Conditions for liver donation
The patient begins searching for a liver donation as soon as the doctor agrees to perform a liver transplant for him and confirms its importance to the case. UNOS), which is a national agency concerned with the search for a suitable liver for these patients, in addition to this, there are local agencies such as Organ Procurement Organizations and symbolized by (OPO), which facilitate the process of securing a liver that matches the patient’s condition, and it will be The conditions for donating the liver are explained in some detail below.
freedom to donate
The donor must have complete freedom to donate any part of his body, and no one may be compelled to do so, so that he is devoid of any sense of pressure or guilt associated with this, and it is worth noting that the liver donation is not paid.
The existence of a kinship or bond between the donor and the patient
The chance of realizing the necessary factors for donation between the donor and the recipient increases if there is a relationship between them, although kinship is not a condition in all cases, as was indicated previously, there are some organ transplant centers that allow healthy people to donate part of their liver to patients on the waiting list Although there is no relationship between them.
Blood type compatibility between patient and donor
There must be compatibility or matching in the blood groups between the liver donor and the recipient patient, bearing in mind that the Rh factor match may not be necessary in this case, On the importance of compatibility or matching of blood groups, it is indicated that this is necessary to reduce the risk of the body rejecting the transplanted organ, and the doctor will determine the patient’s blood type during his assessment of his condition. Determining the blood type depends on detecting the presence of certain structures on the surface of red blood cells known as antigens (in English: Antigens), and accordingly there are four blood groups; They are: “A”, “B”, “AB”, and “O”. If there is a compatibility between the blood type of the donor and the recipient, the doctor will conduct other tests to reveal the nature of the tissues and the extent of compatibility between the donor and recipient tissues. In addition to conducting the tests concerned with antibodies, the bases used when detecting the matching of blood groups between the donor and the recipient can be stated as follows:
- A person with type O blood is considered a universal donor, as he can donate to anyone regardless of the blood type he has.
- Person with type A blood can only donate to people with type A or AB blood type.
- Someone with type B blood can only donate to people with type B or AB blood type.
- Or with type AB blood can only donate to people with type AB blood.
Have proper physical health
The donor must have appropriate physical health, it is necessary to ensure that the liver, kidneys, and thyroid gland are able to function efficiently, and it is necessary that the donor is free of any other health problems, including:
- Liver disease, including hepatitis .
- Diabetes, or a strong family history of this disease.
- Heart, kidney, or lung disease.
- Gastrointestinal diseases, autoimmune disorders, neurological disorders, or certain types of blood diseases.
- Infection with the human immunodeficiency virus, or acquired immunodeficiency syndrome, also known as AIDS.
- Uncontrolled high blood pressure.
- Current or long-term infection, such as hepatitis C infection.
- taking alcohol or drugs; marijuana
To ensure that the person is in good health and can donate a liver; The doctor performs a physical examination in addition to a series of other tests; Such as blood and urine analysis, heart examinations, X-rays, and mammograms for women who are forty years or older, and colonoscopy for women and men 50 years of age a year or more.