Sometimes, when the kidneys stop working properly, patients need to go under dialysis treatment. Even though this treatment is supposed to improve their life quality, there are some risks related to it that they need to acknowledged by patients before actually starting it.
It is important to notice that not all risks are associated with all patients. These risks tend to increase when patients are older or have suffered other diseases (like cardiovascular diseases) before starting dialysis treatment. In this sense, knowing the associated risks becomes literally vital for patients to decide if they want to take the dialysis treatment or not.
In this article, Joe Cosgrove will share some of the most remarkable risks that can take place when starting dialysis treatment. It doesn’t matter if you are going to dialysis treatment for a long time or for a short period of time, patients need to know what may happen and how to deal with it.
Initiating dialysis may be challenging for some patients. Studies show that the first 6 to 12 months of dialysis treatment can be decisive since the highest mortality rates take place during this period of time. This means that patients who are going under dialysis treatment and manage it to survive after the first year, have more chances of improving their life quality without actually suffering many side effects and after all surviving.
The dialysis preparation period in itself brings numerous risks with it. Infections can affect the dialysis incision, patients may present a drop in its blood pressure, and if patients are not properly taken care of by health specialist, they have a low rate of mortality even during the preparation period.
Dialysis Access and Infections
When starting dialysis one of the things that usually affects patients is the possibility of getting an infection related to the dialysis access. Patients who have a uremic immune- incompetence tend and patients who are getting a vascular access due to hemodialysis, are prone to develop infections.
Most of the times, these infections are related to the access that needs to take place in order to position a catheter. These infections occur when skin organisms migrate along the catheter and place themselves into the bloodstream. The migration of skin cells is one of the main causes of infection because tend to contaminate the catheter.
Another risk that patients need to deal with is the formation of a biofilm, made of a combination of bacterial and host molecules that place themselves on the surface of the catheter. When this happens, it is really hard for the body and antibiotics to fight bacteria.
Patients who start dialysis treatment are more prone to develop resistance to some bacteria than those who are not going under treatment. Another factor that makes it riskier for them is to have to go under treatment at a hospital because many bacteria and living organisms can be found in the hospital facilities.
Other Related Risks
During the first 6 months of dialysis treatment, patients need to endure other risks, some of them are related to physiological issues, and others are related to the change in appetite or blood pressure changes.
Some of the most common emotional side effects that patients need to deal with during the first 6 months are anxiety, depression, and reduction in appetite. When the last side effect takes place, patients can suffer a lot, because their dietary habits change dramatically to an extent they tend to lose weight and suffer from malnutrition.
On the other hand, in some cases, patients who are not prepared to start dialysis may suffer from exhaustion, due to the new routine they need to face. Most of the times patients start by going to at least three dialysis sessions in a week, which means they need to travel to the healthcare facility and endure several hours of treatment. This can be harmful to the body and physically exhausting.
Another important thing that patients need to keep in mind when starting dialysis is that their diet will need to change. This conditions, mixed with the change in schedules and the treatment in itself can cause other side effects and risk conditions, such as dizziness, blood pressure drops, itching, body pain, and constant exhaustion.
In this circumstances, feeling depressed is quite common, as well as developing other psychological problems that may get worse if the dialysis treatment also gets worse. The reason to this is that dialysis treatment can also affect the social life of patients since it is rather a time consuming and can create psychological stress because of that.
Last, but not least, another related risk to starting dialysis treatment is to develop cardiovascular diseases related to changes in the blood pressure due to the removal of blood and fluids from the body. Some important cardiac diseases can take place, and that is why many patients need to be closely monitored by healthcare specialists all the time.