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05.04.2013BOARD of Foreign Investors Association about the action of administration at Tirex Petrol

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PRIME MINISTERIAL CANDIDATE MUST BE NOMINATED BY NEXT WEEKEND – LUPU

PRIME MINISTERIAL CANDIDATE MUST BE NOMINATED BY NEXT WEEKEND – LUPU

05.04.2013Candidate for prime ministerial post must be nominated by the end of next week, presumes Moldovan Parliament Speaker and Democratic Party leader Marian Lupu.


MCP LEADER DOESN’T SEE PARTICULAR NEED TO CONSULT LIBERAL DEMOCRATS ON DISMISSING SPEAKER LUPU

MCP LEADER DOESN’T SEE PARTICULAR NEED TO CONSULT LIBERAL DEMOCRATS ON DISMISSING SPEAKER LUPU

22.03.2013The ex-President of Moldova, Chairman of the Communist Party MP Vladimir Voronin says he doesn’t really see a particular need for holding consultations with the Liberal Democratic Party to launch the procedure of discharging Parliament Speaker Marian Lupu.

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ЕС ПОДДЕРЖАЛ ПРОЕКТ МОЛДОВЫ, ГАГАУЗИИ И ПРИДНЕСТРОВЬЯ ДЛЯ ПОВЫШЕНИЯ  ДОВЕРИЯ УЧИТЕЛЕЙ ДВУХ БЕРЕГОВ ДНЕСТРА

ЕС ПОДДЕРЖАЛ ПРОЕКТ МОЛДОВЫ, ГАГАУЗИИ И ПРИДНЕСТРОВЬЯ ДЛЯ ПОВЫШЕНИЯ ДОВЕРИЯ УЧИТЕЛЕЙ ДВУХ БЕРЕГОВ ДНЕСТРА

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TRANSPLANTOLOGY IN MOLDOVA

01.04.2013 TRANSPLANTOLOGY IN MOLDOVA

(Interview given by the Director of the Transplant Agency, Igor Codreanu to your Infotag correspondent Alina Popova)   

Q:  Mr. Codreanu, what are the results attained by the Transplant system in Moldova?  

A: 
The Transplant Agency of Moldova started working in autumn of 2010. At present, we have 14 employees. The Transplant program was launched on February 25, 2013. It represents an on-line registration system, which carries data on donors and recipients.

Currently, the registration of dialysis patients is actively carried out. The list of donors and recipients counts over 100 people. Recently, we had a meeting focused on kidney harvesting and transplantation.       

The last two kidney transplantation surgeries were carried out due to the Transplant program. We have some matched pairs that underwent the approval commission and now, they are being examined. About 400-450 patients are registered for dialysis procedures. It is difficult to say how many people can be potential receivers of donor kidney, because many patients have counter indications and have to renounce to transplantations for different reasons. Yet, judging from the age and physical condition of patients, we suppose that about 150-200 people can be included in the waiting list.     

Q: How many operations is the agency planning to conduct by late 2013 and what are its plans in this respect?  

A:
The more transplantation surgeries we perform the more human lives we will be able to save. In 2012, we carried out four kidney transplant operations, and in 2013 – two kidney transplantations and one liver transplant surgery. All the operations were performed from living donors. We would like to carry out over 100 surgeries, but to this end, we need to implement the practice of transplantation from cadaveric donors. Of course, we have already attained some positive results in organ harvesting. Many relatives have given their consent. This is a very good signal. By late 2013, we would like to conduct 2-3 organ harvesting surgeries from cadaveric donors.     

Q: Could you please assess the first liver transplantation surgery in Moldova?  

A:
This is an outstanding achievement of the Moldovan transplantology!  We are very glad that both the donor and the recipient are in a very good condition now. This fact shows that the operation was not only a debut, but also a good start. Actually, the transplant surgeries of heart and liver are life-saving operations, without which the patient dies.   

As for the transplantation of kidneys, we cannot say that it always saves lives, because there is such an alternative as dialysis. Yet, the living standards are constantly improving and the treatment costs for such patients are decreasing, as the price of immunological suppression (suppression of immunity with drugs, usually to prevent rejection of an organ transplant. Its aim is to allow the recipient to accept the organ permanently with no unpleasant side effects) is much lower that the cost of dialysis and the life expectancy in these cases are much higher.       

Q: What consequences can occur after organ transplantations?   

A:
Both short-term and long-term problems can emerge. The short-term complications are surgical. The long-term health problems imply the fact that the person lives the whole life on immunosuppressive drugs or immunosuppressive agents (that are drugs that inhibit or prevent activity of the immune system)

A commission that gives its consent on organ donation has been created under a governmental decision. It is a representative and serious body. It includes not only doctors, but also physicians, psychologists, police officers and other specialists. After the transplant operation, the patients must undergo periodical examinations.    

Q: Could you please tell us more about the cadaveric donation of organs?    

A:
One should understand that this practice is a must for the normal functioning of transplantology. The fact is that the transplantation of organs from a relative is rather a great luck. It is a good fortune that these people are compatible and that their relatives can do this. At the same time, this process implies many difficulties. In some cases, the transplantation surgery is simply impossible. For instance, it is impossible to transplant a heart from a living donor. Cadaveric donors are the people after the brain death. We have a special device that ascertains the brain drowning.   

Q: Could you please tell us more about the beginning of transplantology in Moldova?     

A:
The 60-ties years of the 20th century mark the start of transplantology in Moldova, when surgeons started to transplant fragments of donor bones. Trauma specialists used to actively carry out these operations. In consequence, they managed to open a Laboratory for Bone Conservation.      

The next serious stage in this respect was the start of organ transplantology. In 1982, Doctor Barsan, together with his colleagues from Moscow, conducted the first transplantation of a kidney at the present-day Republican Clinical Hospital, in the Dialysis and Kidney Transplantation Department. At the same time, the transplantation of cornea and skin was also actively promoted in the country.   

At one time, Moldovan surgeons performed several transplantations of heart valves, at the Republican Clinical Hospital. The transplantations of cadaveric kidneys were conducted until 1999 in line with the legislation of the Union of Soviet Socialist Republics. This legislation was also applied to the transplantation of tissues. In 1999, the Moldovan legislators adopted a new law on tissue transplantation, which was envisaging the transplant of tissues only from living donors. In 1999-2007 as many as 16 kidney transplantation operations were carried out in Moldova (both from living and cadaveric donors). Unfortunately, this figure is too low.  

In 2008, the Moldovan lawmakers adopted a new law on the transplantation of organs, tissues and cells. It allows the transplantation of kidneys from people who died of heart or brain failure, as well as the transplantation from living donors. Each Moldovan citizen who underwent the examination of a special commission can become a donor.  

Infotag: Thank you for the interview, Mister Codreanu!

 

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