Thursday , January 20 2022

Victoria Bombek has 30 years of dialysis treatment


He started his kidney problems two years before their failure, he said Victoria Bombek from the Holy Trinity near Lenart. Doctors drew one kidney, but worsened the condition. Dialysis began in 1988: three times a week after four hours.

"I'm turning on Tuesday, Thursday and Saturday morning," he said. "In the morning, I get up to half the fifth, for 5.10 I am ready to go, as a driver can allow me to have dialysis in Maribor." The small lady asked simply: "Does a man be used for everything, he must be. You need to take away his dialysis as if going to work." She & # 39: n blind, depending on her relatives and healthcare staff, and her home environment has managed well, she said.

At the beginning of November this year, he celebrated 30 years of treatment with chronic hemodialysis. They marked this at UKC Maribor with a casual ceremony at the dialysis center. "The length of such treatment is uncommon. Unfortunately, most patients do not experience a period of such treatment," said Prof. dr. Robert Ekart, head of dialysis department. The average age when patients start dialysis treatment over 65 years of age, which means that decades of long-term treatment will not be expected. In his words, Bombkova has so far not only because renal failure is experienced as a young person, but also because it adheres to the dietary instructions and restriction on the consumption of fluid, as this is an inevitable part of the. The treatment in this disease.

The worst is dietary restrictions

"The worst are restrictions on food and drink, as there are many exclusions. Dialysis patients are no longer going to water, and every deciliter you drink is familiar with you, "said Bombkova. "You have to put in, keep instructions and keep with them, discipline is needed. If someone else encourages you, that's what happens. Dialysis is not the end of everything. Let the man be satisfied, because it is a condition that you can live. "

There are one of 151 patients with dialysis that are treated in the UKC Maribor dialysis section. Finally, renal failure is treated in three ways: through hemodialysis, peritoneal dialysis, and transplantation of dead donors or donors. Unfortunately, none of the three methods does not mean improvement and someone's disease is enduring life. In Maribor, the first hemodialysis was held in April 1974, and next year will be celebrating 45 years of operation of the dialysis department. Most dialysis patients in UKC Maribor are treated with hemodialysis, and 24 with peritoneal dialysis, the youngest type of dialysis treatment.

If the patient is younger, it's better to start the treatment first with kidney transplantation, when it fails, it's changing to other handling methods, Ekart explained. "We offer this treatment option for patients that we believe are suitable for transplants. This method allows patients to last longer with renal failure at the end of the period, but it is not suitable for every human. "The patient can be prepared and operated by the patient even before renal failure if the appropriate donor is found quickly enough. Most patients in Slovenia do not start a transplant, but with one of the dialysis methods. There is no waiting period for dialysis, as this is an emergency treatment. If the patient wants kidney transplantation, it must be on the waiting list. On average, they wait for a transplant from one to two years.

Mrs Bombek has not decided on the kidney transplant. "In the 1990's, the possibilities for kidney transplantation were very limited, but now I'm old," he said. "In 30 years it became part of the local community, I will almost retire," she complained. Dr. Ekart reminded her that she was 65 years old in achieving the condition of the senior program known as when elderly patients transplanted less ideal donor donor kidneys. These kidneys serve less time for patients, but they do not wait long for a transplant.

Patients themselves choose the treatment method

"Last kidney failure is a disease that you need to respect. If you're respecting it, you can usually act," says Lily Maribor Renal Patient Association president Aleksander Trnjar He described his opinion about the disease, which also hit him. In nephrology, he began healing four years ago, but after a year of good progress, he found himself in a position to decide which dialysis he would choose. In the dialysis section, a special education program is implemented in association with nephrological clinics. Nurses present all options for treatment for patients and relatives, and patients have enough time to decide what is best for them. Trnjar chose peritoneal dialysis. "The problem with hemodialysis is that you are related to a hospital and that you have to hang during the dialysis. Peritoneal dialysis, however, works alone at home," he explained. The patient can make this dialysis during the day or, as Aleksander Trnjar, is associated with a machine that performs dialysis overnight and is free during the day.

According to Robert Ekart, a new automatic peritoneal dialysis machine is also used, which allows online contact between the patient and the hospital so that healthcare personnel can check the treatment with the program computerized.

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