There are two kinds of Dialysis that are offered here at the Dialysis Centre at Nanavati Max. The kinds are:
Haemodialysis is an artificial way of cleaning blood by removing toxins from it. The procedure is performed at the dialysis unit in the hospital where a dialysis nurse or technician inserts two needles into a patient’s arm, which transfers the blood into the filter present in a dialysis machine through a soft tube. The dialysis machine then filters the blood and returns it to the patient’s body. For the process of Haemodialysis, the process of Renal Replacement Therapy (RRT) is performed. It is a therapy that replaces the blood-filtering function of the kidneys using:
- Online Haemodiafiltration: It is a method of therapy that utilizes the dialysis machine's ultrapure dialysate as a replacement fluid. This enables large quantities of fluid to be exchanged during therapy, resulting in dialysis that more strongly resembles the kidney's natural function. At present, this method of treatment is the best and most efficient therapy for replacing the kidney. Online HDF decreases the risk of heart problems. Blood pressure and anaemia can be better regulated with this technique. The operation also gently removes surplus water and more effectively filters toxins from the blood of a patient.
- Acute Intermittent Haemodialysis (IHD):It is a blood purification method that is used for brief intervals. It collects blood from a patient’s body which is pumped through a dialysis filter and is returned to a patient following the removal of surplus water and wastes.
- Continuous Renal Replacement Therapy (CRRT):Provided as a continuous 24 hour day therapy. It involves the purification of blood by removing it from a patient, pumped through a dialysis filter and returned to the patient following the removal of surplus water and wastes.
- Slow Low-Efficiency Daily Dialysis (SLEDD): It is a hybrid of Intermittent Haemodialysis IHD and CRRT
- Plasma Exchange:It is a medical procedure that involves the removal of plasma from the blood for a process of plasma exchange (where unhealthy plasma is swapped with healthy plasma).
Peritoneal Dialysis (PD)-
It is one of the most effective home dialysis treatment options that allow a patient to perform the dialysis process at home. As per the patient's condition, it is advisable to perform peritoneal dialysis 3 to 7 times a week, usually at night before sleeping. For the process, a soft, flexible catheter is placed in the patient’s abdomen using Fluoroscopic Guided Permanent Catheter Placement method. This catheter is placed permanently in the patient’s body and is responsible for passing dialysate in and out. The vessels in the abdominal lining filter blood with the help of a dialysis solution.
PD is usually of two types:
- Continuous Cycling Peritoneal Dialysis (CCPD): It automates the process of filling and draining dialysate using a cycler machine.
- Continuous Ambulatory Peritoneal Dialysis (CAPD): A patient can perform dialysis exchanges manually without using a machine.