INTRODUCTION Wikipedia said that dialysis is the process in which remove the excess water


INTRODUCTION

Wikipedia said that dialysis is the process in which remove the excess water, toxins, blood and solutes in those who have native kidneys that lost their ability to perform these function in natural ways. Dialysis may be used to those who has loss their kidney’s function because of acute kidney injury or slowly worsening kidney function. This process is used as temporary measure in either acute injury or someone who waiting for kidney transplant and permanent for those whom transplant not indicated or not possible.

BACKGROUND

i) History of Dialysis

The first type of dialyzer that call the artificial kidney, was built by Dutch Physician Willem Kolff in 1943. Kolf got this idea to build a machine to clean the blood after watching a patient suffer from kidney failure. When his invention succeeds, he attempts to treat many patients with acute kidney failure over next 2 years. He continues experiment in upgrading his design. Kolff came to United States in the late 1940s and went to work at Mount Sinai Hospital, trying to get kidney treatment to become a health services. More experiment leads to manufacturing of an improved design in the early 1950s. However, kolff device just treated acute kidney failure and not end stage renal disease(ESRD). Dr. Belding Scribner, a professor of medicine from University of Washington, developed a way to treat ESRD patients. In 1962, Scribner opened the first dialysis clinic for patients. In 1973, 40 percent patient were doing their treatment at home. Nowadays, over 90 percent of dialysis patients receive treatment at dialysis centers. Many types of treatment have become available which is hemodialysis and peritoneal dialysis.

ii) How Dialysis Work

Dialysis works with a dialysis machine which become a temporary replacement for the kidney to do their function.

Table 1: Dialysis machine

The function of the machine is to mixes and monitor the dialysate. Dialysate is the fluid that helps remove the unwanted waste product from our blood and helps to control our electrolytes and minerals to their proper levels in our body. The machine will make a sound which mean something needs to be checked. The blood tube which is threaded through the blood pump carries our blood from our body to the dialyzer. The pumping action of the blood pump pushes our blood through the dialyzer and back into our body. But, one problem is the air may into the blood tubing. So to prevent this from happening, there is two air traps built in blood tubing. One is before the dialyzer and the other one is after dialyzer. This traps will catch the air that may get into the system. If the air gets pass the system, the machine will shut down the blood pump and it will make a sound which mean the air is enter the machine. All blood flows will automatically have stopped until the air is removed.

iii) Kidneys Problem

Kidneys are the organ that filter our waste products from our blood, balancing the electrolyte levels in the body, controlling blood pressure and stimulating the production of red blood cell. Symptoms of kidneys problem are due to build-up of waste product and excess fluid in our body that may cause weakness, swelling, confusion and so on. Kidneys disease refers to the conditions and problems with the kidneys and their problem and their function. Sign of kidneys failure is loss of appetite, puffiness around the eyes, fatigue, dry and itchy and sleeping problems.
ALTERNATIVES

There are two types of dialysis which became the solution for the treatment of kidney failure.
Types of dialysis
There are two main types of dialysis
• Hemodialysis
• Peritoneal Dialysis

Hemodialysis

Table 2: Hemodialysis
In hemodialysis, the human’s blood pumped through the blood compartment of a dialyzer and expose it to a partially permeable membrane. The dialyzer is composed by a thousands of tiny hollow synthetic fibers which act as a semipermeable membrane. The blood flows through the fibers and the dialysis solution flows around the outside of the fibers, and the waste product from our body move between these two solution. Then the cleansed blood returned to our body. Ultrafiltration occurs when the hydrostatic pressure across the dialyzer membrane increase. During 4 hours’ treatment, the pressure gradient causes the water and dissolved solutes to move from blood to dialysate and allows the removal of several litres of excess fluid. Studies have demonstrated the clinical benefits of dialyzing 5 to 7 times in a week, for about 6 to 8 hours. This types of hemodialysis are called “nocturnal daily hemodialysis” where study shown that a significant improvement in both small and large molecular weight clearance and decrease the requirement of taking phosphate binders. This treatment is often done in home while sleeping, but home dialysis is a flexible modality and the time of treatment can be change day to day, week to week.

PERITONEAL DIALYSIS

In peritoneal dialysis, a sterile solution containing glucose (called dialysate) is flows through a tube into a peritoneal cavity, the abdominal body cavity around the intestine, where the peritoneal membrane acts as a partially permeable membrane. The exchange is repeated 4 to 5 times per day. However, peritoneal dialysis is less efficient than hemodialysis but the function and the net effect in terms of removal of waste products and water are similar with hemodialysis. This types of dialysis are carried out at home by the patient often without help by a doctor.

