Videos On Dialysis

Dialysis Of Perm Calf



Dialysis Of Countinous Ambulatory Peritoneal Dialysis




CAPD is done manually. It normally lasted for about forth-five minutes per cycle out of four cycles each day. Besides ensuring the exit side is clean, I need to ensure that the surrounding or my room is clean. Before and after each diaysis, I need to weight myself and will wieght the excess fluid. This are recorded in my CAPD Log or Record Book.

Dialysis Of Assisted Peritoneal Dialysis



APD is done with the assistance of a machine. I will perform it on only one cycle for twelve hours everyday. Normally, I will perfoms it on every nights. The procedure of before and after dialysis is the same as CAPD.


Dialysis Of Haemodialysis

Videos On Diabetic

Monitoring Of Blood Sugar Level



Before I inject my myself with insulin, I will normally check my blood sugar level. With the result, I will record it on my diabetic record book. Normally, this monitoring will I perform thrice a week. With the recorded results,it enables me and my diabetic doctor to monitor and making changes on my insulin dosage.

Insulin Injection



Twice a day before breakfast and before dinner, I will take my insulin injection. Normally I will injects myself on my abdomen. With the recorded blood sugar level, I will make changes of my insulin dosage.

Toe Amputation



Though, I was not the patient in this video, I hope it will gives you the ideas and information of what I goes thru during the procedure.

Cataract Surgery



I undergone catarct operation on my right eyes. It was due to my diabetes.

Eyes Laser Procedure



Retina Detachment Surgery

Effects of Dialysis

Effects Of Dialysis During My 6yrs As A Kidney Patient

Side effects of peritoneal dialysis (PD)

Infection

Continuous Ambulatory Peritoneal Dialysis (CAPD) and Assisted Peritoneal Dialysis (APD) —need a small rubber tube called a catheter. The catheter, a soft, straw-like tube is positioned both inside and outside of my body to allow dialysis solution into and out of the abdominal cavity. Exchanges (the process of filling, dwelling and draining dialysis solution) must be done carefully because there is a risk of infection from bacteria on the outside of my body.

In Continuous Ambulatory Peritoneal Dialysis, an exchange is done up to four or five times a day, seven days a week. The frequent handling of the catheter means greater risk for infection. Assisted Peritoneal Dialysis at night with the help of a cycler handle the catheter much less, here s still a chance of peritonitis, which is an infection of the peritoneum (where the atheter is placed in the abdomen.) This infection is the most common side effect of PD. Peritonitis causes me to have fever, nausea, vomiting and stomach pain. Sometimes I might noticed my dialysis solution looks cloudy.

Each time I had infections, I would be admitted to hospital for treatmernt.Treating peritonitis quickly is the key to stopping widespread infection. The doctor will likely prescribe antibiotics. Skin infections around the catheter insertion site are also common.

Nutrition

After each cycle of dialysis, I would find eating uncomfortable, because of the full feeling from the dialysis solution in my stomach area. Although eating less feels better, it can lead to malnutrition.

This was where renal diet took plade.for my nutritional needs. If I eat less, I would not get enough of the proteins and minerals that are important for good my health.

Weight gain

During my both Peritoneal Dialysis, I gained lot of weight. My weighs rosed up from 80 kilograms to 87 kilograms.

Side effects of haemodialysis

Low blood pressure

The most common side effect of haemodialysis is low blood pressure (also called hypotension). It occurs when too much fluid is removed from the blood during haemodialysis. This causes my pressure to drop, and nausea and dizziness can result. Either I would let my dialysis nurse knows about these issue and immediately my dialysis machine would be set to rest mode. The dialysis machine can be programmed so that the right amount of fluid is removed.

On the day of my dialysis I would usually would not take my medication for high blood pressure.. This could cause me in a further drops in pressure and more discomfort.

Muscle cramps

I would sometimes experience muscle cramps while undergoing haemodialysis. These muscle cramps, usually in my legs, can be uncomfortable or sometimes painful. The exact cause of muscle cramps can vary from patient to patient. Sometimes when fluid is taken out of the body at a fast rate during dialysis or too much fluid is removed, the muscles react by cramping.

