What is Peritoneal Dialysis
Peritoneal dialysis (PD) has been a widely accepted method of treating end stage renal disease (ESRD) since the 1980s, and it is now the most common method of home dialysis. PD uses the thin membrane called the peritoneum, which lines the abdomen to insert a permanent PD catheter allowing access for dialysate. The dialysate absorbs waste products and toxins from blood vessels in the peritoneum for several hours and is then drained back out also removing the toxins and the waste products. New dialysate is then added into the peritoneal cavity to repeat the cleaning process, this process is called an exchange and often is performed several times daily.
Many dialysis patients in the United States go to a dialysis center, PD offers more flexibility by allowing patients to dialyze at home, at work or on vacation, and additionally lets patients decide when to perform their daily exchanges to suit their lifestyle. PD dialysis also allows patients to maintain social activities and normal work routines improving quality of life and patient success rates. Other benefits include fewer food restrictions and fewer medications when compared to Hemodialysis. PD uses no needles and is easier on the heart.Overall PD patients are not only healthier but usually live longer than patients on Hemo dialysis.
Most patients are good candidates for PD dialysis but not everyone is going to be able to perform PD. If you’ve had several abdominal surgeries or your peritoneal lining isn’t intact, it may not be possible. Be sure to discuss with your doctor past surgeries and additional health issues that may affect your capability to perform PD dialysis. Always ask questions, this is a decision you should feel good about and be properly informed about. A growing number of doctors and patients with chronic kidney disease agree that PD is a good option for dialysis treatment.
Before you consider PD dialysis here are some things you will need to know. If you require immediate dialysis a temporary hemo dialysis catheter is often installed to perform your dialysis until you are able to perform PD. You will need special training and be able to prove that you are able and willing to properly perform PD treatments. It will take some time to adjust to having the dialysate in your peritoneum and the exchange process. Directions must be followed to ensure you avoid the risks of infection called peritonitis, which could affect your ability to continue PD dialysis. Ample storage space for equipment including dialysate will be required by your PD team. If you have diabetes the amount of insulin may need to be altered because of sugar found in the dialysate causing higher blood sugar levels. All treatments must be performed as prescribed on time every day. In clinic visits will be monthly with your nephrologist and your PD team, sometimes additional visits will be required.
Before you consider PD dialysis here are some things you will need to know. If you require immediate dialysis a temporary hemo dialysis catheter is often installed to perform your dialysis until you are able to perform PD. You will need special training and be able to prove that you are able and willing to properly perform PD treatments. It will take some time to adjust to having the dialysate in your peritoneum and the exchange process. Directions must be followed to ensure you avoid the risks of infection called peritonitis, which could affect your ability to continue PD dialysis. Ample storage space for equipment including dialysate will be required by your PD team. If you have diabetes the amount of insulin may need to be altered because of sugar found in the dialysate causing higher blood sugar levels. All treatments must be performed as prescribed on time every day. In clinic visits will be monthly with your nephrologist and your PD team, sometimes additional visits will be required.
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