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chronic kidney failure

Is Chronic Kidney Failure Curable?

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Chronic kidney failure is a problem that can be treated. The approach is adapted to the needs of each person, and can bring good results in the remission of symptoms and in preventing the progression of the disease. However, the loss of kidney function cannot be reversed, explains the best nephrologist in Delhi.

Chronic kidney failure, which can also be called chronic kidney disease, is characterized by the loss of kidney function for a period longer than 3 months. This is a worrying picture because it has a slow evolution and usually does not show symptoms.

Because of this characteristic, chronic renal failure is often diagnosed late. In these cases, the loss of renal function is already very significant, which makes treatment difficult and may require dialysis sessions.

But the main question is whether chronic kidney failure can be cured. In this article the nephrologist in Delhi answers that question. Keep reading.

What Causes Chronic Kidney Failure?

Chronic kidney disease is a condition in which the kidneys lose their ability to filter blood properly. One of the tasks of these organs is to separate metabolic waste and excess water from the body, so that they are eliminated through urine.

When the kidney suffers aggressions or injuries, it begins to lose this capacity, performing its task in an increasingly deficient way. Thus, waste accumulates in the body bringing complications to other organs.

Several factors can trigger kidney failure; however, diabetes and hypertension are the two main causes of chronic kidney disease. However, there are other risk factors besides high blood sugar and high blood pressure. Are they:

  • advancing age;
  • obesity;
  • history of circulatory problems;
  • smoking;
  • cases of kidney disease in the family;
  • some medicines.

As said, this is a problem that evolves slowly, so the person can live a long time with compromised kidney function, without showing symptoms. When they happen, it is because there is already a serious impairment of the kidneys, says the best kidney specialist in Delhi.

Can Chronic Kidney Disease be Cured?

Chronic kidney failure is a different picture from acute failure. In the second case, the kidneys momentarily reduce or lose their functions because of some aggression, illness or any other, but they recover and go back to work as before.

In the chronic problem, these organs gradually stop working and it is not possible to restore kidney function. The tendency is for the problem to get worse and worse, until failure occurs, and the kidneys stop working altogether, explains the kidney specialist in Delhi.

However, there is an option for the person to have a functioning kidney again. His organs cannot be salvaged, but there is a possibility that he will be donated a healthy kidney through a kidney transplant in Delhi.

How is this Problem Treated?

It is true that chronic kidney failure cannot be cured, but there are treatments to minimize symptoms and prevent kidney loss from progressing. We are able to delay the worsening of the problem or, in some cases, stop the disease so that the person maintains the percentage of kidney function they have now.

Before, it is necessary to know the state the kidneys are in to define what will be the best approach for each patient. Blood and urine tests are mainly requested to measure and analyze kidney functions. The nephrologist in Delhi is the doctor who performs this detailed and thorough assessment of kidney function.

Afterwards, a series of measures can be adopted, such as controlling blood pressure and blood glucose. It is also necessary to give up tobacco so as not to harm the kidneys or favor complications of kidney disease.

It is also recommended to reduce the body’s cholesterol levels. Medications are used that reduce the loss of protein in the urine and help with symptoms such as bloating.

Chronic kidney failure brings complications such as bone and mineral disorders. Therefore, the person may need treatment for these problems, through the balance of nutrients such as vitamin D, calcium, and phosphorus. Still other approaches can be adopted, which, as said, depend on the need and clinical conditions of each patient.

One more recommendation for the treatment of chronic kidney disease is the adoption of a proper diet. Likewise, with an individual assessment and the follow-up of the nutritionist to provide the nutrients that the body needs, without excesses that can further harm kidney function.

Patients with more advanced loss of kidney function may need to undergo dialysis in Delhi (peritoneal dialysis or hemodialysis), in order to supply kidney functions when organs can no longer filter blood and eliminate fluids properly.

Chronic kidney disease: symptoms, prevention and treatment

Chronic kidney disease: symptoms, prevention and treatment

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Chronic kidney disease: symptoms, prevention and treatment

Chronic kidney disease is a condition that causes several complications and changes in the patient’s routine. Learn more about it and how to prevent diagnosis.

Chronic kidney disease is a major public health problem. It is estimated that about millions of people suffer from the problem worldwide, there are more than 850 million cases.

