What is hemodialysis and comparison between home dialysis and dialysis at the clinic
What is HemodialysisHemodialysis is an artificial process to remove your waste and water out from the blood. When the kidneys fail to do so, dialysis is required. In your blood, Hemodialysis controls blood pressure and balances important minerals such as potassium, sodium, and calcium. It makes you feel good and live longer, but it’s not a permanent cure for kidney failure.
What happens during the process of Hemodialysis ?A dialyzer often known as an artificial kidney filters the blood out of the body in the process of Hemodialysis. At the beginning of the process, one who does dialysis places a two-needle into your arm. Once you are trained by your health care provider you can place the needles inside your body. If placing needles disturbs you then you can use a numbing cream or spray to insert the needle. Every needle is attached to a soft tube that is directly connected to the dialysis machine.
Your blood is pushed through a filter called a dialyzer during hemodialysis. During the procedure, the dialysis machine monitors your blood pressure and determines how quickly you receive dialysis.
What happens with blood when it is in the filter process?Blood enters the filter at one end and is forced into a network of very thin, hollow fibers. As your blood flows through the hollow fibers, dialysis solution flows on the outside of the fibers in the opposite direction. The waste products from your blood are absorbed by the dialysis solution. The filtered blood is retained in the hollow fibers and returns to the body.
A doctor who specializes in kidney problems will recommend a dialysis solution that is appropriate for you. Water and chemicals are added to the dialysis solution to safely remove wastes, excess salt, and fluid from your blood.
If your blood tests show that you have too much or too little of certain minerals, such as potassium or calcium, your doctor can adjust the balance of chemicals in the solution. You will experience issues such as low blood pressure or muscle cramps while on dialysis.
Can a dialyzer replace what my kidneys used to do?No, hemodialysis can replace some of your kidney functions, but not all of it. Dialysis will help you feel better by increasing your energy level, and dietary changes will help you feel better as well. Limiting the amount of water and other liquid you drink and consuming minerals through food can help prevent too much fluid from accumulating in your body between treatments. Medicines can also help you stay healthy while on dialysis.
Where can I have my hemodialysis? You can get the treatment wherever you want either at home or a dialysis center, both have their advantages and disadvantages.
Hemodialysis at dialysis centerThe majority of people seek treatment at a dialysis center. Health care professionals at the dialysis center will help you set up and connect to the dialysis machine. A team of health care workers will be on hand to assist you. You will be under the expert’s observation. Nurses, health care technicians may also be part of the team.
Fix your schedule :
You need to set your schedule for your treatments, Mostly it is done thrice a week you can prefer alternative days for your dialysis. Per dialysis takes almost 4 hours. While choosing a dialysis schedule you must focus on work, child care, and your other responsibilities.
Dialysis at night shift :
Many dialysis centers provide a nighttime dialysis facility also. This treatment happens 3 times each week, while you sleep because it takes too much time. Having night dialysis treatment means getting a lot of benefits just as:-
- You are completely free in day
- You need to do fewer changes in diet
- Your liquid intake will also be the same as it was before
- Your life quality will improve so much with standard hemodialysis. Longer treatment sitting will reduce your symptoms of kidney failure
Hemodialysis at homeHome hemodialysis allows you to undergo longer or more frequent dialysis sessions, which gets closer to replicating the work that healthy kidneys do—typically three to seven times each week, with treatment sessions lasting between 2 and 10 hours. Home machines are tiny enough to fit on an end table.
You need to visit your doctor once a month if you prefer to get your treatments at home. You can schedule your timings according to your lifestyle and your workings.
- Standard home hemodialysis—three times a week or every other day for 3 to 5 hours
- Short daily hemodialysis—5 to 7 days per week for 2 to 4 hours at a time
- Nightly home hemodialysis—three to six times per week while you sleep
- Eat and drink in a more typical manner
- Reduce the number of blood pressure medications you use
- Muscular cramps are caused by eliminating too many liquids too rapidly
- High blood pressure, which can result in a headache or, in extreme situations, a stroke
- Low blood pressure, which might cause you to faint, feel sick to your stomach, or increase your chances of falling
- Excessive phosphate levels, which can weaken bones and cause itching in the skin
Comparison chart of home dialysis and Dialysis at the center
|Dialysis at Centre||Dialysis at Home|
|Schedule||At the Dialysis center, you are required to do 3 days a week for 4 hours||In hemodialysis, you are completely free, whichever time you want to do you can. You have to maintain an average dialysis duration.|
|Availability||Dialysis centers can be found very frequently. Small towns and rural areas are not having good availability.||You can perform it anywhere and anytime.|
|Machine supplies||The dialysis center has its machine and supplies.||The machine and the supplies should belong to the individual.|
|Training||The doctor tells us about our diet, liquid, treatment, medicines, and lab tests||You need to attend 3-8 weeks of training.|
|Diet and liquids||There is a serious restriction on liquids intake of sodium, potassium, and phosphorus.||There are fewer restrictions on drinks and nutrition dependent on the quantity of hemodialysis and lab testing.|
|Level of freedom||On treatment days, there is less freedom. You may feel washed out and exhausted for hours following each treatment.||You have more freedom since you determine the treatment plan to fulfill the whole quantity suggested. Work and travel are considerably more convenient.|
|Amount of work||The staff of the center will decide for you what amount of work can be done by you.||You and your partner must set up, run, and clean the equipment, as well as checking vital signs, log treatments, and submit paperwork. as well as purchase supplies|
|Payment||Medicare and the majority of other health insurance programs cover three hemodialysis sessions each week.||Medicare pays for three hemodialysis sessions per week and may pay for more if medically necessary, other health plans may pay for all hemodialysis treatments.|