A Few Questions Answered for Living Organ Donors

Why can not most organ donors be organ donors? 

Organ donors must be required to die in a hospital. Donors in brain death must die, in particular, in Critical Care units that have the technical means necessary to artificially maintain pulmonary ventilation and donor circulation. When all legal criteria for brain death are met, it is possible to declare and certify the death of a person who maintains blood circulation and the functioning of some organs because he is connected to an artificial respirator and receives the necessary medication to maintain cardiac function (vasopressor medication) .

living organ donor

The diagnosis of brain death requires that three doctors, other than those who will participate in the extraction or transplant, Check for complete absence of brain response by examination of trunk-brain reflexes and instrumental demonstration of complete destruction of the brain. In these circumstances, the organs remain perfused and oxygenated until the moment of extraction in the operating room. With these requirements can only be organ donors between 1 and 2% of all those killed in a hospital.

In asystole donors, the death is due to an irreversible cardiorespiratory arrest despite advanced resuscitation maneuvers. In these cases the perfusion of some organs is maintained until the moment of the extraction by means of perfusion and cooling with the aid of a sophisticated technology.

What changes in the external appearance causes the extraction of organs? 

Surgery that allows the removal of organs from a deceased person for transplantation is performed in a regulated manner in the operating room as other operations of gallbladder, appendicitis or heart and always with the utmost respect to the body of the deceased. After removal of organs, the external appearance of the deceased does not change appreciably and only a sutured scar remains on the skin of the thorax and abdomen.

In the case of tissue donors such as corneas or bones, prostheses are placed to recover volume or firmness after extraction.

How long does the removal of organs last? 

The extraction of organs has a variable duration depending on the type and characteristics of donated organs and tissues. Usually it oscillates between 3 and 6 hours.

How long can the organs removed be kept before the transplant? 

It depends on the conditions of the donor and the type of organ. The kidney can be kept in good condition, kept cold, up to thirty-six hours. Heart and lungs can only be maintained for about six hours. Liver and pancreas arrive up to about twelve hours. But, in any case, one should try to keep the extracted organ waiting to be implanted in the shortest possible time.

The tissues have different maintenance, some of which can be frozen and kept viable for years; Such is bone, ligaments, cartilage and skin. The corneas are valid for transplantation up to ten days, provided they have been kept in the appropriate medium and at 4º C. The bone marrow can also be frozen and preserved for periods ranging from days to weeks.

These intervals are very important, because they limit the time available to select the best receiver from all who wait, which is sometimes found in other hospitals thousands of miles away.

What types of donors are there? 

There are two types of donors according to the origin of the organ or tissue: living donor and deceased donor.

 

types of donors

  • Living donor is the person who makes the donation in life. This type of transplant is performed with the assurance that the extraction will not represent any health problem for the donor. The organs that can be given in life are a kidney, a part of the liver, a lung or the pancreas. Hematopoietic progenitors (peripheral blood, bone marrow and umbilical cord blood), bone tissue, amniotic membrane and skin are the tissues that can be donated in life. The most common living donors are umbilical cord blood, bone marrow, and kidney. The organ from the living donor will always be directed to a specific person, who is usually from the family environment, although it is not essential.
  • A deceased donor is called the person who donates his organs or tissues to be extracted after his death. Deceased donors can be brain death (irreversible destruction of the brain) or donors in asystole (irreversible cardiac arrest).

In US the donor died of brain death is the majority and accounts for approximately 80% of all donors.

Who can be a donor? 

  • Living Donor: Any person of legal age and full of health who is of legal age. These situations will be verified and certified by doctors other than those who will perform the transplant and must be approved by the Ethics Committees and the Civil Registry Court.
  • Donor deceased : Any person of any age (from newborns up to more than 75 years old), who until the moment of the donation has not had any disease transmissible with the donation (cancer or infectious diseases) and can not be donated History of risk that contraindicates the donation. In short, practically everyone can be a donor.

How are donors usually? 

Until a few years ago most of the donors died from complete and irreversible destruction of the brain due to traumatic brain injury due to traffic accident. However, at present, the first cause of death of deceased donors is the destruction of the brain secondary to cerebral hemorrhage. This circumstance has been responsible for raising the average age of deceased donors.

