Home Hemodialysis

Hemodialysis

What is Hemodialysis?

Hemodialysis is a life-saving treatment that replaces kidney function in patients with chronic kidney disease (CKD). It works by filtering waste products, excess fluids, and toxins from the blood using a machine known as a dialyzer or artificial kidney. This treatment helps maintain the balance of fluids, electrolytes, and acid-base levels in the body.

Who Needs Hemodialysis?

Hemodialysis is commonly prescribed for individuals with end-stage kidney disease—when kidneys can no longer function effectively. The most common causes include:

Diabetes
Hypertension
Glomerular disease
Congenital or hereditary kidney conditions

Without proper treatment, waste and fluid build-up can lead to severe complications such as fatigue, shortness of breath, swelling, and heart strain.

How Does Hemodialysis Work?

Procedure: Blood is drawn from the patient’s body, filtered through the dialyzer, and returned.
Frequency: Typically three sessions per week, each lasting 3–5 hours.
Mechanism: The dialyzer uses diffusion, osmosis, and ultrafiltration to cleanse the blood.
Note: While hemodialysis replaces filtration, it does not replace the hormonal functions of the kidneys.

Nutritional Considerations

Patients undergoing hemodialysis must adhere to a tailored renal diet to reduce waste buildup and maintain overall health. Our renal dietitians will help you manage:

Sodium & Fluid Intake: To prevent swelling and high blood pressure.
Potassium & Phosphorus Levels: To avoid heart rhythm issues and bone problems.
Protein Consumption: Balanced to support healing without excessive urea buildup.
Calories & Vitamins: Optimized based on body weight, activity, and kidney function.

Anemia and Kidney Disease

Anemia is a common condition in CKD patients due to reduced erythropoietin (a hormone produced by healthy kidneys). If not treated, anemia can cause:

Persistent fatigue
Shortness of breath
Dizziness
Chest discomfort

Treatments may include iron supplements, ESA (erythropoiesis-stimulating agents), HIF stabilizers, or blood transfusions as needed.

Our Services

Vascular Access Creation

To perform hemodialysis effectively, strong and reliable blood vessel access is essential. At Bali International Hospital, we offer:

Arteriovenous Fistula (AVF): The preferred method. A direct connection between an artery and a vein. Typically ready for use in 6–12 weeks.
Arteriovenous Graft (AVG): Uses synthetic tubing to connect an artery and a vein. Ready for use in 2–3 weeks.
Central Venous Catheter: Temporary access placed in a large vein in the neck or chest for immediate dialysis initiation.

All procedures are performed by our experienced vascular surgeons in a safe and comfortable setting.

AV Shunt Surgery and Maintenance

Our vascular surgery team offers AV shunt creation as a same-day procedure under local anesthesia. Postoperative monitoring, wound care, and follow-up appointments are included to ensure proper healing and function. We also provide ongoing AV shunt care instructions and check-ups to avoid complications such as infection or clotting.

Renal Diet & Nutrition Support

Our licensed renal dietitians provide:

Personalized meal plans based on lab results and treatment goals
Education on low-sodium, low-potassium, and low-phosphorus foods
Support for patients with diabetes and other special dietary needs
Counseling to reduce symptoms like fatigue and nausea

Laboratory & Monitoring

We regularly monitor your health indicators to ensure safe and effective treatment:

Hemoglobin & iron levels
Electrolyte and urea levels
Blood pressure and fluid status
Treatment response to ESA or HIF therapies

Exercise and Lifestyle Guidance

Maintaining physical activity can enhance your energy and overall well-being. Our team will guide you through:

Low-impact aerobic exercises (walking, swimming, cycling)
Gentle strength training
Safe movement techniques for patients with AV shunts
Activity planning on non-dialysis days

Personalized Dialysis Care

Our multidisciplinary dialysis team at Bali International Hospital includes:

Nephrologists
Vascular Surgeons
Renal Nurses
Dietitians
Pharmacists and Case Managers

Facilities & Comfort

Our dialysis unit is designed to provide comfort and privacy:

Semi-private rooms with garden view
Bed or dialysis chair
Drawer for personal belongings
Sofa/chair for accompanying family member
42” Smart TV with TV channels, Netflix, and internet access
Bluetooth headphones (with cover)
Eye cover for relaxation
Meals and snacks (1× per session)
Mineral water

Doctors

Dr. Nyoman Paramita Ayu

Internal Medicine - Consultant in Nephrology

View Profile

We provide comprehensive Dialysis Services designed to ensure your treatment is both safe and comfortable. From standard Hemodialysis (HD) to advanced options such as Expanded Hemodialysis (HDX) and Hemodiafiltration (HDF), our packages are tailored to meet individual patient needs.

Choose from morning, afternoon, or sunset sessions with access to modern facilities, professional medical care, and added comfort for you and your loved ones.

Explore our Hemodialysis Package