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Understanding Dialysis: A Comprehensive Overview
Department of Nephrology
4 Min Read
Oct 04, 2023
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Nephrology deals with kidney diseases. At the Centre of Excellence in Nephrology at Manipal Hospitals, our specialised team of nephrologists, kidney transplant surgeons, Interventional Nephrology Radiologist and urologists work together to diagnose and treat the entire gamut of kidney-related conditions in the best possible way. In the treatment of unique kidney conditions which may require a kidney transplant, our quaternary care experts are experienced to handle the most complex cases delicately.
Manipal Hospitals is a pioneer in kidney transplants for over twenty years with a high success rate. Patients and patience is central to our treatment philosophy. This is why our multidisciplinary specialists comprising top nephrologists and surgeons, brainstorm together to arrive at the best treatment options. They have global experience and expertise in treating a range of kidney diseases by leveraging the contemporary medical technology at our Centre of Excellence in Nephrology.
A kidney biopsy involves taking one or more tiny samples of your kidney to look at with special microscopes.
This speciality of nephrology deals with kidney transplants which is gaining popularity among patients suffering from end-stage renal disease.
This is a synthetic process that allows a dialysis machine to filter your blood, removing waste and water. The process assists the body's impaired kidney function and is usually adopted while the patient undergoes treatment for the underlying disease, or till a suitable donor kidney becomes available. In the dialysis machine, the blood passes through…
This is a procedure by which a small piece of the kidney is surgically removed for lab testing. Biopsies are primarily used to test for cancer, but is also effective in detecting or confirming other forms of kidney disease. The biopsy can be done through minimally invasive methods, although sometimes a surgical biopsy may be needed to identify the…
Sometimes it is impossible to find a compatible kidney donor. With urgency mounting, emergency cases may require an ABO incompatible kidney transplant.
This procedure takes a healthy kidney from a deceased or living donor and transplants it into a patient whose kidneys have failed. Without functional kidneys, the body accumulates harmful amounts of waste and fluid, which is a life-threatening situation. Everyone has two kidneys, and it is possible to function normally with just one, this makes it…
A paired kidney exchange, also known as a ‘kidney swap occurs when a living kidney donor is incompatible with the recipient, and exchanges kidneys with another donor/recipient pair.
CLKT is performed routinely in patients with cirrhosis and associated kidney diseases. Most of these patients have chronic renal failure due to parenchymal kidney diseases, in most cases glomerulopathy associated with alcoholic cirrhosis, chronic hepatitis B or C infection, or chronic renal failure due to kidney rejection after kidney transplantation.…
Continuous renal replacement therapy (CRRT) is becoming the treatment of choice for critically ill paediatric patients as well as neonatal patients with acute kidney injury and congenital errors of metabolism.
Transvaginal route for kidney extraction (TVE) has emerged as a contemporary surgical option during laparoscopic donor nephrectomy to minimize scars and to offer donors cosmetic advantages in tandem with low post-operative pain.
Acute kidney injury (AKI) is a serious medical condition which affects lakhs of people. Most cases of AKI are caused by reduced blood flow to the kidneys, usually in a patient who’s unwell with a health condition. The reduced blood flow could be caused by severe dehydration from excessive vomiting or diarrhoea or low blood volume after bleeding. Patients…
Quaternary care, which is a highly specialised field in the medical profession, is at the core of our treatment protocol. This is because we have the finesse and state-of-the-art medical technology to equip our transplant surgeons to perform the most complex of kidney transplants. Along with this, we offer a range of services including dialysis, kidney biopsy, laparascopic or robotic surgeries, and transplants, creating vascular access.
Statistics reveal that in one out of three kidney patients waiting for a kidney transplant are unable to get one despite having a blood group compatible donor kidney. This is precisely because the patient may have a tissue mismatch due to sensitization which results in high chance of rejection. At Manipal Hospital, these recipients undergo successful desensitization therapy to achieve successful transplant.
Desensitization services available are:
The range of Outpatient and In-patient services includes in-centre day care procedures such as dialysis. This encompasses the entire spectrum of dialysis services that include: - Hemodialysis IP & OP (Adult/Pediatric/Neonatal) - Peritoneal Dialysis – CAPD/CCPD (Adult/Pediatric) - SLED – Sustained Low Efficiency Dialysis - CRRT- Continuous Renal Replacement Therapy - Nocturnal dialysis - Plasmapheresis - Mobile Dialysis - Online Hemodiafiltration HDF
After gathering general information about your health from you, your nephrologist will review your medical history, and do a complete physical examination. Then he might order blood and urine tests to determine the functioning of your kidneys.
It is responsible for the diagnosis and treatment of the disorders of the renal system such as
1. Protein in the Urine
2. Blood in the urine
3. Renal failure: Acute and Chronic
4. Kidney disease
5. Kidney stones
6. Kidney infections
7. Polycystic kidney disease
8. Cardiorenal syndrome (CRS)
9. Hepato renal problems (Liver and Kidney)
10. The systemic lupus erythematosus (SLE)
11. Nephrotic syndrome
12. End-stage kidney disease
Kidneys are responsible for the removal of waste for the body by filtering the body's blood and producing urine. But in a circumstance of Kidney failure, the kidney loses 85 to 90% of its functionality, leading to the need for dialysis, which will filter the blood for waste, salt, and extra water.
Also called ESRD, end-stage renal disease is the last stage of chronic kidney disease. When kidneys fail, it means it has stopped working, and the patient needs dialysis or a kidney transplant to survive. If it is acute meaning temporary can be corrected in most instances.
Patients with chronic irreversible kidney disease who do not respond to any medical treatments, and are either on dialysis or would need dialysis will be eligible for a kidney transplant.
A: The early signs and symptoms that may denote kidney disease are nausea, vomiting, loss of appetite, difficulty in sleeping, more/less urinating, muscle cramps, shortness of breath, high blood pressure, dry/itchy skin, decreased mental sharpness, weakness/fatigue, and swelling of feet and ankles.
A nephrologist is a doctor who specializes in the diagnosis and treatment of kidney-related diseases and conditions.
A nephrologist is specialized in the prevention and treatment of kidney-related diseases such as diabetes or kidney failure. On the other hand, a urologist is a specialist known for the treatment of conditions related to the urinary tract and such as urinary tract infections, kidney stones, adrenal problems, fertility, and anatomical kidney defects.
Unhealthy eating habits and bad lifestyle choices are the main reasons for kidney damage. Things like excessive smoking and drinking, eating too much meat, not drinking enough water, not having proper sleep, eating too much sugary, salty, and processed foods, less physical activity, etc. can cause kidney damage.
It is important to drink enough water to avoid dehydration because water is an essential nutrient that helps the kidneys remove wastes from your blood in the form of urine.
Prior to 1960, the study and treatment of kidney diseases were termed “kidney medicine”. The term nephrology was first used in 1960. It comes from the Greek word “nephros” meaning kidney.
Darker colour urine is an indication of kidney malfunction. Due to the failure of the kidneys, the increased concentration and accumulation of substances lead to darker colour urine which may be brown, red or purple
Having a medical condition like kidney failure or a chronic kidney condition can affect your whole life. Manipal Hospitals has dedicated to providing high-quality, personalised care and building long-term partnerships with its patients. Contact us to know more about nephrological problems and book an appointment with one of our Best Nephrology Hospital in India
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