As a practitioner for many years of kidney doctors, this is my most willing to talk about the topic. Because, through the end-stage renal failure in patients with renal replacement therapy, I have let thousands of friends realized that the kind of God in the closing of our kidney after the door, while opening the three windows, that is, peritoneal dialysis, Hemodialysis and kidney transplantation. This metaphor, always let those in despair and frustration of people rekindle the hope of life. Due to the scarcity of the kidney, here we mainly talk about peritoneal dialysis and hemodialysis.
In general, when your kidney creatinine clearance rate of less than 10 ~ 15ml / min, or the emergence of nutritional deterioration, repeated heart failure, hyperkalemia, metabolic acidosis, need to accept dialysis treatment. If only from a disease point of view, about 90% of patients with two dialysis methods can be adopted, and the two methods in the treatment effect, quality of life and survival time is similar, 5-year survival rate of 50% to 60%. Only 10% of patients are only suitable for peritoneal dialysis or hemodialysis. Therefore, if you have been evaluated by a nephrologist, both patients who are available in both ways can choose according to their own habits and preferences.
Hemodialysis machine is the product of the industrial revolution, after a hundred years of technological improvements, and now it has a complex computer program control system, coupled with dialysis and dialysis lines, you can help your kidney work! Because it requires special dialysis equipment, only in the hospital by the medical staff to operate. In the treatment, your blood is drawn, through the dialysis device, remove the excess toxins and water and then be back into the body, so people vividly known as "dialysis." Obviously, you can not have been so lying on the "wash kidney". Therefore, hemodialysis have to seize the time intermittent work, usually 2-3 times a week, each lasting 4-5 hours.
The primary advantage of hemodialysis is "high efficiency", the treatment time is short, the efficiency is naturally high, especially for some capacity load is heavy, high levels of toxins, need to quickly improve the symptoms of patients in a short time. There are "trouble", there are medical staff for your operation dialysis procedures, hemodialysis you can speak, think about the problem or watch TV, as long as lying on the line; Finally, hemodialysis when many patients in a room, like dialysis salon , You can communicate with any patient on any question. We are worried that the problem is that hemodialysis "efficient" is not everyone can tolerate, if you are older, there are diabetes and cardiovascular and cerebrovascular disease, or bleeding tendency, the feeling of discomfort will be obvious. In addition, we must face a risk that hemodialysis if the disinfection is not strict, there is the possibility of transmission of blood-borne diseases.
In contrast, peritoneal dialysis is a more natural treatment. You will never think of their own abdominal surface is also covered with a thin layer of membrane, you can like the kidneys as 24 hours continue to play the function of filtering water and toxins, you almost do not feel it exists. Smart doctor for you to prepare a convenient way, that is, we commonly used peritoneal tube, put it into the abdominal cavity, connected to the external short tube, fixed in the waist, a bit like a key chain. Usually, we will be fresh peritoneal fluid poured into the abdominal cavity, a few hours later, until the blood of the toxin fully exchange out, the waste liquid and then discharged into the waste bag by the peritoneal bag. Generally need to operate 2-4 times a day, every 20 minutes. From this cycle, during which you are free to work, study and live.
The advantages of peritoneal dialysis, but also people choose abdominal catheter is an important reason: "convenient", it does not require special equipment and devices, can be completed at home, after a simple training to master the liquid. You can according to their own habits and flexible arrangements for fluid replacement time, which for office workers and those who need education, it is simply great! Secondly, "comfortable", almost no friends complained to me, change their own discomfort, abdominal filling sense is very easy to adapt. Finally, "safe", it is slow and lasting, even for the elderly, people suffering from diabetes and cardiovascular and cerebrovascular, also rarely lead to serious discomfort. Of course, you need to have a square meter around the space to store peritoneal fluid, need to avoid the operation of pollution caused by peritonitis. Some people think that trouble, but more people actually willing to manage their own. Yes, experts also remind you that peritoneal dialysis in terms of hemodialysis, the control of anemia and high blood pressure better, residual kidney function to save longer.
From the we can see, select the dialysis method, to combine your own physical condition, family environment, living habits and preferences, and kidney doctors together to make decisions.
In addition, to remind everyone that the three ways of kidney replacement therapy can be converted between each other. For example, kidney transplant failure into peritoneal dialysis or hemodialysis, peritoneal dialysis due to refractory peritonitis into hemodialysis, or hemodialysis due to arteriovenous fistula block and into hemodialysis. In the long river of your life, we do not care what boat, only care that we are in the road, and constantly create a miracle of life.
Beijing In China