With love, my husband gained 30 pounds after marriage. How can my wife donate her kidney to him because of renal failure?

At 9: 00 am on July 7, a kidney transplant operation was under intense pressure in the operating room of Jiangsu Provincial Hospital. This is a routine kidney transplant, but the patient of this transplant is a couple, which is unusual. In order to help her husband recover from uremia, his 32-year-old wife gave her a healthy kidney.

Details are as follows:

Yang Nan (pseudonym) and Yang Yun (pseudonym) are a post-80s couple from Jiangning, Nanjing. In 2007, they were introduced, and a year later, they were married and loved each other. However, just married for one year, that is, after the couple went out to travel home during the May Day holiday in 2009, Yang Nan felt dizzy and headache. At first, he joked that it would not be because he gained 30 pounds after marriage and was overnourished. Anxious Yang Yun took her husband's blood pressure, which soared to 200mm/Hg. Yang Nan realized that he was seriously ill, so they quickly went to the Nephrology Department of Jiangsu Provincial Hospital. At that time, Xing, Mao Huijuan and other expert teams, combined with the examination results, gave a very clear clinical diagnosis-chronic kidney disease, and it was very serious, just one step away from uremia, which is well known to us. This result is undoubtedly a surprise for the newlyweds.

The wife quietly cooperated with her husband's back.

Just learned of his illness, the kind Yang Nan didn't want to drag his wife down. He is always looking for an excuse to quarrel with Yang Yun and want her to leave him. Yang Yun has always adhered to her wedding vows. In order to take better care of Yang Nan, Yang Yun quit his original job in the factory and changed the big house where he lived into a small room. The rest of the money is used to treat Yang Nan.

A year and a half later, Yang Nan's condition developed to uremia, and Yang Nan chose peritoneal dialysis. Kidney transplantation is the dream of all uremic patients. As long as there is a glimmer of hope, no one will give up. Yang Nan is no exception. While doing peritoneal dialysis, he waited for a suitable kidney source. However, how long is the waiting time? Every time they hear that there is a suitable kidney source, they are looking forward to doing kidney matching, but they are disappointed every time. After learning that Yang Nan's mother failed to match, Yang Yun made a match with the psychology of giving it a try. She thought there might be a miracle of love! I didn't expect that "God never shuts one door but he opens another", and she actually matched successfully.

At first, Yang Nan couldn't accept the idea that his wife, who weighed only 90 kilograms, would donate his kidney. Yang Yun persuaded her husband again and again. "Give you my kidney, I want to walk with you more!" This sentence finally persuaded Yang Nan.

Kidney transplantation between husband and wife is rare.

Although his wife is willing to donate his kidney, Yang Nan is not suitable for surgery because of the dialysis side effects of lung infection and secondary hyperparathyroidism. 20 17 On February 20th, Yang Yun took Yang Nan to the urology department of Jiangsu Provincial Hospital again. "Professor Gu, we have decided to transplant organs." When meeting Professor Gu Min, the chief physician of urology in our hospital, Gu Min recognized two young people in front of him, and he also received the young couple on 20 13. Subsequently, the two lived in the ward and received fine matching tests again. The results show that the two types are successful and can be operated.

Professor Gu Min told the reporter, "According to the research, couples who live together for a long time are prone to immune tolerance, with less rejection after kidney transplantation, and the transplant effect is more ideal, which is more advantageous than other relatives except identical twins. This may be what we often say about the miracle of love. Kidney transplantation between husband and wife was rare in the past. The first couple kidney transplant in the Provincial People's Hospital was in 2004, and the Yang couple should be the second kidney transplant in the hospital. "

The operation was a success.

Start working as soon as the new kidney is in place.

On March 7, 20 17, around 8 o'clock, Yang Yun was pushed into the operating room and began to prepare. At about 9 o'clock, Professor Gu Min, the chief surgeon and chief physician of urology department of Jiangsu Provincial Hospital, performed minimally invasive laparoscopic nephrectomy for the patient, and carefully removed the kidney from a 5 cm incision.

Because the kidney should be transplanted into Yang Nan as soon as possible, the doctors were divided into two groups. One group sewed up the wound for Yang Yun, and the other group began to "prune" the resected kidney, while cooling it with ice water to protect blood vessels. At about 1 1 o'clock, Yang Nan began to undergo kidney transplantation. After three hours of operation, at about 14 o'clock, Yang Nan's kidney transplant operation was also successfully completed. After the vascular suture was completed, Yang Nan's new kidney began to work immediately. The urine output reached 700ml one hour after operation. This is a very good result.

Expert reminder

Obesity hurts the kidney and works overtime.

Professor Xing from the Department of Nephrology, Jiangsu Provincial Hospital, was deeply moved when he learned and accepted the kidney transplant operation. When talking about the illness, Professor Xing said that if the diet is reasonable after marriage, and you don't overeat, you will gain more than 30 kilograms at once, which may not cause kidney disease.

Professor Xing told reporters that as early as 1923, some experts found that about 40% obese patients would be accompanied by proteinuria. Later, more and more studies show that overweight or obese people are more likely to have proteinuria, hypertensive nephropathy and diabetic nephropathy. With the aggravation of the disease, overweight or obese patients enter end-stage renal insufficiency more quickly. On the contrary, after losing weight, the above situation can be alleviated and the progress of renal function damage can be slowed down.

Obesity damages renal function. First, the products of metabolism increase, and the kidneys need to work overtime, which directly increases the burden on the kidneys. At the same time, adipose tissue can release a variety of fat factors, promoting cell proliferation, extracellular matrix aggregation and renal fibrosis. Obese patients are often accompanied by dyslipidemia, hypertension, hyperglycemia and hyperuricemia, which are independent risk factors for the occurrence and development of chronic kidney disease.