Renal Replacement Therapy

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Renal Replacement Therapy

Renal Replacement Therapy

Kidneys are indisputably one of the most important organs of the body, any underlying diseases associated with them can cause great turbulence in your life and severe medical complications. As per common knowledge, kidney functions are widely associated with blood purification and waste excretion in the form of urine. However, kidneys have a bigger role to play, apart from waste excretion, they regulate blood volume, blood pressure and also produce certain hormones. An active form of Vitamin D is also produced in the kidneys. So treatment of kidneys is an important discipline of medical science.

What is Dialysis

Kidneys being one of the most important organs are also the most complex ones and when these organs are damaged by some kidney diseases or end-stage kidney failure, they fail to carry out their regular functions. In such cases where the kidney functions fall to 10-15% of their optimal function , external assistance is provided by artificial kidneys for blood purification. This process is called Dialysis or Renal Replacement Therapy. It can efficiently remove all waste materials and toxic substances from the blood and maintain a healthy level of body fluids and certain chemicals like potassium, sodium, and bicarbonate in the blood.

This surgery is performed when parts of the hip joint are damaged or broken. This can put a lot of stress on other parts of the body which could result in further severe problems. To prevent this doctors suggest a knee replacement surgery. It reduces pain and improves functioning of the damaged hip joint.

How is Dialysis Done

There are three types of Dialysis, opted as per a patient’s medical condition, cost-effectiveness, and availability.
  • Hemodialysis
  • Peritoneal Dialysis
  • Continuous Renal Replacement Therapies
Hemodialysis(HD)
Treatment Procedure
Continuous Renal Replacement Therapy(CRRT)
Dialysis Cost in India
Hemodialysis

The process of Hemodialysis involves blood purification by an external machine in which blood is circulated with the help of blood pumps and filtration takes place in a plastic filter called a dialyzer. A dialyzer has 2 separate sections divided by a thin wall of a semi-permeable membrane. In one segment, a fluid called dialysate is introduced, and through the other segment, blood permeates. The tiny microscopic pores in the semi-permeable membrane make it possible for waste materials and extra fluid from the blood to be transferred into the fluid. Once the blood gets filtered in the dialyzer, it is pumped back into the body while used, and now the contaminated fluid is drained out from the dialyzer.
Peritoneal Dialysis( PD)

In this procedure, blood filtration is carried out within your body by your natural lining in the abdomen (peritoneum) rather than an external artificial dialyzer. It can be done at home, at work, or while you sleep. The procedure does not require the hassle of commuting to the dialysis center and provides more flexibility and liberty.
1. Dialysate is introduced in your abdomen through catheters. Surgery will be required 3 weeks before the dialysis process.
2. The lining of your abdomen filters all the waste and solutes from the blood into the dialysate.
3. After a fixed interval of time, the used dialysate is drained out into a bag and can be discarded.
(CRRT)

This process is adopted in those patients who have acute kidney failure and is carried out in an ICU. A person is subjected to catheters to draw blood from the body and into the CRRT machine where the purification is carried out. The purified blood is then taken back to the patient's body. The CRRT machine notifies the caretaker with a beeping sound to change the solution bags. It is a 24 hours procedure and is more easy-going on the patient’s body.  
Dialysis Cost in India

The demand for Renal replacement therapies is highly increasing in the country with each passing year. There are around 4950 dialysis centres scattered all across the country. However, they are mostly unavailable in rural areas and most of them belong to the private sectors. While the average dialysis cost is feasible there are a number of factors which add up to the digits. The average kidney transplantation cost in India may vary from 50K-3 lacs from government institutions to private institutions and the cost of drugs post-transplant may vary from 10,000-12000 annually. At Grecian, we understand your sentiments and the challenges you may face. To make every penny well spent, we have a team of talented doctors who have years of experience and a hassle-free procedure for appointments, admission and treatments.  

Causes

Alcohol and tobacco use (including smokeless tobacco, sometimes called “chewing tobacco” or “snuff”) are the two most important risk factors for head and neck cancers, especially cancers of the oral cavity, oropharynx, hypopharynx, and larynx. Following are the causes of Head and Neck Cancer:

How does total Renal Replacement Therapy help?

Benefits
Complications
Limitations
  • Prevents pain and loss of movement.
  • Removes the damaged hip bone.
  • Improves movement
  • Better strength and coordination of the torso and leg.



  • Infection
  • Change in leg length
  • Blood clots
  • Allergic reactions
  • Pain and swelling
  • Dislocation
  • Implant wear
  • Loosening of the joint



  • Patients above the age of 65 may develop infections.
  • The patient cannot bend the hips more than 90 degrees.
  • Legs should not be left to put on socks.
  • Crossing the legs should be avoided.

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