The kidneys are responsible for performing several actions fundamental to the proper functioning of the body; among them, the elimination of harmful substances and the body’s water balance.

Chronic kidney disease can cause the gradual loss of these functions, causing limitations that accompany the patient throughout life, explains the top nephrologist in Delhi.

Therefore, taking care of the kidneys is a way to avoid problems for this very important part of our body, and knowing the causes, symptoms, treatments, and prevention tips is fundamental in this process. Continue reading and know how to recognize and deal with kidney disease.

Chronic kidney disease: what is it?

Before knowing the forms of prevention, it is important to understand what chronic kidney disease is.

Chronic kidney disease (CKD) is a silent condition that causes slow, progressive and, in most cases, irreversible loss of kidney function – blood filterability for the elimination of substances harmful to health.

In addition, due to the adaptive processes of the body, the disease can go unnoticed. The patient may not present clear symptoms until he or she is in a more advanced stage of impaired renal function.

Therefore, it is important to understand the causes, risk factors, signs and symptoms of Chronic Kidney Disease. This care can ensure early diagnosis and enable more effective treatments against the disease and less invasive for the patient.

Symptoms of chronic kidney disease

Attention to the body itself is essential to identify possible signs of disease. With the symptoms of CKD, it’s no different.

They are not always identifiable and can be confused; therefore, in the presence of one or more signs described below, it is important to seek medical advice for a thorough investigation of the clinical picture.

Main symptoms of chronic kidney disease:

  • Tiredness
  • Swelling in eyes, feet and ankles
  • Willingness to go to the bathroom several times during the night
  • Bad breath
  • Malaise
  • Foamy or bloody urine
  • High pressure
  • Anaemia

Risk factors for CKD

Some health problems can trigger CKD. The so-called risk factors for chronic kidney disease are diabetes mellitus, hypertension, malformation in the urinary system, kidney stones, recurrent urinary infections and obesity.

People whose relatives have a history of chronic kidney disease also need to be aware. It is recommended that carriers of one or more risk factors for chronic kidney disease follow up with a nephrologist to control them.

Treatments for chronic kidney disease

There are several treatments for chronic kidney disease. The best approach will depend on several factors; for example, the stage of the disease. If initially diagnosed, chronic kidney disease can be controlled with adequate medication and feeding.

In more severe cases, dialysis (peritoneal dialysis, hemodialysis) or kidney transplantation may be indicated. In all cases, when discovering the diagnosis of chronic kidney disease, the best way is to talk to a kidney doctor in Delhi who specializes in nephrology. It will evaluate and indicate the best type of treatment for renal dysfunction.

Healthy diet

Maintaining a healthy diet is an important component of the treatment to be instituted. The consumption of foods rich in sodium, potassium and phosphorus should also be controlled – provided with medical advice of a kidney specialist in Delhi.

It is important to avoid excess of these components in the blood, since the kidneys lose the ability to filter such substances as chronic kidney disease progresses.

Dialysis

Dialysis aims to filter and eliminate the excess of harmful substances present in the blood, in addition to balancing the levels of liquids in the body. This is an option for patients in more advanced stages of CKD.

There are two main methods of dialysis in Delhi: peritoneal dialysis and hemodialysis. The first uses peritoneum as a filter of substances, with the help of a dicant fluid injected into the peritoneal space.

The second is made with the aid of a machine through which the blood passes and is filtered, returning to the body then.

Kidney transplantation

Kidney transplantation is an alternative treatment in which a new organ, coming from a living or deceased donor, replaces the function of the kidneys of a seriously ill person.

In our country, kidney donation between relatives is allowed as long as it involves up to the fourth degree of kinship. To receive a kidney from a deceased donor, it is necessary to be enrolled in the single list of recipients, according to the rules of the National Transplant System.

It is up to the transplant team to evaluate chronic renal patients and establish those who are able to receive a transplant.

Therefore, before undergoing kidney transplant in Delhi, the patient must undergo a series of tests and evaluations that aim to confirm if he is fit for surgery.

How to avoid chronic kidney disease?

As can be seen, chronic kidney disease has several causes and risk factors associated with its development. But there are some important preventive precautions:

  • Healthy and balanced diet.
  • Regular hydration according to medical advice.
  • Weight control.
  • Regular physical exercises.
  • Smoking cessation.
  • Control of blood pressure and diabetes.

