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Last Updated: Sep 03, 2024
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What Is Haemodialysis And How To Undergo It?

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Dr. Tauhidul Alam ChoudhuryNephrologist • 24 Years Exp.MBBS, MD - Medicine, DM - Nephrology
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Kidney is the most vital organ in the body as it eliminates the waste material from our blood. When kidneys fails to carry out its work effectively the waste materials gets accumulated in the blood and end up with many serious disease condition that affects the other vital structures in our body. The function of the kidney is carried out artificially by an external device called dialyser to purify the blood and remove the waste products from it. This procedure is called as dialysis. There are two types of dialysis they are hemodialysis and peritoneal dialysis.

What Is Hemodialysis?

In Hemodialysis, an HD Machine is used to take out blood from our body whblood from our body is let out via HD Machine and cleaned byich is cleaned by a filter called dialyser, and the cleaned blood is returned to body. Thus, letting out and returning blood from body done by access. Arteriovenous fistula created surgically by joining a vein to artery remains the main and permanent access. It is created at least 2 months prior to need for dialysis. Other access e.g. vascular catheters placed in neck or groin are temporary and last for 2-4 weeks.Typically, hemodialysis frequency per week is 2-4 times. Each session lasts for 4 hours. Most centre doing HD are usually low flux. There are better form of dialysis called High-flux or ONLINE Hemodiafiltration (HDF). But, they are more costly and survival advantages may not differ.

Things a person should follow if they are undergoing haemodialysis

  1. Love your heart: Patients undergoing dialysis are at more risk of getting cardiac problems. So it is best advised to follow few of the following measures to take care of their heart
    • Keep your blood pressure and cholesterol levels under control
    • Quit smoking
    • Reduce stress
    • Have healthy low fat and heart friendly diet
    • Get regular physical activity but avoid excessive strainers activity that may require extra effort from your heart
    • Maintain a healthy weight
  2. Diet: Dialysis not only removes the waste matters from your blood but sometimes also the essential electrolytes and nutrients. Protein, potassium sodium and phosphorus are the major things that are to be noted.
    • Encourage the patient to take high quality protein rich foods like meat, fish, milk, egg and chicken which is essential to improve your muscle strength and immunity.
    • Have a check of your sodium level and take sodium rich foods accordingly, as excess sodium may increase the fluid intake.
  3. Limit your fluid intake: Use ice cubes instead of water or use small cups of water. Make sure you measure every sip of water you take.
  4. Don't Overeat: Slow down while eating and stop eating when you feel full. don’t over load your stomach
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