В. Пенчев, автор в NephroLife Bulgaria

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“CHRISTMAS IS HOPE” CAMPAIGN

Entirely in the spirit of the Christmas holidays, our campaign brought joy, emotion and positivism into the daily lives of our patients. It was one of those moments when we proved we are one family. A family that is together even on around the Christmas table.

We are closing this year, as the year of challenges. Grateful that we are together, that we shared difficult and joyful moments, wishing each other health and many more shared unforgettable moments!

https://www.flagman.bg/article/230998

Surprising Christmas present touched the patients of the dialysis center “NephroLife” in Burgas

In 2020, an uninvited guest entered everyone’s life – Pandemic of Covid-19. It changed our daily lives, our habits, invaded our homes and took away a lot of us – work, social life, security. In these uncertain times, the desire of the entire NephroLife team is to help their patients in every possible way – in addition to the provided medical care, to try to give them a hope for better times. That is why the team of the Burgas dialysis center “NefroLife” decided this year to delight its patients with different Christmas presents for the brightest Christian holiday. Full of care and desire, the health institution prepared packages full of basic food products to all their patients.

Today, some of them received their packages from the head nurse Biserka Nikolaeva and expressed their great gratitude from the “NephroLife” team in front of Flagman.bg. All that, you can see in the video where they share touching words and their opinion about the care provided by the NefroLife team.

The campaign of NephroLife dialysis center “Christmas is Hope” is held from December 23 to 25. Prepared packages are provided for all patients, as some of them were delivered to the patients` doorstep by the company’s transport department.

Every bag is full of basic food products, properly packaged for the brightest Christian holiday to become part of the patient’s Christmas table.

“Patients become part of our lives and we become part of theirs. For us, their health comes first, so we provide the best patient care in accordance with all international standards and medical practices. But our wish is not only to maintain the health of their bodies, but also to take care of their spiritual and emotional health as well. To give them the Christmas emotion, although far from home “, commented Silvia Gyuleva.

NephroLife Dialysis Center is the newest and most advanced clinic in Bulgaria. We have created a specialised team of doctors, nurses and dietitians who use up-to-date medicaments and high quality medical products and supplies. This is the first dialysis center in Bulgaria to introduce the high-tech practices already applied in Israel.

NephroLife Dialysis Center is situated in the city of Burgas, with a surface area of 1,200 sqm on Transportna str.(behind MALL Plaza)

The clinic provides brand new high quality medical equipment and consumables from Fresenius Germany which is a global healthcare company specializing in life-saving medicines and technologies for infusion, transfusion and clinical nutrition.

At NephroLife they strive to do their best to make patients feel like at home and make their stay as comfortable as possible.

Provided services include:

Consultations with a nephrologist
Consultations on temporary and permanent dialysis catheters
Periodic tests and monitoring of the entire physical condition
Consultations with a nutritionist who provides instructions and specific dietary advice
Consultations with qualified psychologists
Transport services
Free parking space provided for dialysis patients
Free Wi-Fi access anywhere in the center.

In addition to the impeccable medical care and the pleasant and cozy atmosphere patients will enjoy a light meal and refreshments while watching their favourite TV shows or radio programmes by provided personal headphones. At any time patients can be consulted by the doctors or nurses available in the treatment room during the session, regarding all the questions that might concern them.

For more information and questions you can contact the dialysis center “NephroLife” on tel .: 056 555 588.

DIALYSIS CENTER NEPHROLIFE WITH A KIND GESTURE TO ALL ITS PATIENTS FOR CHRISTMAS

And this year many people will spend the brightest holidays not at home, among their loved ones, but under the care of doctors. For hemodialysis patients who are depending on the machines several times a week, meeting with doctors is a routine and the hospital room is becoming their second home. In these moments, a person often finds not only a cure for the body, but also for the soul, because there, altogether are going not only the treatment, but also the understanding and friendship.

Such is the case with the patients of the Burgas dialysis center “NephroLife”. This year the health institution has decided to present an even more special surprise to its patients, completely in the spirit of the holiday, in an attempt to make Christmas brighter and joyful.

