while. This prevents the body from breaking down while lying down. It is especially important now to actively work for one's own recovery. Doctors, nurses, and physiotherapists help with exercises that strengthen the body and circulation and instruct the patient to take the new medication.
Because the new liver is a foreign organ, the body wants to repel it with his immune system. To prevent this, medicines are needed that prevent the immune system (immunosuppressants). These must be taken regularly and punctually. In the period immediately after transplantation, however, many patients may experience rejection reactions, which then have to be stopped with increased medication.
It is not recommended to try to return to everyday life directly after the clinic. The danger that the effort is still too great and that one causes damage to his recovery is too serious. A follow-up treatment (AHB) in a rehab clinic gives the opportunity to work under medical supervision specifically to restore the health.
The life after."
A liver transplant is not done with the surgery. The transplant aftercare lasts much longer. So are regularly, often at the beginning, then usually monthly, blood checks performed to observe the dosage of immunosuppressants and to detect problems with the liver early.
More than ever, as a patient, you now need to take personal responsibility to maintain your health. Due to immunosuppression, infection sources must be avoided, especially in the first year. Some side effects of medicines can be prevented. A healthy lifestyle ensures success.
Successful liver transplantation by liver transplant hospitals in India will also allow you to return to your everyday life, resume your job and lead a life of good quality of life.