Infection and clotting

I had a total three access creation on my hands Proper care for the access (either a fistula or a graft) is important in haemodialysis. The access can become infected or inflamed. Pressure on the access (from clothing or from sleeping on the side where the access is located) can cause the site to become irritated. Keeping the area clean can help prevent infection.

An access can become clotted with blood. Clotting prevents blood flow, so that I would not be able to get dialysis treatment. Normally I was advised to monitor the access daily by checking for the thrill (the pulse feeling in the fistula or graft) to ensure it is working properly.

Sexual side effects for PD and hemodialysis

My 6 years on dialyisis had tremendously effected my sex life. Loss of desire, can be a psychological side effect and Erectile dysfunction also effected me. I would deals with anxiety, depression and a change in self-image. These mental challenges would diminished my sex drive.

Effects Of Diabetes

Effects Of Diabetic During My 10 years

Eyes Retinopathy (Laser Procedure, Retina Detachment)





Every year I went for my eyes medical check-ups. It was on the 6th of 10 years as an diabetic my eyes undergone laser procedure. I had almost 10 times each of laser procedure to my eyes. Pains was unbearable. Each time the procedure which lasted for forty minutes, my eyes would got blur and cannot even looks into bright light. Then on my 10 years as diabetic, my left eye was operated for retina detachment. It permanently left me blind to my left eye.





Toe Amputation

Although, I regularly took my insulin medications, and followed a proper diabetic diet and had a healthy lifestyle, I might never knew the complications ahead. I had my fourth toe of my right leg amputated due to gangrene. It all started with a small cut and because I did not immediately seek medical help. I developed high fever within 4 days. The wounds started to pass out pus and the skin turned into black. I was admitted to Singapore General Hospital for 2 months. I underwent an emergency operation. as to decrease my fever and to save my toe. The operation took almost three hours. Woke from deep sleep (was anesthesia during ops), found out that I was already pushed back to my own bed in Intensive Care Unit. My feet was bandaged and I thought that my toe was saved. However I was wrong, I was showed my amputation toe in a container and was told that my toe cannot be saved because the bones had been affected. There was I, on my bed crying all night, kept blaming myself. It took me nearly 6 months for me to fully recovered. Besides daily wound dressing, I went for physical therapy after I had (again had an operation) skin graph on my toe.


Numbness/High Blood Pressure

Numbness was the common side effects of diabetic. Both my legs and hands were numb.There was no sensation to it. Then came the diagnoses of High Blood Pressure. During my admission for my left eye surgery, I was diagnosed as having High Blood Pressure. And again my medications was changed and was prescribed with medications for my high blood pressure. Being warned to control my blood pressure, as I had the chances of developing kidney problems.


General effects of Diabetes

Click on the play button

Provided by the Diabetes Health Channel on eMedTV.com

My Life As A Kidney Patient

My Life As A Kidney (Renal) Patient


Day I Was Diagnosed As A Renal Patient

It was the end of December 2003, I was hospitalized at Alexandra Hospital for water retention to my body. Because of no Renal Unit at the hospital, I was sent by ambulance to National University Hospital and was immediately admitted to an Renal Ward(Ward 55). As I was facing difficulty in breathing, I was given an emergency haemodialysis treatment at Renal Unit. A line catheter was inserted on my groin. This procedure was for emergency only lasted for 2 weeks). Before a surgery for creating on option of a long term dialysis, a permanent catheter was inserted on my neck for a temporary dialysis. This was done while waiting for the wound of creation to heal. Along the dialysis, I cries. I was dialyzes for almost 4 hours for the next 3 days. I was hospitalized for 3 months and thrice a week, I went for my dialysis. On the 2ND month of my hospitalization, I was being consulted and given an option to choose which type of long-term dialysis. From 99 kilograms of weight from the beginning of my dialysis, I lost about 20 kilograms of weight.

