The following information is not a substitute for professional medical advice. You should consult a licensed healthcare professional to diagnose and treat all medical conditions.

There are many options when it comes to treating kidney disease. The most commonly prescribed treatments include: Peritoneal Dialysis (PD), In-centre Haemodialysis (IHD), Home Haemodialysis (HHD), and Transplantation.

Peritoneal Dialysis (PD)

Peritoneal dialysis or PD is a home therapy that just like haemodialysis, filters your blood of toxins and extra fluid through the body’s own peritoneal membrane. The peritoneal membrane lines the wall of your abdomen covering the abdominal organs such as the pancreas, stomach, and liver.

There are two types of PD that you may be prescribed, continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD).

Both CAPD and APD therapy utilize infused fluid that is inserted into the abdomen through permanent tubing. CAPD calls for manual regular exchanges of fluid that are discarded throughout the day whereas APD is flushed out via a machine at night.

 

In-centre Haemodialysis (IHD)

Haemodialysis is a type of treatment for people who have ESRD or kidney failure. The most common form of haemodialysis is performed 3 times a week, for approximately 4 hours per session at either a dialysis center or hospital. This therapy is known as traditional in-centre or intermittent dialysis. It is often referred to as IHD.

However, because there are 2 to 3 days in between treatments, intermittent dialysis can lead to the accumulation of wastes, electrolyte imbalances, and large fluctuations in body weight for some people due to water retention.

 

Home Haemodialysis (HHD)

Haemodialysis is a type of treatment for people who have ESRD or kidney failure. Home haemodialysis or HHD is a different way of receiving haemodialysis. Instead of going to a dialysis center 3 times a week for treatments, home haemodialysis offers the convenience of treatments in the comfort of your own home.

In addition, many people on home haemodialysis perform their treatments more frequently. Performing dialysis more often than 3 times a week is closer to how healthy kidneys work. More frequent dialysis also reduces the amount of toxin and water build-up in your body. People who perform more frequent home haemodialysis can perform their treatments between 3.5 - 7 days a week.

In addition, home nocturnal haemodialysis is also an option. Home nocturnal therapy treatments are performed at night while you are sleeping.

 

Transplantation

Kidney transplantation or renal transplantation is when a person receives a new kidney from a living or deceased donor.

If a kidney transplant were successful there would no longer be a need for dialysis treatments. There is currently between an 89-95% success rate with kidney transplants one year after the operation.1

 

Reference:

  1. National Kidney Foundation. 2013. Kidney Transplant. Accessed on: November, 13, 2015. Retrieved from: https://www.kidney.org/sites/default/files/docs/11-10-0304_bbd_patbro_kidneytransplant2.pdf
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