Kidneys are purifier of blood. Kidney remove waste and ensure that blood have the right amount of minerals, like potassium and sodium. Kidney releases Erythropoietin (EPO) is a hormone produced primarily by the kidneys which stimulates the production and maintenance of red blood cells.
Dialysis is a medical treatment for people whose kidneys aren’t working effectively. Patient with kidney failure, face difficulty as kidneys are unable to filter blood the way they should. As consequence wastes and toxins accumulates in bloodstream. Dialysis is a temporary saviour for your kidneys as it removes waste products and excess fluid from the blood.
There are two types of dialysis:
Hemodialysis: Blood is passed through filter outside body, cleanse and then restitutein body.
Peritoneal dialysis: Blood is purified inside body. A special medical fluid is put into abdomen to soak up waste from the blood passing via vessels in abdominal cavity. Then the fluid is drained away.
Patients facing severe difficulty with kidney and there kidneys aren’t performing enough function to maintain the body, then the person need a transplant or dialysis.
Patients who have severe symptoms disrupting functionand results of lab tests showing toxic levels of waste in your blood. Symptoms of kidney failure include nausea, fatigue, swelling, and throwing up.
Dialysis depends on your age, energy level, overall health, lab test results and how willing you are to commit to a treatment plan. Although it can make you feel better and live longer, it involves a lot of your time.
Your doctor will let you know when you should start treatment. They’ll also explain which type might work best for you.
Body of some people is not comfortable with the AV fistula or graft. They may develop an infection, blockage from scar or a blood clot.
The system alerts you when a dialysis needle comes out of your arm, or tube comes out of dialysis machine, during dialysis. The machine shuts off temporarily until someone fixes the problem. In this way it protects you from blood loss.
Some people get skin infections due to catheter. People are prone peritonitis, an infection that occurs when bacteria gets inside the abdomen through catheter. It can give you fever, abdominal pain, nausea and vomiting.
Pumping belly full of dialysis fluid can depress abdominal muscles over time. There are chances of developing hernia. Also, body consume dextrose, a sugar, from the dialysis solution which can lead to weight gain.
India adds about 2.2 million new patients with end-stage kidney disease every year, resulting in an additional demand of 34million dialysis every year.
Ministry of health and welfare prepares concise guidelines for delivering dialysis service at district hospitals. Guidelines ensure comprehensive dialysis services delivery at the district hospital which includes pre and post diagnosis, medications, surgical procedures, emergency care and dialysis sessions etc. Financial assistance is given to all States/UTs for providing dialysis services completely free of cost to BPL ESRD patients and non BPL patients gets access to service at the same rate paid by the Government for BPL patients.