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When kidneys are no longer able to effectively filter waste products and excess fluid from the blood, a life-sustaining treatment called **dialysis** becomes necessary. Dialysis acts as an artificial kidney, taking over essential functions to keep the body in balance. It is a critical therapy for individuals with end-stage renal disease (ESRD) or acute kidney injury (AKI).
Dialysis is a medical procedure that removes waste products (like urea, creatinine, and excess salts) and extra fluid from the blood when the kidneys fail. This process helps to restore proper chemical balance in the body, prevent complications from fluid overload and toxin buildup, and significantly improve a patient's quality of life.
Dialysis is typically initiated when kidney function has deteriorated to a critical level, usually when the glomerular filtration rate (GFR) falls below 15 mL/min/1.73 m², indicating **end-stage renal disease (ESRD)**. It may also be needed for acute kidney injury (AKI) if severe imbalances or fluid overload develop rapidly. Common indicators include:
There are two primary types of dialysis:
Hemodialysis involves using an artificial kidney machine (dialyzer) to filter your blood outside your body. Blood is drawn from your body, passed through the dialyzer, and then returned, cleaned, to your body.
Peritoneal dialysis uses the lining of your abdomen (peritoneum) as a natural filter. A sterile cleansing fluid (dialysate) is introduced into your peritoneal cavity through a surgically placed catheter. The peritoneum's rich blood supply allows waste products and excess fluid to pass from your blood into the dialysate, which is then drained and discarded.
Choosing the right dialysis modality is a crucial decision made in consultation with your nephrologist. If dialysis is anticipated, preparations often include:
While dialysis is a life-sustaining treatment, it also requires significant lifestyle adjustments. Patients on dialysis need to adhere to strict dietary and fluid restrictions, take prescribed medications, and attend regular treatment sessions (for HD) or perform daily exchanges (for PD). Regular follow-ups with your nephrologist and a multidisciplinary team (dietitian, social worker) are vital for managing your health and well-being.
Navigating kidney failure and choosing the right dialysis treatment can be overwhelming. Dr. Samridhi Gupta, a highly experienced consultant nephrologist in Agra, provides comprehensive pre-dialysis counseling, guides patients through the choice of modality, oversees access creation, and offers ongoing, compassionate management for both hemodialysis and peritoneal dialysis patients. Her goal is to ensure you receive the best possible care, tailored to your individual needs and lifestyle, maximizing your comfort and quality of life.
Make an informed decision about your kidney health. Schedule a consultation with Dr. Samridhi Gupta for personalized advice and comprehensive treatment options.
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