Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

Angioplasty is the procedure of opening a coronary artery blockage with the help of wire balloon and stent. This procedure is done to open the blocked coronary arteries if they are causing symptoms or acute heart attacks.

HOW IT IS DONE?

The procedure is usually done in local anaesthesia. A wrist artery (radial) or a groin artery (femoral) is used to gain access to the coronary artery as is done in angiography. A hollow tube called a catheter is passed upto heart artery and through this, a guidewire is passed across the blockage and over this wire balloon is passed and blockage dilated.

After this balloon is removed and the metallic stent is passed over this wire. The stent is then inflated and it takes its shape of the hollow tube so that the flow in the coronary artery is restored.

WHAT ARE INDICATIONS OF ANGIOPLASTY AND STENTING:

An acute Heart attack is the most definite indication of angioplasty and stenting. At the time of the heart attack, there is an urgent need to restore the blood flow of block coronary artery which is usually not possible with medicines alone. Angioplasty is the most effective and definite way of opening the artery urgently in such situation.

SHOULD ALL BLOCKAGES BE OPENED UP BY ANGIOPLASTY AND STENTING?

NO, all blockages do not warrant this procedure. There is some amount of risk involved in the angioplasty procedure itself. When the risk of blockage is considered more than the risk of opening the artery then the procedure is indicated. Patients who are doing good on medicines may be followed up without angioplasty.

All About Angioplasty!

The humble, easily available banana is not as humble when it comes to its contribution to your health. And once you learn how much good it can do to your body, you will be compelled to add it to your daily diet. This god of a fruit protects you from innumerable diseases, keeps your hair, heart and head well as well as fights chronic diseases - and the list has just begun. 

Here are just 15 reasons for you to have a banana every day-

1) This fruit is high in potassium and low in salt, it is your protective shield against blood pressure, heart attack, and stroke.

2) Iron rich banana is extremely good for anemic people.

3) The calcium-rich bananas are excellent for your bones and help in increasing bone density.

4) For people who exercise, bananas are an energy booster and sustain your blood sugar as well as protect against muscle cramps post workouts or leg cramps.

5) Bananas help beat depression due to high levels of tryptophan, which is converted into serotonin: the feel-good brain neurotransmitter.

6) It also enhances your moods and relieves PMS symptoms as well as stress levels in body and mind.

7) Due to high levels of vitamin B-6, bananas produce white blood cells and help in building immunity as well as strengthen nervous systems.

8) Weightloss - If you swap your junk foods with bananas, you might be inching towards losing weight. As an added bonus your energy will be become more steady and consistent.

9) Improve your mood and reduce PMS symptoms by eating a banana, which regulates blood sugar and produces stress-relieving relaxation.

10) Bananas reduce swelling, protect against type II diabetes, aid weight loss, strengthen the nervous system, and help with the production of white blood cells, all due to high levels of vitamin B-6.

11) Extremely caring about your stomach, Banana not only soothes your digestive tract to restore lost electrolytes after diarrhoea, it also helps in relieving constipation due to ts high fibre content.

12) Rich in pectin, bananas aid digestion and gently chelate toxins and heavy metals from the body.

13) Fever too? A banana can bring down your body temperature to cool your temperature off.

14) Bananas make you smarter! It makes you very alert. The high levels of potassium help your memory as well. Think about it before an exam.

15) Smoke? High levels of B-vitamins as well as potassium and magnesium in the fruit, help in speedy recovery from the effects of withdrawal.



15 Reasons Why Banana is Healthier Than Apple

An unhealthy diet is an absolute no in daily life to remain healthy, fit and without any disease. Unhealthy diets fail to give the body the correct amounts and varieties of proteins and nutrients for a maximum proper health.
Too many intakes of calories lead to an unhealthy diet, which also increases blood pressure. It leads to a very poor calorie ratio-to-nutrient that leads to gain weight and also leads to malnutrition along with various health problems. Unhealthy diets cause chronic disease, hypertension, cancer, diabetes, osteoporosis and cardiovascular disease.
Therefore, unhealthy eating habits should be avoided and strongly abandoned.

Why Avoid Unhealthy Diet?

It causes obesity. Increased intake of nutrient-dense foods like fruits, sugar, processed carbohydrates and animal fat leads to obesity.
Nutrient deficiency is another harmful effect of following an unhealthy diet.
Illness is another factor. Poor intake of nutrition leads to diseases like heart disease, diabetes, and cancer. Lack of calcium weakens the bones, lack of vitamin A and C suppress the body immune system leaving a person vulnerable to diseases.
Increases the risk of coronary artery disease as unhealthy diet contributes to building up of plaque in the coronary arteries which can cause heart attacks.
Coronary Heart Disease - A Serious Issue!
It is a disease which leads to plaque building inside the coronary arteries, which supply rich oxygen blood to the human heart muscle. Over time the plaques either hardened or get ruptured and hardened plaque restricts the coronary arteries, which reduce the oxygen flow to the heart. On the other hand, if the plaque is ruptured blood is formed on its surface which also narrows the coronary artery and restricts the blood flow. And if the blood flow is blocked or reduced, then it might lead to Angina and heart attacks leading to loss of life. Angina causes chest pain it can also cause pain in the neck, back or arms. It is a state where one gets a feeling of indigestion.

