KIDNEY FAILURE & DIALYSIS
The Kidneys excrete Urea. Urea is made in the Liver by combining two waste products CO2 and Ammonia of intestine formed by the digestion of proteins. If Ammonia is not converted into Urea, it enters the bloodstream and causes Brain toxicity.
When the Kidney fails, Urea and other toxins from metabolism cannot be fully excreted via the Urine. Toxins accumulate as the blood Urea levels rise and finally when the Blood Creatinine rises, renal failure is announced.
When the lab reports turn abnormal, a major part of the organ may have already failed. In Chronic Renal failure, when the Blood Creatinine report becomes high, the Kidney has already lost most of its critical functional tissue.
When the creatinine hits five, Dialysis is advised twice or thrice a week. Dialysis is an attempt to provide Renal replacement via filtration of Blood outside the body via the Haemodialysis Unit. It does not function as a total renal replacement.
In Haemodialysis, since blood is repeatedly and cyclically drawn outside the body, Sepsis or infection of the blood stream is very frequent. Quite often clots form within the circulation and block the arteries of the Heart and Brain resulting in Heart attacks and Strokes. Also repeated cutting into major veins and arteries, for access for haemodialysis, firing one after another vein is traumatic to the patient. Death by Renal failure may be far later than death via complications of PD, not to mention the low quality of life with weekly hospital visits for Dialysis.
The Body has its own defence mechanisms for renal failure. The Kidneys compensate by a larger Urine output and other excretory organs take over. Sweating from the Skin, hyperventilation from the Lungs and Blood PH alterations all help in excretion of the blood toxins. Your time to die will not come a day earlier or a day later than the designated moment by the DNA.
The patient can also help support the Body in its adaptation response to renal failure. Reducing dietary protein to reduce urea formation, increasing activity to cause more perspiration and reducing salt intake (when blood pressure is high) may help grossly. Blood Pressure medication is thought to help but it may adversely act to reduce renal blood flow. Antibiotics may further place a load on the already damaged kidney and cause further impairment. So, any and all medication may be less useful and more harmful.
So Dialysis really is to be considered as an option rather than an imposition by the patient who does not believe in intervention but is ready to face his destiny. It may really be a choice between quality of life and quantity. Or, maybe not.