What can you donate? 

In all cases only the organs or tissues with the possibility of being transplanted will be removed. It is necessary to differentiate the organs denominated solid like: kidney, heart, liver, intestine, lung, pancreas; Of tissues such as: corneas, bone, skin, cartilage, tendons, amniotic membrane, heart valves, arteries, veins and hematopoietic progenitors (peripheral blood, bone marrow or umbilical cord).

The deceased donor can donate all its solid organs and tissues while the living donor can only donate one of its kidneys, a part of the liver, lung or pancreas and bone tissue, hematopoietic progenitors, amniotic membrane or skin.

If more than one solid organ (kidney, liver, heart, lung or pancreas) is removed, the donation is called multiorgan. If the extracted tissues are two or more, we are talking about multi-tissue donation.

What is usually done with extracted and non-transplanted organs? 

When a deceased donor organ is extracted that, due to the circumstances, does not end up being valid for transplantation, it is sent to the Department of Pathological Anatomy for analysis and then incinerated.

What evidence is given to donors? 

All donors are given multiple tests and other diagnostic tests to check the good condition and functioning of the organ or tissue to be transplanted and to verify the absence of transmissible diseases that could cause a contagion to the recipient. In addition, in the case of live donors, donor-recipient compatibility tests are performed to ensure the viability of the transplanted organ.

What do major religions think about organ donation and transplantation? 

Most of the religions around us have been in favor of organ donation for therapeutic purposes.

The Catholic Church, for example, has expressed clearly and forcefully that organ donation is the supreme act of charity, generosity and love that one person can do for another in this life. The last Popes in different encyclicals and other documents encourage all Catholics to express themselves in life in favor of donation. Bishops and priests preach the need for organ donation to save lives or avoid suffering for people with serious health problems.

 

organ-donor

Reformed Christian churches (Adventists, Anglicans, Evangelicals, Methodists, etc.) generally advocate that each person should conscientiously decide on the decision to be a donor, thus not posing problems with donation and transplants.

Jehovah’s Witnesses, who express their opposition to blood transfusions, do not, on the contrary, have any opposition to the donation of their own organs or to receive transplants, provided that they are assured that they will not be transfused during the operation.

The Jewish religion is also favorable to organ donation. You can even read in the Talmud “Who Saves a Life Saves the World,” and their religious hierarchies interpret that organ donation for transplantation is the best attitude to help others save their lives.

Nor does the Muslim religion oppose donation, and this has been expressed in various documents issued by its religious authorities. However, the absence of a religious authority that unites doctrines makes, in reality, uncommon the donation of people of Muslim religion. Usually, religious problems are associated with social problems and certain customs, with post-death cults that make it difficult to facilitate donation. Countries with an Islamic religion like Turkey even have specific legislation on brain death and donations are relatively frequent. In others such as Pakistan, of the same religion, the donation of bodies of deceased considered it unacceptable.

Other minority religions in our midst, such as Buddhism and Shintoism, do not favor organ donation because, according to their beliefs, the death process happens gradually, completing itself over three days after clinical death. During this time, the body of the deceased Buddhist should not be manipulated as this would interfere with future reincarnations.

What actions will be useful to promote an adequate social awareness in organ donation? [return]

The population must know that in a society with a majority of people favorable to the donation would mean a benefit for the whole population (healthy and sick). No one is safe that at some point in life, suddenly, some kind of illness or dysfunction that requires a treatment with transplants arises. Only if we live in a society massively aware of the organ donation can it be possible that the transplant can be carried out without delay and, therefore, with maximum chances of success.

To achieve this awareness, it is necessary to provide the population with adequate and periodic information to assess donation and transplantation as essential actions to promote health in our social environment.

Full Body Stretch with Locust Pose

Locust Pose is also Known as Salabhasana.locust pose

About the Locust Pose / Salabhasana

This pose is done while lying on the floor with your face down. It is a relatively easy pose to perform.

Benefits of Locust Pose / Salabhasana

* The pose helps you to stretch your belly, chest, shoulders, and thighs.
* It helps you strengthen the muscles of the backs of the arms and legs, buttocks, and spine.
* It stimulates organs located in the abdominal region.
* It also helps you relieve stress.
* Lastly, the pose helps you improve posture too.

