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'Hemodialysis' Treatment of Chronic Kidney Disease

November 06 / 2026

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Chronic kidney disease occurs when the kidneys gradually lose their function. In the final stage of kidney disease, the accumulation of minerals and waste products in the body reaches dangerously high levels, potentially leading to life-threatening conditions.

Risk Factors for Chronic Kidney Disease

Diabetes
Hypertension
Urinary tract stones
Autoimmune diseases
Smoking
Genetic predisposition
Prolonged use of pain relievers or herbal medications

Symptoms of Chronic Kidney Failure

In the early stages, chronic kidney disease typically shows no warning signs. Symptoms only become evident in severe stages, including:

Blood in the urine or bloody urine
Frequent nighttime urination
Swelling in the face and feet
Fatigue and easy exhaustion
Pale skin and easy bruising
Loss of appetite, nausea, and vomiting

Kidney Dialysis as Renal Replacement Therapy

Kidney dialysis is a form of renal replacement therapy that removes waste, excess minerals, and water from the blood, substituting for the failing kidneys. There are two main methods:

1. Hemodialysis

This involves removing blood from the body through blood vessels and passing it through a dialysis machine that filters waste, minerals, and excess water. The filtered blood is then returned to the body. Typically, this procedure is performed 2–3 times per week.

2. Peritoneal Dialysis

This method involves introducing dialysis fluid into the abdominal cavity. The peritoneal membrane serves as a filter to remove waste and excess water, which are then drained along with the dialysis fluid after a set time.

How the Dialysis Machine Works

The dialysis machine functions by removing water and waste products from the blood. Before the procedure, a vascular access site is surgically prepared to allow blood to be drawn and returned through the dialysis machine. Blood is extracted from the patient via a vein, processed in the machine, and returned to the body.

Who is Hemodialysis Suitable For?

Patients with an estimated glomerular filtration rate (eGFR) ≤ 6 ml/min/1.73 m².
Patients with complications from chronic kidney disease that do not respond to medication, such as fluid overload, pulmonary edema, acidosis, or severe electrolyte imbalances.
Patients with chronic kidney disease who are unsuitable for peritoneal dialysis, such as those with a history of abdominal surgery, hernia, or obesity.

Post-Treatment Recommendations

Avoid using the arm that underwent surgery.
Refrain from lying on or bending the arm near the surgical site.
Do not wear accessories that may compress the veins on the surgical side, such as watches or wristbands.
Avoid consuming foods and fruits high in sugar or fat.
Attend all scheduled follow-up appointments with your doctor.

Kidney transplantation remains a viable long-term treatment option. This involves surgically transferring a healthy kidney from a donor to the patient. The recipient must take immunosuppressive medications consistently to prevent organ rejection.

For more information please contact:
Hemodialysis Department, 5th Floor, RAM2 Hospital
Email: information@ram2-hosp.com
Line Official: @ram2
Tel: 02-032-3888 ext 10510, 10511