Explain the concept and mechanism of dialysis.
Asked by manya.bhardwaj.01
| 19th Jun, 2017,
04:09: PM
Expert Answer:
Concept of Dialysis:
- If one kidney is damaged or removed, then the other kidney alone can fulfil excretory needs.
- However, the failure of both the kidneys allows urea and other wastes to accumulate in the blood.
- Such a patient undergoes dialysis.
- In dialysis, an artificial kidney is used.
Mechanism of Dialysis:
- The artificial kidney contains tubes made of cellophane with a semi-permeable lining.
- These tubes are suspended in a tank filled with a dialysing solution.
- This fluid contains water and glucose in concentrations similar to those in blood.
- The patient’s blood is led from the radial artery and cooled at 0°C.
- Then anticoagulant heparin is added to the blood.
- Blood is then passed through semi-permeable coiled cellophane tubes.
- The tubes allow small molecules such as urea, creatinine, uric acid to pass out.
- Also metabolic wastes are filtered out in the surrounding solution.
- But the macromolecules such as proteins are retained in the blood.
- Purified blood is then mixed with antiheparin and warmed to the body temperature.
- The purified blood is returned through a vein in the same arm.
- The function of dialysis is similar to the function of the kidney, but the only difference is there is no reabsorption during dialysis.
Answered by Sheetal Kolte
| 19th Jun, 2017,
07:06: PM
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