What is dialysis?
Dialysis is a commonly used kidney replacement treatment for kidney failure patients. There are two types of dialysis - hemodialysis and peritoneal dialysis. In our hospital, we also have colon dialysis, known as Enema Therapy.
-Hemodialysis. This treatment uses a dialysis machine and a special filter, or a dialyzer to clean your blood.
-Peritoneal dialysis. This treatment uses the lining of your abdomen, or belly to filter your blood inside your body.
-Colon dialysis. This treatment is to infiltrate Chinese medicine decoction into your colon to filter waste products. In our hospital, it is often used together with therapies to make internal environment good for kidney self-healing and other medication application.
When should you start dialysis?
1. For patients with eGFR >15mL/min/1.73 m2, dialysis is not recommended even if uremic symptoms are present, because those symptoms can be overcome by conservative treatment.
2. For asymptomatic patients with eGFR of 5 to 15mL/min/1.73 m2, it is currently recommended to do follow-up once a month to be vigilant for ESRD-related symptoms and signs. Maintenance hemodialysis is not recommended in the absence of symptoms.
3. For patients with eGFR in the range of 5 to 15mL/min/1.73 m2 with uremic symptoms and signs, conservative treatment is currently recommended and other causes of these symptoms should be excluded. For patients who do have symptoms associated with uremia, but cannot be relieved by conservative treatment, maintenance hemodialysis is currently recommended
4. For patients with uremic related pleurisy, pericarditis, and uremic encephalopathy, the guidelines recommend immediate maintenance hemodialysis.
5. For patients with eGFR less than 5mL/min/1.73 m2, maintenance hemodialysis is currently recommended.
Symptoms and signs associated with uremic include: malnutrition associated with uremic, persistent fluid overdose, fatigue, poor tolerance, mild cognitive impairment, and laboratory abnormalities that cannot be corrected, such as high potassium, acidosis, and phosphorus.
What can dialysis do for kidney patients?
Dialysis can take over part of your kidney function to maintain your life.
-It can remove waste products and extra fluid from the blood.
-It can keep a safe level of certain chemicals in your blood, such as potassium sodium and bicarbonate.
-It can help to control blood pressure.
Side effects of dialysis
Hemodialysis can cause the following side effects.
-Low blood pressure
-Nausea and vomiting
Peritoneal dialysis can cause the following side effects.
-Feeling too full
-Bloating and weight gain
And both of them can cause mental illness, sexual side effects and infections. And dialysis can also cause cardiovascular disease and pernicious anemia to threaten your life.
Who can stop dialysis?
Due to the various side effects, many patients want to stop dialysis. For patients with acute kidney failure patients, once they restore their renal function, they can stop dialysis. For patients with chronic kidney failure, as long as they meet two conditions, it is still possible for them to reduce dialysis or even get rid of dialysis.
-Urine volume is over 100 ml.
-Kidney size is over 6 cm.
Is there alternatives to dialysis?
In our hospital, besides dialysis, “Nine Kinds of Therapies to Detoxify the Blood” is often used. This treatment includes 9 therapies, namely
-Double Plasma Exchange Therapy. It is to clean up the toxins in the blood thoroughly.
-Chinese Medicine Detoxification Therapy. It mainly makes use of oral Chinese medicine to thoroughly reclean the residual toxins in the blood after dual plasma exchange therapy.
-Chinese Medicine Blood-Activating Therapy. It is to clear away the blood toxins sticking to the blood vessel via TCM infusion.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***