Is hemodialysis better or peritoneal??? Is it better to have abdominal dialysis or hemodialysis?

Hemodialysis and peritoneal dialysis have their own advantages and disadvantages.

1. Advantages of peritoneal dialysis: peritoneal dialysis can better protect the residual kidney function, low degree of anemia, small cardiovascular impact on patients, relatively free diet, high quality of life, no dependence on hospitals, less pain and will not cause exogenous infection, especially for patients who intend to transplant kidneys, the transplant survival rate and postoperative recovery are better.

Disadvantages of peritoneal dialysis: the daily bag of fluid change is more cumbersome, the home environment and the hygiene requirements during the fluid change are higher, and we should also pay attention to dietary hygiene, otherwise we are prone to peritonitis, and diabetic patients are prone to tunnel inflammation after catheter surgery. and peritoneum involvement.

2. Advantages of hemodialysis: Dialysis is more thorough, dialysis for several hours at a time, and you can no longer go to the hospital for a few days in the future, and you have ample disposable time.

Disadvantages of hemodialysis: the damage to the residual kidney function is greater, often after a few months of dialysis, there is no urine completely, the damage to the cardiovascular system is greater, and it is easy to cause exogenous infection, such as hepatitis and other infectious diseases.

In general, the choice of dialysis method depends on their own situation, young patients with a certain amount of urine, doctors will generally recommend peritoneal dialysis, some patients have been dialyzed for several years and still have urine, and hemodialysis patients have just been on dialysis for three months and have no urine drops. If you are an older patient or have severe diabetes, your doctor will generally recommend hemodialysis.

The above is what I heard from patients and attending doctors before I did dialysis, and what I described is one or two of them.

Hemodialysis and peritoneal dialysis have their own advantages and disadvantages.

Then depending on your situation, which one does the doctor recommend you use, or listen to the doctor's advice.

Is hemodialysis better or abdominal dialysis", how to do it, it depends on which angle it is better to stand on.

For uremia, hemodialysis is better to choose, which is the main means of uremia. Hemodialysis can effectively remove toxins from the body, and the detoxification ability is relatively better. It is recommended that you go to the nephrology department of a regular hospital for detailed consultation. **During the period, rest more, and avoid spicy food.

Hemodialysis is generally very good, and you can choose a regular tertiary hospital for examination, and then carry out **. Generally, it is the main means of uremia, which can be carried out by hemodialysis, and during this time, you must observe your own situation, if there is any change in your condition, you must communicate with the doctor in a timely manner, and go to the hospital regularly for a review.

Peritoneal dialysis and hemodialysis are both commonly used alternatives for patients with renal failure**, and the choice of the two needs to be determined in combination with the patient's own disease status and indications. Peritoneal dialysis is performed through continuous replacement of peritoneal dialysate to remove metabolites and toxic substances from the body and correct water and electrolyte balance disorders. Hemodialysis, clinically means that some waste products in the blood are removed through a semi-permeable membrane.

It is better to have hemodialysis, hemodialysis is to filter the blood of the body, and the water is also filtered out, and the person is more comfortable.

This depends on your own conditions and doctors' recommendations, my 80-year-old man has been on dialysis for 4 months, the effect is super good, and I feel that everything is back to normal!

Each has its own advantages and disadvantages, but it is better not to dialysis, many doctors do not prescribe good medicines, as soon as they come, let them do dialysis, in fact, there are good medicines to eat, and the creatinine can be stabilized and stable You can temporarily not dialysis, like urine toxin decrescent dispersion, kidney Ning San capsules, Haikun kidney Xi capsules, can lower creatinine, and will not be like urine clear granules.

Peritoneal dialysis and hemodialysis have their advantages. Hemodialysis is beneficial to the short-term disease**, and peritoneal dialysis has little impact on the heart, so it is recommended that patients choose according to their own conditions.

1. Is peritoneal dialysis or hemodialysis better?

1. Hemodialysis and peritoneal dialysis are both methods of kidney replacement, each with its own advantages. If hemodialysis is performed, toxins and water can be excreted from the body in a short period of time, which is beneficial for the short-term disease**.

2. If peritoneal dialysis is performed, it will have little impact on the heart and can be a good substitute for heart patients. There may be a short-term difference between hemodialysis and peritoneal dialysis, but there is no difference in 5-year survival. For hemodialysis and peritoneal dialysis, the choice needs to be made according to the patient's wishes and the patient's actual situation.

