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A liver transplant is a surgical procedure that replaces a liver that is diseased or no longer functions properly with a liver from a deceased donor or a portion of a healthy liver from a living donor. The living donor can be:
Someone who is emotionally related to the recipient such as a good friend, a significant other, or a spouse.
A family member of the recipient, such as a parent, adult child, brother, or sister.
Other biologically related relatives, such as an aunt, uncle, or cousin.
A person who has heard about the transplant candidate’s need.
Altruistic donation or non-directed living-donor. This means that the donor does not know or name the recipient of the donated liver. The match is based on blood type compatibility and medical need. The donor may choose not to know the recipient or may meet if both agree.
When the living donor is a family member, it is called a living related donor liver transplant.
Living related donor liver transplant is usually used as an alternative to waiting for a deceased donor liver or an altruistic donation to become available. A liver transplant from a living donor is possible because the human liver can regenerate and return to its normal size, capacity, and volume within a couple of months after surgical removal of part of the organ. The transplanted liver portion in the recipient will grow and restore normal liver function as well.
Not everyone can be a living related donor. The donor has to be healthy and able to safely undergo major surgery. In addition, the donor’s blood type, age, and organ size are critical considerations in determining whether the recipient and the donor are a match. Extensive health and psychological evaluation are required to make sure that the donor and the recipient are a match, as well as to assess the donor’s mental and physical health.
A liver transplant surgery from a living donor is usually scheduled in advance.
The surgeons will first operate on the donor. The surgery is done under general anesthesia, a portion of the donor's liver is removed through an incision in the abdomen. Both the left and right lobe of the liver can be used for donation. The specific part of the liver donated depends on the donor liver’s size and the recipient’s needs. Around 40% to 70% of the donor’s liver is removed for transplantation.
Once the donor's liver is ready, the surgeons will perform the liver transplant on you (the recipient). During this surgery, an anesthesiologist will give you a general anesthetic. After you are anesthetized, the surgeons will create an incision under the ribs on both sides of your belly and separate the diseased liver from the nearby organs and structures to carefully remove it. Then, the donated liver portion will be placed in your body by connecting the bile ducts and blood vessels to the new liver. The final step is closing the incision with stitches or surgical staples.
After a living related donor liver transplant, you should expect to spend 5 to 10 days in the hospital. Expect to stay in Malaysia for at least a month after you are discharged from the hospital as you need to attend follow-up checkups. Your liver transplant team will design a checkup schedule for you. Laboratory blood tests are typically obtained twice a week after transplantation and will be reduced gradually. You must attend all of the follow-up checkups and blood tests because your doctor needs to check your condition.
The recovery period depends on the severity of your condition before your liver transplant surgery. In general, the full recovery time until you feel fully healed after your liver transplant surgery can take around six months or more. However, you should be able to return to some of your normal activities, including work (office job) within 2 to 4 months following your surgery. Simple activities of daily living may be resumed within a few weeks.
You will take medication for the rest of your life – the medications are called immunosuppressant (anti-rejection medicines), which works by keeping your immune system from attacking your new liver. They are used to help the transplanted liver survive in your body.
You will take other medications – you may need other types of medications to help reduce the risk of other complications.
Avoid crowds or anyone who has an infection – anti-rejection medicines affect your immune system, increasing your risk of infections. Therefore, you need to avoid contact with anyone who has an infection or crowds for the first few months.
Eat a well-balanced diet –to help you recover and keep your new liver healthy. A dietitian from your transplant team will discuss your nutrition and diet needs. In general, your diet should be low in fat, salt, cholesterol, and sugar. You also need to avoid alcohol.
Exercise regularly – walk as much as you can soon after your transplant. Then, start to incorporate more physical activity into your daily life. Make sure to check in with your transplant team before starting an exercise routine.
The success rate of the liver transplant depends on your specific situation. In general, around 75% of people who have a liver transplant live for at least five years. People who receive a liver from a living related donor usually have longer survival rates than those who receive a deceased donor liver. Also, people who have a living related donor liver transplant seem to experience fewer medical problems.
The risks and side effects associated with liver transplant include rejection of the donated liver, bleeding, bile duct complications, failure of donated liver, infection, mental confusion, seizures, and recurrence of liver disease in the transplanted liver.
There are currently no alternatives to a liver transplant. However, the alternative to living related donor liver transplant is to wait for a deceased donor liver or an altruistic donation to become available. Make sure to discuss with your doctor the best option for your case.