Do not forget: self-medication should be combated at any time, especially when it comes to kidney health. Some medications can harm the kidneys, especially anti-inflammatory drugs.

I was diagnosed with CKD, and now what?

The diagnosis of CKD can be daunting. In fact, it is a serious disease that deserves constant attention.

On the other hand, good news: when diagnosed early, chronic kidney disease can have controlled evolution with medications and diet.

To define treatment methods, follow-up evolution, and ask questions, consult a nephrologist in Delhi.

kidney failure

Treatments for kidney failure: what are the options?

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The kidneys are organs of utmost importance to our body. They are responsible for filtering our blood, eliminating toxins, and for controlling the chemical and liquid balance in our body. When something does not go well, a condition of kidney failure can occur, and there are some types of treatment that can be recommended by the best nephrologist in Delhi in this case.

These measures aim to slow the progression of the disease and promote more quality of life for patients suffering from loss of renal function. In this post, you will know a little more about each of them. Keep reading to find out.

What is kidney failure?

Among several other functions, the kidneys are very important to ensure the maintenance of health and well-being. This is because they act on the elimination of toxins and in controlling the chemical balance of our body.

But sometimes – and for various reasons – they can present problems in the operation and even stop working. That’s what kidney failure is called. When a patient receives this diagnosis, he/she needs to do a thorough follow-up with the best kidney specialist in Delhi to keep his health up to his/her.

Meet 4 treatments for loss of kidney function

There are several renal failure treatments in Delhi. Initially, conservative treatment may be indicated, but with disease progression, therapies that replace kidney function may be necessary – such as hemodialysis, peritoneal dialysis, and transplantation.

If you suffer from kidney failure, it is very important to discuss the therapies available with your doctor for kidney in Delhi. But in to get you familiar with them, we’ve prepared the main information on the subject.

1. Renal conservative treatment

Conservative renal treatment is one in which clinical measures are adopted to slow progression and prevent complications caused by kidney disease.

It is done through medication adjustment, control of symptoms of loss of renal function, adequacy of the diet and general guidelines on the disease.

2. Hemodialysis

With the evolution of the disease, the kidneys can start to function very little, and it is necessary to start a renal replacement therapy. Hemodialysis offers this possibility to the patient, after all, it is a periodic procedure in which blood is filtered by means of a machine.

The indications for hemodialysis are done individually and take into account the patient’s needs. Usually, the dialysis in Delhi is done in clinics specialized in nephrology, three times a week, with sessions of four hours of duration.

How is blood filtering done?

For hemodialysis to be performed, it is necessary to enable a vascular access, which can be a catheter or a fistula (native or with prosthesis).

Catheter: tube placed in a vein in the neck, chest or groin. It has two pathways that allow the exit and return of blood.

Fistula: junction of an artery with a vein, arm or leg. Two needle sticks are required to favor the flow of blood inflow and return.

The blood is led to the hemodialysis machine through the arterial line, passes through a dialysator – also known as a dialysis filter – and the toxins and liquids that were excess in the body are removed. Then it is returned to the patient by the venous line.

3. Peritoneal dialysis

Peritoneal dialysis is also a modality of renal function replacement therapy, however, it is completely different from hemodialysis.

In peritoneal dialysis, there is no need to puncture veins or arteries. As the name implies, the filtration of blood is done through the peritonium – a membrane that covers the abdominal organs and functions as a filter. Thus, blood is filtered within the body itself and it is not necessary to use the hemodialysis machine.

In the case of peritoneal dialysis, a catheter is implanted in the abdominal cavity. Through this catheter, a dialysis solution is infused, which remains in the cavity for a while, removing substances and liquids that will be subsequently drained.

There are two types of peritoneal dialysis:

Continuous ambulatory peritoneal dialysis (PACD)

Also known as manual peritoneal dialysis, this technique occurs when the changes of the dialysis solution are made by the patient himself or by a family member.

Automated peritoneal dialysis (DPA)

In DPA, a machine called a cycling machine is used. This equipment makes the infusion and drainage of the dialysis solution in an automated way.

To define the ideal form of peritoneal dialysis, it is necessary to analyze the patient’s profile and whether he will have the support of family members or caregivers to make these exchanges. It is also important that tests be performed to highlight the best technique to be followed.

