If you have hemodialysis at a centre, you need to be able to get a ride or drive yourself to a centre. But in some cases you may be able to have hemodialysis at home. If you have peritoneal dialysis, it can be done at home, usually while you are asleep. Hemodialysis can also be done at home. Because you can do it every day, you may not have to do it for as long as in-centre hemodialysis. You will need to see your doctor often and have regular blood tests. You follow a diet that your doctor recommends.
You may have to limit fluids you drink and not smoke. It may help you stay out of the hospital from complications of kidney failure. It may help you feel better. Hemodialysis can cause low blood pressure, muscle cramps, and irregular heartbeats. Peritoneal dialysis can cause an infection peritonitis of the lining of the belly. Some of these side effects can be dangerous.
The catheter used for peritoneal dialysis and the access used for hemodialysis may need to be replaced if they become blocked or infected.
Wait to have dialysis Wait to have dialysis You take medicines and follow a diet that your doctor recommends. You may have to limit fluids you drink. It's also important to not smoke and to follow your doctor's advice to help you put off having dialysis.
Your doctor sees you often to see how well your kidneys are working. You will have blood and urine tests. You don't have to spend hours every week doing dialysis. You don't have the side effects and risks of hemodialysis, such as low blood pressure and heart problems, and infections in the access areas.
You may have symptoms such as swelling, feeling very tired, and not thinking clearly. You could develop complications of kidney failure that could be deadly, such as inflammation of the sac around the heart, blood pressure problems, and seizures or coma. Personal stories about considering dialysis These stories are based on information gathered from health professionals and consumers.
What matters most to you? Reasons to have dialysis now Reasons to wait to have dialysis. I'm ready to make lifestyle changes and commit time to dialysis. I feel good now, so I think I can wait a while longer. I'm worried because my lab results are getting worse. I can accept how dialysis would change my life. I'm afraid dialysis would change my life for the worse. My other important reasons: My other important reasons:. Where are you leaning now?
Have dialysis now Wait to have dialysis. What else do you need to make your decision? Check the facts. True That's right.
Starting dialysis can help you feel better. False Sorry, that's not right. I'm not sure It might help to get back and read "Get the Facts. True Sorry, that's not right. A recent study showed no difference in survival between dialysis before symptoms and later dialysis. False That's right. I'm not sure It may help to go back and read "Get the Facts. Decide what's next. Yes No. I'm ready to take action. I want to discuss the options with others. I want to learn more about my options.
Your Summary. Your decision Next steps. Your knowledge of the facts Key concepts that you understood. Key concepts that may need review. Getting ready to act Patient choices. What matters to you. Print Summary. Credits and References Credits. Nesrallah GE, et al. Canadian Society of Nephrology clinical practice guideline for timing the initiation of chronic dialysis. Canadian Medical Association Journal, 2 : — Accessed March 4, Get the facts Compare your options What matters most to you?
Get the Facts Your options Start kidney dialysis before you have symptoms of kidney failure or before your lab results show very poor kidney function.
Compare your options Start dialysis Wait to have dialysis What is usually involved? You have surgery to place an access in your blood vessels usually in your lower arm for hemodialysis. You take medicines and follow a diet that your doctor recommends. Check the facts 1. Starting dialysis earlier might help me feel better. True False I'm not sure.
That's right. Waiting to have dialysis will shorten my life. Decide what's next 1. Do you understand the options available to you? Certainty 1.
It can also be done at home. Some examples of a home dialysis schedule include:. Peritoneal dialysis uses the inside lining of your abdomen the peritoneum as the filter, rather than a machine. Like the kidneys, the peritoneum contains thousands of tiny blood vessels, making it a useful filtering device.
Before treatment starts, a cut incision is made near your belly button and a thin tube called a catheter is inserted through the incision and into the space inside your abdomen the peritoneal cavity. This is left in place permanently. Fluid is pumped into the peritoneal cavity through the catheter. As blood passes through the blood vessels lining the peritoneal cavity, waste products and excess fluid are drawn out of the blood and into the dialysis fluid.
The used fluid is drained into a bag a few hours later and replaced with fresh fluid. Changing the fluid usually takes about 30 to 40 minutes and normally needs to be repeated around 4 times a day.
Read more about how dialysis is performed. In many cases, you'll be able to choose which type of dialysis you want to have and where to have it. The 2 techniques are equally effective for most people, but each has its own advantages and drawbacks. If you're able to choose the type of dialysis you prefer, your care team will discuss the pros and cons of each option with you to help you make a decision. Dialysis is paid for with your health insurance and Medicare even if you are under age After 30 — 33 months, Medicare pays first and your health plan is secondary.
Ask your dialysis or transplant center to help you figure out what your insurance will pay and how much you will be expected to pay out-of-pocket. You can also call DaVita Guest Services at from 6 a. The chances that your kidneys will get better depend on what caused your kidney failure.
Kidney failure is divided into two general categories, acute and chronic. Acute or sudden kidney failure is often temporary. In chronic kidney failure, the kidneys normally do not heal. In acute kidney failure , when kidneys stop functioning due to a sudden stress, kidney function may recover.
But when the damage to your kidneys has been continuous and progressive over a number of years, as it is in chronic kidney disease CKD , then the kidneys usually do not get better. If your chronic kidney disease was not diagnosed until you were at the point of needing dialysis or a transplant, then it may seem sudden to you.
However, the gradual injuries to your kidneys that occurred over a number of years caused permanent damage. If you have acute kidney failure, you may need dialysis for only a few days or weeks while your kidneys recover.
If your kidneys are too badly damaged to recover their function, then you will need long-term dialysis or a kidney transplant to live. If it seems that your kidneys are recovering, talk to your doctor to learn whether it could be true. Tests can be done to determine whether your kidney function has improved.
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