Dialysis Kya Hoti Hai — Pehle Yeh Samjhein
Kidney ka kaam hai — khoon ko saaf karna, faasla (waste products) aur zyada paani nikalna. Jab kidney yeh kaam band kar deti hai — toh dialysis machine yeh kaam karti hai. Dialysis machine aapke khoon ko bahar nikaalti hai, saaf karti hai, aur wapas andar daaldi hai. Yeh kidney ka artificial replacement hai — machine ka kaam karta hai lekin kidney theek nahi karta.
Do Type Ki Kidney Failure — Aur Dialysis Ka Duration
Dialysis kitni der chalegi — yeh poori tarah depend karta hai ki kidney failure ka type kya hai:
Acute Kidney Failure
Achanak hui kidney failure
⏱️ Temporary Dialysis- ◉ Kidney achanak band ho jaati hai — infection, dawa reaction, accident, severe dehydration se
- ◉ Kidney theek hone ki kshamata baaki rehti hai
- ◉ Dialysis kuch din se kuch hafte tak
- ◉ Jab kidney apna kaam shuru kare — dialysis band ho jaati hai
Chronic Kidney Failure (CKD)
Dheere dheere badi kidney ki bimari
♾️ Life-Long Dialysis- ◉ Kidney saalon mein dheere dheere kharab hoti hai
- ◉ Diabetes, high BP, kidney disease — common causes
- ◉ Stage 5 mein — kidney recovery ki koi ummeed nahi
- ◉ Dialysis life-long — hafte mein 3 baar
Dialysis Ek Hafte Mein Kitni Baar Hoti Hai?
Kitni baar aur kitne time ke liye — yeh condition par depend karta hai:
| Type | Frequency | Category |
|---|---|---|
| Standard Haemodialysis | Hafte mein 3 baar — Mon-Wed-Fri ya Tue-Thu-Sat. Har session 3.5-4 ghante. | Most Common |
| Daily Haemodialysis | 6 din hafte mein — 2-2.5 ghante per session. Better outcomes. | Better Quality |
| Peritoneal Dialysis (PD) | Daily — patient ghar par karta hai. Catheter pet mein. | Ghar Par |
| Continuous Dialysis (ICU) | 24 ghante — Acute kidney failure mein ICU mein. CRRT. | ICU / Critical |
Ek Dialysis Session Mein Kya Hota Hai?
Aana Aur Check-In (15 min)
Hospital mein aayein. Wajan naapa jaata hai — pichli session ke baad kitna paani jama hua. BP, pulse check hota hai.
AV Fistula Ya Catheter Connect Karna (10 min)
Haath mein AV fistula mein needle lagaayi jaati hai. Thodi si takleef hoti hai — phir numb ho jaata hai.
Dialysis Chalna (3.5-4 Ghante)
Machine slowly khoon bahar nikaalti hai — filter se saaf karti hai — wapas daaldi hai. TV dekh sakte hain, so bhi sakte hain.
Disconnect Aur Observation (20 min)
Session khatam hone par needle hataai jaati hai. BP check, wajan check — kitna paani nikaala.
Ghar Jaana
Session ke baad thakaan lag sakti hai — yeh normal hai. Ek ghante mein better feel hona shuru hota hai.
CKD Ke Stages — Kab Dialysis Ki Zaroorat Padti Hai?
| Stage | GFR | Kya Hota Hai | Dialysis Zaroorat |
|---|---|---|---|
| Stage 1 | 90+ | Kidney damage hai lekin function normal | ❌ Nahi |
| Stage 2 | 60-89 | Thoda kum function. Lifestyle change | ❌ Nahi |
| Stage 3A/3B | 30-59 | Moderate damage. Specialist se milein | ❌ Abhi Nahi |
| Stage 4 | 15-29 | Severe damage. Dialysis/transplant planning shuru | ⚠️ Plan Karo |
| Stage 5 (ESRD) | <15 | Kidney fail. Dialysis ya transplant zaroor | ✅ Haan |
Kya Dialysis Kabhi Band Ho Sakti Hai?
