What is dialysis?

Jul 15, 2024 Source: Cainiu Health
Disease description:

I am 34 years old this year. During a routine physical examination, I came across two words: dialysis. I would like to know, what exactly is dialysis?

Doctor's answer (1)
Dr. Yang Ziqi

Dialysis is an important medical treatment for kidney failure, primarily used to replace some functions of the kidneys. When a patient's kidneys can no longer effectively filter waste, excess salts, and fluids from the blood, dialysis can help the body remove these harmful substances. There are mainly two types of dialysis:

1. Hemodialysis: This involves removing the patient's blood from the body and passing it through a special filter called a dialyzer, which simulates the filtering function of the kidneys, removing toxins and excess fluid from the blood. During hemodialysis, the blood comes into contact with a solution containing specific substances (dialysate) within the dialyzer. Toxins pass through a semipermeable membrane into the dialysate, after which the cleaned blood is returned to the body.

2. Peritoneal dialysis: This uses the peritoneum (a thin membrane lining the abdominal cavity) as a natural filter. A sterile solution known as dialysate is introduced into the abdominal cavity through a catheter. The solution absorbs waste products from the blood. After a period of time, the used dialysate is drained and replaced with fresh solution to continue removing waste products.