Kidney Dialysis: Types, Cost, Doctors, Hospitals & Best Dialysis Center in Ghaziabad or Delhi NCR
Kidney & its functions
The kidneys are a pair of bean-shaped organs, each about the size of a fist, located on either side of the spine, just below the rib cage at the upper and back side of the abdomen. Extremely vital for our life, the kidneys perform numerous vital functions in the body to maintain our overall health. They prevent excess water and waste from accumulating in the body by flushing them out in the form of urine as well as regulate the levels of chemicals in the blood such as sodium, potassium and calcium. The kidneys also produce hormones that help control blood pressure and stimulate the production of red blood cells. As a result, the kidneys may become susceptible to various conditions or diseases with all the crucial functions they perform and the toxins they encounter.
Malfunctioning of the kidneys can lead to serious illness and even death. Therefore, early detection and treatment of the chronic kidney disease are pivotal to keep the kidney disease from progressing into a kidney failure.
What is Kidney Kdialysis?
Dialysis is a procedure to remove excess water and waste products from the blood when the kidneys stop functioning properly. It involves cleaning of the blood by diverting it to a machine. In other words, it is an artificial filtering and purifying of the blood which helps in keeping the fluids and electrolytes in balance when the damaged kidneys cannot perform their functions. This substitution of the natural functioning of the kidneys is also called renal replacement therapy (RRT).
Dialysis is recommended for those patients whose kidneys have failed or are close to failing. Patients with a late-stage kidney failure, whose kidneys are performing at around only 10- 15% of their normal function, need regular dialysis or till a donor kidney is found.
However, dialysis cannot cure the kidney diseases or other problems affecting them. Its purpose is to prevent the accumulation of waste products in the blood from reaching hazardous levels.
Types of Kidney dialysis
Kidney failure can be treated with different types of dialysis:
- Intermittent Hemodialysis (IHD)
- Peritoneal Dialysis (PD)
- Continuous Renal Replacement Therapies (CRRT)
Intermittent Hemodialysis (IHD)
Hemodialysis is a procedure that uses a dialysis machine to draw out the blood from the body and let the blood circulate outside the body to be filtered. The blood is cleaned through a special filter called a dialyzer or an artificial kidney which removes the excess salt, fluids and wastes. It works just like the kidneys, as the filter removes the waste products from the blood. The filtered blood goes back to the body after going through the dialyzer. To draw out the blood from the body and to return the filtered blood back to the body, a minor surgery is needed to make an access or entrance into the bloodstream. This surgery is usually done in the arm which enlarges the blood vessels for the insertion of fistula, graft or catheter.
Hemodialysis is usually done 3 times a week, with each session lasting 3-4 hours. The duration of the treatment depends on the condition of the kidneys between the treatments. Hemodialysis can be done in a hospital, a dialysis facility or at home. The doctor and patient can decide the best location, based on the health condition of the patient. For patients who have dialysis at home, a caretaker is recommended who is willing to help with the hemodialysis and knows exactly what to do and what not to do. The home environment must also be suitable for taking the hemodialysis procedure. We, at Yashoda, provide homecare facility through our expertly trained medical staff who are skilled and compassionate enough to provide you with the best treatment in the comfort of your home.
Your doctor will let you know when you should start treatment. They will also explain which type might work best for you.
Peritoneal Dialysis (PD)
Peritoneal dialysis is another procedure to remove waste products from the blood when the kidneys can no longer function adequately. It uses the lining of the abdominal cavity to filter the blood inside the body. During the procedure, a cleansing fluid called dialysate, is run through a catheter or tube into part of the abdomen called the peritoneal cavity. The dialysate fluid stays in the abdomen for some time, that usually lasts from 4-6 hours. The dialysate helps filter extra fluid and waste products in the blood from tiny blood vessels in the lining of the abdominal cavity. After the blood is filtered, the fluid is drained out of the body through the catheter into a sterile collection bag and discarded. A minor surgery near the navel is needed for this treatment as to allow the insertion of the tube or catheter to fill in and drain the dialysate out of the abdomen. This process of filling and draining of the dialysate from the body is called an exchange.
Peritoneal dialysis can be carried out at home and even while traveling. It is especially convenient for those patients who are working or attending school. It allows for more flexibility in the schedule as it can also be carried out at night with a machine. The doctor will determine the best methods for the patient, considering the medical condition and personal preferences.
Continuous Renal Replacement Therapies (CRRT)
Continuous Renal Replacement Therapy (CRRT) is a slow and continuous procedure that lasts for about 24-hours in an Intensive Care Unit (ICU). It is useful for patients with acute kidney failure and is recommended for those patients whose bodies cannot tolerate the conventional intermittent hemodialysis; CRRT is more tolerable due to the slower process of fluid removal and leads to fewer complications including a lower risk of hypotension. It filters and cleans the patient’s blood by removing the wastes when the unhealthy kidneys fail to do so. The procedure requires a special anticoagulation called citrate in order to prevent the blood from coagulating or clotting.
Patients receiving dialysis treatment are more vulnerable to getting infection, which can deteriorate the overall health. Therefore, it is crucial to take precautions both during and after the dialysis treatment to improve the result of the treatment as well as to maintain your overall health. Following a healthy diet, particularly eating foods with low sodium and phosphorus, is good for kidneys. It is also critical to take medications as prescribed by the doctor to get the best possible results.
Meet the Nephrologist/Renal Specialist at Yashoda Hospital & Research Centre, Nehru Nagar, Ghaziabad
Dr. Ravinder Singh Bhadoria: He is the senior consultant at the Nephrology & Kidney Transplantation Unit at Yashoda Hospital & Research Centre, Nehru Nagar, Ghaziabad. A dedicated nephrologist, he is highly trained, having worked with the best nephrologists at various hospitals throughout the country. With more than 15 years of experience in nephrology, he holds expertise in the management of critically-ill nephrology patients, general nephrology patients, patients with CKD Stage V and renal transplantation.
Cost of Kidney Dialysis (Haemodialysis) in Ghaziabad or Delhi NCR
Depending on the condition of the patient, the dialysis sessions may be scheduled once to thrice per week or more. It is given under the supervision of a Nephrologist. Average Cost of Kidney Dialysis (Haemodialysis) Hospitals in Ghaziabad 2500-5000 INR per dialysis.