نمونه ترجمه تخصصی بهداشت عمومی درباره چالش های زندگی بیماران بعد از پیوند کبد

Life challenges in patients after liver transplantation

Acute and chronic liver diseases are growing in number all around the world. Many of these liver diseases appear either without prior signs as acute diseases or gradually as chronic diseases that prepare the ground of cirrhosis of the liver [1, 2]. Cirrhosis of the liver happens when the liver fails to function properly and it is responsible for 3.5% of global mortality rate on average. In addition, liver failure is the ninth cause of death in the USA. Each year, about 8000 death cases are recorded in Iran due to liver failure [3, 4]. The liver plays a vital role in many body functions such as generating a variety of substances like coagulation factors and disintegrating toxic substances. Among the main effects of cirrhosis, ascites, peritonitis, liver encephalopathy, hypertension, and liver syndrome and bleeding are notable. Saeidi et al (2018) showed that hepatitis B and alcohol abuse hepatitis in Iran mostly lead to liver cirrhosis [3, 5-7]. While chronic renal failure patient can survive through dialysis, liver cirrhosis patients have no choice but liver transplantation. Organ transplantation is an innovative advance in health care system. After the first liver transplantation, the patients’ survival rate after transplantation was 400 days. Today and after 50 years, one/five-years survival rates of liver transplantation patients have increased by 90% and 70% [9, 8]. Survival after transplantation is a valuable achievement; still, the survival is featured with specific challenges and side-effects. Onghena and Oliveria (2016) noted that the main concerns after liver transplantation were the quality of life and adherence to therapeutic regimen. Ganji et al. showed that many of the receiver of liver faced a variety of challenges and identifying these challenges was essential [10-13]. After transplantation, patients experience a new life and face a wide range of problems and challenges that alter the quality of their lives. Therefore, having a deep perception of the problems and experiences of these patients is imperative for the attempts to improve the quality of life in these patients. In light of this, the present study tries to elaborate on experiences and challenges of patients after liver transplantation.