“Christmas is hope! Hope for better times, more positive emotions and a lot of miracles! Christmas is a small gesture to someone else! This year, in addition to the usual holiday decorations, which will delight our patients, we have prepared a different Christmas gifts for them, “commented in advance the administrative manager of the health institution Silvia Gyuleva.

According to her, the year is extremely difficult for most people because of the Covid-19 pandemic. The situation concerns us not only on economical level, but also affects our mental and general health at all. This is the main reason for intensive Christmas preparation at the dialysis center recently, so the NephroLife team will be able to show its support to all patients and their families. And last but not least, to thank them all for the voted trust during the past year. All prepared packages, full of basic food products, will be properly packaged for the brightest Christian holiday to become part of the patient’s Christmas table. As the center is open during the holidays, the packages will be provided to patients on December 24^th and 25^th.

“Patients who come to us are having difficulties to maintain a normal lifestyle for years because they are depending on a machine that purifies their blood. As we always stay current and innovative, in 2020 we added the method of hemodiafiltration as part of the medical practices we provide.For all patients, coming three times a week to the clinic, we follow an algorithm of work between our medical team and our world-famous consultants, in order to improve the quality of life for each patient. They become part of our lives and we become part of theirs. For us, their health comes first, so we provide the best patient care in accordance with all international standards and medical practices. But our wish is not only to maintain the health of their bodies, but also to take care of their spiritual and emotional health as well. To give them the Christmas emotion, although far from home “, commented Silvia Gyuleva.

Source: Poligraff

Poligraff.NET – Бургаски диализен център с мил жест към всички свои пациенти за Коледа – Новини от Бургас, страната и света

BASICS OF THE ADRENAL GLAND

The adrenal glands are two in number, located at the apex of the kidneys, composed of two separate parts. They are part of the human endocrine system, producing hormones necessary for the normal functioning of the body. The adrenal cortex – the outer part of the gland – produces vital hormones such as cortisol (which helps regulate metabolism and helps the body respond to stress) and aldosterone (which helps control blood pressure). The medulla of the adrenal gland – the inner part of the gland – produces non-essential (non-life-sustaining) hormones, such as adrenaline (which helps the body respond to stress).

Anatomy of the adrenal glands

The adrenal glands are triangular in shape, about 1.5 inches high and 3 inches long. They are located on top of each kidney. Each adrenal gland consists of two separate structures – the outer part – the adrenal cortex and the inner part, known as the adrenal medulla.

Adrenal hormones

The adrenal cortex and the adrenal medulla have many different functions. One of the main differences between them is that the hormones secreted by the adrenal cortex are vital and those secreted by the adrenal medulla are not.

What are the symptoms of adrenal disorders?

Symptoms of adrenal disorders may include:

dizziness

excessive fatigue

sweating

nausea and vomiting

low blood sugar

low blood pressure, also known as hypotension

dark spots on the skin

muscle and joint pain

weight gain or loss

At the beginning, symptoms of adrenal disorders do not make an impression. But, over time, they usually manifest themselves with greater force. If you periodically experience any of these health problems, it is best to consult a doctor.

NEPHROLITIASIS

Kidney stones (nephrolithiasis or kidney stone disease) are small deposits that build up in the kidneys. The disease could be found accidentally (when there is no pain or crisis) by X-ray of the abdominal area or by ultrasound of the abdominal organs. Kidney stones vary in shape, size and number, ranging in size from a few millimeters to 5-6 cm.

The clinical picture in patients with kidney stones is different and depends on the size and location of the stone itself. Some patients have complaints of dull, slight pain in the lower back, which is not connected with physical activity or body position. In others, kidney stones are presented by changes in the color of urine or frequent urinary tract infections.

Nephrolithiasis may be asymptomatic (without discomfort to the patient). Renal colic is the most common clinical appearance of kidney stone disease, and it occurs most often when a stone begins to move down through the narrowest part of the urinary system.

