Types of Home Hemodialysis

 

 


Home hemodialysis is a form of dialysis that allows individuals with kidney failure to perform hemodialysis treatments at home, providing more flexibility and convenience compared to in-center hemodialysis. There are two main types of home hemodialysis: conventional home hemodialysis and short daily home hemodialysis.

  1. Conventional Home Hemodialysis:

    • Frequency: Typically performed three times a week, similar to in-center hemodialysis.
    • Duration: Each session usually lasts around 3-5 hours.
    • Setup: Requires a hemodialysis machine, water treatment system, and a dialysis chair or bed. The patient or a trained caregiver is responsible for setting up the equipment.
    • Training: Patients and their caregivers undergo extensive training to learn how to operate the dialysis machine, monitor vital signs, and manage potential complications.

  2. Short Daily Home Hemodialysis:


    • Frequency:       This type of home hemodialysis is performed more frequently, often five to seven times a week.
    • Duration: Each session is shorter, typically 2-3 hours.
    • Benefits: The more frequent sessions can mimic the natural function of the kidneys better and may lead to better clearance of waste products and improved overall well-being.
    • Training: Patients and caregivers receive training similar to conventional home hemodialysis but may need additional support due to the increased frequency of sessions.
    •  

      • Nocturnal Hemodialysis

      • Nocturnal means occurring at night.

        Nocturnal dialysis is a slower, longer hemodialysis treatment that takes place at night while you sleep. This longer treatment is for six to eight hours, three times or more a week. You can do nocturnal dialysis at home or at a dialysis center that has a nocturnal dialysis program. Your healthcare provider will help you decide which treatment is right for you.

        • Nocturnal home hemodialysis requires special training to learn how to perform nocturnal hemodialysis treatments at home.  In some cases, you will learn to perform at home nocturnal dialysis treatments with a dialysis partner. The partner may need to be present for training as well as during treatments. This will depend on whether or not remote monitoring services are available. Remote monitoring means a trained nurse oversees your treatment from a location away from your home while you sleep. The nurse can let you know if there is a problem with your treatment.
        • In-center nocturnal hemodialysis requires that you sleep at the dialysis center overnight. Special nurses and technicians who are skilled in doing hemodialysis manage the treatment.
 

Both types of home hemodialysis require a reliable water source, proper plumbing, and electricity to operate the dialysis machine. Patients also need to follow a prescribed dialysis schedule, maintain a strict dietary regimen, and regularly communicate with their healthcare team to ensure optimal care.

It's essential to note that the availability and specifics of home hemodialysis programs may vary depending on the healthcare provider and region. Patients considering home hemodialysis should discuss their options with their healthcare team to determine the most suitable treatment plan for their individual needs.

 

For More Details contact Dr. Debabrata Mukherjee, Best nephrologist in Delhi

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