|Dr. Amber Khaira
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Dr. Amber Khaira,Nephrologist
The centre of Distinction for Nephrology specializes in all aspects of Nephrology such as:
• Critical Care Nephrology
• Peritoneal Dialysis
• Renal Biopsy
• Vascular Access Placement
The department is committed to provide superior quality and unparalleled medical care. In association with Davita-Nephrolife, The 10 machine Dialysis division is outfitted for procedures such as:
• Plasma Exchange
• Continous Ambulatory Peritoneal Dialysis (CAPD)
• Charcoal Hemofiltration
Dialysis is an artificial procedure for the diffusion and ultrafiltration of blood for eliminating the waste material. It is performed on a patient when the latter's kidney is not functioning properly due to a congenital renal abnormality diabetes, kidney failure, etc. The two types of procedures are:
In this, blood is removed from the body and filtered through a semi-permeable membrane called as dialyzer, also referred to as an artificial kidney, and then the filtered blood is returned to the body. Our haemodialysis unit is well maintained by competent technologists and has state-of-the-art water treatment plant.
Based on the similar filtering process as that of Haemodialysis, Peritoneal Dialysis uses a peritoneal membrane instead of an artificial kidney. The peritoneal membrane or the peritoneum is a thin covering that outlines the abdominal cavity. Throughout dialysis, the abdominal cavity is loaded with a dialysate liquid. Now since peritoneum is rich in tiny blood vessels, it incessantly provides a supply of blood throughout the process of filtration. The surplus fluid and contaminants in the blood move in the direction of the dialysate, which is drained and replaced from time to time.
It is recommended that you start dialysis when your kidney function drops to 5-10% or less — or even early if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting. Your doctor will help you decide when to start dialysis, based on results of lab tests that measure how much kidney function you have left and on your symptoms.
Private insurance generally covers treatment for kidney failure whenever your doctor says it is needed. If you are not having symptoms, you may be able to wait a bit longer before you begin dialysis. However, some doctors believe that starting dialysis as soon as Medicare or insurance covers it is wise, since it can take a long time to recover if you let yourself get very ill. Since chronic kidney failure often happens slowly, sometimes people do not even know how bad they feel, until they start dialysis and begin to feel much better.
It is important to start getting ready for dialysis or a transplant well in advance — when your kidney disease reaches Stage 4 (severe, with glomerular filtration rate, or GFR, less than 30 mL/min). Learning about the types of dialysis and transplant options will help you make a choice that is best for you. Any type of dialysis will require surgery — usually outpatient — to allow access for your treatments, and this should be done well in advance to allow time for healing.