Dialysis

Dialysis acts like an artificial kidney, helping to remove waste and excess fluid from the body. It is required when your kidneys fail or become damaged.

Normally, kidneys filter waste and extra fluid from your blood and pass them out through your urine. But when the kidneys no longer perform their job properly, these wastes start to build up in your body, which can make you ill and cause major health complications. That's why doctors use this procedure to remove your body's waste. It often involves diverting blood to a machine for cleaning. There are various health conditions where people need dialysis, including:

• Chronic kidney disease or kidney failure
• Diabetes
• High blood pressure

However, in some cases, the cause isn't even clear. Kidney failure can develop gradually, or it can happen suddenly after a serious illness or injury. Sometimes the kidneys recover. But if they don't recover, and they're functioning at a very low percentage of their capacity, dialysis may be the only option – until a transplant can be done.

Dialysis doesn’t cure your kidney diseases, but it helps people move forward. Some people stay on dialysis for years, others just waiting for a new kidney. Either way, it's a lifeline.

There are two main types of dialysis:

1. Hemodialysis

This is the most common type. In this treatment:

• Your blood is taken out through a needle or tube.
• The blood goes into a dialysis machine.
• The machine filters your blood to remove waste and water.
• The cleared blood is returned to your body.

Haemodialysis is usually done three times a week. Each session takes around 3 to 5 hours. It is done in a hospital or dialysis centre. Some people may also get training to do it at home.

2. Peritoneal Dialysis

This type can often be done at home. It uses the inside lining of your belly, called the peritoneum, to clean your blood.

In this treatment:

• A soft tube is placed in your belly.
• Special fluid (dialysate) goes into your belly through this tube.
• This fluid stays there for a few hours and collects waste from your blood.
• Then it is drained out and replaced with fresh fluid.
• This can be done by hand during the day or by a machine at night. It allows more freedom and a flexible routine.

Your doctor will help you choose the best type of dialysis based on your health and lifestyle.

Dialysis acts like an artificial kidney. It removes:

• Waste products like urea and creatinine
• Extra water and salt
• Toxins that your kidneys can no longer remove

In haemodialysis, your blood goes through a filter in a machine. The filter removes waste and sends clean blood back into your body.

In peritoneal dialysis, the fluid placed in your belly collects waste from your blood. This fluid is then drained out, taking the waste with it.

For Haemodialysis:

• A nurse will connect you to the dialysis machine using a needle or tube.
• Blood will slowly move out of your body to the machine.
• The machine filters the blood.
• Clean blood is returned to your body.
• You can rest, read, or watch TV during the session.

For Peritoneal Dialysis:

• A soft tube is placed in your belly through a small surgery.
• A clean fluid is filled into your belly.
• The fluid stays inside for a few hours to absorb waste.
• It is then drained out and replaced with fresh fluid.
• You can do this yourself at home after training.

Benefits of Dialysis:

• Removes harmful waste and extra water
• Helps you feel better and more active
• Keeps your body balanced
• Can extend your life

Possible Risks:

• Infections, especially in the belly for peritoneal dialysis
• Low blood pressure during hemodialysis
• Cramps, headaches, or tiredness after sessions
• Diet and fluid limits

At RBH, we work to reduce risks and make dialysis as safe and smooth as possible for you.

You need dialysis if your kidneys lose about 85 to 90% of their function. This condition is called end-stage kidney disease. Some people stay on dialysis for a few months until they can get a kidney transplant. Others may stay on dialysis for many years. With good care, people can live well on dialysis. You will also need to follow a special diet and take medicines. Your doctor and dietitian will help you with this.

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