제주도 -[카톡:ym85] ◇ 말기 간질환자 간이식만이 방법…”5년 생존율 70∼80%” 간 이식이 필요한 경우는 급성 또는 만성이거나 이전 상태로 돌아갈 수 없는 간질환을 가진 환자다. 여러 가지 내·외과적인 치료법으로 치료되지 않아 간 이식을 받지 않으면 예상 생존 기간이 1년 미만인 환자가 이에 해당한다. 세부적으로는 질환의 중증도, 적응증 등의 요건이 맞아야 하고, 간 이식 수술 후 평생 면역억제제를 사용할 수 있어야 한다. 말기 간질환의 원인으로는 만성 B형 간염, 만성 C형 간염, 자가면역성, 약물, 알코올성 간염 등이 꼽힌다. 지방간, 월슨병, 선천성 담도폐쇄증을 포함한 담도계 질환, 간정맥폐쇄 질환 등도 원인이 될 수 있다. 간암 환자가 간 이식을 받으면 암과 더불어 간경변을 동시에 치료하는 창원출장샵 장점이 있다. 간암 환자의 80∼90%가 간경화에 의해 암이 생기기 때문에, 암 치료를 받더라도 간경화에 따른 간부전으로 사망하는 게 일반적이다. 김포출장샵 또 간암 환자들은 대부분 B형, C형 간염에 의한 간경화를 동반하기 때문에 종양을 효과적으로 잘라내더라도 남은 간에서 인천출장샵 또 다른 암이 발생할 수 있다. 1990년대 초까지만 해도 간을 이식한 간암 환자의 5년 생존율이 30∼40%에 머물렀다. 하지만 재발 우려가 낮은 간암 환자에게 선택적으로 간 이식을 하면서 5년 생존율이 70∼80%까지 높아졌다. 재발 가능성이 낮은 간암은 암덩어리(종괴)가 1개이면서 지름이 5㎝ 이내인 경우, 지름이 3㎝ 이하인 암덩어리가 3개 이하인 경우 등이다. 그러나 지속적인 알코올 중독, 약물 남용, 심한 심폐질환이나 폐동맥 고혈압이 있는 환자, 활동성 감염이 파주출장샵 있는 환자, 간 외에 악성 종양이 있는 환자, 면역억제제 사용이 불가능한 환자는 간 이식을 받을 수 없다.
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