Types of kidney stones

Very often kidney stones have a mixed chemical composition and are varied in shape and color. Some of them are:

Calcium oxalate – the most common kidney stones. The main reasons for their formation are: increased absorption of calcium in the small intestine from food, increased excretion of calcium from bones, hyperparathyroidism, vitamin D intoxication, dehydration, taking certain medications, increased intake of oxalates with food
Calcium phosphate stones
Struvite stones – they are formed in frequent bacterial infections of the urinary tract
Urate stones (uric acid stones) – formed by increased urinary acid excretion in the urine and in people who do not drink enough fluids

THE NEPHRON – THE FUNCTIONAL UNIT OF THE KIDNEY

The nephron, the functional unit of the kidneys, is responsible for removing waste from the body. Each kidney is made up of over one million nephrons, which intersperse the renal cortex, giving it a granular appearance.

It is a microscopic tubular formation that consists of a renal (Malpighian) body and a curved tubule. The Malpighian body itself consists of a capillary ball called a glomerulus and the enveloping capsule, also called a Baumann capsule.

There are three main processes in the nephron: filtration, back-suction, and secretion. These processes are extremely important for maintaining the internal fluid environment and the alkaline-acid balance in the body. During glomerular filtration, water and particles dissolved in it and leave the vascular system. After that they enter the space between the two leaves of the Bauman capsule and from there into the lumen of the renal tubules, while filtration takes place only in the glomeruli.

There are two types of nephrons:

cortical (their glomeruli are located in the outer 2/3 of the cortex, their loops are short and reach the outer medulla) and
juxtamedullary (their glomeruli are located in the inner 1/3 of the cortex, their loops are long and reach the inner medulla – to the renal papillae).

Within a day, a large amount of blood passes through the kidneys, from which 170 liters of primary urine are excreted. This filtrate, passing successively through the other structures of the nephron than undergoes resorption of water and ions, as the amount of final urine is reaching an average of 1200 ml. per day.

WHAT IS THE KIDNEY ARTERY?

There are two blood vessels leading from the abdominal aorta to the kidneys. The renal artery is one of these two blood vessels. The renal artery enters through the hilus, which is situated where the kidney curves inward into the concave shape. The renal artery and the renal vein pass through this hilus. The flow of oxygen-enriched blood passes through the renal artery, which the heart pumps to the kidneys in order to be filtered. After that process is finished already filtered blood is delivered back to the heart by the kidneys.

Under normal circumstances, once the renal artery enters through the hilus, it divides into two main branches, which then divide into a number of smaller arteries that supply blood to different areas of the kidney known as nephrons. The main structural and functional unit of the kidney is the nephron. The total number of nephrons in both kidneys is about 1-2 million. A normal person’s kidneys receive approximately a quarter of the heart’s blood, or 1.2 liters of blood, every minute. The body has self-regulating mechanisms that increase or decrease blood flow to adapt to stress. Receptors located in the smooth muscle wall of the renal artery allow the arteries to dilate or contract in order to compensate for the high or low blood pressure.

Due to its vital function, which includes constant contact with toxins, the kidneys are prone to a variety of problems.

VITAMIN C AND DIALYSIS

As one of the most important water-soluble non-enzymatic antioxidants, vitamin C consists of ascorbic acid and its oxidized form, dehydroascorbic acid. Vitamin C has a wide range of metabolic functions and significantly enhances cellular immunity. One of its best benefits is its ability to increase iron absorption, thus preventing problems such as iron deficiency anemia.

Compared to the general population, plasma vitamin C levels range from 30 to 60 μmol / L. Plasma levels of vitamin C in patients on hemodialysis are usually lower than in the general population, which is mainly associated with increased inflammation, anemia, oxidative stress and secondary hyperparathyroidism. Because it is excreted by the kidneys, intake above 100-200 mg / day should be restricted in patients with CKD in order to avoid oxalosis, which is an accumulation of a metabolic by-product of ascorbic acid. Many organs and tissues of the body can be affected by oxalate deposits, including the kidneys.

The supplement of vitamin C is provided by potassium-rich foods such as citrus fruits, orange juice, strawberries and broccoli, commonly limited to hemodialysis patients for whom it is important to follow a potassium-restricted diet. Loss of this vitamin is also possible during dialysis, as about a few hundred mg of it can be removed in one dialysis treatment.

