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مشاهدة النسخة كاملة : How Spain became the world leader in organ transplants


ahlam1399
04-18-2017, 09:52 AM
MADRID: Juan Benito Druet has just learned that his life may be about to change. In the next few hours he will receive a healthy kidney thanks to a pioneering system that has made Spain the world leader in organ transplants for the past 25 years.

"We don’t k**w what will happen. but you have to take a chance," said Druet, 63, a reserved and moustachioed boilermaker, as he lays in his bed at Madrid’s La Paz hospital. Hospital staff try to reassure him by telling him organ transplants are carried out every day in Spain.

Doctors performed 4,818 transplants last year, including 2,994 kidney transplants, according to the health ministry’s National Transplant Organisation (ONT). That means there were 43.4 organ do**rs per million inhabitants last year, a world record, up from 40.2 do**rs in 2015.

By comparison in the United States there were just 28.2 do**rs per million inhabitants in 2015, 28.1 in France and 10.9 in Germany, according to the Council of Europe.

"It is even better than if we had won the jackpot in the lottery," says Druet’s wife Jeronima, 60, as she sits close to him along with the couple’s two adult children. **w she dreams of going on a cruise with her husband, something impossible as long as he needed to be hooked to a 15-kilo kidney dialysis machine every night to filter his blood.

The transplant operation lasts four and half hours. Surgeons make a 15-centimetre incision in Druet’s abdomen to transplant a healthy kidney extracted the night before from a woman who died.

After a transplant patients "start to regain weight, their health improves. It is as if we transplant lives," the founder of the ONT, Rafael Matesanz, tells AFP. Matesanz oversaw the implementation of a centralised and well-oiled organ donation and transplant system which has been replicated in Portugal and Croatia and inspired others across Europe.

Each hospital has a transplant coordinator, usually a doctor or nurse who specialises in intensive care, charged with identifying patients at risk of a heart attack or brain death. In both situations kidneys, livers, lungs, pancreas and sometimes even the heart can still work and can be transplanted.

Organ donations are quickly reported to the ONT which searches for the best match from its organ waiting list. If the patient is far away, a cooler with the organ is sent by plane inside the cockpit with the pilot. The operation is free under Spain’s public health system, a**nymous and available only to residents of the country to avoid organ trafficking.



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