Dialysis should choose hemodialysis or peritoneal dialysis?

Dialysis is a lot of patients with renal failure to a certain stage of life to maintain the necessary treatment, although the kidney can not cure the disease, but can maintain patient life. But also a late stage of renal failure patients with a first aid and alternative treatment measures.Kidney is a popular method of dialysis. Dialysis includes hemodialysis, peritoneal dialysis. Doctors usually give two options for hemodialysis and peritoneal dialysis. Both methods have advantages and disadvantages. In the end choose hemodialysis, or peritoneal dialysis patients difficult to choose. Here we provide some information hope to give you some reference, hope to be useful to you.
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Usually hemodialysis 3 to 4 weeks before hemodialysis, patients should first do arteriovenous fistula (position in the forearm), to form a blood flow channel, easy to puncture. Hemodialysis treatment generally do 3 times a week, each 4 to 6 hours. At the beginning of hemodialysis 4 to 8 weeks, uremia symptoms gradually improved; if long-term adherence to a reasonable dialysis, many patients can survive 15 to 20 years. But the dialysis treatment intermittently remove the solute of the way the blood volume, solute concentration fluctuations, do not meet the physiological state, and even produce some adverse reactions. Data show that: according to the need to increase the frequency of dialysis (such as daily dialysis), and the total time of the same weekly dialysis, dialysis more fully, more in line with physiological characteristics.
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Peritoneal dialysis continuous ambulatory peritoneal dialysis (CAPD) equipment is simple, easy to operate, safe and effective, can be operated in the patient's own home. Daily dialysate into the abdominal cavity, and exchange 4 times (6 hours), each about 2L. CAPD is continuous dialysis, uremic toxins continue to be cleared, blood volume will not be significantly fluctuated, so patients feel more comfortable. CAPD in the preservation of residual 'renal function is better than hemodialysis, the cost is also lower than hemodialysis. CAPDThe device and the operation have been greatly improved in recent years, for example using Y-type or. Type of pipeline, peritonitis and other complications have been greatlycut back. CAPD is particularly suitable for the elderly, cardiovascular dysfunction, diabetes, pediatric patients or do arteriovenous fistula are difficult.

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First of all, these two dialysis methods have their own advantages and disadvantages, or according to the patient's own conditions to choose.1, from the economic point of view. The difference between the two hemodialysis is generally one week 3 times, about 80USD, one month count down about 726USD ~ 968USD. And peritoneal dialysis is 4 times a day (also 3 times), peritoneal dialysis about 6.5 ~ 8USD bag, count down one month have more than 806USD, each country is not the same government has different degrees of insurance.
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2, personal and family circumstances. Hemodialysis needs to go to the hospital, and one week to three times. Peritoneal dialysis can be carried out at home, but the living environment of the health requirements are higher, because at home dialysis is the most afraid of infection. If there is a hospital near the home, and the patient's own action is good, free time every week, may consider hemodialysis. If it is inconvenient to the elderly, in the absence of family members to accompany the situation as much as possible in the family line peritoneal dialysis, and the need for someone to help the elderly for peritoneal dialysis operation, because the patient alone can not be completed.
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3, from the patient's own point of view. If the patient has serious heart and brain complications, such as significant cardiac enlargement with heart failure or cerebral hemorrhage, or severe arrhythmia, patients with severe mental disorders are not recommended to choose hemodialysis. Peritoneal dialysis is suitable for patients with unstable cardiovascular function, and the peritoneal interference of the immune system is relatively small, less blood loss, less chance of developing blood-borne infectious diseases, the protection of residual renal function is also worried about hemodialysis.
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4, the shortcomings of the two methods. Hemodialysis: hemodialysis patients most likely to complicated by cardiovascular disease, such as hypotension, heart failure (currently rare), high blood pressure, cerebral hemorrhage, etc., for the elderly with severe cardiovascular disease can lead to death. There are other bleeding, due to dialysis commonly used to heparin and other anticoagulants. Air embolism and so on.

Abdominal penetration: the most common is complicated by peritonitis, not only affect the efficacy of dialysis also improve mortality. Due to peritoneal protein loss of patients, older patients often malnutrition, the other there are reactive hypoglycemia, dehydration, pulmonary edema and so on.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.