A 42-year-old patient in HCM City’s District 8 with end-stagekidney failure for three years has visited An Binh Hospital weekly fordialysis, which removes waste, salt and extra water from his blood to preventthem from building up in the body. Dialysis also helps control blood pressure.
Dr Vo Duc Chien, Director of Nguyen Tri Phuong Hospital in HCMCity, said that effective dialysis helps prolong the life of patients with thecondition.
The hospital has the only advanced dialysis machines in HCM City,which use high-flux membrane (with larger pore size) dialyzers which filter theblood of patients. These are considered by some doctors to be more effectivethan low-flux dialyzers.
Chien said that many patients at end-stage disease need a kidneytransplant, but there are not enough donated kidneys. Those patients mustreceive dialysis treatment regularly.
Dr Pham Van Bui, Chairman of the Society of Dialysis Therapy ofHCM City, said that chronic kidney failure in 2010 was the 18th cause offatalities globally, compared to the 27th cause of deaths in 1990.
One out of 10 people suffer from the condition worldwide, Buisaid, adding that the figure in Vietnam is higher. However, there is noofficial number of patients with the condition.
Chronic kidney failure cannot be cured, he said, adding thatpatients diagnosed at the end stage of kidney failure must have dialysis forthe rest of their life.
“The leading criterion for dialysis is how to improve quality ofliving for patients and help them live for an additional 30 years. This can bedone with patients who use dialysis in Japan,” Bui said.
He said that it was important for patients to have normal livesand take part in social activities.
To improve efficiency and reduce the death rate, health facilitiesin the country providing dialysis should use high-flux dialysis and replacelow-flux dialysis treatments, he said.
Hirokazu Matsubara of the Japanese Society for Technology of BloodPurification said that patients in Japan lived longer if they used high-fluxdialysis, sometimes up to 40 more years.
Matsubara said it was essential to use very pure water to preventbacterial contamination during treatment.
Filtration membranes in dialysis machines should not be reused totreat another patient, a practice that sometimes occurs in Vietnam, reducingtreatment effectiveness, he added.
Bui said that in Vietnam, kidney disease can develop in patientswho are obese or diabetic.
A strategy for losing weight and preventing diabetes, high bloodpressure and cardiac disease helps reduce the risk for kidney conditions, headded.
“The most important thing is to provide guidance on nutrition forpatients,” Bui said.
During dialysis, patients should take vitamins and eat nutritiousdiets with meals having enough protein, fat and other nutrients to avoidmalnutrition and anaemia, he said.
Many patients often become malnourished because they do not obeydoctors’ recommendations or do not receive information from doctors aboutnutritional supplementation, he added.-VNA