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

By Roger Gabriel (auth.)

In some ways this e-book is a group attempt. many folks have helped me in writing it. to begin with, I thank my spouse who learn the manuscript two times correcting grammatical error and spelling and clarifying many sentences. Secondly, I thank neighbors and associates at St. Mary's clinic, together with Mrs Jean Emerson, Renal Unit Social employee and Mrs June Morgan, Senior Dietician, either one of whom contributed technical details; Sisters Christine Holmes and Malinie Polpitiye who learn and criticized a few chapters; omit Mary Williams, Mr Robert Minor and Mr Richard Viner who as sufferers learn a few sections and made precious feedback. My thank you are as a result of pass over Veronica Adams who typed many of the manuscript and likewise to Mrs June Marshall and omit Joyce Meadows who helped with typing and masses photocopying. i have to thank Baxter Healthcare whose beneficiant monetary help enabled this booklet to be released. The editorial employees of MTP Press were very valuable, swift and effective in publishing the textual content. If any reader desires to be aware of extra approximately renal ailment, there are a number of reliable introductory books on renal medication on hand. i'm certain that the neighborhood public library may be happy to aid. Any elements of this booklet which are incorrect or deceptive are my accountability. If someone has the strength to indicate error to me i'll try and right them in any next edition.

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Sample text

The end attached to the artery is used to lead blood to the machine. Blood returns from the machine to the 51 PRINCIPLES OF DIALYSIS patient through the tube connected to the vein. The two ends of the shunt are joined together when dialysis is not taking pla,ce. A shunt can be used for dialysis within minutes of its being made. It continues to be used for some time whilst a fistula is created for longer term use. This is because a shunt tends to get in the way of the person's shoes, may separate accidentally and is likely to clot or become infected or both.

Over a period of years the ureters enlarge with the continued reflux and the kidneys scar and become smaller. 39 CAUSES AND SYMPTOMS OF KIDNEY FAILURE Eventually in a proportion of these people chronic renal failure develops and dialysis becomes necessary. 6 The diagram shows a normal right kidney and a damaged left kidney. The left kidney has suffered due to persistent reflux of urine from the bladder up the ureter Urethral valves A few boys are born with flaps of membrane in the urethra. These cause obstruction to the flow of urine.

Cramps usually disappear in the early days of treatment. 44 CAUSES AND SYMPTOMS OF KIDNEY FAILURE Erythropoietin and Chronic Renal Failure Those fortunate patients who receive erythropoietin before starting regular dialysis have a much better quality of life compared with those who do not. Many of the disabling features of advancing chronic renal failure are avoided. It is possible to remain in work longer, and to enjoy a much better quality of life. This is discussed in Chapter 7, page 69). 45 5 Principles of dialysis Introduction and Definitions Both haemodialysis and peritoneal dialysis depend upon the same very simple principle.

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