TREATING KIDNEY DISEASE
Dev Goswami tells you a little bit about how to treat and manage chronic kidney disease
idney failure can be caused by a variety of things, including heart disease, liver failure, infection and medication such as aspirin and ibuprofen and is a serious condition that can even be fatal, It's one of those conditions with minor, seemingly inconsequential symptoms, because of which several cases often go undiagnosed till it is too late. Kidney failure is preceded by chronic kidney disease (CKD), but it is also possible to live with it without ever suffering from kidney failure.
However, this doesn't mean that you can take CKD lightly. It's a dangerous condition that is extremely difficult to cure, if it can be cured at all. The condition is usually managed by controlling symptoms, reducing complications and slowing down the progression of the disease. Apart from this, dialysis plays a major role here. There are two types of dialysis; haemodialysts and peritoneal. The former is usually performed with a machine under expert supervision, while the latter can be performed at home and uses the blood vessels in your abdominal lining, along with a fluid, to filter your blood.
Haemodiaiysis is a more common method and pumps out your blood, routing it through a machine known as the dialyser that functions like your kidneys. The filtered blood is then pumped back Into your body. It isn't as simple as it sounds though. Dr. Rakesh Mahajan, head vascular surgery of Apollo Hospitals, explains, "Before hemodialysis can be performed, a connection must be made to the blood inside your blood vessels.' There are a number of ways to do this, such as creating a graft or a fistula. Dr. Rakesh says that an arterlovenous (AV) fistula is the best choice, adding. "It is preferred because it usually lasts longer and has fewer clotting and infection issues."
The AV fistula involves connecting an artery and a vein under your skin, because of which the pressure inside the vein increases, making the walls stronger. This stronger vein is then used to pump blood out of your body.
Dr. Rakesh explains that the benefit of using it is that the fistula lasts for several years. A graft, on the other hand, needs constant attention and care.
The best course of action will of course be decided by your doctor, but it's important to be aware of the basics of a condition that can be fatal. Also, while most of us associate dialysis with kidney diseases, the fact is that there are several different types as well as different ways to perform the treatment.