臨床腎臓学の年報 オープンアクセス

抽象的な

Haemodialysis

Alexander  V.Pehersky

Healthy kidneys smooth your blood and eliminate greater fluid within the form of urine. They additionally make substances that preserve your frame healthful. Dialysis replaces some of these capabilities whilst your kidneys now not paintings. There are  one-of-a-kind varieties of dialysis - hemodialysis and peritoneal dialysis. You need dialysis if your kidneys now not dispose of sufficient wastes and fluid from your blood to maintain you healthful. This normally happens if you have only 10 to fifteen percent of your kidney feature left. You can also have signs such as nausea, vomiting, swelling and fatigue. However, even if you don’t have those signs yet, you may nonetheless have a high level of wastes in your blood that may be poisonous in your body. Your doctor is the satisfactory man or woman to inform you when you ought to start dialysis. Haemodialysis is a system where a dialysis device and a special filter called an synthetic kidney, or a dialyzer, are used to easy your blood. To get your blood into the dialyzer, the medical doctor wishes to make an get right of entry to, or entrance, into your blood vessels. This is completed with minor surgical operation, commonly to your arm. The dialyzer, or filter out, has two elements, one on your blood and one for a washing fluid called dialysate. A skinny membrane separates those two elements. Blood cells, protein and different important things stay on your blood due to the fact they’re too massive to pass via the membrane. Smaller waste products within the blood, such as urea, creatinine, 
potassium and further fluid pass via the membrane and are washed away. In dialysis middle, hemodialysis is usually accomplished 3 instances in keeping with week for about four hours at a time. People who pick to do hemodialysis at home can also do dialysis treatment greater often, 4-7 instances in keeping with week for shorter hours each time. Your physician will provide you with a prescription that tells you how a lot treatment you want. Studies have proven that getting the right amount of dialysis improves your average health, keeps you out of the hospital and allows you to stay longer. Your dialysis care team will display your treatment with monthly lab exams to ensure you have become the proper amount of dialysis. One of the measures your dialysis care group may additionally use is called urea discount ratio (URR). Another degree is called Kt/V (stated kay tee over vee). Ask your dialysis care group what measure they use and what your wide variety is. To make sure that you have become enough dialysis. Generally speaking, patients on dialysis are counseled to boom their protein intake and limit the amount of potassium, phosphorus, sodium, and fluid in their food regimen. Patients with diabetes or different health conditions may also have additional food regimen regulations. It’s important to talk with you dietitian approximately your man or woman eating regimen needs.