Peritoneal kidney dialysis and hemodialysis was initiated during the 1940’s. Furthermore, 80% of the costs regarding kidney dialysis are paid by the federal government.
Surveillance studies conducted since the 1960’s had shown that kidney dialysis patients in some other countries persistently live longer, compared to patients in the United States. Dialysis patients in the United States have a mortality rate of approximately 23%. In comparison with Japan and Western European countries this represents twice the rate.
The survival rates of kidney dialysis patients as stated by the Health Statistics of the National Centre are as under-mentioned.
One year – 77 percent
Five years – 28 percent
Ten years – 10 percent
Hemodialysis is given to approximately 90% of dialysis patients. During this process, blood circulation is done outside the patient’s body, whilst a machine cleaned it before it is returned to the patient.
Eighteen (18) gallons of blood is processed by the kidneys every hour by a highly developed system of absorption, re-absorption and secretion. At the end of every day they are able to produce a quantity of seven (7) gallons of urine.
- Frequently asked questions:
What’s Kidney Dialysis?
It involves a treatment which does some functions usually done by a healthy pair of kidneys. Kidney Dialysis is necessary when a patient’s body can’t manage the care needed by the body.
Kidney Dialysis: What does it do?
Similar to healthy kidneys this treatment manages the balance of your body, including the following functions:
- Assist upto some extent in controlling the blood pressure
- Chemicals like sodium, bicarbonate and potassium are managed at a safe level
- Removes salt, extra water and other waste, preventing a build-up in your body
- When does a patient needs kidney dialysis?
When a patient reached the end stage of renal failure, kidney dialysis becomes a necessity. Generally at this stage, patients already had lost 85-90% of their kidney function.
- Where does kidney dialysis take place?
The kidney dialysis treatment can be done at a hospital’s kidney dialysis-unit which is separated from the hospital, at home or in a hospital. You, in co-operation with the medical professional will make the decision which is the best place according to your wishes and medical condition.
Is renal or kidney failure a permanent condition?
Not in all cases. Some types of severe kidney failure cases improve with treatment. In other of severe kidney failure cases, it occurs that kidney dialysis may just be necessary for a brief period of time, while waiting for the kidneys to recover.
At the end or chronic phase of kidney failure, the condition of the kidneys won’t improve. Then kidney dialysis will be a lifelong necessity. You can opt, if your doctor diagnosed you as a candidate, for a kidney transplant; place your name on the waiting list.
- How expensive is kidney dialysis?
Kidney dialysis is an expensive treatment. However, 80% of all costs are paid for the majority of patients by the US federal government. State medical aid or private health insurance also assists with its costs.
- Kidney dialysis: how long can patients live on it?
The period of time is not really known. However, it is assumed that some of the patients on dialysis treatment may have the same lifespan as healthy people without renal failure.
- Do patients on kidney dialysis have to manage their diets?
Such patients may be following a special eating plan. Patients have to limit the quantity of fluids they consume too and will probably not being allowed to eat all they like.
- Can kidney dialysis being uncomfortable?
Some discomfort can be experienced as the needles are inserted into your graft or fistula. However, the majority of patients don’t experience other type of problems. Although kidney dialysis is a painless treatment, some patients may experience a lowering in blood pressure.
- Are kidney patients able to live a normal life?
The majority of patients live normally, excluding the time they undergo treatments. After their kidney dialysis, patients generally feel much better because it brings relieve to the health problems due to kidney failure. It will take some time for patients and their families to get accustomed to kidney dialysis.
- Will kidney dialysis patients be able to travel?
Certainly they can. Centres for kidney dialysis are located all over the US as well is in other foreign countries. Kidney dialysis treatment is all the same. However, you should before you travel to another treatment centre, make the necessary appointment. The personal at your current centre, may assist you with this.
- Are there various kinds of kidney dialysis?
There are two kinds of kidney dialysis: peritoneal kidney dialysis and hemodialysis.
- What’s hemodialysis
During hemodialysis a hemodialyzer (artificial kidney) removes additional fluids, chemicals and waste from your bloodstream. The doctor has to make an incision in the patient’s blood vessels. Minor surgery is done into an arm or leg.
In some cases, an incision, called a fistula is made. This is done by connecting one of your arteries to a vein beneath the skin, which creates a larger blood vessel.
Should the doctor found your blood vessels inadequate to create a fistula; he/she can create a graft. This is done by using a soft tube of plastic, to connect the artery and vein beneath the skin.
Sometimes an incision is created using a catheter, which is a thin plastic tube. The catheter is then inserted in your neck by means of a large vein. This kind of incision can be temporary and is occasionally used for treatment on the long term.
- For which period does hemodialysis last?
The needed time to undergo kidney dialysis will depend on the following factors:
- The amount of fluid weight which you gained between treatments
- The quantity of waste in your body
- How efficient your kidneys function
- Your body size
- The kind of artificial kidney that will be used.
Generally, every hemodialysis treatment takes approximately four hours, whilst it is done 3-times a week.
High-flux dialysis, another kind of hemodialysis will take less time. Consult with your doctor and enquire if it is a suitable option for you.
- What’s peritoneal kidney dialysis & how is it done?
With peritoneal kidney dialysis, your blood gets cleaned within your body. Through an incision done by your doctor, a catheter, a plastic tube will be placed into your stomach, also called your peritoneal cavity. During your treatment this cavity will be filled with dialysate which will flow slowly via the catheter. Your blood remains inside your arteries & veins which line your peritoneal cavity. Additional waste products and fluid will be drawn from the blood into the dialysate. Peritoneal kidney dialysis includes two major types.
- Peritoneal kidney dialysis: The various types & how it works?
Different types of peritoneal kidney dialysis are available. The two key ones are: CCPD (Continuous Cycling Peritoneal Dialysis) and CAPD (Continuous Ambulatory Peritoneal Dialysis).
CAPD, is the only kind of peritoneal dialysis which can be done without the assistance of machines. This can be done by yourself, generally 4 to 5 times at work and/or at home on a daily basis.
You place the dialysate bag, approximately 2-quarts, inside your peritoneal cavity via the catheter. Then the dialysate bag remains inside for approximately 4 to 5 hours. Then you will drain it back into its bag and dispose of it. The process is known as an exchange. With every exchange a fresh bag of dialysate will be used. You can continue with your usual activities whether it is at home, school or work.
CCPD, is generally done at home too, but you will use a cycler, which is a special type of machine. This process is the same as CAPD, except for the fact that numerous exchanges (cycles) will occur. In general every cycle will take about one and a half hour, whilst these exchanges will continue while sleeping, right through the night.
- Can kidney dialysis cure your kidney disease?
Unfortunately it won’t. During the dialysis treatment, it performs the functions of healthy kidneys. It will be necessary to undergo lifelong dialysis treatments, if you don’t opt for a kidney transplant.
- Since when is kidney dialysis obtainable?
Peritoneal kidney dialysis and hemodialysis were available during the middle of the 1940’s. However, it was during the 1960’s kidney dialysis treatment started as a customary treatment and it is a standardized treatment, worldwide. CAPD started in 1976. These treatments helped multiple thousands of patients.
Is it possible that kidney dialysis patients can continue
A lot of kidney dialysis patients, after they are accustomed to the treatment, can continue working. However, if your work includes heavy physical labour, it is advisable to apply for another job.