Nephrology

Nephrology

A Nephrologist specialized in kidney disorders

UHS has a very well-equipped Nephrology Department hosting experienced kidney specialists in Sharjah in the field. We see patients thronging in, in the incidence of kidney malfunction, hypertension, or any other metabolic disorder. Our specialist doctors read your medical history and offer prescriptions accordingly. Patients need to provide the nephrology doctors with blood and urine samples for a holistic treatment. In some cases, a kidney ultrasound or biopsy might be required for accurate treatment. Our Nephrologists specialize in Acute Dialysis, Chronic Dialysis, Kidney Transplantation, Hypertension, and Apheresis.

Understanding Your Hemodialysis Treatment

Dialysis is a treatment to filter wastes and water from your blood, allowing people with kidney failure to feel better and continue doing the things they enjoy. In hemodialysis, your blood goes through a filter outside your body and the clean blood is returned to the body. HEMODIALYSIS is a medical procedure designed to remove wastes, toxins, and fluids from the blood when the kidneys have failed.

It is the most common treatment for end-stage renal disease (ESRD), more commonly known as kidney failure. Nephrologists in Sharjah may recommend hemodialysis if your kidneys have failed and can no longer perform the function of removing waste and extra water from the blood to form urine. Before beginning dialysis, doctors create an "access." The access serves as a site, usually in the arm, where blood can be safely removed and returned to the body.

The access site is often referred to as the "lifeline." There are four access options: a fistula, a graft, a subcutaneous device, or a catheter. Permanent access involves the creation of a connection between an artery and a vein under the skin. These are used for patients with renal failure who are expected to need long-term dialysis treatment.

The other types of access, catheters, and subcutaneous devices, involve direct placement of a tube into a large vein in the neck, chest, or groin. These are used for those who need short-term dialysis or those who are on long-term dialysis and no longer have a place to insert a fistula or graft.

During each dialysis treatment, two needles are inserted into your access. Each needle is connected to a hollow plastic tube. The dialysis machine pumps blood from the body to the hemodialysis machine by way of a flexible, plastic tube. The blood is cleaned and returned to your body through a second tube and needle.

Hemodialysis: How Does It Work

During the procedure, fluids and waste products are removed from the blood before being returned to the body. The blood is cleaned by a part of the hemodialysis machine known as an artificial kidney or dialyzer, which filters the blood after it has entered the machine. The dialyzer does not completely replace your original kidney's function.

It might look like there is a lot of blood outside your body. Actually, there is only about one cup of blood in the tubing and dialyzer at any time during the treatment. Just as people are not normally aware of blood moving through the body, you cannot feel the blood being pumped out to the machine.

Dialysis machines in dialysis centers in Sharjah have many gauges and alarms. You may find this overwhelming at first. The machine makes sure your treatment is safe by monitoring your venous pressure, how quickly your blood moves through the tubing, and how much water is removed during the treatment. Conventional hemodialysis is usually performed three times a week.

What does dialysis do to keep me healthy?

Both hemodialysis and peritoneal dialysis do the following:

● Remove waste, salt, and extra water to prevent them from building up in your blood

● Keep a safe level of certain chemicals in your blood

● Help to regulate blood pressure

When will I need to start treatment?

Treatment is needed when someone has stage 5 chronic kidney disease (CKD), or kidney failure. Your kidney specialist doctor can tell your stage of CKD by checking your glomerular filtration rate (GFR). Your GFR can be estimated from the results of a blood test for creatinine, a waste product from muscle activity.

If your GFR falls below 10, you are said to have kidney failure (CKD stage 5), and you will need to have some form of treatment to replace the function of your kidneys. If your GFR is less than 30, your kidney doctor will inform you about the different treatments for kidney failure. Learn all you can to make the best treatment choices for yourself and your family.

How long will each hemodialysis treatment last?

Hemodialysis treatments are usually done three times a week. Each treatment lasts about four hours, but you may need more time to ensure that enough waste and fluid are removed. Your nephrologist will give you a dialysis prescription that tells you how much treatment you need. Studies have shown that getting the right amount of dialysis improves your quality of life.

The Dialysis Machine at UHS

Nikkiso Dialysis System - DBB-07 is a flexible dialysis system to drive advanced treatment. The most important feature of this system is that it has the capacity to adapt itself to the varying needs of patients.

● It assures excellent quality dialysis
● It can perform all types of therapies including on-line hemodiafiltration

Doctors in nephrology

Dr. Adnane Guella

Consultant Nephrologist

Dr. Mohannad Al Alool

Consultant Nephrology

SERVICES

Acute kidney failure happens when the kidneys unexpectedly lose the capacity to remove excess salts, fluids and blood waste. This removal of wastes is the primary function of the kidneys.

A surgical procedure is done to place a plastic tube or catheter in the belly. A sterile cleansing solution is placed into your abdomen through this catheter. After the filtering process is finished, the fluid leaves your body through the catheter.

Apheresis is a medical technique requiring the removal of entire blood from a donor or patient, and the separation of blood into different components to extract one specific component. The leftover blood components are then reintroduced back into the patient or donor's bloodstream.

Treatment is needed when someone has stage 5 chronic kidney disease (CKD), or kidney failure. Your doctor can tell your stage of CKD by checking your glomerular filtration rate (GFR). Your GFR can be estimated from the results of a blood test for creatinine, a waste product from muscle activity

Continuous Renal Replacement Therapy (CRRT) is a slow and smooth continuous blood purification that stimulates kidney function continuity. Usually, the procedure takes about 24 hours to several days.

Using slow dialysis therapy for patients with acute renal failure is a common practice. The primary disadvantage with the use of conventional hemodialysis in seriously ill patients is the high risk of circulatory failure with the rapid removal of solute and fluid. Using Slow Dialysis Therapy can avoid this challenge.

Hemodialysis is a treatment to filter wastes and water from your blood, allowing people with kidney failure to feel better. Before initiating dialysis, a vascular surgeon will create an “access”. The access serves as a site usually in the arm, where blood can be safely removed and returned to the body

A kidney transplant involves surgically placing a healthy kidney from a donor to the body of a person with diseased kidney. The recipient of the new kidney will have to take medication for his/her entire life to prevent his/her body from rejecting the new kidney.

The blood is pumped through your arteries and veins, the blood vessels of your circulatory system. Arterial blood pressure is created by the force exerted by the blood against the artery walls, as they carry blood around your body. Hypertension refers to a persistent elevation of arterial blood pressure. 

Diabetic Nephropathy (DN) occurs in patients with diabetes. DN is a main cause of ESRD. Diabetic nephropathy is a kidney disorder resulting from Type 1 Diabetes and Type 2 Diabetes.