Transplantacija – razlika između verzija
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Verzija na datum 7 mart 2015 u 03:11
Transplantacija organ | |
---|---|
Intervencija | |
ICD-10-PCS | 0?Y |
MeSH | D016377 |
Transplantacija predstavlja zamenu nefunkcionalnog organa putem hiruške intervencije. Ovakve procedure se najčešće izvode kod životno ugroženih osoba (npr. kardiomiopatija) i nešto ređe u cilju poboljšanja osnovnog kvaliteta života kod hroničnih bolesti koje se mogu tretirati na ovaj način.
Transplantaciona medicina zahteva posebnu edukaciju osoblja, specijalnu opremu i sveobuhvatno preoperativno i postoperativno nadgledanje pacijenta, kako bi se mogućnost odbacivanja organa svela na najmanju moguću meru.
Pravni i medicinski kriterijumi koji određuju kada se transplantacija može izvršiti su strogo regulisani. Skupština Republike Srbije je donela zakon o transplantaciji organa i tkiva 2009. godine.
Terminologija
Primalac je obolela osoba koja dobija organ od donora, izuzev u slučaju autotransplantacije. Donor može biti živa (bubreg, jetra) ili moždano preminula osoba (svi organi i tkiva).
Organi koji se mogu transplantirati:
Postupak
Transplantacija organa obuhvata sledeće faze:
- imunološka tipizacija recipijenta i donora,
- transplantacija,
- imunosupresivna terapija.
Regenerativna medicina
Stvaranje organa iz matičnih ćelija je tehnologija za koju se očekuje da će u narednoj deceniji napraviti krupan pomak. U Leskovcu je osnovana Specijalna bolnica za lečenje steriliteta koja bi trebalo da preraste u Institut za matične ćelije.
Istorijat transplantacija u Srbiji
Dr Pjotr Vasiljevič Kolesnikov, ruski emigrant, je 1926. godine u Zaječaru presadio testis osuđenika Ilije Krajana svom ostarelom kolegi, zaječarskom hirurgu.[1] Ovakva procedura se danas ne praktikuje.
Reference
- ↑ http://tmg.org.rs/v290210.htm Timočki medicinski glasnik br. 29 (2004), str. 115 117
Literatura
- collective (2008). „Organ trafficking and transplant tourism and commercialism: the Declaration of Istanbul” (PDF). The Lancet 372 (9632): 5–6. DOI:10.1016/S0140-6736(08)60967-8. PMID 18603141.
- Appel, Jacob M.; Fox, Mark D. (2005). „Organ Solicitation on the Internet: Every Man for Himself?”. Hastings Center Report 35 (3): 14–15. DOI:10.1353/hcr.2005.0052. PMID 16092393.
- Budiani-Saberi, Debra A.; Delmonico, Francis L. (2008). „Organ Trafficking and Transplant Tourism: A Commentary on the Global Realities” (PDF). American Journal of Transplantation 8 (5): 925–929. DOI:10.1111/j.1600-6143.2008.02200.x. PMID 18416734.
- Caplan, Arthur L.; Coelho, Daniel H., ur. (1998). The Ethics of Organ Transplants: The Current Debate. New York: Prometheus Books. ISBN 1-57392-224-2.
- Cherry, Mark J. (2005). Kidney For Sale By Owner: Human Organs, Transplantation, And The Market. Washington, D.C: Georgetown University Press. ISBN 1-58901-040-X.
- Cooper, David K.C.; Lanza, Robert P. (2000). Xeno: The Promise of Transplanting Animal Organs into Humans. Oxford: Oxford University Press. str. 304. ISBN 978-0-19-512833-8.
- Danovitch, Gabriel M.; Delmonico, Francis L. (2008). „The prohibition of kidney sales and organ markets should remain”. Current Opinion in Organ Transplantation 13 (4): 386–394. DOI:10.1097/MOT.0b013e3283097476. PMID 18685334.
- Finn, Robert (2000). Organ Transplants: Making the Most of Your Gift of Life. Patient Center Guides. ISBN 1-56592-634-X.
- Gruessner, Rainer; Benedetti, Enrico (2008). Living Donor Organ Transplantation. New York: McGraw-Hill. str. 791. ISBN 978-0-07-145549-7.
- Hu W, Lu J, Zhang L, et al. (October 2006). „A preliminary report of penile transplantation”. European Urology 50 (4): 851–3. DOI:10.1016/j.eururo.2006.07.026. PMID 16930814.
- Köchler, Hans, ur. (2001) (German). Transplantationsmedizin und personale Identität. Medizinische, ethische, rechtliche und theologische Aspekte der Organverpflanzung [Transplantation Medicine and Personal Identity. Medical, Ethical, Legal and Theological Aspects of Organ Transplantation]. Frankfurt: Peter Lang. ISBN 3-631-38363-0.
- Lock, Margaret M. (2002). Twice Dead: Organ Transplants and the Reinvention of Death. Berkeley: University of California Press. ISBN 0-520-22605-4.
- McLean, Shella A.M.; Williamson, Laura (2005). Xenotransplantation: Law and Ethics. Aldershot: Ashgate Publishing. str. 290. ISBN 0-7546-2379-3.
- Morris PJ (December 2004). „Transplantation—a medical miracle of the 20th century”. New England Journal of Medicine. 351 (26): 2678–80. DOI:10.1056/NEJMp048256. PMID 15616201.
- Sayeed, Sadath A. (2009). „Teaching ethics and trading organs”. Indian Journal of Medical Ethics 6 (1): 25–27. PMID 19241951.
- Shimazono, Yosuke (2007). „The state of the international organ trade: a provisional picture based on integration of available information”. Bulletin of the World Health Organization 85 (12): 901–980. DOI:10.2471/BLT.06.039370. PMC 2636295. PMID 18278256.
- Taylor, James S. (2005). Stakes and Kidneys: Why Markets in Human Body parts are Morally Imperative. Aldershot, Hants, England: Ashgate. ISBN 0-7546-4109-0.
- Trzepacz, Paula T.; DiMartini, Andrea F. (2000). The Transplant Patient: Biological, Psychiatric, and Ethical Issues in Organ Transplantation. Cambridge / New York: Cambridge University Press. str. 311. ISBN 0-521-55354-7.
- World Health Organization (2008) (PDF). Human organ and tissue transplantation. Geneva / New York: WHO. str. 13. Pristupljeno 24 December 2013.
- Tess Gerritsen (1996). Harvest. New York: Pocket Books. ISBN 978-0-671-55301-2
- Lee Gutkind (1990). Many Sleepless Nights: The World of Organ Transplantation. University of Pittsburgh Press. ISBN 978-0-8229-5905-2
- Jodi Picoult (2008). Change of Heart: A Novel. New York: Simon & Schuster. ISBN 978-1-4165-6560-4, ISBN 978-0-7434-9675-9 (reprint version)
- Schlich, T. (2010) [1880–1930]. The Origins of Organ Transplantation: Surgery and Laboratory Science. University of Rochester Press. ISBN 978-1-58046-353-9
Spoljašnje veze
- DonorHeroj - Spasi živote, zaveštaj organe! Sajt DonorHeroj se bavi edukacijom i promocijom zaveštanja i transplantacije organa i tkiva.
- Nacionalna kampanja Ministarstva zdravlja „Produži život"
- Organ Transplant survival rates from the Scientific Registry of Transplant Recipients
- Multi Organ Transplant
- Liver Transplant Procedure description – by Children's Hospital of Pittsburgh
- The Gift of a Lifetime – Online Educational Documentary