Starting Dialysis

The decision to start dialysis is made by a nephrologist by evaluating blood values that show kidney function, fluid load and the patient’s symptoms together. The decision is based on the patient’s overall condition, not on a single value.

There are two main types: hemodialysis, in which blood is cleaned by a machine and a filter, and peritoneal dialysis, in which the lining of the abdomen is used as the filter. Hemodialysis can be performed at a center or, for suitable patients, at home.

Blood counts, kidney function tests, electrolyte levels and screening for infections such as hepatitis are usually performed. Your physician will decide which tests are needed.

The first sessions are usually kept shorter so that your body can get used to the treatment. Our team explains the process step by step, answers your questions and monitors you closely throughout the session.

Because a fistula takes time to mature, it is recommended to prepare the vascular access in advance once the need for dialysis is foreseen. It is helpful to discuss this planning early with your nephrologist.

Starting dialysis is a big change for many people, and feeling anxious is natural. Talking to our team, asking your questions and hearing about other patients’ experiences make the adjustment easier.

Learning the fluid and nutrition rules together, planning session days and providing emotional support make a big difference. Family members can always send their questions to our team.

Many patients continue to pass urine at first, but the amount may decrease over time. It is important to follow your physician’s advice to preserve your remaining kidney function.

Yes, they may. Some doses are adjusted, some medications are moved to after the session and new ones may be added. Always take your medications according to your physician’s latest instructions.

An expert team, hygiene and water treatment standards, equipment infrastructure, convenient session times and ease of access are important criteria. Visiting the center and meeting the team will make your decision easier.

Your nephrologist assesses whether you are suitable for a transplant and, if so, refers you to transplant centers. While you wait for a transplant, your dialysis treatment continues regularly.

No. With regular treatment and healthy habits, many patients continue to work, travel and enjoy their social lives for many years. Many of our patients have been receiving treatment at our center for many years.