2014年1月3日星期五
Advantages and disadvantages of peritoneal dialysis
Advantage
1 . Impact on cardiovascular and blood pressure low. Peritoneal dialysis because of kidney dialysis is continuous and gentle manner , without causing significant changes in the dynamics of human blood .
2 degrees less severe anemia . Peritoneal dialysis is the body's way of dialysis , hemodialysis , unlike the occasional loss of blood, and therefore a lesser degree of anemia.
3 . Residual renal function can be maintained longer . Research shows that maintaining residual renal function , renal Friends of the long-term prognosis is very important. The dialysis peritoneal dialysis is mild , the smaller of the remaining kidney damage.
4 high autonomy. Renal dialysis time and daily schedule , to be deployed , unlike hemodialysis dialysis sessions often constrained by the hospital .
Shortcoming
1 peritoneal dialysis must be familiar with the technology . Renal I shall be paying attention, hands free , otherwise it can not be qualified to work on their own dialysis . If the family member is responsible for peritoneal dialysis, shall never complained for a long time , manpower heavy burden .
2 peritonitis danger. If the medium was changed aseptic technique is not complete, there is the chance of infection peritonitis.
3 high blood sugar and high blood fat disorders . Traditional matrix peritoneal dialysis glucose syrup , used for many years , there is a risk caused by high blood sugar and high blood fat disorders .
4 more protein loss . Peritoneum through the loss of body protein , significantly higher than hemodialysis as much.
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The latest developments peritoneal dialysis
Although peritoneal dialysis is less familiar people dialysis way , but in recent years , peritoneal dialysis for several traditional bottlenecks in fact the medical profession has been a considerable progress. Since peritoneal dialysis does not require the use of an artificial kidney , so it 's innovation mainly from the advent of a new generation of peritoneal dialysis solution .
Peritoneal dialysis solution containing amino acids
One major disadvantage of peritoneal dialysis is that the body will be through the peritoneal protein loss , resulting in the phenomenon of some Renal malnutrition. The recent advent of syrup containing amino acids , amino acid absorption through the peritoneum , the literature has been shown to reduce the loss of protein.
Starch polysaccharides peritoneal dialysis solution
Focus on the traditional shortcomings of glucose peritoneal dialysis solution to starch polysaccharides (ICODEXTRIN) replace glucose as a peritoneal dialysis solution matrix . Such medicine is an isotonic solution , the proportion absorbed by the body is minimal. Studies have shown that it can reduce the excessive absorption of glucose in the body , slowing the adverse effects of glucose on peritoneal and improved dewatering peritoneal function .
Bicarbonate -containing peritoneal dialysis solution neutral
Conventional peritoneal dialysis solution for long-term preservation , mainly lactate to modulation. After lactate retroperitoneal absorbed in the body into an alkaline bicarbonate to neutralize the acid produced by the body 's natural metabolism . But lactate itself is acidic substances, long-term exposure can cause damage to the peritoneum . Due to advances in manufacturing technology , the peritoneal dialysis solution of neutral pH value of 7.4 has come out, it also contains bicarbonate and lactate , and human peritoneal optimum biocompatibility .
Automated Peritoneal Dialysis
With an " automatic peritoneal dialysis machine," the patient can sleep or rest, automatically performs dressing water work. Some patients can be fully automated peritoneal dialysis at night , to reduce or even completely replace the water in the daytime dressing work , it will not affect your daily routine during the day . The newly developed automated peritoneal dialysis machine , the trend is more compact and more humane direction . Even with the hospital network has developed into an online model , physicians can monitor the dialysis patient's condition on the network , directly adjust prescriptions, do not need to wait to adjust back to the clinic when .
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