Nephrology

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Nephrology

The Nephrology Department specializes in the diagnosis and treatment of kidney diseases, hypertension, and fluid and electrolyte imbalances. Treatments provided encompass a wide range, including medications, dialysis therapy, preparation for kidney transplantation, and post-transplant patient follow-up.

Outpatient Services

In the outpatient clinic, services include the diagnosis and treatment of kidney diseases, preventive care for conditions that increase the risk of kidney disease such as diabetes or hypertension, and supportive treatment and follow-up for end-stage renal disease patients. Additionally, patients diagnosed with end-stage renal failure are evaluated for kidney transplantation.

Intensive Care and Inpatient Services

In the intensive care unit, support treatments, hemodialysis, hemofiltration, hemodiafiltration, and continuous venovenous hemofiltration are provided for patients, especially those in high-risk groups with acute kidney failure. The clinic also offers hemoperfusion and plasmapheresis treatments when necessary, as well as peritoneal dialysis.

Dialysis Therapy

Dialysis therapy can be applied acutely or chronically. Acute dialysis includes hemodialysis, peritoneal dialysis, or slow, continuous methods. Chronic dialysis therapy involves either hemodialysis or peritoneal dialysis. Chronic hemodialysis treatment is typically administered 2-3 times a week for 4-6 hours, depending on the patient's remaining kidney function and dietary protein intake.

The most common chronic peritoneal dialysis method is CAPD (Continuous Ambulatory Peritoneal Dialysis). CAPD is a simple method where the dialysate filled into the peritoneal cavity is exchanged with a new one after a few hours of equilibrium. The procedure, usually performed four times a day by the patient and outside the hospital, depends on the adequacy of training and infrastructure for its success.