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How kidney Dialysis helps .pdf



Original filename: How kidney Dialysis helps.pdf
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How kidney Dialysis helps for end stage of kidney failure patients?
When your kidneys fail due to disease or injury, wastes and extra fluid will build up in your
blood and may cause any of the following symptoms:










Nausea
Poor appetite
Fatigue
Dry and itchy skin
Weight loss
Muscle cramping at night
Swelling of feet or ankles
Puffiness around the eyes
Breathing trouble

When will Treatment be needed?
The nephrologist will decide when you need to start the treatment by measuring your
glomerular filtration rate (GFR). This test helps the doctor know how much of the kidney
function is left. If your GFR is below 30, your doctor will give you information about the

treatments available for kidney failure. If your GFR is below 15, you will be needed to start the
treatment soon.
What are the Treatment Options for Kidney Failure?
The two types of treatment for kidney failure are dialysis and kidney transplantation. Dialysis
are of two types: hemodialysis and peritoneal dialysis. As you find out more information about
each type of treatment, you can discuss with your doctor and your family to help you choose a
treatment that is best for you. While choosing a treatment method, you have to take into
consideration your medical condition, lifestyle and personal preference.
Hemodialysis
Hemodialysis is a treatment that helps remove waste and extra fluid from your blood. Before
starting hemodialysis, you will need to undergo a minor vascular surgery to create a fistula, a
permanent access to your bloodstream. A fistula is made by joining an artery to a nearby vein
under the skin to make a bigger vessel. A fistula should be placed several months before you
start hemodialysis to allow it time to heal and be ready for use before you start hemodialysis.
What Happens During Hemodialysis?
During hemodialysis, your blood is pumped through soft tubes into a dialysis machine where it
passes through a special filter called the dialyzer, also known as the artificial kidney. As you
blood is filtered, it is returned to your bloodstream. The fistula or access allows you to be
connected to the dialysis machine. Hemodialysis treatment is done 3 times a week for 3 to 5
hours.
Where can Hemodialysis be Done?
Hemodialysis treatments can be done at home or at dialysis centers. Your doctor and you can
decide which place is best for your treatment depending on your health condition and your
preferences.
If you choose home hemodialysis, there must be enough space at your home to install the
equipment and there must be enough water drainage and electric power to operate the dialysis
machine and water purification unit. For home dialysis, you will need a dialysis care partner,
this can be a family member or a friend. Your dialysis partner and you will be trained to do
hemodialysis at home.
Peritoneal Dialysis
In peritoneal dialysis, the blood is cleaned inside your body, where the lining of your abdomen
called the peritoneum acts as a filter. A cleansing solution, called the dialysate, flows into your
belly through a soft tube called the PD catheter. The catheter is placed during a minor surgery.
Wastes and extra fluids pass from your blood into the cleansing solution. After several hours,

the used solution is drained from the abdomen and fresh cleansing solution is introduced to
rebegin the process. Peritoneal dialysis is a home-based treatment that can be done at home,
office, school or even travel. It allows patients greater flexibility.
Kidney Transplant
A kidney transplant is an operation that places a new, healthy kidney from another person into
your body. The kidney may come from a dead donor or a person who is alive and is closely
related to you, for example, your spouse, your parent or a close friend.
The transplant surgery lasts for about 3 hours during which the new kidney is placed in your
lower abdomen and is connected to your bladder and blood vessels. You will have to be in the
hospital for 5 to 7 days after the surgery. After the transplant, you will be required to take
special medicines to prevent your body from rejecting the new kidney, you may have to take
these medicines for your lifetime.
A transplant offers a patient greater freedom and lesser diet restrictions and improves the
quality and the length of life. A kidney transplant is a treatment and not a cure. The patient will
still have to continue taking some medicines that he/she took before the transplant.


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