Most people can choose between having hemodialysis at a dialysis center (in a hospital or clinic).
In Egypt, chronic dialysis may be paid for by the payient or sponsored eg by your insurance, the Ministry of Health etc
Home hemodialysis is not readily available in Egypt yet but is an option that may offer several benefits
You will have hemodialysis for 4 hours, 1 – 3 times a week. Many patients who pass enough urine and have few symptoms may start dialysis once or twice per week. In many people, after a few months on dialysis the urine volume decreases and dialysis is required 3 times per week.
You and your doctor will decide the right time for you to start hemodialysis. It will depend partly on how well your kidneys work, your symptoms, and your overall health. Your doctor will do blood tests to check how well your kidneys are working.
Before you start hemodialysis, you need surgery to prepare your body. Your doctor will create an “access,” which is a way for the blood to leave and return to your body. There are 3 different types of access:
It depends on your access. If you have an AV fistula or AV graft, the doctor or nurse will put 2 needles into your arm, in your access. If you have a central venous catheter, he or she will connect the catheter tube to tubes from the dialysis machine.
During hemodialysis, blood leaves your body through the access. The blood travels through and is filtered by the dialysis machine. Then the blood returns to your body.
People can have problems with their access. An access can get infected, get blocked, or stop working.
People can also have problems during dialysis treatments. These can include:
Let your doctor or nurse know if you have any problems. Many of them can be treated.
Yes. If you get dialysis on a regular basis, you will need to:
Probably. If you do home dialysis, you might be able to take your machine with you. If you get dialysis in a center, you will need to find a dialysis center in the place that you want to visit.
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