3. If the patient has severe heart failure, it is not suitable for hemodialysis; However, if the patient has diabetes and poor kidney function, peritoneal dialysis is not a candidate.

2. The difference between peritoneal dialysis and hemodialysis:

1. Dialysis efficiency: hemodialysis needs 3 times a week, each hour, and the dialysis efficiency is high. Peritoneal dialysis needs to be performed daily, 4 times a day, and is relatively inefficient in order to help the body remove excess water and metabolic waste.

2. Privacy protection: hemodialysis needs to be carried out in the hospital, which is not conducive to protecting the privacy of patients, while peritoneal dialysis can be completed at home, which is conducive to protecting the privacy of patients.

3. Residual kidney function: hemodialysis is not conducive to the protection of residual kidney function, while peritoneal dialysis is more conducive to the protection of residual kidney function. Therefore, both hemodialysis and peritoneal dialysis are beneficial to maintain the stability of the internal environment, improve the quality of life, and prolong the survival time of patients, but there are certain differences between the two.

In summary, peritoneal dialysis and hemodialysis have their own advantages, for example, peritoneal dialysis is more conducive to the preservation of residual kidney function, while hemodialysis is more efficient. Patients can choose according to their own conditions under the guidance of a doctor.

Hemodialysis should be chosen, so as to ensure the best effect of the disease, and also to alleviate the symptoms of the disease, and it is necessary to choose an effective method.

For chronic renal failure, hemodialysis should be chosen, because the effect of hemodialysis will be better and can prolong life.

These two methods have their own advantages and disadvantages, according to the specific situation of the patient, peritoneal dialysis has little impact on cardiovascular and cerebrovascular diseases, but poor water removal ability, hemodialysis has a large impact on hemodynamics, but good water removal ability.

Peritoneal dialysis is also very good, as long as the transportation is convenient, the dialysate can be transported home, now the peritoneal dialysis is becoming more and more mature, the probability of contracting peritonitis is getting smaller and smaller, as long as the relevant work is done, I think the complications of peritoneal dialysis are still lighter than hemodialysis, my dad did hemodialysis for a month and a half at the beginning, and then after abdominal catheterization, he began peritoneal dialysis for a month and a half. Have time to communicate more, mine.

First of all, these two dialysis methods have their own advantages and disadvantages, and it is still necessary to choose according to the patient's own conditions.

1. Consider from the economic aspect. There is not much difference between the two (we here, Hunan don't know much, sorry) hemodialysis is generally 3 times a week, about 500 yuan at a time, and about 4500 6000 a month. Peritoneal dialysis is 4 times a day (some people have 3 times), and the peritoneal dialysis is about 40 50 per bag, which is more than 5,000 a month.

2. Personal and family situation. Haemodialysis is done in the hospital 3 times a week. Peritoneal dialysis can be performed at home, but it requires a high degree of hygiene in the living environment, because the most feared thing about dialysis at home is infection.

If there is a hospital near the home, and the patient is doing well on their own and has free time each week, hemodialysis may be recommended. If it is an elderly person with limited mobility, try to choose peritoneal dialysis at home without family membership, and someone at home needs to help the elderly carry out peritoneal dialysis operation, because it cannot be completed by the patient alone. (And the elderly cannot guarantee the hygiene of the operation).

3. Consider from the patient's own point of view. Hemodialysis is not recommended for patients with severe cardiocerebral complications, such as significant heart enlargement with hypocardiac function or cerebral hemorrhage, or severe arrhythmias. Peritoneal dialysis is suitable for patients with unstable cardiovascular function, and peritoneal dialysis has relatively little interference with the immune system, less blood loss, less chance of developing bloodborne infectious diseases, and the protection of residual renal function is also worrying about hemodialysis.

4. Disadvantages of the two methods. Hemodialysis: Hemodialysis patients are most likely to be complicated by cardiovascular diseases, such as hypotension, heart failure (currently rare), hypertension, cerebral hemorrhage, etc., and severe cardiovascular diseases can lead to death in the elderly.

Bleeding is also due to the use of anticoagulants such as heparin in dialysis. air embolism, etc.

Peritoneal dialysis: the most common is peritonitis, which not only affects the efficacy of dialysis but also increases the mortality rate. Due to the large loss of protein in patients with peritoneal dialysis, malnutrition often occurs in elderly patients, and other symptoms include reactive hypoglycemia, dehydration, pulmonary edema, etc.

That's the general situation, I hope it helps. You can go to the local hospital to find a specialist and consult the local situation, because there will be some differences in the selection of different places.