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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 Ukraine 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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Ukraine offers a favorable cost of living, which may be a strong draw for why one should consider exploring it. In particular, its capital city of Kiev ranks high among the list of economical European capitals. This affordability impacts various aspects from food, drinks to sightseeing, transport, and accommodations, making it a great option for budget-conscious travelers.
An added intrigue of Ukraine, specifically Kiev, is in how its affordable rates do not compromise the quality of the experience. Rather, it enhances the encounter as it leaves room to sample more of what the city has to offer. Amidst the cost-effectiveness, the country still presents a rich collection of attractions that are worthwhile. These span from convenient transport systems, diverse culinary options, alluring sightseeing spots to suitable lodging facilities. So, not only do you get to save money, but you also extravagant value while navigating through this remarkable city.
Ukraine is a growing magnet for health tourists, with a rise in individuals journeying for Liver Transplant (Living Related Donor) services. The option to access private dental care, cosmetic procedures, and a diverse range of medical treatments at a fraction of what they would cost in one's home country makes it incredibly appealing. Further, the absence of extensive waiting lists is another attractive feature.
Added to these, Ukraine's reputation is rapidly gaining traction on the international front as a premier hub for laser eye surgery. The country is carving an image for itself as a pioneer in eye care, offering innovative and state-of-the-art laser vision correction techniques. Thus, the country isn’t just a destination for affordable services, but also for quality specialized treatments at the forefront of modern medical technology.
Boasting a diverse populace of approximately 42.5 million residents, Ukraine stands as an expansive and multicultural nation that happens to be the biggest geographically within Europe’s borders. The country's lush forests create the feeling of an unspoiled, yet to be unveiled paradise. The breathtaking landscape combined with the stunning architectural feats create aesthetically pleasing vistas, which are a key part of Ukraine’s appeal.
It's important to consider that travel advisories from authorities such as the UK Foreign and Commonwealth Office advise against traveling to regions like Crimea, Donetsk, and Lugansk. As a traveler, it's crucial to stay updated on such notifications and follow relevant guidance from your respective government before planning a journey. Ensure you are well-informed about local situations and regulations to ensure your safety and security while traveling.
Ukraine predominantly experiences a moderate climate, with an intriguing exception. The southern coastline of Crimea stands out with its delightful subtropical weather. This distinct climate pattern adds to the region's charm, making it distinct from the broader Ukrainian weather trends.
Ukraine's summers tend to kick off in June and extend until September. During this period, temperatures fluctuate within the range of 19 – 25 °C, underlining agreeable weather conditions. The days are typically long, sunny, and warm, sporadically met with occasional rain showers. With such favorable weather, it comes as no surprise that summer is the peak of tourist activity in Ukraine.
Transitional seasons - spring and autumn - are characterized by mild temperatures. However, they are also the seasons with the most rainfall. Spring, in particular, brings a colorful impact on Ukraine's cities with blossoming plants painting a vibrant landscape.
Winter, on the other hand, introduces a colder climate with notable snowfall, particularly in the northeastern regions. The average temperature ranges from 5 to -3 °C during this time, creating a winter wonderland that contrasts to the warm and vibrant seasons.
Boryspil International Airport is the largest airport in Ukraine. Located 29km east of Kyiv, the airport serves domestic flights and has international connections with major cities in Europe and a few cities in Asia. Boryspil International Airport is the hub for Ukraine International Airlines and serves several budget airlines including Lauda, Ryanair, and SkyUp airlines. There are two other airports that serve international and domestic flights: Lviv Danylo Halytskyi International Airport and Odessa International Airport.
Tourists can take a taxi, bus, or shuttle bus to get to the city center. Airport taxis use meters and are comfortable. Some taxis even accept payment by credit cards. Buses are also a great option to get to the city center, Sky Bus takes tourists from Boryspil International Airport to Kyiv and departs from Terminal D and Terminal B. Sky Bus should cost around 60 UAH or 100 UAH depending on the destination.
To visit different cities, domestic flights are inexpensive and will speed up long distance journeys. The fastest way to get around big cities is the minibusses or subway (known as Metro). Minibusses follow routes that the regular bus travels on. Tourists can flag minibusses and ask them to stop at other places that are not the specified bus stops. The fare is fixed no matter how far your destination is.
Taxis are easily available in big cities. Most taxis don’t use a meter but taxi drivers usually don’t cheat. A long trip in Kyiv usually cost around 70 UAH. Shortstops start from 15 to 20 UAH. Tourists can also order a taxi by phone, although most taxi operators do not speak English. Locals usually are happy to help order a taxi for tourists.
Driving in Ukraine by car or motorcycle is another option to explore the country, but the roads are bad and the signs are written in Ukrainian (Cyrillic alphabet) only. Road policeman is one of the biggest disadvantages as they usually request a small bribe when they stop tourists.
Individuals hailing from countries like the European Union, Canada, and the United States, among others, enjoy the liberty of staying in Ukraine visa-free for a span of up to 90 days. However, citizens of certain other nations like China, India, and Thailand are required to secure a visa prior to setting foot in the country. To defend against any potential misunderstanding or complications, it is wise to verify visa obligations and specifics from the Ministry of Foreign Affairs of Ukraine's website before planning a trip.
Certain provisions are in place for tourists that allow visa-on-arrival options at major airports and seaports. In addition, an e-Visa system is operational for citizens from 52 designated countries, rendering the process more streamlined. It is mandatory for all visitors to possess a passport that remains valid for a minimum of 3 months beyond the expected date of exit from Ukraine. Moreover, this passport should have at least two pages that are devoid of any visas, marks, or stamps. These regulations ensure a smooth immigration process, avoiding any potential complications during travel.
Additional Information about Visas: