DIALYSIS (Part 2)
Q: When and why is dialysis given?
A: When end-stage kidney failure occurs, treatment is necessary to replace the function of the kidneys. Dialysis is a life-saving option until a suitable organ donor is found, but it is not a cure for end-stage kidney failure.
Q: Who can I talk to in order to learn more about dialysis treatments?
A: There are a number of people you can talk to but the most important person is your doctor or a nephrologist (a Physician who is a Specialist in kidneys). Others are the renal care team and even other people with renal failure.
Q: Where is the closest dialysis centre?
A: There are a number dialysis centres across Nigeria
Q: Can I change to a different form of treatment once I’ve started dialysis?
A: Yes. It is quite common for people to change treatments as their health and lifestyle needs change. You may have several methods of dialysis treatment throughout your life.
Q: Should I change my diet when I start dialysis?
A: Yes. All forms of dialysis restrict diet to some extent.
· Some treatment options like Haemodialysis (HD) have more restrictions than others.
· Peritoneal dialysis (PD) lets you have more protein, fluids and potassium in your diet.
· Your renal care team will advise you on changes to your diet plans and eating habits while on dialysis. You should also discuss these changes with a dietician if you have access to one.
Q: What is the diet for patients on Haemodialysis?
A: Hemodialysis and a proper diet help reduce the wastes that build up in your blood. A dietitian is usually available at dialysis centers to help you plan meals according to your doctor’s orders.
Q: What is the diet for patients on peritoneal dialysis?
A: A peritoneal dialysis diet is slightly different from that of a haemodialysis diet but this form of dialysis is not readily available in Nigeria presently.
Q: Will I be able to continue my normal activities once I start dialysis?
A: Working, driving and normal housework activities are typically not restricted on dialysis. Your level of freedom and flexibility will depend on the treatment you chose, whether it is a fixed schedule of HD, or PD.
Q: Is it dangerous to skip dialysis?
A: Yes, this can lead to fluid overload and accumulation of waste products in the body. It can also lead to breathing problems due to a serious condition called pulmonary edema where fluid gets accumulated in the lungs.
Q: What is the cost of dialysis?
A: A session of haemodialysis costs on average N25,000 (Twenty Five Thousand Naira). For it to be effective, a patient should have 3 sessions per week.
Q: What are the possible complications of haemodialysis?
A:
1. Infection
2. Poor blood flow
3. Muscle cramps and
4. Hypotension—a sudden drop in blood pressure
You can avoid many side effects if you follow a proper diet, limit your liquid intake, and take your medicines as directed.
Q: What are the possible complications of peritoneal dialysis?
A:
· The most common problem with peritoneal dialysis is peritonitis, a serious abdominal infection. It requires antibiotic treatment by your doctor.
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