First of all, we need to know that both of these two methods of dialysis have
its own advantages and disadvantages. The differences are as follows:
I In terms of convenience: patients need to go to hospital or dialysis center
to take hemodialysis, the frequency should depend on patients’ specific illness
condition; peritoneal dialysis can be done in home, however, in order to prevent
the infection, the cleanness and hygiene condition will be highly required.
Therefore, if there are hospitals or dialysis center near home, and patient can
walk, we suggest hemodialysis, it will be security and clean. If the patient is
old and unable to walk，they can try to select peritoneal dialysis. But we still
recommend one of family member take care of patients for peritoneal dialysis. It
is hard to handle with hygiene problem.
II In terms of patient, if patient has serious heart and brain complications,
such as cardiacenlargement, heart function fails, cerebral hemorrhage, or severe
arrhythmia, they are all not candidates for hemodialysis. Peritoneal dialysis is
suitable for patients with unstable cardiovascular function, and on the other
hand, Peritoneal dialysis will not disturb much on patients’ immune system, less
loss of blood, it is better on protecting patients’ remained renal function.
The defects of hemodialysis and peritoneal dialysis are:
It is easy for patient undergoing hemodialysis to develop cardiovascular
diseases, such as hypotension, cardiac failure, hypertension, cerebral
hemorrhage etc., as for aged patients, serious cardiovascular disease can be
fatal. It also can cause blooding during hemodialysis, because heparin and other
kinds of anticoagulants will be used during dialysis.
Peritoneal dialysis: the most common symptom is peritonitis. This
complication will not only influence curative effect, but also peritonitis
fatality rate. Much protein will loss during Peritoneal dialysis, undernutrition
and some other Reactive hypoglycemia, dehydration and pulmonary edema may also
occur for aged patients.
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