4. Kidney transplantation

Kidney transplant in Delhi, characterized by the donation of a kidney, is one of the most complete treatment modalities for renal replacement. Such donation is regulated by law and can be made by a living donor, with kinship up to 4th degree; or after the death of a compatible donor, with no degree of kinship.

Even though it is a good treatment option for patients with renal failure, there are some considerations that should be observed before kidney transplantation is indicated. Unfortunately, not all patients with loss of kidney function may undergo this procedure.

The impediment can happen due to clinical or social issues, and it is up to the physician responsible for the patient to consider what are the risks involved in this treatment modality, to the detriment of dialysis.

It is important to know that transplantation does not represent the cure of the disease. It’s a treatment modality.

How is a kidney transplant done?

In transplantation, the donor kidney is implanted in the patient’s abdominal cavity and begins to perform the function of filtration and elimination of liquids and toxins. It is usually not necessary to remove the native kidneys during kidney transplantation.

Post-operative care of kidney transplantation should be followed with great caution. A drug treatment with immunosuppressants is instituted, which aims to prevent the body from rejecting the transplanted organ.

Although these medications are fundamental for treatment, they also make the patient more susceptible to infections. Therefore, it is necessary to be careful with the health and the precautions indicated by the kidney transplant doctor in Delhi after the kidney transplant in Delhi.

What is the best treatment for kidney failure?

The best form of treatment for kidney failure should be indicated by your trusted kidney specialist in Delhi. Regardless of the modality chosen, the important thing is to remember that there is treatment for kidney disease.

It is possible to live with quality of life and well-being; just know your condition, know which therapies are available and, mainly, make the correct control of the disease.

Chronic Kidney Disease

CHRONIC KIDNEY DISEASE: KNOW THE MAIN PHYSIOTHERAPEUTIC TREATMENTS

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The kidneys are a pair of bean-shaped organs located in the upper-posterior part of the abdomen. Its main function is to filter the blood, eliminating toxins and excess salt and water from the bloodstream.

The proper functioning of the body depends a lot on the kidneys. Therefore, it is necessary to take special care to avoid possible kidney problems, which can lead to failure and the need for dialysis or hemodialysis.

Chronic kidney disease (CKD) is a slow, progressive and irreversible loss of renal structures that affect the glomerular, tubular and endocrine functions of the kidneys, leading to the body’s inability to maintain metabolic and electrolyte balance.

Characterized by the presence of functional and/or structural changes in the kidneys, for a period longer than three months, with a glomerular filtration rate (GFR) lower than 60 mL/min./1.73m.

CKD has been considered a public health problem worldwide due to its high rates of morbidity and mortality and its impact on physical and biopsychosocial aspects, drastically affecting the quality of life of patients, says the best nephrologist in Delhi.

With that in mind, nephrologist in Delhi prepared this article with the main types of treatment for Chronic Kidney Disease. Keep reading and learn more about them!

Treatment for Chronic Kidney Disease

Treatment for Chronic Kidney Disease aims to help the kidneys maintain homeostasis for as long as possible.

With the deterioration of renal function, dietary intervention is necessary with careful control of protein intake (allowed must be of high biological value – dairy, eggs, meat – to provide essential amino acids), fluid intake (quantity of fluid allowed is 500 to 600 ml more than the 24-hour urine output) to counteract fluid losses, sodium intake to counteract sodium losses, and a certain potassium and phosphate restriction.

At the same time, adequate caloric intake and vitamin supplementation must be ensured.

In general, dialysis in Delhi is started as a form of treatment for Chronic Kidney Disease when the patient cannot maintain the usual lifestyle with the conservative method.

Unfortunately, not all patients are candidates for dialysis or transplantation due to severe psychological problems, ischemia, vascular complications from diabetes and old age, says kidney specialist in Delhi.

Types of dialysis

There are two types of dialysis – hemodialysis (HD) and peritoneal dialysis (PD), both types involve the use of a fluid used to filter impurities in the blood, toxins and fluids passing from the blood through a semi-permeable membrane.

Physiological principles of dialysis

Dialysis is a process of treatment for Chronic Kidney Disease whereby the composition of solutes in a solution A is changed by exposing solution A to a second solution B through a semipermeable membrane.

Water molecules and low molecular weight solutes from the two solutions can pass through the pores of the membrane and therefore mix, while larger solutes (such as proteins) cannot pass through this semi-permeable membrane and thus the amounts of high molecular weight solutes on either side of the membrane will remain unmodified.

