- On July 3, 2017 /
- By davita /
- In Treatment Options
The two types of treatment for kidney failure are dialysis and kidney transplantation. Dialysis are of two types: hemodialysis and peritoneal dialysis. As you find out more information about each type of treatment, you can discuss with your doctor and your family to help you choose a treatment that is best for you. While choosing a treatment method, you have to take into consideration your medical condition, lifestyle and personal preference.
Hemodialysis is a treatment that helps remove waste and extra fluid from your blood. Before starting hemodialysis, you will need to undergo a minor vascular surgery to create a fistula, a permanent access to your bloodstream. A fistula is made by joining an artery to a nearby vein under the skin to make a bigger vessel. A fistula should be placed several months before you start hemodialysis to allow it time to heal and be ready for use before you start hemodialysis.
If you choose home hemodialysis, there must be enough space at your home to install the equipment and there must be enough water drainage and electric power to operate the dialysis machine and water purification unit. For home dialysis, you will need a dialysis care partner, this can be a family member or a friend. Your dialysis partner and you will be trained to do hemodialysis at home.
In peritoneal dialysis, the blood is cleaned inside your body, where the lining of your abdomen called the peritoneum acts as a filter. A cleansing solution, called the dialysate, flows into your belly through a soft tube called the PD catheter. The catheter is placed during a minor surgery. Wastes and extra fluids pass from your blood into the cleansing solution. After several hours, the used solution is drained from the abdomen and fresh cleansing solution is introduced to rebegin the process. Peritoneal dialysis is a home-based treatment that can be done at home, office, school or even travel. It allows patients greater flexibility.
A kidney transplant is an operation that places a new, healthy kidney from another person into your body. The kidney may come from a dead donor or a person who is alive and is closely related to you, for example, your spouse, your parent or a close friend.
The transplant surgery lasts for about 3 hours during which the new kidney is placed in your lower abdomen and is connected to your bladder and blood vessels. You will have to be in the hospital for 5 to 7 days after the surgery. After the transplant, you will be required to take special medicines to prevent your body from rejecting the new kidney, you may have to take these medicines for your lifetime.
A transplant offers a patient greater freedom and lesser diet restrictions and improves the quality and the length of life. A kidney transplant is a treatment and not a cure. The patient will still have to continue taking some medicines that he/she took before the transplant.
Why you need psychologist support and how can they help?
Psychologist pay close attention to newly diagnosed patients; and make them understand that adjusting to the dialysis regimen is often a particularly hard time.
Psychologists always have an eye out of their patients for signs that they are struggling. They will easily understand by their appearance if suddenly becoming unkempt. They will know if they seem listless and distracted rather than engaged in the conversation. Psychologists will always be watchful of their patients’ if they are asking any questions or missing or coming late for dialysis.
Observing patients is only one piece of the puzzle. Without hesitation they will be ready to help and ask questions about a patient’s mood, stress level, sleep habits and support systems. It’s not always easy to talk about mental health. Patients often feel relieved when asked and appreciated and they will feel that they are concerned. Failure to follow medical advice is an important and common sign of emotional distress. Are patients taking their medications, monitoring their diet and fluid intake, and following their dialysis regimen? These are the duties of psychologists and they know how to do it.
Dialysis patients can safely take some antidepressant medications, but there are important non-drug options to consider, too. Generally psychologists adapt the patients to follow some cognitive behavioral therapy and exercise therapy which are both effective at treating depression in people with chronic kidney disease.
Dialysis may be life changing, but it’s also life sustaining. Taking the right psychologists’ help, patients with kidney disease can overcome the psychological and emotional barriers to living a good quality of life with dialysis.