HEMODIALYSIS CENTER Ladprao General Hospital

       Provide care for both chronic and acute kidney disease patients. Routine dialysis service Treatment using a renal replacement machine Removing water from the patient's body with excess fluid Hemodialysis for severely ill patients Surgery to connect veins and arteries or a temporary tube to be used for dialysis Kidney replacement surgery performed by a skilled surgeon.
The Hemodialysis Center has a standardized disinfection and infection control system. hemodialysis room close service By professional nurses who have been specially trained under the supervision of a nephrologist. with facilities Under a comfortable, clean and safe environment for kidney failure patients and families with hemodialysis.
Renal failure is a condition in which kidney function is impaired for various reasons. The body is unable to excrete waste in the body normally in the urine. As a result, the retention of waste in the body.

Kidney failure symptoms can be divided into 2 types are
      1. Acute renal failure if the underlying cause of renal failure is resolved renal failure. Usually return to work in time. 2-4 weeks, so if the patient needs treatment with hemodialysis It is usually a temporary treatment. until the kidneys recover.
      2. Chronic renal failure need dialysis per week 2-3 times forever in order to improve the symptoms of general practice for patients with chronic renal failure who have been treated with hemodialysis.

Hemodialysis is to filter waste from the blood by using a hemodialysis machine. (or may be calledblood purifier“) This is a device that replaces the kidneys by using a filter to help clean the blood and facilitate the exchange of electrolyte wastes between the blood and the dialysis solution, taking one time at a time. 4-5 hours per week 2-3 Sometimes, even though there are tools that help replace the kidneys, they can't perform all the functions of the kidneys because normal people's kidneys work all the time, but patients on dialysis a week. 8 – 10 hours only In addition, the kidneys also perform other functions such as hormone production, which cannot be replaced by dialysis. Therefore, patients need to be treated with medicines together. Patients should understand how to behave properly for better quality of life and prevention. Complications.

Benefits from the hemodialysis machine.
      Symptoms of salt and water congestion include swelling, breathlessness, tiredness, inability to lie down, heart failure. will improve quickly within 1 – 2 days. Pre-existing high blood pressure is reduced and easier to control. The nervous system-related symptoms include dizziness, confusion, unconsciousness, spasms, or convulsions, as well as gastrointestinal symptoms such as nausea. Vomiting anorexia improves more slowly than most patients have overall improvement. until able to use daily life close to normal. 2-4 week (depending on symptoms and age and other chronic diseases of the patient before receiving treatment.)

Practice before hemodialysis.
      Patients should go to dialysis at the appointed time. You should weigh yourself before dialysis. and should clean the arm on the side where the blood vessel is connected When seeing a doctor or nurse All abnormal symptoms after returning from dialysis must be reported to the doctor before dialysis, such as fever, chest tightness, breathlessness, inability to lie down, falls, wounds.
In addition, things that need to be told to the nurse before the hemodialysis cycle include scurvy. Or have nosebleeds or not, tooth extraction, menstruation bleeding wound Because the nurse will reduce the dose of anticoagulant as appropriate. to prevent increased bleeding.

How is hemodialysis done ?
       It begins by inserting a needle into a special vein that must be prepared before surgery. Most commonly used veins in the arm. After the needle has been inserted, it is then attached to the blood line to bring the blood to the filter. When the blood passes through the filter The patient's blood will exchange various substances. with a special type of liquid called a dialysis solution After the blood has been cleaned Including adjusting the balance of minerals, the machine will bring good blood back to the patient. to reduce the concentration of waste products in the patient's blood.
Generally, the hemodialysis process takes one time at a time. 4 hours per week 2 – 3 Because every time a hemodialysis machine is required for dialysis, it must be done at a hospital or hemodialysis center. with nurses and specialist staff closely supervising.

Practice during hemodialysis.
           While undergoing hemodialysis If there is a slight abnormality should inform the nurse immediately, such as dizziness. Nausea, vomiting, headache, palpitations, irregular heartbeat Too cold or too hot, cramps, arm pain, to get preventive care. and corrected in a timely manner Be careful and avoid moving your arms. The side where the needle is inserted during dialysis because the needle may shift cause blood vessels to rupture

Practice after hemodialysis
           After hemodialysis The nurse will use sterile gauze. Press the blood at the area where the needle was removed until it stops. Some patients may press on their own. should not press too hard When the wound is closed after the bleeding has stopped Patients should continue to use their fingers to support. 30 minutes for the bleeding to stop completely. Do not touch the water and open the plastic first. 24 hours. because it may cause infection The patient should have the phone number of the hemodialysis room. Because if there is a need or a problem on the day of not doing dialysis Will contact to inquire to get the correct clarification.

The practice of taking medication.
           Strictly take all kinds of medicines. and in accordance with the time prescribed by the doctor Do not change the dosage or buy oral medication. Try to know the names of all the medicines your doctor prescribes. and the importance of taking medicines on time for the effectiveness of drug absorption. blood pressure medication Always take your medicine on time. Even at any meal without eating Had to take medication to lower blood pressure. If you forget to take the medicine, it can cause a blood vessel in the brain to rupture. In some patients, the doctor may order the suspension of blood pressure medication. Meal before dialysis
in case of low blood pressure during hemodialysis Patients should not follow each other without a doctor's advice. because each patient is different. Many problems arise from taking medications. is a specific problem iron booster It should be taken on an empty stomach, that is, after meals. 2 hours.หรือก่อนอาหาร 1 hours. Phosphate-containing drugs include calcium carbonate. calcium acetate should be taken with food.

Hemodialysis treatment.
             In addition to using drugs together with Correct patient behavior and diet are very important. should rest enough and exercise that does not use much strength.(ถ้ารู้สึกเหนื่อยมากหรือใจสั่น ควรหยุดพักทันที) และที่สำคัญต้องพบแพทย์อย่างสม่ำเสมอ ผู้ป่วยไม่ควรเพิ่ม ลด หยุดยา หรือไปซื้อยารับประทานเองเพราะอาจทำให้ไตเสื่อมสมรรถภาพเร็วกว่าที่ควรและเป็นอันตรายถึงแก่ชีวิตได้

For more details, please contact HEMODIALYSIS CENTER อาคารศูนย์การแพทย์ลาดพร้าวสหคลินิค อาคาร 2 floor 3
TEL. : 02-530-2556 continue 2300,2301




Doctor of Medicine Faculty of Medicine (Chulalongkorn University)




Bachelor of Medicine Faculty of Medicine (Mahidol University)




Bachelor of Medicine Faculty of Medicine (Chulalongkorn University, Thailand)




Doctor of Medicine Faculty of Medicine (Mahidol University, Thailand)