What is Organ Donation?
It is the permission given by persons acting with free will, to the use of their tissues and organs after their medical death, for treatment of other patients.
What is Organ Transplantation?
It is the transplantation of a new, healthy organ, which is taken from a living or a cadaver, instead of the organ which has lost its functions in the body, by using surgical methods.
What is Brain Death?
It is a process, in which the functions of the entire brain, cerebellum, and the special section of brain called brain stem that includes the vital centers are lost irreversibly, and which results with absolute death. The concept of brain death is confused with the terms coma and vegetative state. Certain brain functions of patients diagnosed with Coma and Vegetative state are active and such patients continue to live for years with medical support. As for brain death, it is not possible to keep the patient alive with medical support regardless of any medical support provided, and death occurs within the shortest time.
Who can donate organ?
Pursuant to Law No. 2238; anyone who is above 18 years old and mentally balanced can donate all or some of his/her organs.
Pursuant to “Law on Removing, Keeping, Inoculating and Transplanting Organs and Tissues" No. 2238“;
Article 14 - In the event that an individual has not stated by an official and written testament, or has not declared before two witnesses in one’s lifetime that the one donates one’s whole body or his tissues to be used in treatments, diagnoses and for scientific purposes; organs and tissues can be taken from the deceased with the approval, of one’s wife/husband, major sons/daughters, mother or father, or one of the siblings; if not, of any relative in this order or priority. Unless a testament stating otherwise is submitted, tissues such as cornea, which do not render any change on the cadaver, can be taken. If the deceased declared in lifetime that one was against taking organs or tissues from oneself after death, then organs or tissues cannot be taken.
Are There Any Objections against Organ Donation from Religious Perspective?
Organ donation is approved and supported by most of the major religions.
Presidency of Religious Affairs High Board of Chaplain has stated that the organ donation is warrantable as per decree No. 396 Dated 06/03/1980.
The following are required based on the mentioned decree;
• The presence of state of necessity, the confirmation that there are no other remedies to save the life or a vital organ of the patient provided by a doctor who is reliable for occupational liability and trustworthiness,
• The individual from whom organs and tissues will be taken should be deceased during this procedure,
• The requirement that the individual from whom organs and tissues will be taken, allowed it in one's lifetime, or on condition that the deceased did not make a declaration otherwise, the requirement that the consent of the relatives of the deceased are obtained in respect to not disturbing social order and peace,
• Not to receive payment in return for organ or tissue,
• The patient to be treated should agree with this transplantation.
It is also stated in Koran that
"Anyone Who Gives Life to Another One, Will Acquire a Big Merit As Much As Giving Life to Entire Humanity.
(Maidah, Verse 32)
Where are Organs Donated?
• Centers that Practice Organ Transplantation,
• Organizations such as foundations and associations which are engaged in organ transplantation.
For Organ Donation,
It is sufficient to fill in and sign the Organ donation card before two witnesses.
The compatibility of the donated organ is researched after the brain death of the donor.
It will be useful for donors to inform their families and immediate environment on this issue in order to prevent potential problems and to affect the decision process which will take place during the discussions regarding donating organs after the brain death.
Which Organs Can Be Transplanted?
Kidney, Pancreas, Liver, Lung, Heart, Small Intestine
Which Tissues Can Be Transplanted?
Cornea Bone Marrow
Tendon Cardiac Valve
Face and Scalp Extremities
To whom are the donated organs transplanted?
The patients who will receive the organs are defined in accordance with the blood compatibility at first, and then with the tissue group compatibility.
Besides blood and tissue compatibilities, also medical emergency situation of the patient is considered.
No discrimination is exercised against sex, race or state of wealth.
What are the Medications Prescribed for Organ Transplantation?
You will use medications which suppress the immune system (immunosuppressive) so that the transplanted kidney is not rejected (rejection) by your body. Immune system is the defense (immunity) system of the body, it provides the body resistance against disease-causing factors, and assumes the responsibility of defense. Immunosuppressive drugs suppress, weaken the immune system of the body and increase the vulnerability of the body from infections, while preventing the rejection of the kidney.
Immunosuppressive agents used in Organ Transplantation:
• Calcineurin inhibitors
• Sandimmun Neoral (Cyclosporine - A)
• Prograf (Takrolimus)
• Other immunosuppressives
• CellCept (Mycophenolate Mofetil (MMF) )
• Myfortıc (Mycophenolate Sodium)
• Rapamune (Sirolimus)
• Certican (Everolimus)
• Imuran (Azathioprine)
• Deltacortril (Prednisolone)
• Other Medications That Suppress Immune System
Your doctors decide on the medication to be prescribed to you after the transplantation.
You should know the names and the appearances of the medications, daily dosage of each medication, effects and adverse effects of each medication. You will use these medications as long as the kidney remains in your body. If you do not, your body may reject the transplanted kidney. The usage and effects of drugs will be explained to you at the hospital when you feel ready. You are expected to learn how to use the drugs during the period of your staying at hospital. This program will increase your self-confidence before you are discharged.
The other drugs that you will use may address to prevent the serious adverse effects of immunosuppressive drugs or to your other health problems. Using the suggested drugs regularly is very important for your health.
It is your responsibility to know your medications and how to use these…
You should not have live virus vaccination during this treatment.
The treatments and drugs may vary depending on the personal characteristics of each patient.