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Magazin

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One square millimeter of the<br />

hollow fiber membrane<br />

contains more than 100 million pores.<br />

Toxins are removed<br />

from the blood through each individual<br />

hollow fiber, while<br />

vital molecules remain in the blood.<br />

THE value of DIALYSIS<br />

In peritoneal dialysis, the peritoneum<br />

performs the kidneys’ cleansing<br />

function. The dialysis solution binds<br />

the toxins and transports them out<br />

of the body.<br />

19<br />

When the kidneys fail, dialysis<br />

therapy can assume their vital functions. “Dialysis” is Greek and<br />

means “separation”. Two treatment methods achieve what the<br />

kidney otherwise does : separating harmful substances from<br />

good ones.<br />

Hemodialysis is the preferred<br />

form of therapy used by 2.81 million patients worldwide. It involves<br />

cleansing the patient’s blood outside the body by means<br />

of an artificial kidney called the dialyzer in conjunction with a<br />

dialysis machine. Around 20,000 plastic fibers inside the dialyzer<br />

filter out toxins and cleanse the blood. In every dialysis treatment,<br />

around 120 liters of blood pass through these fibers. A<br />

miracle – made by humans.<br />

In peritoneal dialysis, the<br />

blood is cleansed within the body via the peritoneum. The<br />

peritoneum is one-and-a-half to two square meters large, well<br />

supplied with blood, and ideal as a substitute membrane for<br />

the filtering process. To this end, the abdominal cavity is filled<br />

with a dialysis solution through an implanted catheter. The<br />

dialysis solution absorbs the toxins via the peritoneum. Around<br />

349,000 patients worldwide are currently undergoing this treatment<br />

method.<br />

Alternatively, patients can get<br />

a kidney transplant. However, availability of donor organs is<br />

limited. There are currently more than 760,000 kidney patients<br />

living with a donated kidney.<br />

FRESENIUS MEDICAL CARE 2017

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