Mother donates kidney, gives new life to son

Source: The Hitavada      Date: 09 Mar 2017 11:11:06


Staff Reporter,

RAIPUR,

Mar 8,

A mother has given second life to her son by donating one of her kidneys to save him from chronic renal failure. Transplanting an adult kidney to an 11-year-old child was a challenge and it was successfully done at NH MMI Narayana Multispeciality Hospital which has a tertiary-level nephrology centre in the state capital. Probably this case is the first of its kind in Chhattisgarh.
Despite weak financial condition of the family, cover of any state government programme in terms of sponsoring the treatment could not be extended in the case because of the domiciliary criterion. The family though resides in Pandri, Raipur, but is a domicile of Madhya Pradesh. Contributions came from individuals and NHMMI staff from administration, nursing and other departments.


The child Nikhil Mishra’s father Ashok Mishra runs a tea stall. The mother Nirmala Mishra has shown how women is empowered with the boon to give life.


The parents were not aware that their son was suffering from chronic kidney disease. On initial evaluation by local physicians due to deficiency in growth, he was diagnosed as being anaemic and treated accordingly, but there was no improvement and the child had seizures. A senior paediatrician found that he had impaired kidney function that caused low calcium and raised levels of urea in blood that manifested as deficiency in his growth. He was referred to NH MMI, the hospital informed at a press conference today.


The boy when brought to NH MMI had severe difficulty in breathing and body was swollen. Doctors found that he had stage-5 Chronic Kidney Disease (CKD), which they termed as unknown native kidney disease. The doctors concluded that he required a renal transplant and was put on long-term renal replacement therapy, which included three maintenance haemodialysis per week. This came as a shock to the parents and they were worried as they were not in a financial position to continue with the recommended course of treatment. With reassurance by the team of NH MMI doctors led by Dr Sunil Dharmani, Consultant Nephrologist, the parents continued the treatment.


Being on maintenance haemodialysis for 3 to 4 months, the boy developed heart complications. Due to prolonged kidney disease, the boy suffered from hypertensive left ventricular failure, wherein the left ventricle of the heart does not pump blood effectively. Multidisciplinary team of cardiac specialists along with the nephrologists performed emergency dialysis and he was resuscitated from a very critical state. The parents decided to go for renal transplant.


The mother aged 35 years was found to be a match to donate her kidney. It was a high-risk surgery with no other alternative.
The case was challenging due to the age of the patient and poor physical condition. Since mother was the donor, it was a challenge to transplant an adult kidney to a child.


The skilled renal transplant team of NH MMI successfully performed the paediatric kidney transplant for the 11- year old boy, probably the first of its kind in Chhattisgarh, stated Dr Varun Sharma, Consultant Urologist. The boy has completely recovered, but has to take daily medication for 3-4 months. The family, Vineet Saini, Facility Director and other experts of NH MMI were present.