ฟอกไตด้วยเครื่องไตเทียม ประสิทธิภาพสูง (High-performance Hemodialysis)

High-performance Hemodialysis

Hemodialysis with a high-performance hemodialysis machine is a treatment option for kidney failure or chronic kidney disease patients by removing waste products from the bloodstream

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High-performance Hemodialysis

Hemodialysis with a high-performance hemodialysis machine is a treatment option for kidney failure or chronic kidney disease patients by removing waste products from the bloodstream and excess fluid from the body by filtering blood through a dialyzer for waste removal based on the combined principles of "diffusion" and "convection. Waste products and excess fluids in your blood pass through the dialyzer, forming a dialysate solution, which the machine will discard. Ultra-pure water infused into the bloodstream replaces fluids lost in the dialysate solution. The needles inserted into a vein act as the conduit for removing blood from the body, circulating through the dialysis machine to filter out waste, removing excess fluids, and returning cleaned blood through the second needle, ready to circulate through the body and effectively carry out its function again.

Kidneys

Kidneys are vital body organs that filter waste products from the bloodstream and excrete them through the urine. The kidneys maintain optimal blood pressure, help balance minerals and acidity-alkalinity status, and produce several hormones. In addition, kidneys play a role in red blood cell and bone production. If the kidney filtering capability decline and cannot effectively remove the waste products from the blood, this will eventually lead to kidney failure.

What happens when the kidney fails to work?

If the kidneys fail to perform their normal functions, excess fluid and waste products will accumulate in the body. Untreated kidney failure leads to a plethora of symptoms: dizziness, nausea, vomiting, loss of appetite, fatigue, dry skin, muscle cramps, dyspnea, oliguria, insomnia, swollen eyes, high blood pressure, pale skin, anemia, and weakness. These can lead to coma and death.

If you are confirmed to have renal failure, the doctor will consider three renal replacement therapy options.

  • Hemodialysis 
  • Peritoneal dialysis 
  • Kidney transplantation

High-efficiency hemodialysis for chronic kidney disease patients with end-stage renal failure will help correct electrolyte and acid-base imbalance while eliminating toxic waste products and, in the process, purifying the patient's blood.

High-performance Hemodialysis

High-performance Hemodialysis

Who can benefit from hemodialysis?

  1. End-stage kidney disease patients with deterioration of waste filtering function and accumulation of toxic waste products
  2. Patients who find it hard to do at-home peritoneal dialysis
  3. Patients who have had prior abdominal surgery.
  4. Patients who find it acceptable to commute to the hospital 2-3 times a week for a 4–5-hour session of hemodialysis.

What are the procedures of hemodialysis?

Hemodialysis procedures using a high-performance hemodialysis machine are as follows:

  1. The doctor will perform surgery to connect an arm vein to an artery (Arteriovenous fistula). The arterial pressure will dilate the size and increase the blood flow through the vein sufficient to perform effective hemodialysis. The surgery should be performed 2-3 months before hemodialysis to allow the veins to expand and its wall to thicken.
  2. The doctor may connect a vein to an artery with a synthetic vascular graft (Arteriovenous graft). The surgery must be performed 1-2 weeks before starting hemodialysis to allow the swelling from the surgery to subside.
  3. In the events hemodialysis is needed immediately, a doctor can insert a double-lumen catheter into a large vein in the leg or neck and connect it to a high-performance hemodialysis machine to start hemodialysis.

What are the benefits of hemodialysis?

Hemodialysis with a high-performance hemodialysis machine and ultra-pure water is considered an efficacious renal replacement therapy with the highest safety standard to provide effective therapy without kidney transplantation and reduce the risk of complications.

The ultra-pure water system is an integral component of a high-performance hemodialysis machine utilizing copper lining as an infection prevention layer, meeting the same sterility and purity standards as in intravenous fluid production. Ultra-pure water enhances the excretion effectiveness of accumulated waste products, helping patients to feel better, have more stable blood pressure, and feel less tired with a more radiant skin complexion.

Preparation procedures for hemodialysis with a high-performance hemodialysis machine?

Hemodialysis with a high-performance hemodialysis machine is a type of treatment supervised by a doctor and a multidisciplinary team of clinical specialists. Throughout the therapy, the doctor and clinical team will periodically check the patient's blood pressure, electrolyte levels, and heart rate to evaluate symptoms and assess potential risks.

Therefore, patients with all forms of kidney disease should follow their doctor's lifestyle recommendations. Consume a healthy diet, including vegetables, fruits, and nutritious foods daily. Reduced intake of sweet, fatty, and salty foods and engaging in regular exercise will allow patients with kidney dysfunction to live a healthy life.

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Published: 23 Jan 2023

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