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Selasa, 05 Januari 2010

TREATING KIDNEY FAILURE

TREATING KIDNEY FAILURE

Diet

Diet is an important consideration for those with kidney function is impaired. Consultation with a nutritionist may be useful to understand what foods are appropriate or inappropriate.

Because the kidneys can not easily remove excess water, salt, or potassium, they may need to be consumed in limited amounts. Foods high in potassium include bananas, Apricots, and substitution-substitution (successors) of salt.

Phosphorus is a chemical that is associated with forgotten calcium metabolism and may be raised in renal failure. Too much phosphorus can suck / suck the calcium from the bones and cause osteoporosis and broken / fractured bones. Foods with a high content of phosphorus include milk, cheese, beans, and cola drinks.

Medicines

These drugs may be used to help control some of the problems associated with kidney failure.
• Medications that reduce Phosphorus [calcium carbonate (Caltrate), calcitriol (Rocaltrol), sevelamer (Renagel)]
• Stimulation of red blood cell production [erythropoietin, darbepoetin (Aranesp)]
• The production of red blood cells (supplements, iron supplements)
• Drug-drug blood pressure
• vitamins

Once the kidneys fail completely, the option-ops are limited to maintenance dialysis or a transplant kidney replacement.

Dialysis

Dialysis rid the body of waste products inside the body using filtering systems. There are two types of dialysis.

Hemodialysis

Hemodialysis uses a machine called a filter dialyzer or artificial kidney to remove excess water and salt, to balance the electrolytes, other electrolytes in the body, and to remove the waste products of metabolism. Blood flows through the tube into the machine, which he then passes through a membrane filter. A special chemical solution (dialysate) flows on the other side of the membrane. Dialysate formulated to attract impurities, impurities from the blood via the membrane filter. Blood and dialysate never touch the artificial kidney machine.
For this type of dialysis, access to the blood vessels in operation should be created so that the amounts of blood that can flow into the engine and returned to the body. Surgeons can develop a fistula, a connection between an artery and large vein in the body, usually in the arm, which causes a large amount of blood flowing into the vein. This makes veins bigger and thicker walls so he can tolerate needle puncture, which repeatedly to install the tube from the body into the machine. Because it takes weeks for a fistula to mature enough to be used, significant planning is needed if hemodialysis be considered as an option (option).
If renal failure occurs acutely, and there is no time to build a fistula, a catheter, a special catheter may be inserted into blood vessels larger than the arms, legs, or chest. Catheter-catheter may be left behind places for up to three weeks. In some diseases, the need for dialysis will be temporary, but if the expectation is that the dialysis will continue for a prolonged period of time, catheter-catheter acts as a bridge until a fistula can be planned, placed and matured.

Dialysis treatments normally occur three times each week and lasted several hours each time. The most common, patients go to an outpatient center for get dialysis, but dialysis home therapy is becoming an option for some people.


Peritoneal Dialysis
Peritoneal dialysis uses the lining of the abdominal cavity as a filter dialysis to cleanse the body of waste products and to balance electrolyte levels. A catheter was placed within the abdominal cavity through the abdominal wall by a surgeon and is expected to stay there for the long term. Dialysis solution is then dripped into the catheter and left in the abdominal cavity for several hours and then streamed out. At that time, waste products from the blood sucked out of the normal flow through the layers of the abdomen (peritoneum).

There are advantages and complications for each type of dialysis. Not every patient can choose which type he would like it. Treatment decisions depending on the patient's illness and the medical history of their past together with other issues. Usually, nephrologist (kidney specialist) will have a long discussion with the patient and family to decide what would be the best option available.

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