Section F

Living with CKD: Treatment & Dialysis

Dialysis modalities, kidney transplantation, daily living, and evidence-based sources.

What Is Dialysis?

When the kidneys can no longer remove enough waste and excess fluid, dialysis can replace part of their filtering work.

Dialysis is not a cure for CKD, but it helps people with kidney failure manage dangerous waste and fluid buildup in their bodies. Treatment choices depend on the patient's medical needs, personal preferences, and access to care.

How Hemodialysis Works

During hemodialysis, blood passes through a special artificial filter called a dialyzer. Waste and extra fluid are removed, and the cleansed blood returns to the body.

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1. Blood from Body
Unfiltered blood carrying toxins and excess fluid travels to machine
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2. Dialysis Machine
Pumps blood safely and monitors pressure & flow rates
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3. Dialyzer Filter
Semi-permeable membrane removes urea, creatinine & fluids
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4. Filtered Blood Returns
Purified blood is safely returned back into the patient's circulation
Treatment Schedule

Dialysis Takes Time & Commitment

~4 Hours Per Session
×
3 Times Per Week

For many people receiving conventional hemodialysis at a dialysis center, treatment requires roughly 12+ hours per week at the clinic. The exact schedule varies according to patient needs and dialysis modality.

Dialysis can significantly affect work, school, family life, travel, and everyday activities. This is why preventing CKD and detecting it early are so crucial.
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Peritoneal Dialysis

Peritoneal dialysis uses the lining of the abdomen (peritoneum) as a natural filter.

A special sterile dialysis fluid enters the abdomen through a soft catheter, absorbs waste and extra fluid, and is drained out after several hours. Some forms can be performed at home or overnight while sleeping after appropriate training.

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Kidney Transplantation

For eligible patients with kidney failure, transplantation offers another vital treatment option.

A healthy donor kidney (from a living or deceased donor) is surgically placed into the recipient. Patients who receive a kidney transplant require lifelong follow-up care and immunosuppressive medicines to prevent organ rejection.

Living Well with CKD

Many people with CKD continue to study, work, spend quality time with family, and enjoy hobbies.

The right treatment and social support help patients manage symptoms and plan their daily lives effectively. If dialysis is needed, your healthcare team will guide you in choosing treatment options, understanding schedules, and making practical lifestyle adjustments.

📚 References & Scientific Sources

  • KDIGO (2024): CKD Evaluation and Management, Kidney International 105 (Suppl 4S), S117–S314. kdigo.org
  • Philippine Renal Disease Registry / DOH: Renal registry reports & dialysis counts, 2023–2025.
  • Global Burden of Disease 2023 CKD Analysis: The Lancet (published 2025). Lancet ScienceDirect
  • Philippine News Agency: Government health reports on Philippine CKD estimates & dialysis stats. pna.gov.ph
  • PhilHealth Circular 2024-0023: Historical 2021 leading causes of mortality in the Philippines. psa.gov.ph
  • Freedom of Information Philippines (2024): PSA National Demographic & Health Survey CKD data. foi.gov.ph