The appearance of diseases in a human body irrespective of age, sex is purely based on the gene, the food you consume and lifestyle. Some religions say it is an act of Karma. Along with t Herat, Eye Liver, etc. The kidney plays an important part in the human body. Fo,r the functions of the organs in the body. For each organ, there are medical specialists, sts.
Next most commonly transplanted is the liver, that’s followed by the heart, lungs, pancreas, and intestines. You can donate some organs—like a kidney or part of your liver—while you’re still alive. You have two kidneys but the need only one.
Functions are interconnected in using internal energy supplied by the input of food. Blood pressure, Diabetes (the silent killer) food intake determines the blood and fluid purification by Kidney and output. Medical researchers say that it is a genetic disease. Some kidney diseases result from hereditary factors. Polycystic Kidney Disease (PKD), for example, is a genetic disorder in which many cysts grow in the kidneys. PKD cysts can slowly replace much of the mass of the kidneys, reducing kidney function and leading to kidney failure It can even prevail in children. At a young age, if Kidneys fail to function Renal specialists recommend Kidney transplant using a matching organ from a donor. An operation to transplant a kidney requires a general anesthetic and lasts about two to three hours. The surgeon makes a diagonal cut into the abdomen, on the right or the left, below the navel. The recipient’s kidneys are usually left in place. The patient is successful provided the body accepts the donor’s Kidney. One healthy kidney can keep the purification process going through like the carbonator in a car. In the car, if carbonator fails to operate the owner can buy a new corroborator.
In the same way, Kidney can be bought in underdeveloped countries from poor people. There is no a difference in race, sex religion or caste in getting a Kidney Donor. There is big wafting list in Ontario Even a woman’s kidney can be used for the Renal Patient.
I know a story of an actor who lives from acting for his loverhood was recommended to go for Kidney translocate. None of his relations came forward to help him to give one of their Kidneys. Actor’s girlfriend offered her kidney, and he underwent surgery successfully. He continued acting with his lover.
There is the well-known story of a hockey player who met with an accident in Canada. He wrote in his will to donate his kidney after his death to any other Canadian hockey player who suffers from the renal disease. Providing Kidney or heart to affected young man is one of the valuable donations in life Many renal patients undergo fluid retention called Edema
The demand or an organ is higher than the supply. Hence the cost of replicant is high unless there is a free donor in the family. Three variables will condition the future of organ replacement. The first variable is the need, particularly how the number of organs to be replaced will change over time. The second variable is the set of applications and new technologies that will be available to replace those organs. The third variable is the set of obstacles, biological and societal, that may hinder the replacement of organ function. There may change in the foreseeable future. The dialysis machine is large and occupies space, and proper maintenance is required such as frequent water sample to ensure no infection takes place. Like pacemaker who knows in the Nanotechnology may reduce the size and cost of the machine and will be very useful for people in business affected by the renal disease who frequently travel on business and could not get a donor. Dialysis restricts frequent traveling. The prior arrangement may have to be done with a hospital in the country the patient visits on holidays to attend a family wedding. It is a long, time-consuming procedure
Dialysis can be done normally three days a week for more than 3,5 hours depending on the dry weight recommended by the renal specialist doctor. The main procedure is first weighing the patient deduct the weight of shoes, dress and determine the weight of naked body say (101Kg). Assuming the dry Wight is 98 Kg., Normally the mathematical equation is 101 minus 98 equal 3.0 Kg, To this add normally 0.4 Kg is added to return 0.4 of fluid. In total, the fluid taken out is 3.0+0.4 = 3.4K ( litter of fluid =1 Kg) to be taken out on dialysis time off in four hours.
The weight and BP are measured at the start of the standing position. Body temperature is measured. Record kept in a sheet. Then BP is taken in a seated position. BP fluctuates during the dialysis process. It is normally monitored every 30 or 15 minutes. Al statistical readings related to dialysis process are indicated in the monitor At any time during dialysis can see how much fluid was removed, balance time let over in the process and what is the percentage of blood purification. If it is more than 80%, it is good. Creatinine and GFR are two parameters through blood test determines the state of Kidney faction. For those who undergo dialysis Creatinine reading is immaterial so says, renal doctor.
For this reason, Renal patients do blood test a week before he meets the Renal specialist once in 3 months. Several other minerals in the body such as Potassium, Phosphorus, Iron, Calcium, glucose, hemoglobin, etc. are monitored. All these are vital for the functioning of the body. It purely depends on the intake of food and mobility of the body.
The human body is like a motor vehicle. Energy is supplied by gas (Petrol) and used by several parts of the body for the mobility of the vehicle. As lifetime the vehicle slows up due to wear ana d tear each part may need reapplicant. This why they depreciate the value of the vehicle in accounting. Finally, the vehicle ends up in the garbage dump (Cemetery). It is like the human body. The only difference is for the vehicle very good experienced mechanic diageneses the problem in the car and repairs it. Hat times he consults a specialist in the Engine, Carbonator, Brakes, Transmission.
A patient during dialysis the patient gets cramps in the body mainly in the leg muscles due to dropping in the BP. The body is positioned in almost flat in declining chair to bring the pressure to normal. Massaging too helps to relieve the pain due to cramp. By pressing the leg on the ground to help. Sometimes giving back to, the body saline too helps to relieve the pain.