Outlook
Changes in lifestyle, eating habits, intake of medicines and its procedures helps to prevent this disease. These steps can also reduce the chances of health problems. Therefore, a proper healthy diet is a must in a person s routine because it serves as one of the links to coronary heart diseases. In order to live long, live healthily and live happily one needs to adopt a good eating habit, take care of the medicines they intake, certain input time of exercise, change the monotonous lifestyle to lessen down the chances of their occurrence. Adopting healthy food habits also enables the body to fight against diseases and infections, reducing the rate of illness. It also reduces stress and provides a good healthy and happy life.

Unhealthy Diet - How It Is Related With Coronory Heart Disease?

5 natural ways to control your blood pressure

Blood pressure rises with each heartbeat and falls as your heart relaxes. The normal blood pressure should be less than 120/80 mm hg. An increase or decrease on either end can cause various problems.

Here are some of the natural ways to control your blood pressure.

1. Having a diet low in sodium

In the event of a high blood pressure, curtail the consumption of foods that are rich in sodium. However, research reveals that sometimes it is not just enough to cut down on sodium in your diet. A person suffering from high bp should consume foods rich in minerals like calcium, magnesium and potassium as well to keep his/her bp in check.

2. Drink plenty of water and curtail the consumption of alcohol

In case a person suffers from low blood pressure, it is advisable to drink plenty of water as low blood pressure is usually accompanied by bouts of dehydration, and consumption of water can help increase your blood pressure. Also, health drinks, which are rich in electrolytes, help your raise blood pressure. But one should avoid drinks that are high in sugar, and abating your alcohol consumption also helps to quite an extent.

3. Burn extra calories and exercise regularly

Blood pressure usually increases with weight. Being overweight can lead to sleep apnea, which is marked by disruptive breathing while you sleep, which in turn condition can lead to increased blood pressure. Studies have found that weight loss is one of the most effective ways to control high bp. Regular physical activity is also advised to maintain a stable blood pressure.

4. Avoid long, hot showers

The hot water in showers and spas can expand your blood vessels, which can often lead to a drop in blood pressure. A common sign of this would be dizziness and fainting while taking a bath. Therefore, for people suffering from this condition, using warm water rather than hot water is advisable.

5. Completely avoid stress

One of the contributing factors of high blood pressure is chronic stress. Stress tends to affect blood pressure in indirect ways. Many react to stress by overeating, consumption of alcohol and smoking, all of which can increase your blood pressure. Try to know what triggers your stress and take steps to avoid it.


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Related Tip: Got High Blood Pressure? Eat These 5 Foods!



5 Tricks that Control Your Blood Pressure, Naturally

Arrhythmia is a disorder which is characterized by improper and irregular heartbeats; be it too slow or too fast. This problem occurs when the electrical impulses that are used to regulate your heartbeat don t work in the correct manner. Your heart may beat irregularly, too slow or too fast.

Symptoms
Although this disorder does not yield many symptoms, a few noticeable symptoms of arrhythmia are slow heartbeat, or a racing heartbeat, chest pain, breathing difficulties and dizziness. Arrhythmia can lead to inefficient pumping by the heart, leading to bouts of fainting. A severe symptom of this disorder is ventricular fibrillation, wherein the ventricles tend to quiver instead of transporting blood. This symptom can cut off blood supply to the vital organs, which may lead to death.

Causes

Coronary artery disease: In this disease, arteries of the heart can get blocked, leading to irregular heart beat and impaired heart functioning.
A heart attack: An ongoing heart attack usually leads to irregular heartbeats.
High blood pressure: High blood pressure problems make you more vulnerable to this condition.
Impaired functioning of the thyroid glands: An overactive or underactive thyroid gland can lead to heart arrhythmia.
Excessive smoking and alcohol consumption: These habits can cause problems with the blood vessels in the body, thus increasing risks of this particular condition as well as other cardio-vascular diseases.
Stress: Too much stress can lead to high blood pressure; that is again linked to heart arrhythmia.
Treatment
Mild symptoms of arrhythmia do not require treatment. However, complications resulting from it warrant treatment. The various treatment options for this condition are:

Pacemaker: A pacemaker is a device that is used to regulate your heart rhythms. It is placed in the body by a surgical procedure and an insulated wire is put, connecting the heart to the pacemaker. In case of an irregular heartbeat, the pacemaker sends out impulses to correct the improper heartbeat.
Implantable cardioverter-defibrillator: This device is used to prevent a dangerous symptom of heart arrhythmia, a symptom wherein the ventricle quivers. It is similar to a pacemaker as it is also placed near the collarbone. In case it detects an abnormal rhythm, it sends out shocks to reset the heart rhythm.
Maze procedure: This is a surgical procedure wherein incisions are made on the upper heart tissue to create a scar tissue. Scar tissues act as insulators to prevent stray impulses.
Alternative therapies: Alternative procedures such as yoga and meditation can help remedy the disorder.

Is Your Heart Missing a Beat Regularly - Could it be Arrhythmia?

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