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<<   作成日時 : 2009/06/14 00:29   >>

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 ロンドンの Sukhi Johalはパキスタンで腎臓移植治療を受け£30,000を支払った。英国では違法だが、彼女は腎臓を買うことに悔いは全くない理由をBBCラジオで明らかにした。
 現在46才の彼女は、21才で腎臓病と診断されたが、2007年に悪化するまでは比較的健康だった。米国で血液透析治療を始めたが15ヶ月してとても耐えられなくなった。ドナーが見つかるまでに10年以上かかるだろうと米国の医師に言われた。
 自発的で強制なしなら臓器売買が違法でないパキスタンで移植を受けた家族の友人の話を聞き、パキスタンの病院と連絡をとった。
 25才で3人の子持ちの母親である適当なドナーが見つかった。2008年12月の手術の前に病院の希望に背いてドナーに会った。会って非常に圧倒され、多くの点でドナーの助けることになると感じたと言う。
 手術後英国に戻り、現在は健康状態がよい。彼女はドナーに対して追加の個人的な支払いを、ドナーの子どもの教育資金として出資する計画であるという。
 英国では移植平均待ち時間は約2年だという。全ての英国移植施設は海外で移植を受けて帰ってきた者も受け入れているが、多くがは経過が良くないという。
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Page last updated at 13:52 GMT, Wednesday, 10 June 2009 14:52 UK
'I bought a new kidney'
http://news.bbc.co.uk/2/hi/health/8092891.stm

画像Sukhi Johal
Sukhi Johal underwent a transplant in 2008

Londoner Sukhi Johal paid £30,000 for a kidney transplant operation in Pakistan.

She told BBC Radio 5 Live's Victoria Derbyshire show why she has no regrets about buying an organ from a live donor - something that is illegal in the UK.

Beautician Sukhi was diagnosed with kidney disease when she was 21.
Sukhi, now 46, says she remained relatively healthy until 2007 when her condition worsened.
She began dialysis treatment in the US, where she was based at the time, but found it hard to tolerate after 15 months.

Suffering
US doctors said that she would probably have to wait more than 10 years before a suitable donor organ became available.
"I wasn't willing to do that," she said.
"I was suffering so much I just felt like I couldn't wait 10 years for a kidney."
Sukhi was put in contact with a family friend who had a paid a donor and undergone a successful transplant in Pakistan, where the sale of an organ is not illegal, provided it is "voluntary, genuinely motivated and without duress or coercion."
She also started communicating with a hospital in Pakistan.

FROM BBC RADIO 5 LIVE

More from BBC Radio 5 live

A suitable donor was eventually found - a 25-year-old mother of three - and while Sukhi explained that she felt "very apprehensive" about the procedure, she felt the risk was worth taking.
"I was willing to play the odds and see what happened," she said.
"At that point, I wasn't too bothered.

Poverty
"If it was successful - fantastic - I would have my life back, and if not, I was willing to take that chance."
Although she was concerned about the ethics of paying a donor, she went ahead because "it was a matter of life and death for me".
She says she feels that the decision to sell an organ is a "personal, individual choice", but acknowledges that poverty can play a big part.
"From what I know of my donor, I know she had no home, so she obviously did it because she needed the money and I obviously did it because I needed to get my life back."
Against the hospital's wishes, Sukhi met with her donor before the procedure, which was carried out in December 2008.
"Seeing her was very overwhelming for me", she says, "but I felt I was helping her in many ways.

Every transplant unit in the UK, I would suspect, has got a small number of patients who have come back from overseas
Professor Peter Friend
Oxford Transplant Centre

"She had already made the decision she was going to do it, and she was on the list at the hospital, so if I hadn't chosen to take her kidney, somebody else would have done so."
Sukhi returned to the UK after the operation and feels that she now enjoys good health.
She says she had arranged an additional private payment to the donor and that she plans to fund the education of her donor's children.

'Exploited'
Sukhi told Victoria Derbyshire that she is talking about her experiences in a bid to encourage the Asian community to donate organs and carry a donor card.
People from an Asian background are three to four times more likely to need a kidney transplant than the general population.

Professor Peter Friend, the director of the Oxford Transplant Centre, told BBC Radio 5 Live that there were several reasons why paid living donor transplants were illegal in many countries, including the UK.
"There are real concerns as to the well-being of the donor, whether they're being coerced, whether they're being exploited, or whether these organs are simply being removed to the benefit - substantially - of the people who are undertaking the business - such as the transplant units, rather than the donor themselves."
Professor Friend said that the mean waiting time for a first transplant in the UK was around two years, boosted by the practise of paired exchange.
He stressed there were risks to the patient as well as the donor of having such procedures abroad.
"Every transplant unit in the UK, I would suspect, has got a small number of patients who have come back from overseas.
"In some cases it has gone well - but many may have not."
Find out more about BBC Radio 5 Live's Victoria Derbyshire show or read the blog at the programme website.

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