Beginning of Continuous Ambulatory Peritoneal Dialysis (CAPD)

Because of cost and my thin blood nerves, I opted for CAPD (Continuous Assisted Peritoneal Dialysis). Again I went for an operation whereby a sterile fluid tube was inserted into my abdomen. Odds it looks, a tube was dangling outside my abdomen. The next 3 days, I was given lessons from In-Charge Nurse on how Peritoneal Dialysis works, cares and was also lesson on Renal Diet
After been discharged from hospital, I had my peritoneal dialysis at the comfort of my bedroom. It goes 4 cycles per day and each cycle, it lasted for almost 1 hour. I was on CAPD for 2 years, before I switched to APD. During the 2 years of CAPD, i had several Peritonitis (infections) which needed to be hospitalized and was treated with antibiotic.

AUTOMATED PERITONEAL DIALYISIS

At the end of 2005, I switched to using APD (Ambulatory Peritoneal Dialysis). With APD, I only performed my dialysis every nights which had only 1 cycles running 12 hours. It was advisable to perform these dialysis when going to bed. It uses a machine which was connected with a tube to my abdomen.
Things went fine during the first 3 years as Renal Patient. It was early 2006, I was hospitalised again for stomach infectious (peritoneal cavity). Was treated but was informed that I need to change my type of dialysis. This was because of a severe stomach infections, the surroundings around my peritoneal cavity was affected. Undergoes an operation, to have the fluid catheter to be removed.

Again before a surgery for creating Arteriole Vascular Fistula was done, a permanent catheter was inserted on my neck for a temporary dialysis. This was done while waiting for the wound of AVF creation to heal.

Beginning Of Heamodialysis



It was 2006 that I started for haemodialysis at National Kidney Foundation Blk 365, Woodlands Ave 6. Since then and till now I went for every thrice a week for my heamodialysis.
Till now, I had two Arterial Vascular Fistula and one Arterial Vascular Graph creation done to my both hand. And while waiting for the wounds to be heal, I had two Permanent Catheter Insertion. Currently I undergoes my dialysis through my AVG (Arterial Vascular Graph)

About Me

Hi and Welcome to my blog. I'm Hazlan Abas, 36 years old from Singapore. Am married to my lovely wife, Siti Nur Ambriah. We have three adopted children (two sons and a daughter). Seen here are my lovely wife and myself on a wheelchair. Me and my family lives in a typical 4-room flat, together with my mother-in-law. For earning an income, I work from home, beside having a flower business.

It took me few years to have the courage in creating my first ever blog. The reasons for creating this blog is to share informations and knowledge with you, other patients and their caregivers. Furthermore, to let you know on how I as a kidney patient carry on with my daily life. Before that, I wish to say a big thank you to my wife for giving me supports and my mentor Fadzuli in helping and teaching me in creating this blog.


I am a diabetic patient for almost ten years and as a renal or kidney patient for six years. I do also have other illness such as high blood pressure, high cholesterol ahd had a heart problems. Currently I undergoes my thrice a week Haemodialysis treatment at National Kidney Foundation Centre 2 in Woodlands, Blk 365. Besides that I also go for my regular medical appointment at National University Hospital.

What Is Diabetic ?.

Diabetic is an disorder in whch there is too much sugar (glucose) in the blood, A substance calles inslin carefully regulates the amount of sugar in the normal person. Insulin is produced by the pancreas, which is a gland, In diabetes, not enough insulin is produced, or the action of insulin is not effective. Sugar therefore acculumulates to a high level in the blood.

Read More ........About Diabetic



What Is Kidney Failure ?

The kidneys are a pair of bean shaped organs in the back of the body. Each kidney is attached to the bladder, which is a distensible bag that collects the urine. The kidneys make the urine, which flows downward through two tubes called the ureters, and collects in the bladder. The normal kidneys keep in balance many things in the body by altering the composition of urine that they produce

What Do Kidneys Do ?.

The kidneys:

• control the amount of salt and water in the body.
  
• get rid of many waste products of the body in the urine.
  
• enable the body to form adequate blood cells by producing a substance called erythropoetin.
  
• regulate and maintain the health of the bones.
• control the acid levels in the body as well as many other minerals and salts of the body.

Read More ...About Kidney Failure