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Preventive Nephrology

Preventive Nephrology 2017-12-17T15:49:29+00:00

Project Description

Preventive Nephrology

In order to identify the early kidney disease and to prevent damage Shree Laksmi Hospital conduct several diabetic, hypertension awareness camp among common and elderly public

How to protect

7 ways to protect kidney

  • Say no to OTC drugs
  • Avoid painkillers
  • Say no to smoking
  • Control the blood sugar
  • Regular screening for high risk patient (kidney functions test)
  • Children with UTI adequate medical attention is required

Renal (Kidney) Biopsy

It is a diagnostic procedure where a small piece of renal tissue is taken to understand the exact cause of proteinuria and the severity of diseases like lupus nephritis.

Local Anesthesia is used for Ultrasound-renal biopsy , in adults for both native kidneys or that of the transplant kidney. In children general anesthesia is needed

For sick people renal biopsies is done in ICU and in the ward

For the procedure the patient has to be admitted in the morning and is advised for bed rest for couple of days. He can resume their daily activity after few days of the procedure.

Hemodialysis

There are two options for an End stage renal failure condition, dialysis or a kidney transplant. Usually there are two types of Dialysis

  • Hemodialysis
  • Peritoneal dialysis

We will discuss about hemodialysis.
‘haemo’=Blood
It is the process that balance blood chemistry and filters fluid and waste from the blood
In terms of hemodialysis, two needles are inserted in the arm of patient. One needle will withdraws the blood and the other will return the filter blood into the patient body
The blood from the first needle goes out of the body through tubing and goes to a filter called dialyzer.
Dialyzer will filter and return the purified blood to patient body through second needle. Dialyzer is the replacement of damaged kidney, hence it is called “artificial kidney”. This process is usually done in dialysis center

CRRT

Continuous Renal Replacement Therapy (CRRT)- A special dialysis for few patient who are very sick and admitted in ICU. They are usually sick, multiple organ damage, including renal failure. For such patient a specialized dialysis is performed called CRRT

For this procedure a separate dialysis machine is dedicated and round the clock patient condition is monitored. It is carried out continuously for 24 to 48 hours

Peritoneal Dialysis

In the condition of End stage renal failure, there are two options available:

  • Dialysis
  • Kidney transplant (renal transplant)

Usually there are two types of dialysis known as hemodialysis and peritoneal dialysis. We will discuss about peritoneal dialysis

Peritoneal dialysis: Here the patient peritoneum (membrane present inside the abdomen) is used for the procedure

In this procedure a tube called catheter is inserted into the patient abdomen as a permanent access for dialysis. The catheter is placed by the side of navel and about 2 to 4 inch is extends out of the body.

Peritoneal dialysate, a chemical used to remove waste from the body is filled into the peritoneum. This dialysate usually absorb the waste product and excess water. Dwell time is the period when dialysate remains in the peritoneum. After this period the waste and solution is drained out and collected in a sterile collecting bag

Types of Peritoneal Dialysis

Intermittent Peritoneal Dialysis (IPD) :It a short period dialysis (24-48 hours) and is performed for the patient as a temporary procedure. It is performed on patient with low BP or in children with acute renal failure

Continuous Ambulatory Peritoneal Dialysis (CAPD): In CAPD there are no dry periods and the patient peritoneum is filled by hand as a manual procedure

Automated Peritoneal Dialysis (APD): This procedure is usually done at night when the patient is sleep and is performed through a machine called as cycler machine

Continuous Cyclic Peritoneal Dialysis (CCPD): This is usually carried out night where the patient peritoneum is filled with dialysate by the help of a machine. The exchange usually done throughout night. This is more patient friendly as the machine is not attached at day, it helps patient to be more active in day time

Daytime Ambulatory Peritoneal Dialysis (DAPD): In this procedure it is dry at night and the patient peritoneum is filed with dialysate during day

Night-Time Intermittent Peritoneal Dialysis (NIPD): patient’s peritoneal cavity of the patient is filled manually at night and is usually dry during the day