Renal Failure divides into chronic and acute. Patients with renal failure often suffer from Hypertension, Anemia, water and electrolyte imbalance. How to treat renal failure? How to choose Hemodialysis and Peritoneal Dialysis?
If unfortunately develops to renal failure, patients need dialysis therapy to maintain life. Hemodialysis is a treatment that uses semipermeable membranes to remove metabolic waste and excess water from the blood and maintain acid-base balance.
Generally speaking, when the serum creatinine concentration exceeds 700, or the glomerular filtration rate is below 15 ml/min/1.73 m2, it is necessary to be ready for dialysis whenever there is excessive water load (such as symptoms of edema or abdominal distention), severe malnutrition, hyperkalemia, hyperphosphatemia, which is difficult to be corrected by drugs, etc.
At present, dialysis treatment mainly includes hemodialysis (hemodialysis) and peritoneal dialysis (peritoneal dialysis) two ways. Hemodialysis is to draw blood from the body outside, through the dialysis machine to remove toxins and excess water from the blood, and then the blood after washing back to the body, so that the body's water and blood balance. Peritoneal dialysis is to implant a tube for peritoneal dialysis in the abdominal cavity, the peritoneal dialysis fluid into the abdominal cavity, so that peritoneal dialysis fluid and the body's fluid exchange, precipitation of excess water in the body, the exchange of toxins in the body.
Hemodialysis and peritoneal dialysis have their own merits and demerits and contraindications. Hemodialysis is easier to achieve adequacy, but the cardiovascular requirements are high, dialysis time is relatively fixed, must be on time to the hospital for dialysis. But the contraindication of peritoneal dialysis is less, not limited by time, can be operated at home, but easy to cause peritonitis because of poor sanitary conditions or improper operation. Patients how to choose, according to their own conditions, physical conditions, contraindications and local doctor's experience and other comprehensive considerations, to listen to the opinions of professional doctors, in order to achieve the best therapeutic effect.
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