Peritoneal dialysis is one of important substitutive therapies for the
patients with End Stage Renal Failure. As it can be operated easily and does not
cause much convenience to the patients’ life, it is a good choice for most of
the patients, especially the following patients.
1. Diabetes
For the patients with Diabetes on peritoneal dialysis, they can directly get
insulin from dialysis fluid, which is more convenient than subcutaneous
injection of insulin. Therefore, it can alleviate the patients' pain greatly and
also benefit the control of blood sugar. For the patients on hemodialysis, they
need to build blood accesses and puncture blood vessels. However, for the
patients with Diabetes, their blood vessels usually are very sclerotic, fragile.
Therefore, frequent puncturing is bad to blood vessels and also is very likely
to lead to infection. Moreover, the patients on hemodialysis need extracorporeal
blood circulation so they need anticoagulant, which can increase the risk of
fundus hemorrhage.
2. Hypertension
Hemodialysis can cause the blood pressure to fluctuate easily thus affecting
on other organs. The patients with high blood pressure often have vascular
sclerosis, fragile vascular wall and so on, which can increase the risk greatly.
However, as peritoneal dialysis is done constantly for a long time and do not
influence on blood pressure too much. Therefore, peritoneal dialysis is safer
than hemodialysis.
3. Heart disease
Hemodialysis can cause blood pressure fluctuate greatly thus causing too much
burden to heart. In severe cases, it can cause heart failure. Peritoneal
dialysis does not need extracorporeal circulation, the heart and blood vessels
can keep stable.
4. The elderly patients
The elderly patients usually have vascular sclerosis and many are also
complicated with high blood pressure, heart disease and so on. Therefore,
peritoneal dialysis is more suitable for the elderly patients.
5. Others
If the patients still have residual renal function and want to maintain their
residual renal function, peritoneal dialysis is a better choice for them.
However, peritoneal dialysis sill has its disadvantages and may cause many
complications such as peritonitis, protein loss and weight gain and so on.
Therefore, if possible, the patients with Renal Failure should choose a better
therapy as early as possible so as to avoid dialysis. If you or your loved ones
are patient with Renal Failure and want to avoid dialysis in the later days,
please consult us on line or email to kidney-treatment@hotmail.com.
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