Jupiter Hospital is designed to meet national and international healthcare requirements and is committed to providing excellent patient care and quality medical care.
The hospital brings together an expert team of specialists who collaborate with caring nurses to provide accurate diagnosis and medical care to patients.
The hospital has state-of-the-art technological infrastructure and medical facilities that make medical care healthier, better and more comprehensive.
Jupiter Hospital has the finest nephrologists and surgeons in the area of renal transplants who perform both live and cadaver transplants. The Kidney Transplantation Division offers transplant treatments for the following:
There are two main types of kidney transplants: Living Donor Transplants and Deceased Donor Transplants.
Kidney transplant operations are guided by the and Human Organ Transplantation (Amndment ) Act 2011 of the Parliament of India. There are certains provisions which have to be fulfilled before a patient is considered for Renal Transplantation.
This operation is provided by team of Jupiter Urologist and Nephrologists, in conjunction with the Dept of Nephrology and kidney Transplant.
Other Services provided by the Nephrology Dept include
• Blood Pressure Clinic
• Diabetic Nephropathy Clinic
• Management of obstructive kidney diseases, preventing stone disease recurrence
• Creation of AV fistula, Central line and perma cath for long term hemodialysis
• Care of Vascular access
• Individualizing dialysis dose as per patient needs and Special emphasis on nutrition and physiotherapy
What does a Kidney do?
Kidneys are the two bean shaped organs, each about the size of a fist, located on either side of the spine at the bottom of the rib cage. Human beings have two Kidneys, which are responsible for a number of functions. The most important function is removing waste products and balancing fluid levels in the body. Other functions include regulating Blood Pressure, production of the hormone ‘erythropoietin’ which controls the making of red blood cells, converting Vitamin D from sunlight for stronger and healthier bones.
What is Kidney Transplant?
Kidney Transplant or Renal Replacement is the transfer of a healthy Kidney from one person into the body of a person who has little or no Kidney function.
Why is a Kidney Transplant necessary?
The loss of Kidney function, known as end-stage chronic Kidney disease or Kidney failure, is the most common reason for needing a Kidney Transplant. Transplant improves quality of life along with increasing life expectancy of the patient. Post a Kidney Transplant, the patient can discontinue Dialysis, resume normal diet and fluid intake
What are the benefits of Kidney Transplant?
There are many advantages of having a Kidney Transplant as compared to maintenance on Haemodialysis:
Eliminates the need for Dialysis and help patients enjoy a life filled with less restrictions (for instance greater freedom to travel), more energy and productivity
• Increased life expectancy and better quality of life
• More effective and less costly than Dialysis
It replicates a normal kidney’s functions. This is used for the treatment of chronic kidney disease because kidney is incapable of performing all kinds of functions.
The choice between hemo or peritoneal dialysis is influenced by a number of considerations such as availability, convenience, underlying medical problems home situation, and age.This choice is best made by discussing the risks and benefits of each type of dialysis with your concerned doctor and his support staff.
When to start dialysis?
It is recommended that dialysis begin well before kidneys disease has advanced to the point where life threatening complications affecting the brain, heart and lungs occur. If one starts dialysis very late, than the quality of life is not significantly improved even after receiving regular dialysis.
• Emergency dialysis is usually given when
• Blood tests reveal very high BUN / Serum Creatinine
• Patient has severe shortness of breath due to-
• Fluid overload
• Severe metabolic acidosis
• Life threatening hyperkalemia (high potassium levels in blood)
• Bleeding diathesis due to uremia
• Pericarditis, i.e. fluid collection around the heart
• Patient is in altered mental state or has motor weakness due to involvement of nerves
However a patient is advised to go for early dialysis electively and not to wait for an emergency, as the emergency dialysis has much higher mortality and morbidity risks.
Preperation for Hemodialysis
Mental preparation for hemodialysis should be made well in advance before its need arises.
Primary AV fistula is the preferred type of vascular access.
It requires a surgical procedure that creates a direct connection between an artery and a vein. During dialysis, two needles are inserted into the fistula vein. Blood flows out through one needle, circulates through the dialysis machine, purified and flown back through the other needle.One should get a fistula created usually two to four months before the expected start of life saving hemodialysis.This will save the patient from temporary catheters, which are more prone to cause infections, injuries and clotting.
In foreign countries, patient and their relatives are taught to do hemodialysis at home usually at night time before sleeping. This is done anywhere from 3 to 7nights a week. One has to arrange for a hemodialysis machine, water supply unit, disposable, medicines and some chemicals. A separate room is also required. The patients remain in touch with their dialysis center by telemetry or otherwise. In India due to costs and other issues this modality has yet to take off, however Jupiter is pledged to provide the home hemodialysis to any person willing for it.Full technical support will be given by department of nephrology Jupiter Hospital.