Saturday 25 May 2013

Blood Washing Machine

I had an experienced deal with haemodialysis machine. My late father had passed away for about 13 years. He died caused to failure of his kidney. He had suffered for this disease almost 7 years.  Each of the patients need to go this treatment for three (3) times per week. Every session will carry about four (4) hours.  The schedules for my father are on Sunday, Tuesday and Thursday. 

Source: Google Image


The hemodialysis is a common alternative to treat permanent kidney failure. Healthy kidneys will clean our blood by removing extra fluid, minerals, and wastes. They also make hormones that keep our bones become strong and for healthy blood. When our kidneys fail to operate, harmful wastes build up in our body, and then our blood pressure may rise. Consequently, our body may hold excess fluid and distort the process of making red blood cells. When this happens, we need treatment to replace the work of our failed kidneys. It is like a washing machine for a blood. When there is a problem with the machine, it will let the doctor know by make a beep sound and the light will blink until the problem it solved. 

Source: Google Image


In hemodialysis, our blood is allowed to flow, a few ounces at a time, through a special filter that removes wastes and extra fluids. The clean blood is then returned to your body. Removing the harmful wastes and extra salt and fluids helps control your blood pressure and keep the proper balance of chemicals like potassium and sodium in your body.

However before it, the patient need to do a minor operation (arteriovenous/ AV fistula) to ensure their vascular access is ready. My father did that operation on his hand on the left side. It is because the patient cannot put a lot of pressure on this left hand because the veins might be interrupting and the blood flow will paused. Besides, my father also cannot wear the watch and also sleep with arm under his body. This operation will be done a few months before the patient go for hemodialysis. Inside the machine is alike below:



The doctor will create an AV fistula by connecting an artery directly to a vein, frequently in the forearm. Connecting the artery to the vein causes more blood to flow into the vein. As a result, the vein grows larger and stronger, making repeated needle insertions for hemodialysis treatments easier. For the surgery, you’ll be given a local anaesthetic. In most cases, the procedure can be performed on an outpatient basis.



The basic things when I help my father to prepare for the hemodialysis are get two thick needles, cotton, white tape, utilities box and a box of water. The most painful part while I saw the preparation of the hemodialysis is when needle sticks. Sometimes, my father cannot find the veins, the blood will sprinkle out. Actually there are two needles where first for the blood to flow out and the second one to bring the blood in.

The process of the dialysis machine as below




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