What are Dialysis and Hemodialysis?

What are Dialysis and Hemodialysis?

 

HEMODIALYSIS

It cleans harmful substances accumulated in the body in patients with kidney failure. We need vascular access to perform hemodialysis. Riverside Nephrology Physicians provide the hemodialysis center in USA.

TEMPORARY INSTRUMENT

Catheter;

- In the groin

- Under the collarbone - Can

be worn around the neck.

We can apply hemodialysis treatment to the patient by using the catheter immediately after the catheter is inserted. Therefore, we can use it in an emergency.

PERMANENT INSURANCE

Fistula: It is the surgical joining of two vessels.

Graft: It is the insertion of an artificial vessel.

At least 2-3 weeks must pass before the fistula and graft can be used for hemodialysis.

HEMODIALYSIS PROCESS

It is cleaning the dirty blood taken from the patient in the machine by using the patient's vascular access and giving it back to the patient through the same vascular access. Dialysis is usually performed 2 or 3 times a week. Your doctor will determine how many times a week you will be on dialysis, the duration of dialysis, and other parameters as 'patient-specific'.

LONG INTERVAL HEMODIALYSIS

Long-term hemodialysis was used in the first years of dialysis treatment. While shortening the duration of dialysis (4-6 hours of dialysis treatments) became widespread towards the end of the 1980s, 4-hour dialysis applications became widespread after the 1990s. In the early stages of dialysis treatment, the general dialysis regimen is 8 hours, three times a week. (mostly at home at night) This regimen has changed with the development of high-efficiency dialyzers. However, some dialysis centres have preserved long-term 8-hour dialysis until today. The best-known centre is the hemodialysis unit in Tassin, France. However, other centres used the same regimen. For most of the 30 years, the Tassin unit used cuprophan dialyzers and acetate-containing dialysate. Extended interval dialysis was administered both at home and at the centre, during the day or night. The usual blood flow was 250 mL/min, and the dialysate flow was 500 mL/min. Mean Kt/V was 1.85, and PCR was 1.4 g/kg (6). Some publications have described the benefits of this practice.

KEY FEATURES OF LONG-INTERVAL HEMODIALYSIS:

A-) Excellent blood pressure control

B-) Prolongation of patient life

A-) BLOOD PRESSURE CONTROL

Antihypertensives (blood pressure medications) were discontinued after the patients started long-term hemodialysis. Blood pressure was then controlled by reducing the patient's dry weight, and this was well tolerated due to an increase in dialysis length. Low salt intake has complemented this practice and is essential for blood pressure control. Blood pressure medications were discontinued in more than 90% of the patients. Again, thanks to suitable fluid and blood pressure control, it was noted that events such as heart enlargement and heart failure that negatively affect the patient's life decreased in these patients. Especially in patients with excessive weight gain between two dialyzes, sudden blood pressure drops or muscle cramps caused by the necessity of losing weight in a short time, like 4 hours, are less in long-term dialysis.

B-) LIFETIME

One of the reasons for the long life expectancy in these patients may be related to less anaemia. Long-interval hemodialysis had had a beneficial effect on erythropoietin because, before the discovery of EPO therapy, patients on this therapy had better blood counts than patients on 4-hour dialysis and needed minor blood transfusions. Prolonged intermittent hemodialysis is associated with increased removal of intermediate molecules. We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts. Long-interval hemodialysis had had a beneficial effect on erythropoietin because, before the discovery of EPO therapy, patients on this therapy had better blood counts than patients on 4-hour dialysis and needed minor blood transfusions. Prolonged intermittent hemodialysis is associated with increased removal of intermediate molecules.

We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts. Long-interval hemodialysis had had a beneficial effect on erythropoietin because, before the discovery of EPO therapy, patients on this therapy had better blood counts than patients on 4-hour dialysis and needed minor blood transfusions. Prolonged intermittent hemodialysis is associated with increased removal of intermediate molecules. We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet.

In some patients, phosphate binders may still be necessary, even in lower amounts. Because before the discovery of EPO therapy, patients who received this therapy had better blood counts than 4-hour dialysis patients and needed very few blood transfusions. Prolonged intermittent hemodialysis is associated with increased removal of intermediate molecules. We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts. Because before the discovery of EPO therapy, patients who received this therapy had better blood counts than 4-hour dialysis patients and needed very few blood transfusions. Prolonged intermittent hemodialysis is associated with increased removal of intermediate molecules. We know that serum phosphorus levels increase in patients with renal failure. Riverside Nephrology Physicians provide the Social Work Services in USA.

Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts. We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts. We know that serum phosphorus levels increase in patients with renal failure. Phosphate control in long-term intermittent hemodialysis is better than conventional 4-hour hemodialysis, and drug-free control is often possible in patients who pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts.

Location: United States

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