2016年3月18日星期五

Contraindications of Peritoneal Dialysis for PKD Patients

Polycystic Kidney Disease (PKD) is a common genetic disease. If the patients can not get effective treatment to prevent the disease development, it will be very likely to develop into Renal Failure. After it develops into that stage, the patients have to depend on dialysis to maintain their life. Peritoneal dialysis is a common-used dialysis method. However, there are some PKD patients who are not suitable for this kind of dialysis. The following article lists the contraindication of peritoneal dialysis for PKD patients.

1. The patients’ abdomen has new implanted foreign substance. For example, the PKD patients receive blood vessel prosthesis implantation in abdomen.

2. If the PKD patients have local inflammatory lesion in enterocoelia or receive abdominal surgery within three days, peritoneal dialysis can increase the risk of infection.

3. The PKD patients with obesity, especially those are short and fat. This type of patients is often not able to get adequate dialysis and also often has dislysate leakage problem.

4. If the PKD patients’ peritonitis reoccurs frequently, the patients need to use large dosage of highly permeable dislysate over time, it is very likely to cause sclerosing peritonitis.

5. If the patients have hypercatabolic disease, the micro-molecular metobolin is produced at a high speed. Compared with peritoneal dialysis, hemodialysis has a better effect in clearing micro-molecular metabolin. However, if increase the dosage of peritoneal dialysis dislysate and change the mode of dialysis, the patients also can get a good dialysis effect.

6. If the patients with chronic obstructive emphysema, peritoneal dialysis can make diaphragm to rise thus influencing the pulmonary ventilation and aggravate the difficulty in breathing. In addition, once diaphragm rises, it may oppress lung tissues thus causing lung infection.

7. If the enlarged cysts occupy the most place of enterocoelia, the patients had better not use peritoneal dialysis. However, if there is enough exchange places, they still can choose peritoneal dialysis.

8. Serious systemic blood vessels diseases and intervertebral disc diseases. Diffusive blood vessels lesion can cause dialysis effect to decline. Moreover, peritoneal dialysis can increase the internal pressure in back thus aggravating primary intervertebral disc diseases.


The above article has introduced main contraindication of peritoneal dialysis. If you are not include in the above list and also do not which type of dialysis to choose, you can consult us on line or email us kidney-treatment@hotmail.com.

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