The transport of solutes will take place in two ways:

  • Diffusion: transport of solutes through a semi-permeable membrane, obeying the concentration gradient and the molecular weight of the solute;
  • Ultrafiltration: transport of water through the transmembrane pressure gradient with the passage of water from the higher side to the lower pressure.

Peritoneal dialysis

Peritoneal dialysis uses the peritoneum as a natural permeable membrane to balance water and solutes.

The technique is less physiologically stressful for the patient, does not require vascular access that can present numerous complications, it can be performed at home and, for this reason, allows patients greater flexibility in its performance.

Although, with so many advantages, the technique requires much more patient involvement than in a hemodialysis at dialysis centre in Delhi, it needs to be performed carefully and sterile maintenance is of great importance.

Peritoneal dialysis can be done manually or using an automatic device (periodic, overnight, or continuous), and in general, the dialysate is instilled through a catheter into the peritoneal space, remains for a period, and then drains. In the double bag technique, the patient drains the fluid instilled into the abdomen into one bag and then infuses fluid from another bag into the peritoneal cavity.

Quality of life of patients

Although the different dialysis methods of treatment for Chronic Kidney Disease are equivalent in issues related to patients’ rehabilitation and mortality, the quality of life needs to be evaluated.

In a study, it was possible to observe that PD was more favorable to a better quality of life for the patient, as it presents three significant variables (work, patient satisfaction and less contact with the team – less likely to experience situations of stress), while HD presented two significant variables (emotional and physical function).

However, it should be taken into account that the two significant items in HD are more relevant to the daily quality of life of the patient outside the clinic.

Conclusion

Kidney replacement therapies, hemodialysis and peritoneal dialysis, as a treatment for Chronic Kidney Disease represent, in most cases, a life expectancy for those who undergo it, since the disease is characterized as an irreversible process.

Conservative treatment (medicines, changes in diet and lifestyle) can be used to delay the worsening of renal function or stabilize its progression, reduce symptoms (malaise and fatigue, itching and dry skin, headache, loss of unintentional weight, loss of appetite and nausea), prevent complications and improve the quality of life of these patients.

Adapting to this new reality is not an easy process, nor is it a very smooth process, the health professionals involved in the patient’s treatment must understand and help the individual in all aspects, as well as his family, says the kidney doctor in Delhi.

 

Chronic Kidney Failure

Chronic Kidney Failure – Causes, Symptoms and Treatment

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The chronic kidney failure is progressive loss of the ability of the kidney to properly perform one or more of the functions assigned, explains the Nephrologist in Delhi. These preferably consist of:

Purify waste substances produced in our body.

  • Maintain an adequate balance of the amount of water and electrolytes.
  • Manufacture and activate certain hormones necessary for the normal functioning of our body.

According to the Nephrologist in Delhi, Chronic kidney failure is a progressive process that evolves over many years and is irreversible, although strategies can be used to delay the progressive deterioration of the kidney.

Causes of chronic kidney failure

Many diseases can chronically damage the kidney. The most important ones are:

  • Metabolic diseases. By far the majority of cases of chronic kidney failure in Western societies are due to diabetes and high blood pressure.
  • Glomerulonephritis, that is, inflammation of the kidney glomeruli, the place where the blood is filtered. Glomerulonephritis can be of unknown cause or associated with other diseases, usually vasculitis or autoimmune diseases.
  • Genetic (birth) diseases such as polycystic kidney disease.
  • Medications and toxins.
  • Infectious diseases such as recurrent pyelonephritis.
  • Renal lithiasis due to the presence of large stones.
  • Or after causes.

What symptoms does chronic kidney failure produce?

Most people with chronic kidney failure have no symptoms. The appearance of symptoms depends on the severity of the kidney deterioration.

In the early stages, when there are no symptoms, kidney failure is discovered by taking a blood test for any reason and discovering an increase in creatinine.

As kidney deterioration progresses, vague and nonspecific symptoms may appear such as loss of appetite, weight loss, fatigue, nausea, vomiting, headache, mental dullness, cramps, itchy skin, loss of sexual interest, easy bleeding, irritability, tendency to sleep, lack of concentration, etc, states the Best Nephrologist in Delhi.

