When you need to start dialysis and it is a temporary treatment for kidney health?

Dialysis

When you need to start dialysis and it is a temporary treatment for kidney health?

  • September 12, 2020

  • 172 Views

Overview

Dialysis treatment is for the kidneys when they stop working because of certain conditions or health issues. Kidneys are helpful to filter waste, salt, and water to prevent them from building up in the body. Moreover, it helps to control mineral balance and blood pressure levels in the body. It balances the minerals like sodium, calcium, and potassium in the blood. If you or your loved one have kidney-related issues then make sure to consult the best urologist in Ludhiana.

When do you need to start Dialysis?

Dialysis is recommended when kidneys are not functioning the way it needs to. This means 85 to 90% of the kidney function is lost or where one has an eGFR less than 15 mL/min/1.73m2. Your doctor will check your condition and this makes it easier to start dialysis in Ludhiana.

Kidney failure is often permanent which means it is the start of chronic kidney disease and kidney disease is progressing to the end-stage. In some cases, the condition can be temporary.

When hemodialysis is temporary?

Hemodialysis treatment helps to filter the blood through a dialyzer that is referred to as an artificial kidney. The blood flows through the filter, removal of fluid, and the blood is returned to the body. To reach the blood vessels entrance is needed.

  • For long-term treatment of dialysis, doctors create access with the AV fistula that joins the artery to the vein under the skin and makes the blood vessels bigger.
  • For temporary dialysis, access is given with a catheter that is a small plastic tube, and it is inserted into the vein in the chest, neck, or leg near the groin. The patient is given local anaesthesia.

Most hemodialysis sessions are done 3 times per week and each session lasts for around 4 hours.

What happens after the kidney starts functioning normally?

Once the kidney functioning gets back to normal, the catheter is removed and the patient does not need to get dialysis treatment. It is important to start and stop the dialysis treatment after consulting the doctor because he can tell you better about your condition.

Dialysis treatment takes time and at times it can be stressful to manage everything. It can affect your quality of life or you can say you are not able to perform the daily activities you used to. But once the kidney functioning is normal you can stop the treatment.

Consult the doctor

Your medical health care provider can give you better reasons for when you need to stop the treatment. Moreover, he can guide you about the alternative options to ensure you are making the right decision for yourself.

Dialysis

When is the ideal time for the kidney patients to start dialysis treatment?

  • September 10, 2020

  • 181 Views

Overview

When you know the kidneys are failing, it is normal to put off the dialysis for some time. Common wisdom used to say that starting dialysis at the early stage is best for you. To understand when you need to get the treatment of dialysis in Ludhiana you should consult the best urologist. Our urologist in Ludhiana is highly experienced and he will give you the treatment according to your condition.

 

Stages Of Chronic Kidney Disease

 

Stage of CKD

GFR (mL/min)   Action to take

1

≥ 90

●     Treat other illnesses

●     Reduce your risk of heart disease

●     Slow the rate of CKD

●     Diagnose and treat the kidney problem

2

60 to 89

Estimate the rate at which your CKD is progressing

3

30 to 59

Evaluate and treat any complications

4

15 tp 29

Prepare for transplant or dialysis

5 < 15

You need to get dialysis or a transplant. Current evidence has shown that the dialysis needs to be started as soon as the person notices the symptoms.

Uremia is the build-up of waste in the blood. When the kidney fails, the build-up of waste and excess water in the blood can result in different symptoms which includes:

  • Overwhelming fatigue
  • Loss of appetite, eating less (or no) protein, nausea, vomiting, or “metal” taste in your mouth
  • Itchy skin (the itching may be so severe that it can wake you up at night)
  • Swelling in the hands, feet, or face
  • Feeling cold when others are warm
  • Feeling faint or dizzy
  • The trouble with mental focus
  • Shortness of breath

In some cases, the symptoms with kidney function can vary a lot. Some people are even fine and they do not have any symptoms. The doctor will do a blood test and check the symptoms you are having. This makes it clear for the patient when they need to start the treatment.

 

New Research

In 2004, research was done on when the patient needs to start dialysis treatment. Around 800 people with CKD and they were followed for around 3 years to find out who lives longer.

  • Patients who started dialysis early, at a GFR of 10–14 mL/min
  • Patients who started dialysis late, at a GFR of 5–7 mL/min.

With the group of 828 people started treatment early or late:

  • 404 people started early and 152 (37.6%) died.
  • 424 people started later and 155 (36.6%) died.

 

Consult a Nephrologist

People diagnosed with CKD need to consult a nephrologist as it gives them better results. The nephrologist can help to:

  • Help you learn about health issues.
  • Offer treatments to prevent or help slow the rate of kidney failure
  • Teach you about treatment options
  • Help ensure that you get dialysis access placed in time.