Many more people are opting for peritoneal dialysis now that many of the peritoneal dialysis side effects have been addressed. How Hemodialysis Works, hemodialysis is a complex procedure, and it really is a wonder of modern medicine. Using an access port somewhere on the body, two needles are inserted to access the blood stream. One needle is the outflow needle, and the second needle returns the blood to the body in the hemodialysis procedure. The hemodialysis machine takes small amounts of your blood out from this medicinal access port, and it brings the blood into the machine. Once the blood is in the machine, it runs through a series of tubes and filters to change the electrolyte balance in your body, remove waste, and take off some fluids. The blood passes through an apparatus known as a dialyzer, and this cartridge holds the dialysis solution, or dialysate. It is this solution that pulls the wastes and electrolytes from your body.
Lymph node negative patients have a five-year survival rate of about 36 while patients with positive lymph burns nodes have only. Tumor size is another factor affecting prognosis.
If you miss your appointment for dialysis, it can cause a dangerous build-up of wastes and fluid. Hemodialysis is the most common of all types of dialysis. It generally takes three to five hours because the entire volume of your blood is run through the machine. Peritoneal dialysis is another type of dialysis that is often used, and it is much more convenient than hemodialysis. You can actually perform peritoneal dialysis at home without the need for a dialysis center. It involves a catheter placed in your abdomen, and you essentially put the dialysis material into your body through this portal. The dialysate dwells in your body, exchanging fluids and wastes by osmosis, and then you drain the fluid out.
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Some systems, such as peritoneal dialysis, dont require a machine, but a special catheter inside your abdomen. Even now, these machines are becoming so sophisticated that they have home hemodialysis machines. If you have kidney failure, you are in luck with these treatments around to help you. Indications for dialysis, you may wonder just what your doctor saw in your history to indicate that you need dialysis. Indications for dialysis betekenis are usually when your kidneys are at the end of their working life. You have reached a point called end stage kidney disease, which means that the organs are functioning at only 10 to 15 percent of their normal workload. Your doctor determines this mostly by lab work, such as: Blood urea nitrogen, creatinine, creatinine clearance, estimated glomerular filtration rate, these lab tests show how well your kidneys are able to remove wastes stent from the body and how well it filters your blood.
Among other indications for dialysis include physical symptoms, such as: Swelling and edema in your legs and hands. High Potassium, swelling indicates that your kidneys are not adequately balancing the fluids in your body and allowing them to accumulate. Too much potassium can lead to deadly heart rhythm disorders, and a high blood pressure can result in stroke, in addition to weakening the heart muscle. Types of dialysis, the two most common types of dialysis are hemodialysis and peritoneal dialysis. However, home hemodialysis is now becoming an option with the advent of smaller, less expensive hemodialysis machines. For most patients, though, you will have to go to a hospital or hemodialysis center two to three times per week to remove fluid and filter your blood.
You think, if only i could avoid dialysis. It is true that it is a complex, sometimes intrusive procedure, but it can actually save your life. You shouldnt think of dialysis as something to be feared. Of course, it would be great if you could preserve your kidney function. Rather, you need a thorough understanding of what dialysis is and how it will affect your life. Now, lets imagine here for a moment that your kidney is not working at all.
I mean, it does so many useful things for your body: filtering wastes, controlling electrolytes, and balancing the water in your body. When you have failing kidneys, all these processes go haywire. Simple: find something to take the place of the kidneys that can no longer do their job. One way the obvious way, i suppose is to simply put in another flesh and blood kidney to do the work. This is a great solution, but honestly, there just arent enough kidneys to go around. In this modern age, to save lives that would otherwise be lost to complete kidney failure, someone invented a machine to do the exact same things that the anatomical kidneys. Great age we live in, huh? The dialysis machine: takes all the blood from your body. Filters the blood, removes water, balances electrolytes, returns that blood safely into circulation.
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Take it away lage lynda! Your doctor looks at you kindly, but you can sense a hesitation in his eyes. You get the foreboding feeling that what he has to say next is not going to be something you want to hear. You have kidney failure. In fact, your kidneys are not working very much at all. I can tell you that I have treated many patients who have come to me with the same dire warning from their doctor. It isnt the end of the world, however. It means that you need to start dialysis. Dialysis is likely a dirty word to anyone who has ever had problems with their kidneys.
I would like to introduce to you to registered nurse, lynda lampert. Ive invited Lynda to share some of her experiences and knowledge as a nurse in a busy city hospital for todays article movement on all things dialysis. Ive never accepted a guest post on this blog before, but when I have access to someone who has been in the trenches of a busy hospital, working with dialysis patients, and can present this information in a way that can help those in the. Lynda graduated top of her class in nursing school, and has enjoyed researching ever since. Lynda: ive written for livestrong and Ehow, in addition to numerous private clients. I am currently working on an query for a national magazine and interviewing experts, such as doctors and patients. I enjoy researching health, supplements, diet, fitness, and other medical related topics. And so i welcome the first of hopefully many guest posts by lynda, to help give fresh insights into kidney disease in the hope to better your health and living.
or the modified procedures often only prolong the survival, and improve the quality of life. The five-year survival rate following the Whipple procedure is about 10 to20. . The ten-year survival rate however is very poor. The most important factor that affects prognosis after the Whipple procedure is the absence of tumor at the resected margins. A tumor-free margin for the resected tumor is associated with about 25 five-year survival rates while presence of tumor on the resected margin lowers the five-year survival rates to less than. Lymph node status is an major factor affecting survival following the procedure.
Diabetes usually does not arise following the Whipple procedure, despite removing a large portion of the pancreas. Whipple surgery recovery period, patients usually stay in hospital for a week after the procedure followed by a slow recovery at home. The recovery period is often painful and associated with problems related to feeding. The pain usually needs use of analgesics. Feeding is usually done in very small quantities and is confined to easily digestible food. Supplements with pancreatic enzymes may help digestion. Fat containing foods should be introduced landen only slowly and the pancreatic enzyme supplementation may be required for fat digestion. The recovery of the digestive tract usually takes two to three months.
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Complications of Whipple Procedure, the Whipple procedure is associated with an operative mortality of 2 to 5 even when performed by the most experienced surgeons. The risk of operative mortality and morbidity has been found to be higher in hospitals where the procedure is performed less frequently (less that 1 surgery per year) compared to those hospitals performing the procedure frequently (16 or more surgeries per year). Immediate complications following surgery include leakage from the new attachments (anastomotic leak) especially the leakage of pancreatic secretions, delayed emptying of the contents of the stomach, post operative infections and an abdominal abscess. A pancreatic fistula is common and can develop in as many as 20 of the patients undergoing Whipple procedure but biliary fistulas are much less common. Almost about 40 of the patients having undergone the procedure experience delayed gastric emptying. It usually improves with time, but may take several weeks to several months in some patients. Patients can sometimes have troubling diarrhea, which may take 2 or 3 months to improve. Malabsorption and steatorrhea may arise due to pancreatic enzyme deficiency or due to an obstruction in the newly made pancreaticojejunostomy which prevents the release of pancreatic enzymes into the gastrointestinal tract. Treatment with pancreatic digestive enzymes can improve this complication.