When renal failure is advanced, in addition to the previous symptoms, a series of important alterations occur that require adequate treatment:

  • Arterial hypertension. Both high blood pressure can lead to the appearance of chronic kidney failure, and chronic kidney failure can favor the development of high blood pressure and its possible complications.
  • Increased potassium (hyperkalemia). Potassium is eliminated by the kidney. If it doesn’t work well, it can build up in the blood and be life-threatening due to the possibility of serious heart arrhythmias.
  • Increased phosphorus. It is associated with the appearance of calcifications in various areas of the body and facilitates itching.
  • Anemia. The kidney manufactures erythropoietin, a substance necessary for the manufacture of red blood cells. In kidney failure, not enough erythropoietin is produced and, as a consequence, anemia occurs.
  • Bone problems (renal osteodystrophy). The kidney is the organ where vitamin D is activated, a hormone necessary for calcium to be deposited in the bones. If the kidney does not work well, there is not enough active vitamin D and the bones become decalcified.
  • Cardiovascular disease Patients with kidney failure frequently develop cardiovascular complications (myocardial infarction, angina pectoris, stroke, transient ischemic attack, peripheral arterial disease, etc.). In fact, cardiovascular complications are the leading cause of death in these patients.
  • Other alterations. In addition to those previously discussed, patients with chronic kidney failure can present various complications of the brain, heart, and joints, etc.

How is the disease diagnosed?

The diagnosis of suspected chronic kidney failure occurs when observing an elevation of creatinine and urea in the blood. These alterations must be confirmed with successive analyzes. Glomerular filtration, that is, the kidney’s ability to filter waste from the body, must then be calculated.

Glomerular filtration is the best marker of the severity of kidney failure. The lower said filtering, the worse the situation of the kidneys, says the Kidney Specialist in Delhi.

The diagnosis of the cause of chronic kidney failure is sometimes very obvious, for example in patients with diabetes, but at other times it requires additional studies such as new blood or urine tests, ultrasound, CT or MRI of the kidneys and sometimes a kidney biopsy.

Chronic Kidney Failure Treatments

According to the Best Kidney Specialist in Delhi, Patients with chronic kidney failure should maintain a special diet (diet in patients with chronic kidney failure). In the initial stages, when the kidney still maintains a certain degree of function, treatment consists of preventing renal deterioration from continuing or making it slower, and treating all the symptoms and complications that appear:

  • Arterial hypertension. Medicines should be used to adequately control blood pressure. In general, combinations of several of them are usually necessary, being appropriate to use, if there are no contraindications, medicines that block the renin angiotensin system. It is convenient to maintain a blood pressure close to 130 mmHg high (systolic) and 80 mmHg low (diastolic).
  • Increased potassium. In patients with high potassium in the blood, a diet low in potassium (potassium content of food) should be recommended and, if it persists high, treat with medicines that prevent its absorption from the intestine, such as resincolestyramine.
  • Increased phosphorus. A diet low in phosphorus should be followed and, if necessary, medicines that reduce its absorption in the intestine can be used.
  • Anemia. Depending on the intensity of the anemia, treatment with iron and erythropoietin injected under the skin is recommended.
  • Bone problems (renal osteodystrophy). Treatment with calcium and active forms of vitamin D.

In advanced situations, when symptomatic treatment does not help to control one or more of these alterations, and in general when glomerular filtration rate drops below 15 ml / min / 1.73 m2, there is an indication for Dialysis in Delhi (hemodialysis or dialysis peritoneal) or to perform a kidney transplant in Delhi.

In addition to these treatments, it is important that patients adequately control the disease that has led to the development of kidney failure, such as diabetes, high blood pressure, kidney infections, etc.

Patients with kidney failure are at high risk of cardiovascular complications. For this reason, it is essential that they do not smoke, that they maintain a diet low in fat and cholesterol and that they receive medicines to lower cholesterol, recommends the Top Nephrologist in Delhi.

Chronic kidney failure patients are at increased risk for infections, so they should get vaccinated against influenza and pneumococcus every year, says the nephrologist in Delhi.

Dialysis

Dialysis – a procedure that saves lives every day

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Millions of adults suffer from chronic kidney disease. As the disease initially develops with little or no symptoms, as many as 90% of patients do not know that there is something wrong with their kidneys. Dialysis in Delhi may be necessary when this organ is damaged and cannot function properly, explains the Nephrologist in Delhi. What is? What are the indications for its implementation? What steps should be taken when dialysis is not enough?