Why Alternatives Rejected

Both hemodialysis and peritoneal dialysis can cause a side effects. This is because of the way of the dialysis carried out and the fact that it only can compensate with the loss of kidney function.

i) Fatigue
Fatigue is where you feel tired and exhausted after the treatment and all the time is a common side effect in people who use either form a dialysis on a long-term basis. Fatigue is thought to be the caused by a combination of the loss of normal kidney function, effects dialysis can have on the body, dietary restrictions associated with the dialysis, overall stress and anxiety that many people with kidney failure experience.

ii) Side Effect of Hemodialysis
One common side effect of hemodialysis is low blood pressure. It can have caused by the drop in fluids during dialysis. It can have caused nausea and dizziness. Other than that, sepsis (blood poisoning) also one of the side effect. This is where the bacteria enter human body and spread through the blood and can caused others illness or organ failure. If develop sepsis, you need to be admitted to hospital and treated with injections of antibiotics. Besides, muscle cramps. During treatment, some people will experience muscle cramps, usually at their legs. This is because the muscle is reacting with the fluid loss that occurs during hemodialysis. Last but not least, itchy skin. Most people that take this treatment will experience itchy skin caused by a build-up of minerals in the body between dialysis sessions.

iii) Side Effect of peritoneal dialysis
One common side effect of peritoneal dialysis is bacterial infection of the peritoneum(peritonitis). It can happen when the dialysis machine or equipment not kept clean. Peritonitis is treated with injections of antibiotics. If the infection is keeps coming back, you need to switch to hemodialysis. Besides, hernia also a side effect of peritoneal dialysis. People who use this treatment are increased risk of getting hernia because holding fluid inside the peritoneal cavity for many hours puts a strain on the muscles of the abdomen.

PROPOSED SOLUTION

Many people thought that dialysis is the only way to treat a kidney problem. There is one solution that more efficiency for kidney failure treatment. It is Micro-Chinese Medicine Osmotherapy. This medicine can treat kidneys problem from the root cause. On the basis of Chinese medicine, it makes the active ingredients of Chinese medicines come to kidney lesion directly with the action of osmosis device and osmosis penetrant so as to relieve symptoms fundamentally. From above, we know that dialysis is just waste our money and time. Plus, dialysis has their own risk and dangerousness. The preparation of dialysis just wasting our time. So with this medicine we can avoid this problem other than can treat kidney problems. This therapy uses the traditional Chinese medicine (TCM) for the symptomatic approach. Besides, this therapy method is simple and efficiency. The effective materials can be penetrated into kidney lesion with the help of osmosis device and osmosis penetrant. This treatment process not only brings pressure on patients’ psychology but also do no harms on the body. Micro-Chinese Medicine Osmotherapy is the best treatment for kidney failure.

There is some evidence why Micro-Chinese Medicine Osmotherapy is better than dialysis. First one, this medicine is a comfortable and natural process compare to dialysis which is terrible and makes patients suffer from many effects that will harm their body. Second, it is also used with osmotic machine and herbal medicines. So, active substance in herbal medicines will penetrate inside kidney through skin. Compare to dialysis, it is used with two thin needle for the treatment and slowly remove waste product from blood and transfer it to the dialysis machine. Last but not least, Micro-Chinese Medicine Osmotherapy will repair the diseased kidney and avoid further damage by extending blood vessels, regulating blood pressure releasing inflammation and coagulation in blood and promoting blood circulation.

RECCOMENDATION

Using Micro-Chinese Medicine Osmotherapy is one of the best way to treat kidney failure. This is how this medicine works. This medicine will be expanding blood vessels which make the blood vessel more effective, increase bloodstream in kidney which allow the injured kidney to get more oxygen and nutrition from blood. Besides, it is also anti-inflammation. This medicine is anti-inflammation and through this treatment by using this medicine, further kidney damages can be avoided or delayed effectively. Next, anti-coagulation which means shows a great effect in helping kidney disease patients prevent thrombus. Other than that, it is also degradation. Due to the invade of various harmful substances, abnormal hyperplasia and proliferation of extracellular matrix of renal intrinsic cells will occur. Micro-Chinese Medicine Osmotherapy can help to achieve this purpose. Last but not least, repair injured kidney intrinsic cells. Micro-Chinese medicine is not a simple herb, but a combination of several herbs. Some effective ingredients in these herbs can activate injured kidney intrinsic cells and help them get recovered effectively through strengthening their self-curative ability and supplying them necessary nutrition.