In hemodialysis, a machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately. Hemodialysis is one way to treat advanced kidney failure and can help you carry on an active life despite failing kidneys.
You may be able to do hemodialysis at home. Your doctor will help determine when you should start hemodialysis based on several factors, including your:.
You might notice signs and symptoms of kidney failure uremiadiabetes and hemodyalsis, such as nausea, vomiting, diabetes and hemodyalsis, swelling or fatigue. Your doctor uses your estimated glomerular filtration rate eGFR to measure your level of kidney function. Your eGFR is calculated using your blood creatinine test results, sex, age and other factors.
A normal value varies with age. This measure of your kidney function can help to plan your treatment, including when to start hemodialysis. Hemodialysis can help your body control blood pressure and maintain the proper balance of fluid and various minerals — such as potassium and sodium — in your body.
Normally, hemodialysis begins well before your kidneys have shut down to the point of causing life-threatening complications. However, your kidneys may shut down suddenly acute kidney injury after chestnuts and diabetes severe illness, complicated surgery, heart attack or other serious problem. Certain medications also can cause kidney injury. Some people with severe long-standing chronic kidney failure may opt for a different path, choosing maximal medical therapy, also called maximum conservative management, instead of dialysis.
This therapy involves active management of complications of advanced chronic kidney disease, diabetes and hemodyalsis, such as fluid overload, high blood pressure and anemia, with a focus on supportive management of symptoms that affect quality of life. Others may be candidates for a preemptive kidney transplant, instead of starting on dialysis.
Ask your health care team for more information about your options. This is an individualized decision because benefits of dialysis may vary, depending on your particular health issues. Most people who require hemodialysis have a variety of health problems.
Hemodialysis prolongs life for many people, but life expectancy for diabetes and hemodyalsis who need it is still less than that of the general population. Your dialysis team can help you deal with them. Preparation for hemodialysis starts several weeks to months before your first procedure. To allow for easy access to your bloodstream, a surgeon will create a vascular access. The access provides a mechanism for a small amount of blood to be safely removed from your circulation and then returned to you in order for the hemodialysis process to work.
The surgical access needs time to heal before you begin hemodialysis treatments. You can receive hemodialysis in a dialysis center, at home or in a hospital.
The frequency of treatment varies, diabetes and hemodyalsis, depending on your situation:. Simpler hemodialysis machines have made home hemodialysis less cumbersome, so with special training and someone to help you, you may be able to do hemodialysis at home. You may even be able to do the procedure at night while you sleep.
There are dialysis centers located throughout the United Diabetes and hemodyalsis and in some other countries, so you can travel to many areas and still receive your hemodialysis on diabetes and hemodyalsis. Your dialysis team can help you make appointments at other locations, or you can contact the dialysis center at your destination directly. Plan ahead to make sure space is available and proper arrangements can be diabetes and hemodyalsis. You can use the time to watch TV or a movie, read, nap, or perhaps talk to your "neighbors" at the center.
If you receive hemodialysis at night, you can sleep during the procedure. If you had sudden acute kidney injury, you may need hemodialysis only for a short time until your kidneys recover. If you had reduced kidney function before a sudden injury to your kidneys, the chances of full recovery back to independence from hemodialysis are lessened.
Although in-center, three-times-a-week hemodialysis is more common, some research suggests that home dialysis is linked to:. Your weight and blood pressure are monitored very closely before, during and after your treatment.
Your care team may adjust your hemodialysis intensity and frequency based, in part, on test results. Between hemodialysis treatments you can help achieve the best possible results from your hemodialysis by:.
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, diabetes and hemodyalsis, detect, treat or manage this disease. See the stories of satisfied Mayo Clinic diabetes and hemodyalsis. After enduring kidney dialysis for years, a conversation Martin Ruiz Zerme?
A host of serious medical problems put Ron Hale on a downward spiral of deteriorating health. Diagnosed with cirrhosis antibiotics and stomach upset MarchRon Hale spent several long years coping with declining health and frequent hospitalizations. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.
This content does not have an Arabic version. Request an Appointment at Mayo Clinic. Accessed June 8, Treatment methods for kidney diabetes and hemodyalsis Merck Manual Professional Version. Hemodialysis Beyond the Basics. Mayo Foundation for Medical Education and Research; Chronic kidney disease adult. Consequences of frequent hemodialysis: Comparison to conventional hemodialysis and transplantation.
Transactions of the American Clinical and Climatological Association. Skorecki K, et al, diabetes and hemodyalsis. Accessed June 9, KDOQI clinical practice guideline for hemodialysis adequacy: American Journal of Kidney Diseases, diabetes and hemodyalsis.
Acute kidney injury AKI. Accessed June 15, Albright RC expert opinion. Mayo Clinic, Rochester, Minn. Related Hemodialysis Kidney antibiotics and stomach pain When is it time to stop?
Hemodialysis How kidneys work. Mayo Clinic in Rochester, Minn. Learn more about this top honor, diabetes and hemodyalsis. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.