The pose has also found in the therapeutic treatment of the following ailments:

* Constipation
* Flatulence
* Fatigue
* Indigestion
* Lower-back pain

How to do Locust Pose / Salabhasana?

Step 1: Prostrate yourself on the floor with your stomach beneath you. Your arms should be at your sides. The palms should face the ceiling.

Step 2: While remaining in the same position, make a gentle attempt to lift your head.

Step 3:
 Simultaneously lift your shoulders and arms off the floor as well.

Step 4: Now comes the difficult part. While holding your chest and your arms off the floor, make an attempt to lift your legs as well. The eventual outcome of this would be that your entire body weight would be balanced only on your stomach and ribs.

Step 5: Hold the position for about a minute.

More about Locust Pose or Salabhasana

A word of caution! 

The pose is not to be performed if you are suffering from any of the following ailments/injuries:

* Serious back injury
* Headache
* Neck injuries

Practitioners suffering from a neck injury do not need to look up during the pose. Alternatively, they can also make use of a folded blanket placed beneath their head for support.

A Tip for beginners

Lifting your shoulders and arms off the floor is the biggest challenge for beginners. They do not need to do it all at once and can break it down into two stages- the shoulders and then the legs. To lift their shoulders they can make use of their wrist and forearms. Lock your hand in the position for continuous support. After that you can lift your leg. You can do them alternatively as well.

Use of Props

The pose is not easy to perform, especially for beginners. Balancing would be their biggest cause of worry. A prop such as a folded blanket can be used to attain the requisite balance. Place the folded blanket placed just beneath your chest. In a likewise manner, you can place a folded blanket underneath your thigh to get that support.

Yoga Poses For High Blood Pressure

High blood pressure or hypertension is an alarming problem as it brings along numerous health risks, some of which can be as fatal as a heart attack. Yoga can help you deal with the problem of high blood pressure in an absolutely safe and natural way. Here are some yoga poses that can help you battle high blood pressure.yoga-for-blood-pressure

Salamba Sirasana or Supported Headstand
This yoga posture stimulates the pituitary and pineal glands. It aids in strengthening of lungs and tones the abdominal organs. Salamba Sirasana helps treat mild depression and relieves stress. It also helps strengthen the spine, legs and arms. This yoga posture can be used to treat various problems like osteoporosis, sinusitis, insomnia, infertility and asthma.

Vrksasana or Tree Pose
This yoga pose comprises of standing on one single leg. Practicing this yoga pose on a daily basis can help bring down your blood pressure levels. Vrkasana helps in strengthening the spine, thighs, claves and ankles. It also helps reduce flat feet along with improving a sense of balance. Besides, it also helps improve your digestive function.

Uddiyana Bandha or Upward Abdominal Lock
This is one of the best yoga poses for dealing with high blood pressure. It helps stimulate the blood circulation in the abdomen and also enhances the blood flow to the brain. This yoga posture is extremely helpful in strengthening the abdominal muscles and diaphgram. Further on, it also helps in improving the digestion and assimilation of food. It also helps in detoxification and cleansing the digestive system. It also helps in massaging the abdominal viscera along with the heart and the lungs.

Urdhva Dhanurasana or Wheel Pose
This yoga posture is known to treat various diseases. It not just helps combat high blood pressure but also helps treat asthma, back pain and infertility. It increases the energy levels and helps overcome weakness and fatigue. Also, this yoga pose helps stimulate the pituitary and the thyroid glands. This yoga posture also helps strengthen the spine, legs, wrists and the abdomen. It aids in stretching the chest and the lungs.

Natrajasana or Lord of the Dance pose
This yoga posture helps improve the overall sense of balance. Natrajasana offers stretching to the entire body, which helps flex the muscles. Those dealing with the problem of high blood pressure or hypertension should practice this yoga posture on a regular basis. It helps stretch the chest, shoulders, groins, thighs and the abdomen. Further on, this yoga posture can also help strengthen the ankles and the legs.

Practice these yoga poses and you can bring down your blood pressure levels without using any medications.