قالب وردپرس درنا توس
Home https://server7.kproxy.com/servlet/redirect.srv/sruj/smyrwpoii/p2/ Health https://server7.kproxy.com/servlet/redirect.srv/sruj/smyrwpoii/p2/ The United States begins organ transplants from living donors who have HIV

The United States begins organ transplants from living donors who have HIV



WASHINGTON (AP) – Surgeons in Baltimore have performed what is believed to be the world's first kidney transplant from a living donor with HIV, a milestone for people with AIDS virus – and one who could free up space on the transplant waiting list for everyone .

Nina Martinez of Atlanta traveled to Johns Hopkins University to donate a kidney to a HIV positive stranger and said she "would make a difference in the lives of others" and counteract the stigma that often still surrounds HIV infection [19659003] HIV Transplant ” width=”600″ height=”400″ srcset=”https://atlantablackstar.com/wp-content/uploads/2019/03/AP19085791714264-600×400.jpg 600w, https://atlantablackstar.com/wp-content/uploads/201

9/03/AP19085791714264-300×200.jpg 300w, https://atlantablackstar.com/wp-content/uploads/2019/03/AP19085791714264-768×512.jpg 768w, https://atlantablackstar.com/wp-content/uploads/2019/03/AP19085791714264-696×464.jpg 696w, https://atlantablackstar.com/wp-content/uploads/2019/03/AP19085791714264-1068×712.jpg 1068w, https://atlantablackstar.com/wp-content/uploads/2019/03/AP19085791714264-630×420.jpg 630w” sizes=”(max-width: 600px) 100vw, 600px”/>
In this image made by video provided by Johns Hopkins Medicine, Nina Martinez of Atlanta is rolled into a Baltimore operating room to become the world's first renal transplant living donor with HIV on Monday. ,. (Johns Hopkins Medicine via AP)

Many believe that "someone with HIV should look sick", Martinez, 35, told The Associated Press before the operation. "It is a strong statement to show someone like myself who is healthy enough to be a living organ donor."

At a press conference Thursday, Martinez said she was "good" and hopes she has opened doors for other donors.

"To be able to leave this kind of medical heritage for me, it was quite important," she said.

The recipient of the Martinez kidney, who chose to remain anonymous, is also recovering well, Hopkins said.

"Here is a disease that was previously doomed and now it has been so well controlled that it gives people with that disease an opportunity to save another," said Dr. Dorry Segev, a Hopkins surgeon who pushed for HIV organism Equity, or the HOPE Act, which lifted a 25-year-old US ban on HIV transplantation.

There are no counts of how many HIV-positive patients are among the 113,000 people on the nation's waiting list for organ transplantation. HIV-positive patients can receive transfers from HIV-negative donors like everyone else.

Only in the last few years, spurred by some groundbreaking operations in South Africa, doctors have begun to transplant organs from deceased donors with HIV to patients who also have the virus, organs that would once have been thrown away.

Since 2016, 116 such kidney and liver transplants have been performed in the United States as part of a United Network for Organ Sharing study, or UNOS, which oversees the transplant system. One question is whether you receive a body from a person with a different HIV load than their own poses a risk, but so far there have been no safety issues, says UNOS doctor, Dr. David Klassen.

Hopkins & # 39; Segev said Monday's kidney transplant was the world's first. Doctors had hesitated to allow people still living with HIV to donate because of concern that their remaining kidney would be at risk of virus or older medication used to treat it.

But newer anti-HIV drugs are safer and more effective, said Segev. His team recently examined the kidney disease in 40,000 HIV positive people and concluded that those with well-controlled HIV and no other kidney damage, such as high blood pressure, should be at the same risk of living donation as anyone without HIV.

"There are potentially tens of thousands of people living with HIV right now who can be living kidney donors," says Segev, who has advised some other hospitals considering the approach.

Generally, kidneys from living donors continue longer, Dr. Niraj Desai, the Hopkins surgeon takes care of the recipient. And if more people living with HIV cease to donate, it helps more than HIV-positive patients who need a kidney.

"It's a smaller person waiting for a limited resource," Desai said. "It all helps in the list."

Martinez, a public health consultant, became interested in live donation even before HIV-to-HIV transplants began. So last summer she learned that an HIV-positive friend needed a transplant and tracked down Segev to ask if she could donate.

Her friend died before Martinez completed the necessary health tests, but she decided to honor him by donating to someone she didn't know.

A runner planning to make this fall marathon marathon, "I knew I was just as healthy as someone who didn't live with HIV, who was rated as a kidney donor," Martinez said. "I've never been sure of anything."


Source link