Kidney Transplant — Dialysis Ko Hamesha Ke Liye Band Karne Ka Rasta
Kidney transplant mein ek healthy donor kidney aapke body mein lagaayi jaati hai — jo aapki failed kidney ka kaam apne aap karne lagti hai. Successful transplant ke baad dialysis hamesha ke liye band ho jaati hai. Dr. Kumar Rajesh Ranjan, M.Ch. Urology ne 200+ kidney transplants kiye hain Satyadev Hospital Patna mein.
Transplant ke liye kaun eligible hai? Zyadatar CKD Stage 5 patients transplant ke liye eligible hote hain — agar heart, lungs aur body ki general condition theek ho. Donor living (family member) ya cadaveric ho sakta hai. Jitna pehle plan karo — utna better. Call 091222 37338.
Dialysis Ke Saath Normal Zindagi — 6 Zaroori Tips
🕐 Sessions Miss Mat Karo
Miss karne se toxins blood mein jam jaate hain — jaan ka khatra.
💧 Fluid Limit Rakho
Typically 500ml + kitna urine aaye. Doctor se exact limit poochhein.
🥗 Diet Follow Karo
Potassium, phosphorus, sodium control mein rakhein. Dietician se milein.
💊 Dawaiyan Niyamit Lo
BP, anaemia, calcium, vitamin D — sab zaroori. Doctor se poochhe bina band mat karo.
🚶 Halka Exercise Karo
Daily 15-20 minute ki walk beneficial hai — energy better hoti hai.
🩺 Regular Check-Up Karo
Monthly blood tests — Hb, creatinine, potassium, phosphorus.
Dialysis Patients Ke Liye Diet — Kya Khayein Kya Nahi?
✅ Kha Sakte Hain
- Rice, Roti, Bread — carbs theek hain
- Low-Potassium Sabzi — lauki, tinda, turai
- Egg White — high quality protein
- Apple, Grapes, Berries
- Boiled Chicken — thoda
- White Rice — better than brown rice
❌ Avoid Karein
- Banana, Orange, Kela — high potassium
- Tomato, Potato — high potassium
- Dairy Zyada — high phosphorus
- Nuts, Seeds — bahut high phosphorus
- Packaged Food — sodium, phosphorus additives
- Coconut Water — very high potassium
In Signs Pe Turant Hospital Aayein
Sans Lene Mein Takleef
Sessions ke beech lungs mein paani ja sakta hai.
🚨 Emergency — 091222 37338Dil Ki Dhadkan Irregular
High potassium se heart rhythm bigad sakti hai.
🚨 EmergencyBukhar Ke Saath AV Site Laal
Infection — sepsis ka khatra. Turant antibiotic.
🚨 Turant DoctorBahut Zyada Kamzori Ya Behoshi
Low BP, low Hb, ya electrolyte imbalance.
🚨 Turant Doctor
Dialysis — PMJAY Package Under Ayushman Bharat, Satyadev Hospital Patna
Haemodialysis sessions PMJAY ke antargat covered category hain — machine, consumables, nursing sab. AV Fistula surgery bhi covered category hai. 5 minute mein eligibility check karein, exact coverage tabhi confirm hoti hai.
Watch & Learn
Patients Ki Kahaani
"Mere bhai ka creatinine 12 aa gaya tha — doctor ne kaha dialysis shuru karo. Satyadev Hospital mein aaye — Ayushman card se check hua, eligible the, coverage clearly samjha di gayi. Ek mahine se dialysis chal rahi hai yahan. Staff bahut dhyan deta hai. Abhi transplant ke liye evaluation chal rahi hai."
"Meri maa ko 2 saal se dialysis chal rahi thi dusre hospital mein — bahut expensive tha. Satyadev mein aaye — Ayushman card se coverage confirm hui, billing pehle hi samjha di gayi. Staff bahut caring hai. Abhi Dr. Ranjan se transplant ke baare mein baat chal rahi hai."
Satyadev Hospital — Dialysis Centre, Patna
Dialysis Appointment
Aksar Poochhe Jaane Wale Sawaal
Dialysis Shuru Karnee Hai? Pehle Satyadev Hospital Se Milein
Ayushman Bharat PMJAY Covered · Morning + Afternoon Slots · AV Fistula · Kidney Transplant Consultation