Tima Kaeryo is a 59 years old patient of CKD stage 5. In April, 16th, 2013, he and his daughter came to China for treatment without getting the permission of his family doctor.
Kidneys have three main functions:
1) Absorb the useful substance from the human body, such as the renal tubules can absorb the useful substance from the original urine.
2) Discharge the waste product from the human body. Such as the waste product can be leakage from the glomeruli.
3) Secrete the waste product from the kidneys. Such as the kidneys can secrete the EPO to produce the red blood, and kidneys can secrete the special substance to maintain the balance of blood pressure.
At present, dialysis only can achieve the second function, the first and the third function can’t be achieved by the dialysis. Therefore, after the dialysis, more patients’ creatinine still higher than the normal level, and the hemoglobin is lower than the normal level, patients have the renal anima.
Kidneys are very different from other human organs, the clinical symptoms always lag behind the pathological damage. For example, if the patient present the symptoms like foam in urine, dizziness, fatigue, vomiting etc, which means the patient’s kidneys have damaged already. For some patients, they don’t have any discomfort feelings, when they go to the local hospital, they are diagnosed as the kidney failure. Most of them will be shocked by the result, because the kidney disease has a character which is called concealed, it is not easy to find this disease. Therefore, if the patient is in the stage of CKD3 (Chronic Kidney Disease 3), he should receive the CKD4 treatment to protect his kidneys and delay the development of kidney disease.
Now you have already in the stage of CKD5, only take the medicines for hypertension and dialysis, this is not enough for your disease, this is the reason why we hope you receive the useful treatment as soon as possible. Like you said, no thing can compare with the health.
Kidney dialysis is a life-support treatment that uses a special machine to filter harmful wastes, salt, and excess fluid from your blood. This restores the blood to a normal, healthy balance. Dialysis replaces many of the kidney’s important functions.
Kidney dialysis is a necessary treatment for people with end-stage kidney disease or permanent kidney failure. You need dialysis if you’ve lost about 85% to 90% of your kidney function. Temporary dialysis may be needed in some cases.
Hemodialysis is most commonly used to treat people with end-stage kidney disease. However, children who need dialysis usually receive peritoneal dialysis.
The kidney dialysis treatment itself usually does not cause any pain or discomfort. However, some patients may develop low blood pressure, which can lead toheadache, cramping, nausea, and vomiting. This usually goes away after a few treatments.
If you are on dialysis, you may also feel like:
You have less energy. Dialysis can cause you to feel tired.
You are depressed. Depression is a common problem among many patients on dialysis, but it can often be treated. Talk to your health care provider if you are feeling depressed.
You may also feel like you have less time to get things done. Kidney dialysis requires strict scheduling and adjustments to lifestyle, which can disrupt your ability to work or enjoy everyday activities. This may be frustrating for you or your family.
Hemodialysis is the most common method used to treat advanced and permanent kidney failure. Since the 1960s, when hemodialysis first became a practical treatment for kidney failure, we’ve learned much about how to make hemodialysis treatments more effective and minimize side effects. In recent years, more compact and simpler dialysis machines have made home dialysis increasingly attractive. But even with better procedures and equipment, hemodialysis is still a complicated and inconvenient therapy that requires a coordinated effort from your whole health care team, including your nephrologist, dialysis nurse, dialysis technician, dietitian, and social worker. The most important members of your health care team are you and your family. By learning about your treatment, you can work with your health care team to give yourself the best possible results, and you can lead a full, active life.
Hemodialysis requires you to follow a strict treatment schedule, take medications regularly and, usually, make changes in your diet.
Hemodialysis is a serious responsibility, but you don’t have to shoulder it alone. You’ll work closely with your health care team, including a kidney specialist and other professionals with experience managing hemodialysis. You may be able to do hemodialysis at home.
How does hemodialysis work?
In hemodialysis, a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood. To get your blood into the dialyzer, the doctor needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm.
Can dialysis cure my kidney disease?
In some cases of sudden or acute kidney failure, dialysis may only be needed for a short time until the kidneys get better. However, when chronic kidney disease progresses to kidney failure over time, your kidneys do not get better and you will need dialysis for the rest of your life unless you are able to receive a kidney transplant.
Risks of Hemodialysis
Most complications that occur during dialysis can be prevented or easily managed if you are monitored carefully during each dialysis session. Possible complications may include:
Low blood pressure (hypotension). This is the most common complication of hemodialysis. It is seen more often in women and in people older than 60.
Muscle cramps. If cramps occur, they usually happen in the last half of a dialysis session.
Irregular heartbeat (arrhythmia).
Nausea, vomiting, headache, or confusion (dialysis disequilibrium).
Infection, especially if a central venous access catheter is used for hemodialysis.
Blood clot (thrombus) formation in the venous access catheter.
Technical complications, such as trapped air (embolus) in the dialysis tube.
Long-term complications of dialysis may include:
Inadequate filtering of waste products (hemodialysis inadequacy).
Blood clot (thrombus) formation in the dialysis graft or fistula.
Cardiovascular disease (heart disease, blood vessel disease, or stroke).
Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately. During peritoneal dialysis, blood vessels in your abdominal lining fill in for your kidneys, with the help of a fluid that flows into and out of the peritoneal space.
Peritoneal dialysis differs from hemodialysis, a more commonly used blood-filtering procedure. With peritoneal dialysis, you can give yourself treatments at home, at work or while traveling. You may be able to use fewer medications and eat a less restrictive diet than you can with hemodialysis.
Peritoneal dialysis uses a membrane inside your body as a filter to clear wastes and extra fluid from your body and to return electrolyte levels to normal. Unlike in-center hemodialysis, you do not need to travel to a dialysiscenter for your treatment. Instead, after being trained at a dialysis center, you will do your treatment at home on your own schedule. Peritoneal dialysis can often be done at night, while you are sleeping.
You will need to have a catheter placed in your belly before you begin dialysis. Placement is usually done 10 to 14 days before dialysis starts. Some peritoneal dialysis catheters may be used immediately . But because of a high risk of complications, these catheters are not commonly used.
Pros and cons Of peritoneal dialysis?
Some doctors feel that CAPD and APD have several benefits when compared to hemodialysis. With continuous dialysis, you can control extra fluid more easily, and this may reduce stress on the heart and blood vessels. You are able to eat more and use fewer medications. You can do more of your daily activities and it is easier to work or travel.
However, there are some people for whom peritoneal dialysis may not be appropriate. The abdomen or belly of some people, particularly those who are morbidly obese or those with multiple prior abdominal surgeries, may make peritoneal dialysis treatments difficult or impossible. Peritonitis (infection of abdomen) is an occasional complication although should be infrequent with appropriate precautions. When making a decision about the type of treatment, you should take into consideration that peritoneal dialysis is usually a daily process, similar to the working of the kidney and may be more gentle with fluid removal from the body. Peritoneal dialysis is an effective form of dialysis, has been proven to be as good as hemodialysis.