SLEEP DISORDERS IN DIALYSIS PATIENTS

Sleep disorders are extremely common among dialysis patients. The most commonly reported complaints are excessive daytime sleepiness, sleep apnea syndrome, restless legs syndrome, snoring and intermittent limb movement disorders. Clinical studies have found that sleep apnea syndrome (SAS), restless legs syndrome (RLS) and recurrent limb movement disorder (RLMD) are much more common in dialysis patients than among the general population. Undoubtedly, these sleep problems have a significant negative impact on quality of life, as they are often mentioned as the main sources of stress.

Sleep apnea is a chronic disease that is a repeated respiratory arrest during sleep, the consequences of which is low level of oxygen in the blood. Conducted researches show that sleep apnea may lead to increased levels of cardiovascular events and to the accelerated development of atherosclerosis in patients with chronic kidney disease.

In Bulgaria, no specific studies have been conducted based on the problem of sleep disorders in patients with CKD. However, global research has shown that problems with these disorders occupy a significant part in systemic history of patients with CKD.

HEMODIAFILTRATION MACHINES OF THE HIGHEST CLASS WILL BE AVAILABLE WITHIN A FEW DAYS IN “NEPHROLIFE” DIALYSIS CENTER

Dialysis Center “NephroLife” have always strived to provide quality dialysis treatment and impeccable medical care.
We are introducing hemodiafiltration as part of the medical practices applied in our center and so we will cover all possible aspects of dialysis treatment according to the needs of the patients.

For all patients who need hemodiafiltration, the clinic will provide brand new Fresenius 5008S machines from the end of October.
As always, NephroLife provides to the patients new and high-quality equipment and consumables for dialysis treatment from FRESENIUS Germany, with proven reliability and efficiency.

The desire to improve the quality of life of hemodialysis patients leads to the development of methods for extrarenal blood purification.

However, the application of this method is strictly individual to each patient and is prescribed after consultation with a nephrologist.

NephroLife specialised team of doctors, nurses and world-known consultants with vast experience in dialysis treatment are working together to deliver the best patient care according to all international standards of medical practice.

All patients and their families are more than welcomed to explore the clinic and the facilities they provide.
For more information, consultations and starting treatment in NephroLife Dialysis Center, you are welcomed to visit the clinic (behind MALL Plaza), or call: 056555588; 0879084777

AMBASSADOR OF THE STATE OF ISRAEL YORAM ELRON VISITED NEPHROLIFE DIALYSIS CENTER – THE LARGEST ISRAELI INVESTMENT IN BURGAS REGION

On October 13th, during his first visit to Burgas, the Ambassador Elron get acquainted with the medical practices applied in the first dialysis center in Bulgaria, introducing Israeli know-how in the sphere of dialysis. He was accompanied by Yordanka Ananieva (Deputy Mayor of the cit5y of Burgas), Dr. Loris Manuelyan(“Municipal Doctor” of Burgas region) and Orlin Mandov – Honorary Consul of Israel in Bulgaria. They were welcomed by the medical team of the clinic and Mr. Ran Fuchs – the investor and owner of the dialysis center.

Mr. Ran Fuchs introduced to the guests the medical equipment and the high medical standard applied in dialysis treatment at NephroLife and also added:

“NephroLife is the first dialysis center in Bulgaria to introduce the high-tech practices already applied in Israel in the sphere of dialysis and high-quality equipment and consumables of the global company Fresenius – Germany, specializing in life-saving technologies for infusion, transfusion and clinical nutrition. Leading news from our clinic is that from the end of October, for all patients who need hemodiafiltration, the clinic will provide brand new Fresenius 5008S machines. By adding hemodiafiltration as part of the medical practices applied in our center, we will cover all possible aspects of dialysis treatment”.

We also provide to our patients the opportunity to consult with world-renowned specialist prof. Thalia Weinstein with extensive experience in the field of Nephrology and Dialysis treatment. The clinic maintain a high medical standard and we are always up to date with the latest trends and practices applied in sphere of dialysis “.

In front of the journalists the Ambassador Yoram Elron specified the areas for future Israeli investments in Burgas emphasizing that medicine still remains one of the most important.
“The biggest Israeli investment in Burgas is in the field of medicine. The investors built the dialysis center NephroLife with the assistance of the Municipality of Burgas. I hope the Israeli investments in the region to be increased in all areas, but especially in medicine, which is the purpose of my visit here “said the Ambassador.

All posts by В. Пенчев