Kidney Failure Treatment:
Allopathic do not have permanent cure (kidney failure Treatment) for CKD patient, for this kidney transplant is the permanent solution. But somehow we can extend our life by doing dialysis.
What is dialysis:
Dialysis removes our body of waste products in our blood by using of filter systems. Dialysis working principle is reverse osmosis.
What is reverse osmosis:
Reverse osmosis (RO) is a water purification technology that uses a semipermeable membrane to remove ions, molecules, and larger particles from drinking water
Read this to know more about RO process: Click this
There are two types of dialysis,
1) hemodialysis, and
2) peritoneal dialysis.
Hemodialysis uses a machine filter is called as dialyzer or artificial kidney used to remove excess fluid, correct electrolyte problems, and remove toxins in those with kidney failure. Blood is removed from the body by blood pump with adjustable speed and flows through tubing into the machine, where it passes to the dialyzer. A dialyzer consists of two path; one is blood path and another one is dialysate path. Dialysate is specialized chemical solution (normally RO water with some acid chemical) flows on the other side of the membrane. A membrane separate blood and dialysate. The dialysate is designed or having Low PH to draw impurities from the blood (high PH) through the filter membrane. Blood and dialysate never touch each other. If it does means the machine will trip the dialysis process without time delay
First doctors had done this for me, for this type of dialysis to access to the blood vessels doctor needs to be surgically created so that large amounts of blood can flow into the machine and back to the body. First they will create at neck which is called IJ line. This is just temporary access. It will work maximum one or two months. But long use of this IJ catheter will lead to infection.
After wards the Surgeons will build a fistula, a connection between artery and vein in our body, usually in the arm, that allows a large amount of blood flow into the vein, means The artery blood bypassed into the vein. This process makes the vein swell or mature, and its walls become thicker so that you can stand repeated needle insertion to attach tubing from the body to the machine. Significant planning is required for hemodialysis. Because, fistula takes many weeks or months to mature artery and vein blood vessels enough to be used.
Hemo Dialysis treatments normally can be done two to three times per week and last a few hours at a time. I had done for 4 hours per dialysis and two times per week. It is very painful while inserting a needle into our artery and vein. It needs skilled professional to do this process. In accurate or negligence will lead to patient dead.
What is Peritoneal dialysis:
Peritoneal dialysis is the process of lining of the abdominal cavity as the dialysis filter to remove excess fluid, correct electrolyte problems, and remove toxins in those with kidney failure. A catheter is placed in the abdominal cavity (stomach) through the abdominal wall by a surgeon, and it is expected to remain in place for the long-term (I works well for two years). First doctors recommend this for me, But I had chosen Hemo dialysis. The dialysis solution is sent through the inserted catheter (Normally it takes 15 minutes) and left in the abdominal cavity for 2 hours after which it is drained out and it takes 15 minutes to drain. During that time, waste products get out from the blood flowing through the lining of the abdomen, daily 3 to 4 times we have do the same process.
The benefit of this type of dialysis is we can do our normal work by doing 3 to 4 times repeatly. The main disadvantage of this method is we need to carry dialysis solution.
There are benefits and complications for each type of dialysis. The treatment decision depends upon the patient’s illness and their past medical history along with other issues. Normally kidney specialist will have a discussion with the patient and family to decide the best option.
Dialysis is lifesaving. Without it, patients whose kidneys no longer function would die relatively quickly due to electrolyte abnormalities and the buildup of toxins in the blood stream. Patients may live many years with dialysis but other underlying and associated illnesses often are the cause of death.