Friday , September 30 2022

Victoria Bombek has 30 years of hemodialysis



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Her kidney problems began two years before their failure, she says Victoria Bombek from the Holy Trinity near Larnac. Doctors remove a kidney, but the condition gets worse. Dialysis began in 1988: three times a week after four hours.

"It's my turn on Tuesdays, Thursdays and Saturdays in the morning," he said. "In the morning I grow half a fifth and I'm about to go 5.10 am, as there is a driver who leads me to dialysis in Maribor." Asked how she had this life for 30 years, the little lady simply replied: "A man is accustomed to everything, it must be. You have to make your dissolution as if you were going to work." He is blind, dependent on relatives her and healthcare staff, and her home environment is well managed, she said.

At the beginning of November this year, he celebrated 30 years of healing with chronic hemodialysis. This marked this at the UKC Maribor with an occasional ceremony at the dialysis center. "Such a duration of treatment is rare, but most patients do not experience such a period of treatment," said Professor Dr. Robert Ekart, head of the hemodialysis department. The median age, when patients begin hemodialysis treatment, is over 65 years of age, which means that long-term treatment for decades is unlikely to be expected. In his words, Bobkowa has come so far not only because kidney failure has met a young person but also because he has followed instructions for nutrition and limiting fluid intake as this is an inevitable part of the treatment for this disease.

The worst are eating constraints

"The worst are restrictions on food and drinks, as there are many bans." Patients with hemodialysis are no longer drinking water, and every decimate you drink is known to you, "said Bobkova." You must give, follow the instructions and stick with them, discipline is required. If someone else encourages you, that's what happens. Dialysis is not the end of everything. Man must be content, because it is a prerequisite that you can live. "

He is one of the 151 patients undergoing hemodialysis in the UKC Maribor hemodialysis department. Finally, kidney failure is treated in three ways: through dialysis, peritoneal dialysis and kidney transplantation of a dead or living donor. Unfortunately, none of the three methods means treatment, and a person's illness is watching the end of life. In Maribor, the first hemodialysis took place in April 1974 and the next year will celebrate 45 years of dialysis. Most hemodialysis patients in UKC Maribor undergo hemodialysis and 24 with peritoneal dialysis, the newest form of dialysis treatment.

If the patient is younger, it is best to start treatment first with a kidney transplant, when it fails, it changes to other methods of treatment, Ekart explained. "We offer this treatment option to patients that we think fit for transplantation. This method allows for greater survival of patients with end-stage renal failure but is not suitable for all people. " Transplantation can be prepared and operated by the patient even before renal failure, if the appropriate donor is found to be fast enough. Most patients in Slovenia do not start transplantation, but with one of the dissolution methods. There is no waiting period for hemodialysis, as it is an emergency treatment. If the patient wants a kidney transplant, he must be on the waiting list. On average, they expect a one to two year graft.

Mrs Bombek has not decided on kidney transplantation. "In the 1990s, the kidney transplantation capabilities were very limited, but now I am old," she said, "In 30 years I became part of the local community, I will almost retire," Dr. Ekart reminded her that by the age of 65 years old fulfilled the condition for the so-called superior program when older patients transplanted the kidneys of the less ideal dead donors. These kidneys serve less time for patients but do not expect much for a transplant.

The patients themselves choose the method of treatment

"Ultimate kidney failure is a disease that you have to respect, and if we respect it, you can act normally," says Lily Maribor, chairman of the Kidney Cancer Society Aleksander Trnjar He described his view of the disease, which also hit him. In nephrology, he began to heal four years ago, but after a year of good progress, he was able to decide which hemodialysis he would choose. In the hemodialysis section, a special training program is being implemented in collaboration with nephrology clinics. Nurses present all options for treatment in patients and relatives and patients have enough time to decide what is best for them. Trnjar chose peritoneal dialysis. "The problem with hemodialysis is that you are tied to a hospital and you have to close down during dialysis, but peritoneal dialysis works only at home," he explained. or, like Aleksander Trnjar, is connected to a machine that breaks all night and is free during the day.

According to Robert Ekart, a new automatic peritoneal dialysis machine is also used which allows direct patient-to-hospital contact so that healthcare staff can control the treatment with the computer program.

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