Before a living related liver transplant, you may have acute or chronic liver failure, which may be caused by a variety of conditions, or you may have certain cancers that originate in the liver. After the procedure, these conditions may be cured. Your survival rates will be increased significantly after the procedure.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Malaysia is a rich culturally-oriented tourist destination and has a beautiful blend of modernization with a relaxed lifestyle. The population of the country is 32 Million people and Malaysia’s economy ranks in the fourth position in terms of size in Southeast Asia, The electronics, automotive, and construction industries are the biggest industries in Malaysia. The capital is Kuala Lumpur and It is the country’s largest urban area and is the cultural, commercial, and transportation center.
Presently, Malaysia stands as a renowned destination for its exemplary healthcare facilities, offering these high-quality services at notably affordable costs when juxtaposed against other globally recognized medical nations. As per predictions from the Ministry of Finance, the influx of medical tourists is expected to surge beyond 2,000,000 million by 2020. This forecasted growth can be largely attributed to the exemption of taxes imposed on medical bills.
The cities that top the list of medical travel include Kuala Lumpur, Penang, Selangor, Sarawak, and Melaka. Statistics reveal that among the 1.2 million patients who have visited Malaysia for medical care in 2017, 600,000 alone were from Indonesia. The most-sought-after medical procedures are cosmetic surgery, Brazilian butt-lift, and dental surgery. Malaysia is a favorite destination among medical tourists globally for the following reasons.
Some of the top-rated five-star medical tourism hospitals within the country include Columbia Asia Extended Care Hospital situated in Selangor, Sunway Velocity Medical Centre located in Kuala Lumpur, and Sunway Medical Centre based in Selangor.
Undoubtedly, Malaysia's appeal is immediately evident. The variety of experiences it offers, from bustling cities to idyllic landscapes, entrances visitors. Malaysia's multiculturalism, expressed through unique customs and diverse cuisines, only enhances its charm. This draws tourists from all corners of the globe, leaving them yearning for more. Succinctly, the splendor and diversity of Malaysia make it hard to resist repeated visits.
The must-visit cities in Malaysia renowned for their world-class appeal include Malacca, Langkawi, Kuching, Spaden, Johor Bahru, and Taiping.
Malaysia is a place that's warm all year round, as being in the tropical region. But since it's close to the ocean, the air can get pretty moist. Still, it's re-assuring to note that it doesn't get too hot, with temperatures usually staying between a pleasant 20°C and 30°C all throughout the year. Those who prefer cooler weather can visit the highlands in Malaysia, where it's generally chillier.
When planning a trip it's important to take into account the best times to visit different parts of the country. If you're eyeing the east coast, try to schedule your visit between March and September; this period is relatively drier than other months. On the other hand, the west coast is better visited from November to August. It's best to avoid the heavy rains which usually occur from September to October. With this information, you can plan to get the best out of your trip to Malaysia.
The Country has a well-developed transport network and efficient rail links which makes all travel around the country easy.
It is advisable to book domestic transport well in advance during the main festivals, such as Chinese New Year, Hari Raya Pusa and Hari Raya Haji. Domestic flights and domestic express bus services are often sold out weeks before these festivals. All the major cities in Malaysia have an airport and most budget airlines operate into the country.
In the larger cities of Malaysia, you'll find that transportation is convenient with many kinds of vehicles to choose from. Specifically in Kuala Lumpur, the capital city, there's a broad range of public transportation options to get around. You can hop on buses for an affordable ride or opt for minibusses, locally known as "bas-mini" to navigate through narrower streets.
Furthermore, taxis are easily accessible in Kuala Lumpur, providing a convenient alternative when you prefer more comfort or need to reach a specific destination quickly. If you would like to experience something traditional and fun, pedicabs or "trishaws" as they are commonly known, are present in some parts of the city offering you a unique ride.
Additionally, Kuala Lumpur also boasts a well-connected train network, including rapid transit and commuter rail services, facilitating quick and efficient travel across the city. It's safe to say that in Kuala Lumpur, moving around is smooth and easy, thanks to these diverse means of transportation.
In Malaysian towns and cities, various modes of transport are used, including ferry services. In cities, the rail network is a good way to get around, especially the KL Monorail and transit trains.
The residents of the following countries holding a valid passport are the ones required to apply for a Malaysian tourist visa. China, India, Sri Lanka, Nepal, Myanmar, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro
All other nationalities will not need a visa to visit Malaysia. You will normally be given permission to stay for 3 months on arrival. Visas for longer stays or for non-tourist purposes must be obtained from the nearest Malaysian diplomatic mission before you travel.
The Malaysian authorities are running a vigorous campaign against illegal immigration. Don’t overstay your visa, or violate the terms of entry. Even if you overstay for just a few days, you can be fined, detained, deported, and blacklisted. Flight costs will be the responsibility of the individual.