The advantages and disadvantages of hemodialysis

Hemodialysis has the following advantages:
① to carry out a long time, a wide range of the vast majority of the country above the county level medical units were carried out; ② small molecule toxins for removal of moisture and good results, combined with other treatment modalities hemoperfusion can be cleared, the macromolecular toxins and metabolic waste; ③ fixed time every week to the hospital for treatment, other times life is not affected by the medical staff on behalf of operation, without the presence of home dialysis supplies.
Hemodialysis has the following drawbacks: 
① currently in the country can only be implemented by professionals to the hospital treatment, can not be treated at home, and the treatment must be 3 to 5 hours during the restricted activity; ② blood-borne infections high probability than peritoneal dialysis, bleeding tendency or activity bleeding in patients with high risk hemodialysis; ③ have a direct effect on the circulatory system, cardiovascular function on the basis of certain requirements; ④ protective effect of residual renal function poor; ⑤ control requirements than peritoneal dialysis diet high.

Hemodialysis causes anemia do?

Hemodialysis patients accumulated a large amount of blood loss, mainly dialyzer clotting, rupture, back when the blood dialyzer and pipeline flushing is not complete, blood residues more relevant. On the other hand, blood tests are also the main reason for loss of blood. Female dialysis patients ovulation disorders, menstruation and menstrual bleeding between periods, after increasing and often caused by heparin occult gastrointestinal bleeding. Does not mean hemodialysis aggravate renal anemia Instead adequate dialysis clearable Toxic increase patient appetite improve systemic nutritional status eliminate affect erythrocyte lifetime uremia environment reduce erythrocytes autolysis increase marrow red Department for erythropoietin response, improved coagulation and platelet function, inhibition of the skin, gastrointestinal tract and other parts of the bleeding. Therefore, if adequate dialysis, hemodialysis patients anemia can be improved.
Affect the efficacy of erythropoietin main factors:
1, the infection can be significantly reduced on erythropoietin response to control infection and inflammation after the resumption. Its possible through inflammatory cytokines mediated inhibition with erythropoietin;
2, chronic blood loss can lead to iron deficiency and erythropoietin response to weaken;
3, aluminum intoxication affect the performance of the bone marrow to extend the time required to achieve the target hemoglobin;
4, folic acid and vitamin B12 is necessary for hemoglobin synthesis substances, if deficiency can lead to lack of raw materials, affecting the efficacy of erythropoietin;
5, malnutrition can lead to lack of raw materials synthesis of hemoglobin, and so on.

Can I Stop Peritoneal dialysis

Peritoneal dialysis is a dialysis . Patients with renal failure is also frequently used method , however, if there will be a lot of frequent side effects of dialysis , peritoneal dialysis , after consulting some patients can stop it ? For this problem , we asked the experts to give us a detailed description under the bar .

Peritoneal dialysis can stop it ? Jingdong American Hospital experts said , peritoneal dialysis is comparable primitive dialysis methods, but there are many improvements in recent years , is still in the blood purification disciplines for a place . Peritoneal dialysis over hemodialysis concerned has its own advantages . That is peritoneal dialysis at home can stop , do not need to go to the hospital , at a cost of less than hemodialysis . Meticulous detail below talk about common method of peritoneal dialysis :

1 continuous ambulatory peritoneal dialysis (CAPD): refers to the last saved dialysis fluid in the abdominal cavity , the daily change 3-5 times daily 1 to 2 liters poured into the peritoneal dialysis , the patient can be out of bed , so most patients are able to tolerate , and even able to participate in normal activities or work .

2 Intermittent peritoneal dialysis : That is the first use of peritoneal dialysis as a method used manually, or automatically with a loop machine reverse osmosis peritoneal dialysis machine, mainly conform to bedridden, mobility or need home care patients.

( 1) The manual method : each dialysis solution 2 liters daily exchange 8 to 10 times, each time for 1 hour, i.e. into the liquid for 30 minutes, kept for 10 minutes and the liquid for 10 minutes every 4 to 5 days of dialysis , rest 2, 2009, in the day to stop dialysis , features without leaving the abdominal cavity during dialysis dialysate .

( 2 ) application of peritoneal dialysis machine approach : liquid volume 40 liters per week , 30 minutes a second exchange of dialysis fluid into the liquid for 5 minutes, stay for 15 minutes, the liquid for 10 minutes, dialysis 10 hours a day , can be used with a good dialysate , the machine can also be used to reverse osmosis concentrated solution of 30% sugar diluted to 1.5% dialysate .

3 continuous cyclic peritoneal dialysis : a peritoneal dialysis machine is stopped by means of a method . Daylight saving peritoneal dialysis , dialysis machine at night before going to bed with 4 to 5 times of convergence stop dialysis , the morning will be the last bag of dialysate stay in the abdominal cavity, can work as usual .

Peritoneal dialysis is easy to attack water and electrolyte imbalance and acid-base imbalance , hypotension, pulmonary infection and abdominal effusion, cardiovascular complications , abdominal complications , disequilibrium syndrome , and chronic complications of peritoneal dialysis and other adverse reactions , Therefore stage renal failure , thyrotoxicosis peritoneal dialysis patients should be carefully chosen .