Sarvesh Health City

the-role-of-dialysis-in-managing-chronic-kidney-disease

Chronic‍‌‍‍‌ Kidney Disease (CKD) impairs the body’s functions of waste removal, fluid regulation, and mineral balance. As the disease advances, the kidneys lose their ability to filter the waste; thus, toxins start to accumulate, affecting different organs and the whole body. In case of low kidney function, lower than 10–15%, the therapy to keep the body functioning is dialysis. It is an artificial substitute for kidney failure, which reduces the complications and stabilizes the patient’s condition.

This article describes the role of dialysis in chronic kidney disease treatment and how it can help when the kidneys fail. Additionally, it offers a reassurance that comes from receiving specialized nephrology care from the expert nephrology team at Sarvesh Health City, the best nephrology hospital in Hisar.

Understanding When Dialysis Becomes Necessary

Kidney failure is a result of chronic kidney disease (CKD), which occurs gradually in most cases. When the filtering units in the kidneys wear out due to aging or other factors, the waste starts to accumulate. Dialysis is suggested when:

  • The estimated glomerular filtration rate (eGFR) is less than 15 mL/min
  • Symptoms ( nausea, fatigue, confusion, shortness of breath) related to the accumulation of toxins become serious
  • Excess fluid endangers the functioning of the heart and lungs
  • Blood pressure becomes difficult to control
  • Personal lifestyle and daily activities are affected

Types of Dialysis 

A‍‌‍‍‌ patient can have dialysis in a hospital, at a dialysis center or at home, based on their medical needs and their decision. Also, the main types of dialysis are:

  1. Hemodialysis

Hemodialysis takes the blood out of the body, cleans it in a machine, and then returns it to the body. ‍‌Basically Most patients do HD three times a week, each session lasting about four hours. This procedure is performed in a hospital, a dialysis center, or at home.

  1. Peritoneal Dialysis (PD)

A cleansing fluid is introduced into the belly, where the peritoneal membrane works as a filter. PD is generally done every day and provides more freedom to patients who choose to be treated at home.

Why Dialysis Is Essential in Chronic Kidney Disease Management

Dialysis‍‌‍‍‌ is not just a treatment, it is the main pillar for managing  late-stage CKD. With the gradual decrease in kidney function, the body starts to have different kinds of imbalances that affect various organs. Dialysis takes the load off the destabilized kidneys, thus making the patients’ lives longer. The main reasons why dialysis is a lifeline in chronic kidney disease are:

1. Preventing the Build-Up of Toxic Waste

In chronic kidney disease, the kidneys cannot filter urea, creatinine, and other metabolic by-products anymore. These waste products stay in the blood and may lead to:

  • Extreme tiredness
  • Loss of appetite
  • Metallic taste
  • Difficulty concentrating
  • Nausea or vomiting

Dialysis is capable of getting rid of these waste products. It stops the progression of complications such as uremia, which, if left untreated, is characterized by seizures, confusion, and coma.

2. Managing Fluid Overload and Protecting the Heart

When kidney function declines, the body holds onto more fluid than necessary and may cause following symptoms:

  • Swelling in the legs, feet, and face
  • Shortness of breath
  • High blood pressure
  • Liquid in the lungs (pulmonary edema)
  • Wear and tear on the heart
  • Through dialysis, this extra fluid is gotten rid of; hence, the heart is less fatigued.

For CKD patients who are already prone to heart disease, the regulation of fluid intake is the key to avert heart failure and other cardiovascular illnesses.

3. Maintaining Electrolyte Stability

Electrolytes like potassium, sodium, calcium, and bicarbonate are essential to be within the body’s limited ranges for it to work normally. In case of CKD, these elements go dangerously out of balance, leading to fatal heart rhythm irregularities, variation in blood pressure and acid buildup.

Through dialysis, these minerals are managed and kept at safe levels, keeping medical emergencies away.

4. Supporting Blood Pressure Control

One of the main factors causing high blood pressure is a leading factor and a side effect of chronic kidney disease, at the same time. The excess fluid and hormonal imbalances work together to make hypertension resistant to treatment. Dialysis brings the blood volume down and helps the body to regulate those chemicals, keeping the blood pressure at a normal level.

5. Reducing the Risk of Infections and Inflammation

A person with kidney failure usually has a compromised immune system; thus, they are more prone to infections. In addition, waste accumulation further aggravates inflammation in the body. Dialysis is a process by which the internal toxin load is reduced, reducing the risk of inflammation-related problems, hence supporting the immune system.

6. Enhancing Quality of Life

Symptoms of advanced stages of chronic kidney disease (CKD) can severely impact the daily routine. Common symptoms such as tiredness, breathlessness, swelling, and confusion can render even very basic tasks unmanageable. Dialysis gives the patients the possibility to:

  • Recover their strength
  • Get a better appetite
  • Have a clearer mind
  • Be able to breathe with less effort
  • Keep up their mobility and independence

7. Preparing the Body for Transplant

In the case of a transplant between a donor and a recipient, dialysis will be the therapy that the patient can rely on until the body is ready to undergo the transplant. It stabilizes the body, corrects chemical imbalance, and preserves the functions of other organs until the time for surgery ‍‌‍‍‌arrives.

Final Thoughts 

Dialysis is the main treatment in the chronic kidney disease management, as it provides the support when the kidneys are no longer able to perform their essential functions. The procedure that removes toxins, balances the fluids, and stabilizes the electrolytes enables patients to avoid severe complications and to have a better quality of life.

Although CKD gradually worsens the condition, its early detection and care from the expert nephrologist can make the prognosis much better. Sarvesh Health City, with its state-of-the-art equipment and an accomplished team of kidney specialists, is the best nephrology hospital in Hisar that patients can trust to support them through every phase of their treatment journey.

FAQs

Q1.‍‌‍‍‌ Is dialysis painful?

Ans.  Basically, dialysis is not a painful procedure. But there may be a minor pain in cases of patients when the needle is inserted in the blood vessel for hemodialysis. Therefore, most people adapt to the treatment fast.

Q2. Can kidney function improve after starting dialysis?

Ans.  If the damage to the kidneys is due to an acute injury, the need for dialysis will be only short-term until the organs regain their function. On the other hand, in chronic kidney disease, the situation is almost always irreversible, and the patient is on dialysis until a transplant is done or for life.

Q3. Is dialysis a permanent treatment?

Ans.  In the case of chronic kidney disease, dialysis is a lifelong treatment unless a kidney transplant is an option. In situations of acute kidney injury, dialysis can be temporary.

Q4. Does dialysis affect daily activities?

Ans. Most of the patients are able to keep on with their work and stay physically active. If done with the right timing and with supportive care, dialysis can become part of one’s daily routine without causing any major ‍‌‍‍‌disruptions.

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Vijay-Ghodela

NEPHROLOGIST & KIDNEY TRANSPLANT PHYSICIAN

Dr. Vijay Kumar Ghodela at Sarvesh Health City offers expert care for kidney health