Where are you leaning now? Starting dialysis NOT starting dialysis. What else do you need to make your decision? Check the facts.
True Sorry, that's not right. Dialysis may help you live longer, but it can't cure kidney failure. False That's right. I'm not sure It may help to go back and read "Get the Facts. True That's right. Dialysis can help you feel better. False Sorry, that's not right. That's right. Some people go to a center. But others are able to have dialysis at home, often while they sleep. Your doctor can help you decide if that's a good choice for you.
False That's not right. 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.
Use the following space to list questions, concerns, and next steps. 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 Credits. Get the facts Compare your options What matters most to you? Get the Facts Your options Start kidney dialysis, which may help you live longer. Compare your options Start kidney dialysis Don't have kidney dialysis What is usually involved?
You have a procedure to put in a dialysis access. Your body will start to shut down, and you will experience normal changes from the dying process. Check the facts 1. Dialysis can cure my kidney failure. True False I'm not sure. Dialysis can help me feel better. False I'm not sure. Decide what's next 1. Do you understand the options available to you? Certainty 1. Check what you need to do before you make this decision. Learn what you can do to keep as much kidney function as you have left - and do it!
Do your part to help manage the complications of kidney disease and kidney failure Heart and blood vessel problems Anemia low red blood cell count Bone problems High blood pressure Poor nutritional health i.
Treatments for Kidney Failure The two treatments for kidney failure are kidney transplantation and dialysis. Kidney Transplantation. This is an operation that places a healthy kidney into your body. The kidney can come from someone who has died or from a living donor. A new kidney will usually function immediately. You will need special medicines to prevent your body from rejecting the new kidney. If rejection happens, dialysis is needed and you can consider a second transplant.
A kidney transplant is a treatment, not a cure. Kidney transplant recipients still have chronic kidney disease, and you may still need some of the other medicines they took before the transplant.
If you are interested in learning more about kidney transplant and finding out if you are a candidate for a transplant, ask your healthcare professional and contact the National Kidney Foundation www. Hemodialysis HD. Hemodialysis is a treatment that removes wastes and extra fluid from your blood. It can be done at home "home hemodialysis" or in a dialysis center. During hemodialysis, your blood is pumped through soft tubes to a dialysis machine where it goes through a special filter called a dialyzer also called an artificial kidney.
As your blood is filtered, it is returned to your blood stream. Only a small amount of blood is out of your body at any time. In-center treatment time is hours, 3 times a week. People who do home hemodialysis have more flexibility about how often it can be done. You will need an access into the bloodstream for placing needles needed for hemodialysis.
Types of access include: Fistula. A fistula is the recommended choice for an access. You will need a minor operation to create a fistula. It is made by joining an artery to a nearby vein under your skin to make a bigger blood vessel. This type of access is preferred because it has fewer problems and lasts longer. However, some people may not be able to have a fistula because of their physical condition.
Sometimes, it may be possible to switch to a fistula from another type of access. If you do not have a fistula, ask your dialysis care team if a switch would be possible. If your blood vessels are not suitable for a fistula, a graft may be used. This involves joining an artery and a nearby vein with a small, soft tube made of synthetic material.
The graft is entirely beneath your skin. You will need a minor operation to create a graft. The third type of access, called a catheter, is inserted into a large vein in your neck or chest. The ends of the tubes sit on your skin outside your body. This type of access is generally used when you need dialysis for a short period of time.
Catheters are used as a permanent access when a fistula or a graft cannot be placed. Peritoneal Dialysis PD. Peritoneal dialysis is a home-based treatment that can be done anywhere at home, work, or when sleeping.
It must be done daily. Continuous ambulatory peritoneal dialysis CAPD requires no machinery, and the patient or a caregiver can do it.
The dialysate is left in the abdomen for up to 8 hours and then replaced with a fresh solution straight away. This happens every day, four or five times per day. Continuous cyclic peritoneal dialysis CCPD , or automated peritoneal dialysis uses a machine to exchange the fluids. It is generally done every night, while the patient sleeps. Each session lasts from 10 to 12 hours. After spending the night attached to the machine, most people keep the fluid inside their abdomen during the day.
Some patients may need another exchange during the day. Peritoneal dialysis is a suitable option for patients who find hemodialysis too exhausting, such as elderly people, infants, and children. It can be done while traveling, so it is more convenient for those who work or attend school.
While a session of intermittent dialysis lasts for up to 6 hours, continuous renal replacement therapies CRRT are designed for hour use in an intensive care unit ICU.
There are different types of CRRT. It can involve either filtration or diffusion. It is better tolerated than intermittent dialysis, because the solute or fluid removal is slower. This leads to fewer complications, for example, a lower chance of hypotension. Sometimes dialysis is given for a limited period of time. Dialysis helps patients whose kidneys have failed, but it is not as efficient as a normal kidney. Patients who receive dialysis need to be careful about what and how much they drink and eat, and they need to take medication.
Many people who have dialysis can work, lead normal lives, and travel, as long as dialysis treatment is possible at the destination. Women who have dialysis normally have difficulty becoming pregnant. There will be a higher level of waste products in the body than there are with normal kidneys. This interferes with fertility. Women who do become pregnant while on dialysis will probably need increased dialysis during the pregnancy.
If a woman has a successful kidney transplant, her fertility should return to normal. Chronic kidney failure happens gradually. Even if just one kidney works, or both work partially, normal kidney function is still possible. These may include fasting for a certain amount of time before the treatment. Both hemodialysis and peritoneal dialysis can be performed at home. Peritoneal dialysis can be performed alone, while hemodialysis requires a partner.
The partner can be a friend or family member, or you can opt to hire a dialysis nurse. Not all kidney disorders are permanent. Dialysis can temporarily serve the same function as kidneys until your own kidneys repair themselves and begin to work on their own again. However, in chronic kidney disease , the kidneys rarely get better.
If you have this condition, you must go on dialysis permanently or until a kidney transplant becomes an option. Lifestyle changes are required as well. Your nephrologist kidney doctor should have a dietician on their team to help guide dietary choices. While on hemodialysis, limit your intake of potassium , phosphorus , and sodium. This includes sodium from vegetable juice and sports drinks.
Having too much fluid in the body can cause problems. Some hidden sources of liquids include fruits and vegetables, such as lettuce and celery. These measurements can help determine whether the dialysis is effective. Before stopping treatment, mention any concerns to your doctor. In end-stage kidney disease, also known as end-stage renal disease ESRD , the kidneys are functioning below 10 percent of their normal function.
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Discover the link between type 2 diabetes and kidney disease, the leading cause for kidney failure in the United States. Learn preventive steps you…. Different foods can affect the function of your kidneys. Here are the 20 best foods to eat if you have kidney disease. Currently, eGFR estimates kidney function and includes race in its calculation.
Find out why this came about, its impact, and how it may change.
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