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chronic kidney desease stage4

Posted , 7 users are following.

fazak
fazak

i am due to go to my pre op for c k d stage 4   I will be starting dialysis soon .........what can I expect

 

0 likes, 4 replies

4 Replies

  • stephen_25073
    stephen_25073 fazak

    Posted

    Hi Fazak.

    Firstly sorry you're having to go through all of this. I can tell you it gets easier. I take it you're meaning your operation for a fistula creation? Nothing to it! A vascular surgeon will scan your non dominant arm and plan a few positions in your wrist or arm where he plans to create your fistula. It's usually a general anaesthetic. Once tgats done your fistula takes about 12 weeks to mature. Again working on the assumption you're getting a fistula created? There's also Pertoneal dialysis which I know very little about. Some people's fistulas can go unused for a year or so but generally and in my case I started Haemodialysis 12 weeks later. Initially dialysis tires you out and before you know it, it just becomes a way of life. Good luck Fazak and I wish you well

    Stephen

  • helen54849
    helen54849 fazak

    Posted

    Depends what type of dialysis you have opted for as you need an op for both types, I did PD not haemo so you would be best letting us know which type you have picked so you get a response right for you smile
  • amylou68
    amylou68 fazak

    Posted

    Hi Fazak , hope your ok. 😀 . Can I just ask what your GFR / creatinine levels are ? And are you having a lot of symptoms ? My GFR is now 24 , not sure about my creatinine level until I go back to the consultant on the 14th November . He says he tries not to start dialysis until GFR is 10 , as long as my symptoms are ok !! So was hoping I had a while yet ! Even though I'm absolutely shattered and sleeping lots ! I have an iron infusion on 14th too , so hoping this will help the tiredness . I'm anxious about the fistula too ! Good luck x

    • marj01201
      marj01201 amylou68

      Posted

      AmyLou,

      My creatinine is 3.46 with an eGFR of 13. My BP is 124/74 fairly consistently without meds. I do have fairly severe anemia. So my nephrologist has me taking an iron medication and I receive EPO injections. With my BP in range and anemia treatment that has my hemoglobin from 10.5 to 11.5 I feel quite well. Of course I adhere to dietary restrictions and so forth. My electrolytes are in the normal range. 

      My nephrologist generally waits to start dialysis until the patient is struggling even when under treatment--unable to keep electrolytes in range, blood pressure management problems or the like.

      So it may be quite some time before you find you need to start dialysis🐶

      Marj

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