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What is dialysis?



Dialysis is a medical treatment that replaces kidney function. It filters waste products, like excess salt, from the body before they build up to toxic levels, and it replaces important fluids you need to stay healthy.

When an end-stage renal failure occurs (that is, when the kidney function is irreversibly reduced to below 15% of normal function), there are two treatment options available: dialysis or a kidney transplant (also known as a renal transplant). There are two types of dialysis: hemodialysis and peritoneal dialysis

Peritoneal Dialysis: – In peritoneal dialysis, the patient’s peritoneum (membrane present inside the abdomen) is used for the purpose of dialysis. Peritoneal dialysis occurs within the patient’s body.
For peritoneal dialysis, a tube called a catheter is surgically placed through the wall of the patient’s abdomen as permanent access for peritoneal dialysis. The catheter is usually placed about an inch below and to the side of the navel. About 2 inches to 4 inches of the catheter extends out of the body.
Through the catheter, the peritoneum is filled with peritoneal dialysate (fluid with chemicals that help to remove wastes from the body). The dialysate absorbs excess water and waste products. The dialysate remains in the peritoneum for a certain period of time. This is known as dwell time. After this period, the solution, along with the wastes, is drained from the abdomen into a sterile collection bag

Haemodialysis: – For haemodialysis, two needles are inserted into the patient’s arm. One needle withdraws the blood and the other returns the filtered blood to the patient’s body.

Two needles are inserted into an AV fistula which is created in the upper limb of the patient at least 6 weeks prior.

The blood, which is withdrawn by the first needle, travels outside the body through the tubing and the dialysis machine then pumps this blood through a filter called a dialyzer, which is attached to the dialysis machine. The dialyzer cleans the blood and it is returned to the patient’s body through the other needle.

The dialyzer is also called an artificial kidney because it is an artificial replacement for the patient’s damaged kidneys. During the process of hemodialysis, the hemodialysis machine circulates the dialysate (fluid with chemicals that helps to remove wastes from the body) to the artificial kidney. Haemodialysis is typically performed at a dialysis center.

Haemodialysis is performed at NU Hospitals with sophisticated equipment (volumetric, bicarbonate machines). We have 14 state-of-the-art machines [13 of them in the hemodialysis unit and 1 in the intensive care unit (ICU)]. A state-of-the-art reverse osmosis plant purifies the water used for hemodialysis. Periodic cultures and endotoxin levels of the reverse osmosis water are performed to ensure good quality of water.



Facility available in Regal Hospital?

Yes we have 10bedded Dialysis Unit with Trained Staffs.
And 24/7 we have Emergency Dialysis

What is end-stage renal disease (ESRD)?

End-stage renal disease or ESRD is a medical condition that occurs when a person’s kidneys stop working. The kidneys’ main function is to filter blood to remove waste products, such as excess salt, and pass them out of the body as urine. Without working kidneys, these impurities build up to toxic levels and damage other organs, lead to infection, and can eventually cause death. What’s more, kidneys are essential for keeping the body’s fluid and pH, or acid level, balanced. So people with ESRD require medication to replace the loss of these functions.

What causes end-stage renal disease (ESRD)?
There are multiple risk factors that can increase the likelihood of developing ESRD. The three most common are:

  • High blood pressure, also known as hypertension
  • Diabetes
  • Chronic kidney failure

All three conditions put excess strain on the kidneys, which can cause them to shut down. The good news is that changes in diet and exercise can sometimes reduce the chance of developing these risk factors and ESRD.

Where can a person receive dialysis?
Patients can receive dialysis in a variety of locations including at outpatient clinics, hospitals, and even in their homes. To receive treatment, patients need three things:

  • Specialized equipment and supplies
  • Medication
  • A trained healthcare professional to administer treatment

Dialysis unit

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