Living with one kidney

A migrant worker working in Abu Dhabi named Sri Rabitah admitted that his kidney stayed one while checking into Tanjung RSUD, North Lombok in early January 2017. The news agency Antara quoted Tirto, reports that Sri had an operation in Abu Dhabi without his knowledge. The news has been commented on local governments.  "In any way whether the government will spend money or we will build a network to solve this problem, " said North Lombok Regent Najmul Akhyar. However, the news that was already in this yammer was disallowed by Sri Rabitah himself, yesterday (28/2/2016). "I want the case to be stopped until here alone, this is misunderstood, because my kidneys are still there both, " said Rabitah, as quoted Antara. The RSUD of West Nusa Tenggara also convey the same thing. "From the description of the Doctor who examined the kidneys Rabitah mother is still complete," said Deputy director of medical services RSUD NTB Rusdhy Hariawan Hamid. Kidney smuggling outside the case of Sri Rabitah, moving a person's kidneys to another person aka grafting or transplant is not a rare thing. The Abdee of Slank personnel is an example. Abdee had just undergone a transplant after a kidney failure. Of course, such organ transplants that Abdee experienced should be based on the approval of both parties, donors and receivers. However, there are often illegal things, such as organ theft and trading of organs. This problem of organ theft is not the first to occur. In May 2010, the family of three WORKERS killed in Malaysia — Herman, Mad Noor, and Abdul Kadir Jaelani — threw their suspicions on the theft of the victim's organ. They stated that they did not believe the result of the re-autopsy held by the police forensics forensic team three bodies of shooting victims in Negeri Sembilan, Malaysia. However, the government slated that suspicion. "Based on the results of the autopsy that has been done against these three bodies, there is no proven existence of organ loss is missing, " said Foreign Minister Marty Natalegawa as quoted Antara. The real suspicion of kidney theft is reasonable. The price is amazingly expensive. There is the crime mode of organ smuggling body. According to Havoscope, in Thailand and Vietnam kidney sellers  "only " will accept money $3-5 thousand (RP40 million-66 million) from intermediaries. While kidney buyers should redeem the kidneys to intermediaries reaches $10 thousand (Rp133,58 billion). If the number still looks cheap, wait until the kidneys are sold in developed countries such as Singapore. In the black market, patients in Singapore must redeem up to $300 thousand (RP4 billion). That is, in the international black market in Asian region alone, the kidneys can be bought an average of $150 thousand or reaching RP2 billion. Then how much money does the donor receive? "Only" ranges from $5 thousand (65 million rupiah). Of course if the kidney is obtained through trading transactions, not theft. For the case in Indonesia, the purchase price of kidney sold is in the range of RP70-90 million. That is, if the renal realtor is able to sell in the average number of black market prices, the intermediary can benefit $144 thousand (1.9 billion rupiah). This is obviously a very subdivision of profit, considering the owner of the kidneys is the most likely to bear risk and precisely this party that receives the least amount of profit.
Human beings can live with one healthy kidney in human body anatomy (Daniel S. Wibowo, 2008:59) mentioned that the kidneys are the most frequently bypassed organs other than the brain. Within a minute, about 20% of human blood will pass through the kidneys to be cleaned. This means that there are about 170 liters of fluid each day. Of the whole fluid, 168.3 liters will be reabsorbed by the blood vessels and the remaining 1.7 liters is discarded as urine. This number can change according to the body condition. Because its main function is to cleanse the toxins in the blood, next to filter and cleanse the blood, if the kidneys are damaged then the body will be poisoned by the impurities produced by the body itself. According to Dr. Albert M. Hutapea (2006:197), a person experiencing renal failure will be "dry" due to lack of bodily fluids or "drowning" due to the inundation of toxic fluids from the body. Steven D. Levitt and Stephen J. Dubner in Super Freakonomics (2010:127-128) show that since the successful kidney graft was done by Dr. Joseph E. Murray on December 23, 1954, the public saw that medical science has reached the stage Seek miracles. How can a fresh organ be able to move from one body to another and can function properly when moved? In this period, new kidney can be obtained from the victim of a traffic accident leaving the organ in a healthy state. Sounds like doing a recycling of human body indeed. The problem is, the invention soon encountered a new obstacle. The need for direct organ transplantation soars due to the realization that human organ grafts can save humanity from the end of his life. Ultimately, the availability of human organs is never able to meet the needs. Moreover, this problem is faced with the fact of declining mortality rate due to traffic accidents in the period after the possibility of transplantation of human organs. Even according to John Rogers in the Medical Ethics (Herald Pres, 1988:108), a number of patient families sometimes expect that the weather will deteriorate, allowing for many accidents. That is, there will be more organs available. In the case of kidney organs, Levitt & Dubner (2010:127) mentions how lucky man is because the existence of the two kidneys is a beautiful keepsake of the evolutionary process. This means that the need for kidney organs is more convenient than other organs, because it can be obtained from human beings who are still alive. This premise can be strengthened by the data from an Organ of the Donation and Transplant Ireland (ODTI) report in 2015. As an illustration alone, in Ireland, the most human organ transplant still held a kidney transplant. From 2011-2015 The average occurred 135 times the operation per year. It is almost three times higher than the second stage — a heart transplant — which only ranges from 54 operations per year. However, the kidney grafting surgery is not as simple as imagined. There is a complicated process because the donor body must match the network of the donor recipient. For best results, the most suitable donor is a twin brother. That is one reason why Dr. Joseph E. Murray's first kidney graft surgery was performed in 1954. The next best option is the siblings, a new then cousin. In the case of a donor who has no blood connection, usually the body of the kidney will reject the foreign tissue that enters its body. As a result, often kidney donor recipients have to take months of medication — even years to suppress the body's rejection of the new organ. The thing that is also often misunderstood is, the nature of the two kidneys that exist in the human body is not divided by the average workload. The kidneys are two because one becomes a reserve for the other. That is, if one kidney is not functioning or removed, the body will automatically adapt. The remaining kidneys will undergo significant changes. In the range of 3 to 5 months of renal weight working alone will rise to 250 grams — up approximately 100 grams of its normal weight of only 150 grams. That's why, people willingly donate or sell one of its kidneys because in principle, the kidneys will still be able to function properly even if it works alone. With one kidney, the human body can survive for a long time, although the physical activity can not be as active as a person with two kidneys.

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