Peritoneal Dialysis VS Hemodialysis | Dr Rajesh Goel M.B.B.S., DNB (Medicine), DNB (Nephrology), Fellow (Kidney Transplant Medicine) Consultant Nephrology & Kidney Transplant kidney doctor in Delhi is one of the best Nephrologists with 18+ years of experience.
Peritoneal Dialysis VS Hemodialysis
Types of dialysis
2 Options
1.) Hemodialysis
2.) Peritoneal dialysis
Introduction
Problems and advantages
What are differences
• Peritoneal membrane removes toxins and excess water from the body
• It works continuously 24 hours x 7 days
• Can do at home, at the workplace, or during traveling.
Advantages of Peritoneal Dialysis
• Natural filter
• More time for yourself
• Less restricted diet
• PD controls high potassium and excess water
Problems of Peritoneal Dialysis
• Peritoneal membrane infection (CAPD Peritonitis) Turbid PD effluent
• Need support for doing Peritoneal Dialysis exchanges
• Permanent catheter in the abdomen
• Abdomen fullness causing breathlessness
• Significant protein loss in Peritoneal Dialysis
• Vegetarians patients find difficulty in completing protein loss
Advantages of Hemodialysis
• Very useful in emergency cases
• Better clearance in hemodialysis and less chance of failure
• When the peritoneal membrane fails to remove toxins and excess water then the patient needs to shift to hemodialysis
Problems in Hemodialysis
• Need to come to hospital or hemodialysis center
• blood-related infections
• Severe heart disease
• Needs vascular access
• In some patients difficult to make vascular access
• Artificial filter
• No nearby center
• Hospital-acquired infections
Which one to choose?
Both are different, but both are effective and the aim is the same
Peritoneal dialysis is more costly
Discuss with your Nephrologist
Peritoneal Dialysis is suitable -
• Difficult vascular access
• If no near by hemodialysis center
• More time
Hemodialysis -
• Needs emergency dialysis,
• When peritoneal membrane fails to do dialysis
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Dr Rajesh Goel
PSRI Hospital, Press Enclave Marg, Phase II, Sheikh Sarai, New Delhi, Delhi 110017
+919818235688
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Dr. Rajesh Goel
13B, Saket Rd, Block K, Saket, New Delhi, Delhi 110017
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Kidney Care Centre Dr Rajesh Goel
Old Faridabad, Main Market St, behind ITI, opposite Sector 18A, Faridabad, Haryana 121002
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Dr Rajesh Goel
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098182 35688
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16 сен 2024
