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What is Dialysis ?
Dialysis is a treatment that takes over the job of your kidneys when they can no longer remove waste and extra fluid from your blood. It’s essential for people living with kidney failure or end-stage renal disease (ESRD).
When kidney function becomes too low to keep the body balanced, your doctor may recommend starting dialysis. Common signs include swelling, fatigue, high blood pressure, and buildup of waste in the blood. Your nephrologist (kidney specialist) will review your labs, symptoms, and overall health to determine the right time to begin.
Hemodialysis
Hemodialysis is a treatment that cleans your blood when your kidneys can no longer do so effectively. During the procedure, your blood flows through a special machine called a dialyzer, which acts like an artificial kidney. The dialyzer removes waste, extra fluid, and toxins before returning the cleaned blood to your body.
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Hemodialysis requires a vascular access—usually a fistula, graft, or catheter—that allows blood to move safely between your body and the dialysis machine.
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Most people receive hemodialysis three times a week at a dialysis center, where trained professionals monitor each session. Some patients may qualify for home hemodialysis, which offers greater flexibility and independence.
This treatment helps maintain your body’s balance by controlling blood pressure, managing fluid levels, and keeping essential minerals in check.
Peritoneal Dialysis
Peritoneal Dialysis (PD) This method uses the lining of your abdomen (peritoneum) as a natural filter. A cleansing fluid called dialysate is infused into your abdomen through a small tube, then drained and replaced. PD can often be done at home, offering more flexibility and independence.
Dialysis is life-saving, helping your body stay balanced by removing waste, salt, and excess fluid. The choice between hemodialysis and peritoneal dialysis depends on your health, lifestyle, and personal goals—decided together with your nephrologist
Choosing the Right Dialysis Treatment
Choosing the right dialysis treatment involves a collaborative decision-making process between you and your healthcare team. Factors to consider include your lifestyle, preferences, overall health, and the specific requirements of each dialysis modality. Hemodialysis (Hemo) is typically conducted in a clinical setting, requiring vascular access, and involves scheduled sessions several times a week. Peritoneal Dialysis (PD), on the other hand, offers more flexibility as it can be performed at home, allowing for greater independence. Discussing these options with your nephrologist will help determine which approach aligns better with your daily life and personal preferences. Additionally, understanding the benefits and potential challenges of each modality, as well as considering factors like travel, work commitments, and family support, will contribute to making an informed decision tailored to your unique circumstances. Open communication with your healthcare team ensures that your chosen dialysis treatment not only addresses your medical needs but also enhances your overall quality of life during the treatment journey.