Every year in India, more than 130,000 patients receive dialysis. With the improvement of sanitary facilities across India, the number is expected to increase by 232 per million population / year. Maintenance hemodialysis requires the patient to visit the hospital at least twice a week. Due to the recurring nature of hemodialysis in patients with chronic kidney disease, affordability becomes a crucial factor.
Dialysis is indicated when one develops end-stage kidney disease or kidney failure. In kidney failure, the kidneys cannot filter the blood to remove uremic toxins (waste products such as urea, creatinine, and acids).
Dialysis keeps your body in balance by:
- Remove toxins, waste products, salt, and excess water from the body.
- Maintain the balance of certain chemicals such as potassium, sodium, and bicarbonate.
- Keeping blood pressure under control
Different types of dialysis?
There are two types of dialysis: hemodialysis and peritoneal dialysis.
Hemodialysis is a type of dialysis in which an artificial kidney (called a hemodialyzer) helps remove toxins, electrolytes (potassium, bicarbonate), and excess fluid from the body. To do this, the doctor must perform a small surgery on the leg or arm to access the blood vessels. Sometimes the access is also made by joining an artery to a vein under the skin called an AV fistula. In the event that the fistula is not made, the doctor uses a plastic tube to complete the process called an AV graft. Two of the most important benefits of in-center dialysis are the trained and experienced kidney care professionals who administer the treatment and there is the opportunity to interact with other patients and staff. It requires a patient to spend at least 3-4 hours (at least twice a week), in the center for dialysis, during which they can read, watch TV, use a laptop, talk to others, etc.
- Peritoneal dialysis It is a type of dialysis in which the blood is cleansed with the help of a specialized fluid that is kept within the abdominal cavity. Here, the doctor performs surgery to insert a plastic tube (called a catheter) into the abdomen, and then through a catheter, the abdominal area is filled with dialysate fluid and the excess fluid and waste is removed from the blood to dialysate. by diffusion, filtration and convection gradients. It differs significantly from hemodialysis in the way it filters the blood. The lining of the abdomen: It is called the peritoneum and hence the name of peritoneal dialysis that acts as a filter and removes waste products from the blood. After a set period of time, the fluid with the filtered waste products empties from the abdomen.
Peritoneal dialysis can be done at home, at work, or even while traveling. Peritoneal dialysis requires patients to take care of themselves or they need a trusted caregiver.
Dialysis Tips During COVID
Contact the dialysis department before coming to the dialysis center and let us know if you have any of these dangerous symptoms of COVID 19 infection:
- Recent onset fever
- Throat pain
- Difficulty breathing / dyspnea
- Stuffy nose
- Myalgia / body pain, fatigue
- H / O travel abroad or contact with a person who has traveled abroad in the last 14 days
- Try to get to the dialysis unit alone without an assistant and preferably use a staff vehicle for transportation.
- All patients wait outside the dialysis unit until they receive specific instructions from the unit staff.
- Maintain proper social distancing while you wait for dialysis.
- Patients with symptoms of respiratory tract infection should put on a mask before entering the detection area and keep it on until they leave the dialysis unit. Our dialysis unit will ensure that an adequate stock of masks is available in the selection area to provide to patients and companions if necessary.
- Patients should wash their hands with soap and water for at least 20 seconds, using a proper hand washing method.
- Patients should follow cough labels, such as coughing or sneezing into the inside of the elbow or tissue paper.
- Suspicious or positive COVID-19 patients should properly wear a three-layer disposable surgical mask during dialysis and should preferably be dialysed in isolation.
Narayana Super Specialty Hospital, Gurugram It has a state-of-the-art dialysis unit, with an online RO system. A great deal of effort and detail has gone into formulating infection control guidelines, the proper infrastructure, and the hiring of highly trained paramedic personnel to make this center one of the best dialysis units on Gurugram.
- A total of 18 HD machines. Separate machines for
- Serological negative patients
- HEMODIAFILTRATION machines
- Patients with positive hepatitis C
- Hepatitis B and HIV patients in an isolation unit
- Separate and well-differentiated time slots for both outpatients and inpatients
- Ease of SLED; immunoadsorption and plasmapheresis; separate CRRT machine in ICU
- Dialysis center serving the needs of patients of all age groups, especially children and the elderly
- 24X7 services
- A well-integrated automated appointment supply system
- One facility is spliced with all major insurance and TPA, Haryana government, ECHS and offers cashless medical facilities to CGHS beneficiaries
- Soundproof treatment rooms
Dr. Sudeep Singh Sachdev | Principal Consultant and Clinical Leader | Nephrology and kidney transplantation | Narayana Super Specialty Hospital, Gurugram
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