Download A Patient’s Guide to Dialysis and Transplantation by Roger Gabriel (auth.) PDF

By Roger Gabriel (auth.)

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Most people are at first unable to take in all that is involved in dialysis and possible transplantation. It is a big topic and there are technical points to be understood. In part this book has been written to heIp patients to go over what their doctors have told them. In the weeks or months before dia lysis the patient should discuss his or her future with various people. (I) A talk with the patient's spouse and children is important. Some people have a tendency to try to avoid the inevitable by ignoring it.

Dialysate comes from the machine and passes through the dialyser in an opposite direction to that of the blood. The kidney machine has a number of dials and looks complicated. These dials 44 PRINCIPLES OF DIALYSIS Monitor dialS} of dialysu . 8 A diagram of the basic flow paths of a kidney machine. The blood pathway leads from the arm via the blood pump through the dialyser and back to the fistula. The dialysate pathway extends from the source of dialysate in the machine through the dialyser and then to the drains are safety devices which continually check different parts of the system.

Peritoneal dia lysis depends upon water and 45 PRINCIPLES OF DIALYSIS waste products crossing a naturally occurring semipermeable membrane - the peritoneum. Here are so me definitions to help make this section clear: Abdominal Cavity This is in the belly. It contains the liver, stornach and intestines. The kidneys and large blood vessels lie behind this cavity and in front of the spine. Peritoneum The whole of the body cavity is lined by the peritoneum. This is a thin and stretchable membrane which moves with the stornach and intestines.

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