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July 22, 2021
Uncategorized

全球首宗愛滋病毒感染者活體捐腎手術

全球首宗愛滋病病毒感染者之間的,活體器官移植手術於美國順利進行,捐贈者和接受腎臟移植者,康復情況都良好,醫學界期望這宗成功個案,有助消除對愛滋病的成見,以及紓緩器官捐贈不足情況。

來自亞特蘭大的馬丁內斯,嬰兒時期因輸血感染愛滋病病毒,多年來她一直思考活體器官捐贈的可行性,眼見病友急需器官移植,加上受醫療電視劇啟發,驅使她去年付諸行動,接受八個月檢測後,判定為合格腎臟捐贈者。愛滋病病毒感染者要捐贈器官曾是遙不可及的事,以美國為例,直至2013年方才放寬禁令。

不過,過去數年過百宗腎臟或肝臟移植個案,全都是遺體器官捐贈,不接受活體捐贈主要原因是,愛滋病病毒會令腎功能受損,抗病毒藥物本身亦帶有毒性。再者,不同病毒株混合會否導致重叠感染一直是未知之數,研究最後證實,只要病情穩定受控,愛滋病病毒感染者與一般捐贈者沒甚大分別。手術周一於馬里蘭州約翰霍普金斯醫院順利完成,馬丁內斯期望醫學上的突破,能成為社會共融的契機。

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