2014年3月3日星期一

Advantages and disadvantages of peritoneal dialysis

Advantage
You can change the operating fluid in many locations , no hospital three times a week .
Remove the water at a steady rate , blood pressure control is better.
Fewer dietary restrictions , because they can remove toxins stable for a long time .
Less likely to anemia.
For macromolecules and molecular uremic toxin removal efficiency is better.
Easier to retain residual renal function and residual urination , urination residual renal function and residual survival and quality of life for help is obvious.
Low cost ; especially when you want to maintain hemodialysis patients reduces mortality and quality of life , prolonged dialysis must be taken to increase the stability of dialysis , dialysis and night in order to increase the freedom of the hospital , which will significantly increase the cost of dialysis .
Shortcoming
Because dialysis fluid containing glucose, glucose and lipid control and therefore poor, and renal failure in patients with late many diabetics ; Aiduonier can be used to improve the dialysate glucose and lipid control , but still not fully resolved.
Protein loss , poor appetite for the patient is the problem ; dialysate containing amino acids can be used to slow down .
Because there will be mixed with bacteria and viruses may dialysate fluid when changing , so the risk of peritonitis , we must use good hygiene habits to prevent hemodialysis by doctors and nurses to deal with health issues ; But recently with the development of automatic exchange of medium machine , so that the frequency of peritonitis decline .
The patient's mental , physical and residual renal function must have a certain level , otherwise you must use hemodialysis.
Peritoneal still " useful life " , then you must use hemodialysis, but you can use Aiduonier dialysate and dialysate amino acids to increase lifespan.
If dehydration is not satisfactory, needs to be replaced dialysate thicker , denser dialysate will increase the difficulty of controlling blood glucose and lipid , and will shorten the life of the peritoneum ; using Aiduonier dialysis fluid can be used in exchange for fewer peritoneal injury same dewatering capacity .
So overall, young and fit patients without diabetes before using peritoneal dialysis, hemodialysis until the residual renal function is poor too ; rather old and most of the patients suffering from diabetes must use at the beginning hemodialysis .

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