Every year in India, more than 130,000 patients undergo dialysis. With the improvement of healthcare facilities across India, the number is expected to increase by 232 per million inhabitants/year. Maintenance hemodialysis requires the patient to visit the hospital at least twice a week. Due to the recurrent nature of hemodialysis in patients with chronic kidney disease, affordability becomes a critical factor.
Dialysis is indicated when one develops end-stage renal disease or renal failure. In kidney failure, the kidneys are unable to clear the blood of uremic toxins (waste products such as urea, creatinine, and acids).
Dialysis keeps your body in balance by:
- Removing toxins, waste products, salt and excess water from the body
- Maintain the balance of certain chemicals such as potassium, sodium and bicarbonate
- Control blood pressure
Different types of dialysis?
There are two types of dialysis: hemodialysis and peritoneal dialysis.
Hemodialysis is a form of dialysis in which an artificial kidney (called a hemodialyzer) helps remove toxins, electrolytes (potassium, bicarbonate) and excess fluid from the body. This requires the doctor to perform minor surgery in a leg or arm to gain access to your blood vessels. Sometimes the access is also made by connecting an artery to a vein under the skin called the AV fistula. If the fistula is not created, the doctor will use a plastic tube to complete the process called the AV graft. Two of the main benefits of in-center dialysis are trained, experienced renal care professionals who administer the treatment, and there is an opportunity to interact with other patients and staff. It requires a patient to spend at least 3 to 4 hours (at least twice a week) at the center to undergo dialysis, during which they can read, watch television, use a laptop, talk to others, etc.
- Peritoneal dialysis is a form of dialysis in which a person’s blood is cleaned using a specialized fluid that is stored in the abdominal cavity. Here the doctor performs surgery to insert a plastic tube (called a catheter) into your abdomen and then through a catheter fills the abdominal area with dialysate fluid and excess fluid and waste is then extracted from the blood into the dialysate via diffusion -, filtration and convection gradients. It differs significantly from hemodialysis in the way it filters blood. The lining of the abdomen – it is called peritoneum and hence the name peritoneal dialysis which acts as a filter and removes waste products from the blood. After a certain time, the fluid with the filtered waste is emptied from the abdomen.
Peritoneal dialysis can be done at home, at work, or even while traveling. Peritoneal dialysis requires the patients to care for themselves or require a reliable caregiver.
Dialysis tips during COVID
Before coming to the dialysis center, please contact the dialysis department and tell us if you have any of these dangerous symptoms of COVID 19 infection:
- Recent onset of fever
- sore throat
- Shortness of breath/shortness of breath
- running nose
- Myalgia/body aches, fatigue
- H/O overseas travel or contact with a person who has traveled abroad in the past 14 days
- Try to reach the dialysis department alone without an attendant and preferably use a passenger car for transport.
- All patients wait outside the dialysis unit until specific instructions are given by the ward staff.
- Maintain appropriate social distancing while waiting for dialysis.
- Patients with symptoms of respiratory infection should put on a face mask before entering the screening room and keep it on until they leave the dialysis unit. Our dialysis unit ensures that there is sufficient supply of masks in the screening room to provide patients and any accompanying persons.
- Patients should wash their hands with soap and water for at least 20 seconds, using proper hand washing practice.
- Patients should follow cough etiquette, such as coughing or sneezing with the inside of the elbow or with paper tissues.
- Suspected or positive COVID-19 patients should wear a three-layer disposable surgical mask throughout the duration of dialysis and should preferably be dialyzed in isolation.
Narayana Superspeciality Hospital, Gurugram has a state-of-the-art dialysis unit, with an online RO system. Much effort and detail has gone into formulating infection control guidelines, adequate infrastructure and hiring highly trained paramedical staff to make this center one of the best dialysis units in Gurgaon.
- A total of 18 HD machines. Separate machines for
- Serology negative patients
- Hemodiafiltration machines
- Hepatitis C positive patients
- Hepatitis B and HIV positive patients in an isolation unit
- Separate and well-differentiated time slots for both outpatients and inpatients
- Facility for SLED; immunoadsorption and plasmapheresis; separate CRRT machine in the ICU
- Dialysis facility aimed at the needs of patients of all ages, especially children and the elderly
- 24X7 services
- A fine-meshed automated system for providing appointments
- A facility is connected to all major insurance and TPAs, Government of Haryana, ECHS and provides cashless medical benefits to CGHS beneficiaries
- Soundproof treatment rooms
Dr. Sudeep Singh Sachdev | Clinical Lead & Senior Advisor | Nephrology & Kidney Transplant | Narayana Superspeciality Hospital, Gurugram