Normally during four hours of dialysis, the patient can watch a movie on YouTube, search google, Write a book if the writer, Listen to music, etc. Many people go to sleep at least 75% of the dialysis time
The body connected to machine though Cathedra closer to the shoulder. Cathedral can cause infection if not taken care of a baby. After a few months the patient under a half an hour surgery for fistula. Again, after a month the fistula doctor confirms based on a bet and using monitor whether fistula could be used for the connection. For some time, Fistula and Cathedra remain. Once the Renal doctor is satisfied that the Fistula is well developed, he removes the cathedra and closes the access point. It is again a few minutes of surgery. After a few days, the patient can take a shower with the Fistula without getting an infection. It is necessary daily to feel the pulse beat in the Fistula and ensure it is ready for connecting to the machine through two access points. They are called artery and the other Venus (not the planet) points. After accessing they flush the two access to ensure no blockages are there. The nurse makes the connection. At the start, there will be a tolerable pain when needles are inserted; Sometimes they use a monitoring machine to find the exact location in the Fistula ( Similar to GPS). Some patients apply freezing ointment over the Fistula to reduce pain. Normally it is not recemented. For home dialysis, the PSW does the dialysis. Experienced dialysis at times more efficient than a nurse at the hospital. It depends on the luck of the patient. The patent builds a Father/ Mother-daughter relationship, and PSW becomes a family member of the patient.
Home dialysis is ideal during winter and avoids traveling in the snow. The home environment is much better than a hospital environment. Because you could chat with family members and wife and ask her” What is for lunch today”? The only advantage in a hospital environment a doctor will be available in case of emergency and other devices are available in case of diagnosis. Of course, Social worker and Pharmacist and Dietician frequently visit you. A renal doctor will be available to check how dialysis is going on.
At the end of Dalianis purified blood is sent back to the body. It normally takes about 10 Minutes. The cramp will disappear after blood is returned to the body. After that process, standing and seated position BP (Default 120/80 ) readings and body temperature taken. At the last stage, the two needles are removed one by at an interval of ten minutes. At the time a pad is kept on the point, the needle was taken out and pressed so that blood tops coming out of the Fistula. Both processes can be done simultaneously to save time otherwise total time taken to remove and complete the process will take 20 minutes. Hospital insists as per PROTOCOL the needle be taken out one by one and twenty minutes is the prescribed time.
Once the blood does not come out from the two pierced points, two pilasters are placed over the points. It shoulder be normally removed after four hours. After that patient O could have a shower.
After completion of the long process of dialysis which takes about 4 hrs plus another 30 minutes, the patient is weighed after deducting for clothes and shoes, etc. the weight commuted and ascertain whether dray weight is of a00 Kg is reached.
During weekends there no dialysis is done. It is a happy holiday for the patient, and he could sleep until 9 am. During weekends the weight tends to go up. If there is a party, it will it will go up. It is recommended not to consume Beer or wine of Juice. Restrict the food consumption. Walk at least for 0.5 hours daily.
After dialysis, I have a light lunch and go to sleep for at last two hours. You will feel fresh.
Just half an hour before the end of the end of dialysis the PSW or nurse take blood sugar reading without piercing. It will be normally less than the morning before breakfast reading. If it drops less than 4.0, apple juice is given to the patient It seldom it happens. So do not expect apple juice every time you do dialysis.
Many renal patients from many communities, mainly Tamil community think that it is a shame to say that the patient undergoes dialysis thinking that it is a venereal disease. Those who undergo dialysis do share their experience and issues. Sharing information helps to take precautionary measures
There are serval herbs recommended by China and India to prevent Renal disease. The western doctors do not recommend it. But the western drug companies use the herbs to prepare drugs.
Dietician and Social worker frequently visit and advice on diet issues and Social matters related to Trans help. Those who are on dialysis are advised to avoid brown bread and rice, banana. oranges, Pine apple, drink less than 1.5 liters of water of water per day . No Brandy or Beer
This article in my opinion from my two years of dialysis which started when I was 77 years old. I am really lucky when I saw young people undergoing dialysis for many years. A friend of mine who underwent dialysis for more than twenty years finally opted to go for euthanasia at the age of ninety. In my opinion, thali was not a good decision as he would have served the community using his qualifications and talent. Probably the home environment would have made him make that decision. Normally cancer patients gi for Euthanasia to overcome sufferings. In some countries, it is not permitted. In Ontario, it is permitted. My friend should have waited for the call from God
Finally, I thank the PSW, Renal nurses and Renal specialist doctors for providing an excellent Renal dialysis health service free of charge. My humble request for all Tamils seniors and associations n contributing mionimum200C$ for the Walk a Thon find raising event, a major portion of the fund raised goes to Trillium partners. Thevent is held annually by Peel Tamils seniors in collaboration with Trillium partners I started this annual event against much protest in the year 2002 after my heart by-pass heart surgery. So far Peel Tamil Seniors have contributed more than 140 K C$ to Trillium partners. Let the fund raised through walk than meet the cost of at least one Dialysis machine The Tamil and other expatriate population on Ontario should remember that we get FREE health service in Canada, whereas if we would have lived in the home country, it will cost SLR 8.000 per dialysis. Many people who could not afford as such end up in the cemetery. For rehears info, A new dialysis machine can cost anywhere from U$10,000 to U$15,000. The mean cost of a four-hour dialysis session in Sri Lanka per patient was LKR 6,377 (US$ 56). The annual cost of hemodialysis for a patient with chronic renal failure undergoing 2-3 dialysis session of four hours duration per week was LKR663,208 – 994,812 (US$ 5,869 – 8,804).
Good Bye
Pon Kulendiren
Duala language writer
Mississauga
