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Everything you need to know about dialysis

When the kidneys can no longer remove excess fluid and metabolic waste from the body, dialysis is needed. This procedure does not heal the kidneys, it just replaces them.

What is it?

Dialysis is the medical treatment that removes excess water and salts and toxins from the body. It also helps control blood pressure and maintains a proper level in the body of substances such as potassium and sodium. However, not all kidney functions can be taken by dialysis. For example, it does not correct the endocrine function of the kidneys.

When is it done?

Dialysis treatment is required when various kidney diseases have reached the stage of advanced renal failure. Temporary dialysis (acute renal failure) or in the last stage of kidney disease (chronic form) is needed.

How many types is it?

There are several types of dialysis, the most commonly used in our country being hemodialysis and peritoneal dialysis, both with the same purpose. The choice of type of dialysis depends on the stage of renal failure and associated diseases.

Hemodialysis is performed with the help of a device, which the patient will sit next to during treatment. In this type, the blood is brought into contact, by means of a semipermeable membrane (dialyzer) with a filter role, with a special solution. The blood circulates through a system of tubes, passing through the dialyzer several times. To do this, insert 2 needles into the forearm, which are connected to the tube system that directs the blood to the filter. One of these needles draws blood, and the other returns it clean to the body. Hemodialysis is done in the hospital, usually 3 days a week, and usually lasts 4 hours.

Peritoneal dialysis uses as a replacement for the filter membrane of the kidney the peritoneum, the sheet that naturally covers the organs in the abdomen (stomach, liver, intestines). The peritoneal dialysis solution is introduced into the peritoneal area through a catheter that remains permanently in the abdominal cavity. The catheter, which is inserted by a surgeon or nephrologist, will remain permanently in the body, only part of it coming out through the skin, to make the necessary changes (removing the solution with toxins and replacing it with fresh dialysis solution). The dialysis solution needs to remain in contact with the peritoneal membrane for several hours. Subsequently, excess water and residual matter are removed in the dialysis fluid. The treatment is performed during the day (3-4 times) or at night, with the help of a device. Peritoneal dialysis can be done at home, at work or at school.

Find out on clicksanatate.ro what side effects dialysis has!

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