2015年12月22日星期二

Peritoneal dialysis do you know?

Do you know peritoneal dialysis? Dialysis therapy is to make components in body fluids discharged in vitro treatments through a semipermeable membrane, and can be divided into two kinds of hemodialysis and peritoneal dialysis.

Peritoneal dialysis is the use of the peritoneum as a semi-permeable membrane, the use of gravity the prepared dialysate through the catheter poured into the patient's peritoneal cavity, so that the solute concentration gradient difference, the high concentration side to the low solute concentrations on both sides of the peritoneum side movement (dispersion effect); water from the hypotonic (infiltration) hypertonic side to side movement. Constantly replaced by peritoneal dialysis solution in order to achieve clear metabolites, toxic substances and to correct water and electrolyte balance disorders purposes.

Usually there are friends of patients on peritoneal dialysis errors, so it is easy to affect the patient's treatment, so below, please answer the experts to find out more.

Misunderstanding: I can not think long-term peritoneal dialysis

Many peritoneal dialysis patients in the hemodialysis failure, the case of poor general condition of last resort before choosing peritoneal dialysis, even in the situation improved after the turn hemodialysis. In fact, peritoneal dialysis can also be long-term survival of patients can be more than three years, even more than a decade.

Myth: I think peritoneal dialysis affect kidney transplant

Many patients and friends think peritoneal dialysis and kidney transplantation in the abdominal cavity with peritoneal dialysis will affect the future choose a kidney transplant. Studies have shown that kidney transplant before peritoneal dialysis treatment has many benefits: Independent peritoneal dialysis procedure, compared with hemodialysis hepatitis infection rate, while light degree of anemia, a blood transfusion hepatitis virus to avoid the chances of infection, help kidney transplant After the anti-rejection drug use; peritoneal dialysis treatment itself or to the protection of remnant kidney transplant so that the new kidney function recovery time; placed in the peritoneum kidney transplant, so the renal transplant waiting for restoration work or graft failure may be the case peritoneal dialysis.

Myth: unwilling to peritoneal dialysis

Hemodialysis is the most uremic patients generally depend on treatment survival, only when the patient due to the fistula, severe anemia and other reasons can not row hemodialysis, peritoneal dialysis will consider. So many people mistakenly believe is the second choice in peritoneal dialysis patients. In fact, in addition to a small portion of patients have peritoneal dialysis or hemodialysis contraindications, most patients can be combined with professional doctors, their choice for their own dialysis. Actively involved in the choice of treatment in favor of the establishment of patient confidence and compliance to treatment, improve survival and quality of life.

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