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 Role Of Dialysis In Managing Chronic Kidney Disease; Know Everything About It

The role of the kidney in the body is to remove waste and extra fluid. Dialysis is a treatment required when your kidneys are unable to perform these functions and function is less than 10% of normal function. The process aids in the removal of waste products and excess fluid from the blood. People with the conditions like high blood pressure, diabetes, and lupus are at a higher risk of developing kidney-related issues. Onlymyhealth editorial team spoke to Dr. Vijay Kher, Chairman- Nephrology, Kidney and Urology Institute, Medanta Hospital, to know about dialysis for chronic kidney disease.

Types of dialysis

There are primarily two types of dialysis – hemodialysis and peritoneal dialysis.

1. Hemodialysis

dialysis

In hemodialysis, an artificial kidney and dialysis machine are used to filter waste and clean your blood. The blood is diverted to an external machine, where it is cleaned and returned to the body.

2. Peritoneal dialysis

In peritoneal dialysis, a clean fluid flows through a connector tube into a part of our body’s abdomen. The lining of the abdomen acts as a filter and removes waste products from the blood. The filtered fluid with waste products is then extracted and discarded.

Also read: All About Dialysis: Procedure, Need, Types and Risks

When is the right time to seek dialysis?

One requires dialysis when the toxic levels of waste increase significantly, thereby increasing the risk of kidney failure. A person develops end-stage kidney failure when the kidney loses 80-90 % of its functional capacity, and external assistance is required for the same. Additionally, if someone is suffering from symptoms, such as shortness of breath, fatigue, muscle cramps, nausea, or vomiting they should seek treatment.

How does dialysis help in managing chronic kidney disease?

Dialysis does what kidneys cannot do. Dialysis is a lifesaving modality of treatment for a patient with failed kidneys. Dialysis does not improve kidney function and will be required for a few weeks in patients with Acute Kidney Failure but will be required lifelong for chronic irreversible kidney failure or till kidney transplantation is done.

Eligibility for dialysis

Any person who has lost 80-90% of their kidney functions and has symptoms and signs of kidney dysfunction, like loss of appetite, decreasing weight, nausea, vomiting, fatigue & shortness of breath. Patients suffering from kidney failure or end-stage renal disease also need to undergo dialysis.

Also read: Kidney Issues Leading To Overall Health Crisis? Know How Home-Based Dialysis Can Help

Other ways to manage chronic kidney disease

Chronic Kidney Disease is a progressive disease and the rate of progression is variable there are different ways to retard the rate of deterioration in kidney function. These are:

  • Controlling blood sugar level and blood pressure
  • Lowering the amount of sodium in the diet and avoiding salt added foods
  • Using medicines to reduce proteins loss in the urine (ACE/ARB’s and SGLT2 inhibitors)
  • Ensure good nutrition and avoid malnutrition
  • Specific medicines for specific diseases causing chronic kidney disease

Natural ways to help in managing chronic kidney disease

Lifestyle and home remedies along with medical interventions can help in controlling the progression of kidney disease. It is very important to take appropriate guidance from the doctor. People with kidney disease are advised to:

  • Eat a healthy diet – 3-5 vegetables and fruits
  • Stay active and engage in low-intensity exercise such as walking and swimming
  • Avoid unhealthy activities like smoking – stop smoking
  • Take medicines as prescribed
  • Get adequate sleep
  • Regular follow-up with the doctor



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