About 20% of patients with chronic renal failure are more likely to be on hemodialysis, 20% are more likely to have peritoneal dialysis, and the remaining 60% are either treated with peritoneal dialysis or hemodialysis , Patients can be under the guidance of a doctor, according to their own lifestyle needs to choose.
Peritoneal dialysis is the use of the human body's own peritoneal dialysis membrane as a dialysis method. Through the peritoneal dialysate and peritoneal capillary blood flow on the other side of the plasma composition of the exchange of solutes and water to remove the body's retention of metabolites and excess water, while the dialysate supplement the necessary substances. Through continuous renewal of dialysate, to achieve the purpose of kidney replacement or supportive treatment.
Peritoneal dialysis suitable patient groups: older than 65 years old patients. The original cardiovascular disease patients, such as angina, old myocardial infarction, cardiomyopathy, arrhythmia, intractable. Heart failure, low blood pressure or hard-to-control high blood pressure. Had a history of cerebrovascular disease, the condition is unstable, such as cerebral hemorrhage or cerebral infarction. Diabetic patients, especially with retinopathy or peripheral neuropathy. child. Repeated angiostomy failure. Have obvious bleeding tendency. More urine, there are still some residual renal function.
The disadvantage is dialysis every day without rest day, the operation of transplanting dialysis catheter and the need to carry for a long time, the possibility of infection, loss of protein by dialysis, amino acids, vitamins, hyperglycemia, weight gain and body shape changes, Need to store peritoneal dialysis supplies, etc., which prone to peritonitis and malnutrition, some patients with poor peritoneal dialysis may appear inadequate and loss of ultrafiltration (including ultrafiltration failure), and even can not be transdermal.
What patients are not suitable for peritoneal dialysis?
There is a serious intestinal infectious diseases; extensive abdominal skin infection, can not be placed peritoneal dialysis catheter; just accepted the abdominal surgery within 3 days, the abdomen indwelling drainage tube; severe pulmonary insufficiency; the presence of abdominal vascular disease; abdominal tumor, Large polycystic kidney disease, as well as late pregnancy, severe reduction in peritoneal volume and peritoneal area; uncoated abdominal hernia; presence of hiatal hernia; traffic in the abdominal cavity and chest; peritoneal adhesions, fibrosis; severe hypermetabolism ; Severe malnutrition; Severe hyperlipidemia; High ascites; Mental illness, and failure to cooperate.
Reminder: Specific conditions given to the specific treatment programs, and more communication with the attending physician.
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