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Dialysis is a therapy for patients who have failing kidneys. When you have renal failure, your kidneys do not filter blood properly. As a result, wastes and toxins accumulate in the circulation. Dialysis replaces your kidneys by eliminating waste materials and excess fluid from your blood.
Need
Dialysis may be required for those who have kidney failure, often known as an end-stage renal disease (ESRD). Kidney disease can be caused by injuries and disorders such as high blood pressure, diabetes, and lupus.
Kidney disease progresses via five phases. Healthcare practitioners regard to stage 5 kidney disease to be end-stage renal disease (ESRD) or kidney failure. At this time, the kidneys are doing 10% to 15% of their typical function. To stay alive, you may require dialysis or a kidney transplant. While waiting for a transplant, some individuals have dialysis. Book an appointment at our Renal Sciences center in Hebbal Bangalore to know more about the treatment.
Types
There are two methods to obtain dialysis:
Hemodialysis
In the instance of hemodialysis, a machine extracts blood from your body, filters it through a dialyser (artificial kidney), and then returns the cleansed blood to your body. This 3- to 5-hour procedure may be performed three times a week in a hospital or dialysis clinic.
Hemodialysis can also be performed at home. You may require at-home treatments four to seven times a week for less than an hour each time. You can undergo home hemodialysis at night while sleeping.
Peritoneal dialysis
Peritoneal dialysis involves the use of microscopic blood arteries inside the abdominal lining (peritoneum) to filter blood with the use of a dialysis solution. This solution is a cleaning liquid made up of water, salt, and other ingredients.
Peritoneal dialysis is performed at home. There are two approaches to this treatment:
Automated peritoneal dialysis- It uses a machine called a cycler.
Continuous ambulatory peritoneal dialysis (CAPD)-It takes place manually.
Hemodialysis
Before beginning hemodialysis, you will have a small surgical operation to allow better access to the bloodstream. You might have:
Arteriovenous fistula (AV fistula): An artery and vein in your arm are connected by a surgeon.
Arteriovenous graft (AV graft): If the artery and vein are too short to link, your surgeon will use a graft (a soft, hollow tube) to do so.
AV fistulas and grafts increase the linked artery and vein, making dialysis access more convenient. They also promote quicker blood flow in and out of your body.
If dialysis is required immediately, your physician may insert a catheter (a thin tube) into a vein in your neck, chest, or leg to offer temporary access.
How it works
Removes blood from a needle inserted into your arm.
Circulates blood through a dialyzer filter, transferring waste into a dialysis solution. This washing liquid is made up of water, salt, and other ingredients.
The filtered blood is returned to your body via a separate needle in your arm.
Monitors your blood pressure in order to regulate how quickly blood flows in and out of your body.
Peritoneal dialysis
A small surgical procedure will be performed around three weeks before you begin peritoneal dialysis. A soft, thin tube (catheter) is inserted through your abdomen and into the peritoneum by a surgeon. This catheter is permanently implanted. Consult with the doctors to have better clarity on the procedure.
How it works
Connect the catheter to one of the Y-shaped tube's branches. This tube connects to a dialysis solution bag. The solution enters the peritoneal cavity via the tube and catheter.
When the bag is empty, disconnect the tube and catheter after about 10 minutes.
Remove the catheter cap.
Carry on as usual as the dialysis solution within the peritoneal cavity collects waste and excess fluids from the body. This procedure might take between 60 and 90 minutes.
Remove the catheter's cover and drain the fluid into a clean, empty bag using the other branch of the Y-shaped line.
Repeat this process up to four times each day. You sleep the entire night with the solution in your stomach.
Aftermath
Some persons have low blood pressure during or soon following hemodialysis. Patients often feel dizzy, queasy, or fainted after going through hemodialysis.
In the case of peritoneal dialysis, however, the liquid in your stomach might make you feel bloated or full. Although it may seem unpleasant, the procedure is not painful. When your stomach is full with fluid, it may protrude more than usual. Book an appointment at our multi-specialty hospital today.
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