What is dialysis?

Dialysis is a method that aims to replace the physiological functions of the kidney. This organ removes harmful metabolic products from the body (including metabolites of taken drugs), which ensures metabolic balance, normalizes blood pH, maintains normal blood pressure and helps to get rid of toxins from the body. The treatment uses the properties of a semi-permeable membrane, which allows for effective purification of electrolytes from colloidal solutions. This membrane retains some of the compounds and allows the rest to flow freely. This is possible thanks to a phenomenon called diffusion. Thus, the more blood reaches the membrane, the more effective dialysis will be, explains the Best Nephrologist in Delhi.

What are the indications for dialysis?

In most cases, patients with renal insufficiency and after poisoning, e.g. with ethylene glycol, are eligible for the dialysis in Delhi.

It is worth noting that dialysis therapy completely disorganizes the patient’s life. Regardless of whether the procedures take place in a dialysis centre or at the patient’s home, the patient must take into account the need to spend about 15 hours a week (3-5 hours on average every other day). Dialysis is a heavy burden on the circulatory system, so the patient has the right to feel tired after the procedure and requires rest. If the catheter connection procedure is not performed under sterile conditions, there is a risk of developing an infection, warns the Kidney Specialist in Delhi.

Dialysis is undoubtedly life-saving, but it is burdensome for the patient and ties him to the place of residence and the dialysis centre in Delhi.

Types of dialysis and their course

There are two types of dialysis:

  1. Hemodialysis – performed extracorporeal. It is used in advanced kidney diseases and is carried out using the so-called artificial kidney. Two needles are most often used during the procedure. One of them drains blood to the dialyzer and the other brings purified blood into the body. The purpose of hemodialysis is to remove all harmful substances from the blood that could not be removed with the urine due to impaired kidney function. This type of dialysis is performed at a dialysis station, and approximately 50 liters of blood pass through an artificial kidney during one session.
  2. Peritoneal dialysis – the patient’s peritoneum is used as a semipermeable membrane. The dialysis fluid is introduced into the abdominal cavity of the patient, the composition of which has been selected in such a way as to be able to effectively retain harmful metabolic products. Thus, the blood pH and blood pressure are balanced and the body gets rid of undesirable substances. Before the procedure, it is necessary to implant a catheter into the peritoneal cavity (about 2 months before the planned dialysis). The procedure is usually performed at the patient’s home, which requires a short training course for both the patient and the person who is caring for him.

Dialysis saves lives, but transplantation is definitely the better treatment option

Kidney transplant in Delhi is an effective renal replacement therapy. It should be performed in patients for whom transplantation is not contraindicated.

It is most beneficial for the patient to obtain a kidney from a living donor. After transplantation, such an organ functions on average for about 15 years and successfully performs all physiological functions. The best situation is when the donor is a closely related family member – a sibling or parent. It is not uncommon for the organ to be donated by people who are in an emotional relationship with the needy, e.g. spouses or friends. An organ for transplantation can also be obtained from a dead donor, however, it is associated with a slightly worse treatment effect. Such a kidney functions on average for 9-12 years.

Before donating an organ, the donor must undergo a number of necessary diagnostic and laboratory tests. Not only is his general health assessed, but also a histocompatibility test. This reduces the risk of possible transplant rejection, says the kidney transplant doctor in Delhi.

Contraindications to live kidney transplantation are:

  1. advanced age of the patient,
  2. active neoplastic diseases,
  3. severe damage to internal organs (mainly the heart),
  4. conditions that cannot be treated,
  5. addictions, including smoking or alcohol addiction,
  6. some chronic diseases, e.g. generalized atherosclerosis.

It is worth remembering that kidney transplantation doubles the life of patients compared to dialysis and significantly improves their quality of life. He does not have to give up his current lifestyle and most importantly, he is not dependent on dialysis, states the Nephrologist in Delhi.

Dialysis: What it is, Care and Complications

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Dialysis is a substitute treatment of kidney functions, in which substances that are harmful to the body and that the kidneys can no longer do are eliminated. The dialysis process is carried out through two ways hemodialysis and peritoneal dialysis and generally, the people who need this process is because they are in a phase of renal failure. In this article nephrologist in Delhi explains in depth what is dialysis, its care and complications.

