Kidney Transplant Benefits and Risks for IgA Nephropathy

Staff
By Staff
5 Min Read

A successful kidney transplant means having a healthy kidney that’s working well. For people who have already started dialysis, that means they will no longer need dialysis treatments. “Even though dialysis prolongs life, it doesn’t come close to replacing the function of a working kidney,” says Ryan. A successful kidney transplant can also help people live longer than if they remained on dialysis, Dr. Haririan says.

Kidneys perform many essential jobs in the body, so having a working kidney again can lead to a wide range of health and quality-of-life benefits.

Lower Risk of IgAN Complications

A functioning transplanted kidney can lower the risk of serious health problems linked to kidney failure, such as heart disease, stroke, and calcification (or hardening) of the blood vessels, says Nicole M. Ali, MD, a transplant nephrologist and the medical director of the Kidney Transplant Program at NYU Langone in New York.

A healthy kidney also does a better job of regulating fluid. “This reduces the risk of breathing troubles and swelling in the legs and other tissues, in addition to stress on the heart,” says Haririan.

Electrolytes, such as potassium, calcium, and phosphorus, are also better managed, which is important for the cells in your body to function normally, especially those in the heart and nervous system, Haririan says. When damaged kidneys have a hard time removing potassium from the blood, for example, this can lead to dangerous heart rhythms.

More Energy

Fatigue is a common symptom for people with IgAN, especially as kidney function declines. This occurs in part because poorly functioning kidneys allow waste products and toxins to build up in the blood, Ryan says. Dialysis can remove some of these substances, but the treatment itself is physically taxing, and many people still struggle with low energy.

That often changes after a kidney transplant, says Ryan, who notes that people often feel much better once they have a functioning kidney again.

Healthy kidneys produce a hormone called erythropoietin that tells the body to make red blood cells. With kidney disease, such as IgAN, less of this hormone is produced, and anemia (low red blood cells) develop, contributing to fatigue. After a successful transplant, the new kidney can begin producing this hormone again, the body can make enough red blood cells, and many people notice their energy level improves, says Ryan.

Fewer Dietary and Fluid Restrictions

When you’re on dialysis or managing advanced kidney disease, it’s important to closely monitor what you eat and drink. You may need to limit your intake of fluids and certain nutrients, including sodium, potassium, and phosphorus, to help prevent toxins from building up in your blood.
Because a healthy kidney is better able to regulate fluid levels and these nutrients, you may be able to enjoy foods that needed to be limited before the transplant, says Haririan. In fact, you’re encouraged to drink plenty of fluids after your surgery because dehydration can be harmful to a transplanted kidney. Follow your transplant team’s recommendations on exactly how much fluid you should drink.

While many people enjoy the peace of mind of fewer dietary and fluid restrictions, a kidney transplant doesn’t eliminate the need for healthy eating habits. Maintaining a healthy weight is vital for overall health, so a balanced diet prioritizing fruits, vegetables, whole grains, lean meats, and reduced-fat dairy, while limiting added sugar and unhealthy saturated fats is recommended. Your care team may also suggest limits to sodium. By following these recommendations you can protect your new kidney and keep it working well for as long as possible.

Freedom From Dialysis

Dialysis is a lifesaving treatment, but it requires a significant time commitment: You might spend several hours at a clinic on multiple days a week for hemodialysis and have to adjust your life around overnight peritoneal dialysis and fluid exchanges during the day.

For people who were on dialysis, a kidney transplant means no longer having to plan their activities around treatment schedules. Traveling becomes much easier without the need to coordinate dialysis appointments and supplies.

Ryan says many people feel a greater sense of freedom after a successful transplant because they have more time and energy to do the things they enjoy.

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