nephrology-in-center-hemodialysis

In-Center Hemodialysis

Blood is pumped outside the body to an artificial kidney machine. The machine cleanses the blood and returns it to the body. Only a small amount of blood is out of the body at any time.

A “fistula” (the surgical linking of an artery to a vein) provides access to blood vessels. So does a “graft” (tubing surgically placed under the skin, linking an artery to a vein).

Two needles are placed into the fistula or graft. The needles are then attached by plastic tubing to a special filter. This filter is an artificial kidney called a dialyzer. One needle withdraws blood for cleansing. The other needle returns filtered blood to the body.

A pump pushes blood through the dialyzer. Blood passes on one side of the filter. Solution made by the dialysis machine passes on the other side. The solution draws excess fluid and waste out of the blood. A filter is used with pores large enough to allow waste to leave. Larger molecules like blood cells cannot pass through the filter. The average person receives three treatments per week. Each treatment lasts three to four hours.

We do maintenance hemodialysis, hemodialysis in ICU for acutely ill patients (including SLED), mineral bone disease management, renal anemia management, hemodialysis for HCV/HBV + patients.

Renal care clinic- OPD/Consultation Services

  • Glomerular diseases / Nephrotic syndrome (symptoms of which may include leg swelling, blood in urine, protein or blood cells in urine analysis, high blood pressure)
  • Chronic kidney disease (Screening of people at risk i.e. diabetics, hypertensives, family history of CKD, Elevated BUN/ creatinine, abnormalities on sonography), Predialysis CKD management, prevention of progression, hereditary kidney diseases.
  • Renal stone disease
  • Urinary tract infections
  • Hypertension in young - may be due to renal or renal vascular disease
  • Electrolyte disorders
  • Renal transplant
  • Kidney diseases in children(pediatric nephrology)

Acute Kidney Injury

Acute Kidney Injury (formerly called Acute renal failure) means that your kidneys have suddenly stopped working. Your kidneys remove waste products and help balance water, salt and other minerals (electrolytes) in your blood. When your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems that can be deadly.

Acute kidney injury has three main causes:

A sudden, serious drop in blood flow to the kidneys - Heavy blood loss, an injury, or a bad infection called sepsis can reduce blood flow to the kidneys. Not enough fluid in the body (dehydration) also can harm the kidneys.Damage from some medicines, poisons, or infections - Most people don't have any kidney problems from taking medicines. But people who have serious, long-term health problems are more likely than other people to have a kidney problem from medicines. Examples of medicines that can sometimes harm the kidneys include: - Antibiotics, such as gentamicin and streptomycin.

  • Pain medicines, such as aspirin and ibuprofen.
  • Some blood pressure medicines, such as ACE inhibitors.
  • Dyes used in some X-ray tests.A sudden blockage that stops urine from flowing out of the kidneys - Kidney stones, a tumor, an injury, or an enlarged prostate gland can cause a blockage.

Advanced Care – Renal Transplant

It is estimated that every year over 100,000 people are diagnosed to have kidney disease in India. Due to various reasons, including the non-availability of organs, only about 2,500 kidney transplants are done.

During a transplant, a healthy donated kidney is placed deep under your skin near your hipbone. In some cases, the non-working kidneys may be removed to control infection or high blood pressure.

Transplantation is the most “natural” solution to kidney failure. However, we believe that only about 50% of dialysis patients meet the physical requirements for a transplant, or choose this as a treatment option.

Where and when can you get a kidney?

According to Transplantation of Human Organ Act there are only three sources:

A blood relation - This is ideal. You can get the kidney from someone who is alive (parents, siblings, children and spouse). The operation should be performed at a time suited to both donor and recipient. There is also less legal procedure involved.An unrelated donor - Any other living person, other than blood relation, is an unrelated donor. This requires government committee permission before transplant. There is a legal procedure involved as organs should not be sold according to the act.cadaver: The Indian Organ Transplant Act approves the harvest of organs from the brain dead. There are 60,000 accident cases reported in India each year.

 
 

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