In GCSE Biology, dialysis is studied as a life-saving treatment that cleans the blood when the kidneys stop working properly and cannot remove waste on their own.
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You can find more about this topic by visiting BBC Bitesize - The role of the kidneys in homeostasis
Dialysis is specific to the kidneys
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It also restores the balance of ions and water in the blood, but the removal of urea is extremely important as it is toxic
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Only small molecules, such as urea and certain ions, can pass out of the blood. Essential, large molecules like proteins must remain in the blood and are too big to pass through
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Urea will cross the dialysis membrane by diffusion because the dialysis fluid is carefully designed to create the correct concentration gradient across the membrane
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This is done by making sure that the concentration of urea in the dialysis fluid is lower than in the blood of the patient
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Blood glucose concentration must be the same is in the dialysis fluid, otherwise glucose would be lost or gained from the patient
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The patient must remain connected to the machine for many (usually for about 4 - 6) hours and it needs to be carried out regularly, every few days
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Finding a suitable donor can be time consuming
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The kidney to be transplanted must have similar antigens to the patient. The process of finding a suitable organ for any transplant, including a kidney transplant, is called tissue typing
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After a transplant, the patient will need to take drugs that suppress the immune system to reduce the chances of it attacking the new kidney and damaging or destroying it. This leaves transplant patients more vulnerable to any infection
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