What is dialysis?

Dialysis is a treatment for people whose kidneys are failing. When you have kidney failure, your kidneys don’t filter blood the way they should. As a result, wastes and toxins build up in your bloodstream. Dialysis does the work of your kidneys, removing waste products and excess fluid from the blood.

Who needs dialysis?

People who have kidney failure, or end-stage renal disease (ESRD), may need dialysis. Injuries and conditions like high blood pressure, diabetes and lupus can damage kidneys, leading to kidney disease. When the kidneys are carrying out around 10% to 15% of their normal function. You may need dialysis or a kidney transplant to stay alive. Some people undergo dialysis while waiting for a transplant.

What do the kidneys do?

Your kidneys are part of your urinary system. These two bean-shaped organs sit below your ribcage on each side of your spine. They clean toxins from your blood, returning filtered, nutrient-rich blood to the bloodstream. The waste and extra water make urine, which moves from the kidneys into the bladder. Your kidneys also help regulate your blood pressure.

What is hemodialysis?

 With hemodialysis, a machine removes blood from your body, filters it through a dialyzer (artificial kidney) and returns the cleaned blood to your body. This 3- to 5-hour process may take place in a hospital or a dialysis center three times a week.

What happens before hemodialysis?

Before you start hemodialysis, you’ll undergo a minor surgical procedure to make it easier to access the bloodstream. You may have:

  • Arteriovenous fistula (AV fistula): A surgeon connects an artery and vein in your arm.
  • If dialysis needs to happen quickly, your provider may place a catheter (thin tube) into a vein in your neck, chest or leg for temporary access.

What happens during hemodialysis?

During hemodialysis, the dialysis machine:

  • Removes blood from a needle in your arm.
  • Circulates the blood through the dialyzer filter, which moves waste into a dialysis solution. This cleansing liquid contains water, salt and other additives.
  • Returns filtered blood to your body through a different needle in your arm.
  • Monitors your blood pressure to adjust how fast blood flows in and out of your body.
DIALYSIS

 

What happens after hemodialysis?

Some people experience low blood pressure during or immediately after hemodialysis. You may feel nauseous, dizzy or faint.

Other side effects of hemodialysis include:

  • Chest pain or back pain.
  • Headaches
  • Itchy skin.
  • Muscle cramps.

What are the potential risks or complications of hemodialysis?

Some people have problems with the AV fistula or graft. You may develop an infection, poor blood flow or a blockage from scar tissue or a blood clot. Rarely, the dialysis needle comes out of your arm, or a tube comes out of the machine, during dialysis. A blood leak detection system alerts you or the medical staff to this problem. The machine temporarily shuts off until someone fixes the problem. This system protects you from blood loss.

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What’s the outlook (prognosis) for someone on dialysis?

It’s possible to live 10 to 20 years on dialysis. The outlook varies depending on your age, overall health, the cause of kidney failure and other factors. If you get a kidney transplant, you can stop dialysis when your new kidney starts working.

Will I have activity restrictions while I’m on dialysis?

Many people on dialysis continue to live active lives, working, raising families and traveling. When you travel, your healthcare provider can help arrange for you to get dialysis at a center at your new location. If you’re doing either type of self-dialysis, you can take dialysis solution bags and the portable home dialysis machine (if needed) with you. People who use peritoneal dialysis may need to limit exercise or certain physical activities when the abdomen fills with dialysis solution. Otherwise, exercise is typically OK for people on dialysis. You should ask your provider about participating in specific activities or sports.

When should I call the doctor?

You should call your healthcare provider if you experience:

  • Difficulty urinating.
  • Dizziness, fainting, unusual thirst (dehydration) or other signs of low blood pressure.
  • Nausea and vomiting.
  • Signs of infection, such as fever or oozing and redness at the AV fistula or catheter site.
  • Severe abdominal pain.

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Email: vidyahospital32@gmail.com
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