Diseases related to kidney and the urinary tract is usually chronic disorders that require individualized patient care, appropriate management and utmost dedication from the doctors. The Department of Nephrology at Sanjeevini Hospital has been established with the aim of providing the best possible care for kidney-related ailments with the treatment being guided by internationally recommended nephrology guidelines.
The consultant nephrologists at Sanjeevini Hospital, have greatest expertise in treating the patients from all walk of life and committed in providing affordable health care without any compromise on the quality. The renal unit is embarked with active renal transplantation programme. The facility is also equipped with the latest dialysis and CRRT machines delivering various dialytic modalities like hemodialysis, hemoperfusion, hemodiafiltration, plasmapheresis and backed by the experienced critical care team.
The department provides comprehensive diagnostic facilities and doctors are well experienced in performing procedures like renal biopsy, tunnelled catheter insertion, and CAPD catheter insertion.
Hemodialysis is a therapy which filters waste, removes extra fluid and balances electrolytes from the blood. It is the most common type of dialysis. This process uses an artificial kidney (hemodialyzer) to remove waste and extra fluid from the blood. The blood is removed from the body and filtered through the artificial kidney. The filtered blood is then returned to the body with the help of a dialysis machine.
To get the blood to flow to the artificial kidney, an your entrance point called (vascular access) is made into your blood vessels. The three types of accesses are:
- Arteriovenous (AV) fistula: This type connects an artery and a vein. It’s the preferred option.
- AV graft: This type is a looped tube.
- Vascular access catheter: This may be inserted into the large vein in your neck.
Peritoneal dialysis (PD) is one type of dialysis treatment for kidney failure. It uses a fluid that is put in your belly and then removed to clean your blood.
Three types of peritoneal dialysis
- Continuous Ambulatory Peritoneal Dialysis (CAPD)
- Automated Peritoneal Dialysis (APD)
- Intermittent peritoneal dialysis (IPD)
The basic treatment is the same for each. However, the number of treatments and the way the treatments are done make each method different.
CAPD is “continuous,” machine-free and done while you go about your normal activities such as work or school. This treatment is done by placing about two quarts of cleansing fluid into your belly and later draining it out.
When an exchange is finished, the fluid is drained from your belly and thrown away. This process usually is done three, four or five times in a 24-hour period while you are awake during normal activities. Each exchange takes about 30 to 40 minutes. Some patients like to do their exchanges at mealtimes and at bedtime.
APD differs from CAPD in that a machine (cycler) delivers and then drains the cleansing fluid for you. The treatment usually is done at night while you sleep.
(IPD) Intermittent Peritoneal Dialysis an older form of peritoneal dialysis in which dialysis solution is infused into the peritoneal cavity, allowed to equilibrate for 10 to 20 minutes, and then drained out. It is highly effective in achieving solute removal by solute clearance and fluid removal by ultrafiltration.