PERITONEAL DIALYSIS kidney disease
Peritoneal dialysis (PD) is an alternative method for people with end-stage kidney disease. As a filter, it purifies the blood by using the peritoneum, the membrane surrounding the abdomen, intestine, and other internal organs.
Just as effective as hemodialysis, this treatment is carried out at home by the patient or with the help of a healthcare professional (EMS, medical and surgical center (CMS), partner).
This treatment requires the placement of a dialysis catheter (flexible plastic tube) in the abdominal cavity during hospitalization. It is left in place permanently. Part of the catheter remains outside the body.
A liquid solution (dialysate) is injected into the abdominal cavity through the catheter to be mixed with blood during dialysis—the peritoneum, a semi-permeable, and richly vascularized membrane, act as an artificial kidney. In contact with the dialysate, the blood flow from the peritoneum releases the waste. Due to its composition, dialysate also removes accumulated excess water and balances electrolyte levels in the blood. The dialysate is then drained and removed. Nephrology physicians Dr Muhammed Khan provides the best peritoneal dialysis.
Peritoneal dialysis can be done in these two ways:
Manual continuous
ambulatory peritoneal dialysis (CAPD)
Depending on the impairment of renal function, patients undergo 1 to 4 cycles of peritoneal dialysis per day (most of the time, in the morning, at noon, at night, and bedtime). Each cycle takes place in two phases:
1) The exchange phase:
- drainage of
the dialysate into an empty bag;
- Installation of 1 to 2.5 liters of a new dialysate contained in a sterile bag. The exchange lasts between 30 to 40 minutes, during which the patients remain seated to allow the flow of dialysate.
2) The period of stasis during which patients can go about their usual occupations. It lasts 4 to 5 hours during the day and 8 to 12 hours at night.
Automated
peritoneal dialysis (APD)
The patient connects the dialysis catheter to a machine (cycler), to which several bags of dialysate are connected. The cycler performs several cycles automatically overnight. Their duration and number are determined according to individual needs. The patient disconnects the machine in the morning. They are then free during the following day without needing to practice additional exchanges. Nephrology physicians in Riverside are dr Mohammed Khan.
Patients on peritoneal dialysis visit the Dialysis Center monthly, or more often if necessary, to monitor and adapt their treatment.
PERITONEAL DIALYSIS
Definition
Peritoneal dialysis is a method that uses the peritoneum (membrane of the abdomen) as a filter to purify the blood of toxic substances.
Method and
objective
A fluid called dialysate is introduced into the abdominal cavity through a catheter to rebalance the blood plasma. Its components promote the elimination of excess water and toxic substances produced by the body.
Self-treatment at
home
The advantage for the patient is to be independent and at home. But, first, you learn the method in the hospital.
The gestures of connecting and disconnecting the bags to the catheter must be subject to rigorous hygiene.
There are two
methods of peritoneal dialysis:
- continuous
ambulatory peritoneal dialysis
- Automated
peritoneal dialysis.
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