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Glomerular Disease

IV. " �
  • Strong medicines that partly "turn off " � the immune system, such as cyclophosphamide (brand name: Procytox) or azathioprine (sample brand names: Azasan, Imuran) " � These medicines (also called "immunosuppressive medicines " �) can be taken along with steroid medicines.
  • Medicines that treat high blood pressure
  • Medicines called "diuretics that make people urinate a lot
  • Plasmapheresis " � For this treatment, a machine pumps blood from your body and filters out substances that are harming your kidney. Then the machine returns the blood to your body.

  • People whose kidneys have stopped working might need other treatment called "renal replacement therapy. " � Renal replacement therapy includes 3 different treatments that can do the work of the kidneys. These treatments are: � �
    • Hemodialysis " � Hemodialysis is a procedure in which a machine pumps blood out of the body, filters it, and returns it to the body (figure 2). People have hemodialysis at least 3 times a week.
    • Peritoneal dialysis " � Peritoneal dialysis is a procedure that people do at home every day. It involves piping a special fluid through a tube into the belly. This fluid collects waste and excess salt and water from the blood. Then the used fluid drains out of the belly (figure 3).
    • Kidney transplant " � A kidney transplant is surgery in which a doctor puts a healthy kidney in a person whose kidneys are diseased (figure 4).

    All topics are updated as new evidence becomes available and our peer review process is complete. � �
    This topic retrieved from UpToDate on: Nov 04, 2014. � �
    Topic 17206 Version 3.0 � �
    Release: 22.8 - C22.208 � �
    � � 2014 UpToDate, Inc. All rights reserved. � �


    figure 1

    Anatomy of the urinary tract

    Urine is made by the kidneys. It passes from the kidneys into the bladder through two tubes called the ureters. Then it leaves the bladder through another tube, called the urethra.

    Graphic 79864 Version 6.0

    View Originalfigure 1

    Anatomy of the urinary tract

    Urine is made by the kidneys. It passes from the kidneys into the bladder through two tubes called the ureters. Then it leaves the bladder through another tube, called the urethra.

    Graphic 79864 Version 6.0

    View Original
    figure 2

    Hemodialysis

    This drawing shows a person getting hemodialysis. Two needles are put into an "access" in the persons arm. Blood flows from the body to the hemodialysis machine, where it is filtered. Then the blood is returned to the body. The whole process takes about 3 to 5 hours and must be repeated 3 to 7 times a week.

    Graphic 56992 Version 3.0

    View Originalfigure 2

    Hemodialysis

    This drawing shows a person getting hemodialysis. Two needles are put into an "access" in the person's arm. Blood flows from the body to the hemodialysis machine, where it is filtered. Then the blood is returned to the body. The whole process takes about 3 to 5 hours and must be repeated 3 to 7 times a week.

    Graphic 56992 Version 3.0

    View Original
    figure 3

    Peritoneal dialysis

    This drawing shows a person having peritoneal dialysis. The dialysis fluid (fresh dialysis solution) flows into the person's belly. It stays there for a certain amount of time, and then it drains out into the drain bag. The "transfer set" is the tubing that connects a thin tube (catheter) in the person's belly to the dialysis equipment.

    Graphic 71539 Version 2.0

    View Originalfigure 3

    Peritoneal dialysis

    This drawing shows a person having peritoneal dialysis. The dialysis fluid (fresh dialysis solution) flows into the person's belly. It stays there for a certain amount of time, and then it drains out into the drain bag. The "transfer set" is the tubing that connects a thin tube (catheter) in the person's belly to the dialysis equipment.

    Graphic 71539 Version 2.0

    View Original
    figure 4

    Kidney transplant

    This drawing shows a person who has had a kidney transplant. The new kidney is put in the lower part of the belly. Its ureter (the tube that carries urine from the kidney to the bladder) is connected to the person's bladder. In many cases, the diseased kidneys are left in place.

    Graphic 59957 Version 2.0

    View Originalfigure 4

    Kidney transplant

    This drawing shows a person who has had a kidney transplant. The new kidney is put in the lower part of the belly. Its ureter (the tube that carries urine from the kidney to the bladder) is connected to the person's bladder. In many cases, the diseased kidneys are left in place.

    Graphic 59957 Version 2.0

    View Original

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