can someone please explain how renal dialysis works
i find it a difficult concept to grasp on
Hey there!
Renal dialysis is the artificial process of removing excess water and waste from the blood. It acts as a replacement to faulty kidneys, since people with faulty kidneys cannot perform the necessary actions needed to remove these excess water and waste. As a result, the use of renal dialysis is extremely important to this process.
Before understanding why this process is important, however, we need to consider how important of a role a kidney plays in our everyday lives. As we consume increased volumes of water, the role of the kidney is to "balance" out the mineral ions of potassium, calcium, sodium, and many more and maintain its equilibrium point. The acidic waste products are excreted by the kidneys. So, it is in your best interest to have functioning kidneys. Else, the internal pH of the blood decreases, leading to a denaturation of enzymes (remember that enzymes work at narrow pH levels).
In the case of kidney failures then, we need to develop some artificial process that works the same way a regular kidney does. This is known as
renal dialysis. This works by diffusing solutes across a semi-permeable membrane. As a result, smaller solutes are able to pass through, leaving the larger solutes unfiltered (much like the glomerulus and Bowman's Capsule).
There are two types of dialysis:
Hemodialysis works by removing excess water and waste by circulating the blood from an external filter. This is called a
dialyser, and it contains the semi-permeable membrane. As a result, the blood flow is one directional.
Peritoneal dialysis work by removing excess water and waste from the blood internally. The peritoneum acts as the semi-permeable membrane, and the waste is moved from the blood across the peritoneum into a dialysate.