What is dialysis?

Dialysis in Delhi is a treatment that replaces the function of the kidneys, when they are compromised in their process of cleaning the blood. People who need this procedure are because they have kidney failure and although at first glance it seems simple, the dialysis process can be quite stressful and the side effects generate enough discomfort in the patient. While dialysis occurs, the best nephrologist in Delhi will have placed the patient on a transplant list, when a compatible kidney appears, it will be the end of dialysis.

Types of dialysis

The function of the kidneys is to eliminate toxins and excess fluids from the blood, since the accumulation of these can be dangerous for our health. When this process cannot be accomplished, it will be necessary to help the kidneys through dialysis, explains the nephrologist in Noida.

There are two types of dialysis :

  • Peritoneal dialysis : is responsible for removing the remaining fluid, through the peritoneum, a membrane that covers the abdomen. In this case, a catheter is placed in the abdomen and filled with dialysis solution, which contains a type of sugar that will be in charge of eliminating waste, which will pass through the blood vessels through the peritoneum. To insert the catheter, surgery is needed, this will be placed near the navel. This treatment can be carried out at home, if you have the necessary material and prior medical authorization, which will give you greater independence.
  • Hemodialysis : in this case the access is created in a blood vessel in the arm, where the blood passes through a filter that is divided into two parts, on the one hand the waste that the body does not need is extracted and on the other the blood returns to the body, already clean. This procedure is carried out in a medical center, three times a week for 3 or 4 hours.

Care after a dialysis session

After a dialysis session it is normal for the following symptoms to appear:

  • Fatigue.
  • Weakness.
  • Tremors
  • Changes in blood pressure.

The care that should be taken after dialysis and throughout the process will be aimed at preventing infections in the area where the catheter is located. Some of them are:

  • Personal hygiene will be very important, using neutral soaps to avoid the itching of this disease.
  • Keep the catheter hole covered.
  • Consult your nephrologist in Gurgaon if you see any changes in the fistula.
  • If you receive hemodialysis and feel your arm swollen, hold it high for a while.
  • Avoid making efforts with the arm where you have the fistula.
  • Do not sleep on the side where the catheter is.

Complications of dialysis

The complications of dialysis They are not very frequent, however there are many risks of infections:

  • Peritonitis: in view of the fact that peritoneal dialysis is performed inside the body, there is a very high risk of the peritoneum becoming inflamed, this infection usually responds to antibiotic treatment.
  • Fistula infection: the puncture to create access in the blood vessel must be done three to four times a week, so the risk of infection is quite high.
  • Obstruction of blood vessels: continuous puncture can generate thrombi that make the blood vessel unusable for dialysis. Surgery should be performed to remove the blockage.
  • Feeding: as the kidneys are not able to carry out their function, patients with renal insufficiency should take good care of their diet and the amount of fluid they consume.
  • Arteriosclerosis: people with renal insufficiency have an accumulation of phosphates in the blood, which causes damage to the blood vessels and alterations such as arteriosclerosis may occur.

Recommendations

Starting a dialysis process, produces a significant change in lifestyle and routines, so we give you some recommendations to make the treatment more bearable:

  • Practice any physical exercise that is not violent or exhausting, such as swimming, gymnastics, cycling or walking. Always taking care of the access that has placed you for dialysis (peritoneal or vascular.
  • Communicate in your workplace the situation so that they can take the necessary measures regarding your schedule.
  • Do not isolate yourself, social relationships will help you make this process more bearable.
  • Avoid smoking, this can be a risk for cardiovascular diseases.
  • Read food labels and choose the ones that are low in sodium.
  • Control fluid intake.
  • Remove the liquid from the vegetables, skipping them after they are boiled.
  • Avoid soft drinks, as they increase thirst.
  • Changes in the personal, social and work environment are important, so do not hesitate to consult a psychologist if you consider it necessary.
  • Limit the intake of salty foods.

When to contact the doctor

  • If there is bleeding or infection in the vascular or peritoneal access.
  • Fever greater than 38 ° C.
  • If the hand where the catheter is feels cold.
  • Diarrhea or constipation
  • Nausea or vomiting
  • Trouble sleeping
  • Itch.

We suggest you to see a kidney specialist in Noida in case of presenting any type of condition or discomfort.