Is there one type of at-home dialysis treatment that is better than another? No, not necessarily. However, one treatment type may be better for you in particular. This article is designed to help you decide on an at-home dialysis modality.
Before you choose an at-home dialysis modality, you first need to decide if dialyzing at home is right for you. Here are some preliminary questions to ask yourself when making this decision:
If you answered yes to most of these questions, at-home dialysis may be an option you want to consider. Now, read on to explore which at-home modality will be the best fit for your health and lifestyle.
There are two types of at-home dialysis treatment: peritoneal dialysis and home hemodialysis. Both peritoneal dialysis and home hemodialysis are effective in treating end stage renal disease (ESRD), but they are very different from one another. Each type requires a different kind of access to the body, relies upon different equipment and allows for different treatment schedules.
Peritoneal dialysis (PD) is the most common form of at-home dialysis. PD is needle-free, but requires the surgical insertion of a soft, plastic tube called a catheter into your abdomen. PD uses the thin membrane that lines the abdomen called the peritoneum to perform dialysis treatments. A fluid called dialysate fills the abdomen and pulls wastes from the blood using the peritoneal membrane as a filter. Once the wastes have been absorbed, the dialysate is drained and the abdomen is filled with fresh dialysate.
If you are considering peritoneal dialysis (PD), here are some preliminary questions to ask yourself to help decide if this treatment type is right for you:
If you answered yes to these questions, PD may be the right choice for you. If you decide to go with peritoneal dialysis (PD), you will have two forms of PD to choose from: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD).
Home hemodialysis (HHD) is a treatment type that is very similar to in-center hemodialysis. However, home hemodialysis can be safely and effectively performed at home. HHD requires vascular access, needle sticks and the accommodation of a dialysis machine in your home. During home hemodialysis treatments, blood flows through your vascular access, usually on your forearm, to the dialyzer where it is cleansed. The cleansed blood then flows from the machine back into your body.
If you are considering HHD, here are some questions to ask yourself to help decide if it is right for you:
If you answered yes to these questions, home hemodialysis (HHD) may be the right choice for you. If you decide to go with HHD, you will have two types to choose from: conventional home hemodialysis and short daily home hemodialysis. Because of the different types of HHD treatment available, you should take a close look at your lifestyle and decide which type will fit into your daily routine the best.
If you are interested in either peritoneal dialysis or home hemodialysis, set up an appointment to talk with your doctor today. Your doctor will be able to give you more information about at-home dialysis and the treatment modality you are most interested in. Your health care professional can also guide you on how to transition from in-center to at-home dialysis.
This site is for informational purposes only and is not intended to be a substitute for medical advice from a physician.
Please check with a physician if you need a diagnosis and/or for treatments as well as information regarding your specific condition. If you are experiencing urgent medical conditions, call 9-1-1