Warm heart!A 1-year-old angel donated a kidney to save two people and a 4-year-old girl from dialysis four times a day


A month ago, a 1-year-old baby died due to an accident. Grieving parents reluctantly decided to donate a pair of kidneys to the baby, one of which was successfully matched with 4-year-old uremic child Nuonuo (pseudonym).Reporters learned from Renji Hospital, Renji Hospital urology kidney transplant team successfully implemented a kidney transplant operation for Nuonuo, this is the hospital to carry out kidney transplant surgery completed the youngest age of uremia recipient kidney transplant operation.After surgery, Noronol creatinine quickly returned to normal, without the pain of dialysis, has been discharged smoothly.At the beginning of the New Year, the kidney transplant team sent a New Year gift package for Nuonuo, hoping that the lovely girl could recover as soon as possible, and after six months of stability, she could go to school like other children.Cute, always like behind brother do Jeff karstens, had a family of four life is full of laughter, but in April last year, man because when cold hospital inspection found renal insufficiency, and serum creatinine rapidly rising to 500 millimoles/l (the scope of normal serum creatinine for 44-133 millimoles/l),As short as 2 months into the progress of renal failure, commonly known as uremia.Man’s parents to accept his 4-year-old children diagnosed with uremia facts, but the genetic tests confirmed existence invs gene variants, this baby with autosomal recessive genetic disease type nephron renal tuberculosis associated type 2, combined with clinical basic can maintain the primary disease of the man uremia is the infantile nephron renal tuberculosis type 2.As the disease progressed rapidly, Nono was admitted to the INTENSIVE care unit and began temporary hemodialysis treatment. When his condition stabilized, he was switched to peritoneal dialysis to continue maintenance treatment.Repeated dialysis would have been painful for a 4-year-old, but Nono cooperated with the treatment without crying or crying.The child’s kindness makes the parents even more heartbroken, unable to accept the fact that their child will spend a beautiful childhood in constant dialysis.With the last hope, his parents took Nuonuo to the kidney transplant clinic of Renji Hospital. Under the guidance of Dr. Li Dawei, they completed the examination and laboratory tests and successfully registered in the National Kidney Transplant Registry. Then they began to wait for a suitable kidney source.The wait was long, and peritoneal dialysis, four times a day, was barely enough to keep him alive. Nono’s body became so weak that even drinking water became a luxury.Uremia patients’ kidneys can not discharge excess water in the body, drinking more water is easy to induce serious complications such as heart failure.”We just let her drink drop by drop, and in most cases we didn’t dare let her drink at all.””Nono’s parents said.Hope turned to despair after a long wait until a month ago, when a kidney was successfully matched to a 1-year-old baby who tragically died in an accident.When a suitable kidney source is matched, the kidney transplant team immediately prepares, discusses and evaluates the risks of surgery, and formulates precise and perfect surgical and treatment plans.In early December last year, Nuonuo was sent to the operating room, clever she did not cry, very cooperate with the anesthesiologist to accept general anesthesia, the operation is very smooth, has been discharged smoothly.Nephronophthisis (NPHP) is a group of rare autosomal recessive cystic kidney disease, mainly involving renal tubules and interstitium. It is one of the common causes of hereditary end-stage renal disease in children and adolescents. At present, 20 pathogenic genes have been identified.There are no effective treatment and intervention measures except alternative therapy such as dialysis transplantation.According to urology chief physician Zhang Ming, generally less than 5 years old uremia children often for hereditary kidney disease.In recent years, with the improvement of the diagnosis level of renal disease and the increase of supportive treatment methods, most children with uremia can get a clear diagnosis of etiology, and the effect of dialysis support treatment has also been greatly improved.In addition, the establishment of the Organ donation and transplantation system of the National Health Commission has made it possible to donate organs after the death of children, which has made it possible for children of younger ages and sizes to receive kidney transplantation treatment.Compared with adult patients, uremia causes problems such as excretion of toxins and hematopoiesis, but also lags in growth and development.The average length of stay and mortality of children with growth retardation were significantly higher than those with normal growth and development.Therefore, for children with uremia, kidney transplantation can not only effectively replace renal function, but also help improve nutrition and help normal growth and development, which is the best choice to save children with uremia.Responsible editor Yang Linyu source published in Pudong view number author: Pudong Observation

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