Peritoneal Dialysis is an ideal way for people to remove waste products from blood when their kidneys are no longer able to adequately perform the job. Blood vessels in the peritoneum or abdominal lining fill in for kidneys with help of dialysate fluid which flows into & outside of peritoneal space. Peritoneal dialysis essentially differs from hemodialysis which is one of the most commonly used blood-filtering procedures. However, peritoneal dialysis is a convenient procedure where patients can treat themselves at home, or at work or even during travel. Moreover, patients may also be able to use fewer medications & eat a less restrictive diet as well than they would need to do with the hemodialysis procedure. Nevertheless, peritoneal dialysis is not the best option for everyone. Peritoneal dialysis patients will require manual dexterity & ability to take care of themselves at home or under a reliable caregiver.
Peritoneal dialysis is usually done so as to manage kidney failure until the possibility of kidney transplant matures. However, kidney failure itself results from chronic disease which causes damage to kidneys over a number of years.
Doctors can always help patients decide as to which type of dialysis will work best for them, & where should they be starting, based upon the factors listed below.
Most people needing peritoneal dialysis also face a variety of serious health issues including diseases which cause kidney failure or kidney failure itself. Peritoneal dialysis however prolongs life for many patients, but life expectancy of those who require this procedure is still lower than that of people who do not require dialysis.
Main complications of peritoneal dialysis include the following.
A sterile cleansing solution called dialysate flows through the catheter into the patient’s abdomen in peritoneal dialysis procedure. This solution eventually stays within the abdomen of the patient for a prescribed period of time which is known as the dwelling time. During the dwell time, chemicals, wastes & extra fluid in patient’s blood pass from capillaries or tiny blood vessels in the lining of peritoneum or abdominal cavity, into the dialysate solution. This solution happens to contain sugar which draws wastes & extra fluid through capillaries in peritoneum into the patient’s abdomen. Belly may however feel fuller than usual when dialysis solution is present there, but is generally not so uncomfortable. After passage of dwell time, dialysate solution along with waste products is drawn from blood & excessive fluid which drains into a sterile bag for collection. The entire process of filling & subsequently draining the patient’s abdomen is known as an exchange. Different techniques of peritoneal dialysis have differing schedules of daily exchanges. The most common two main schedules are CAPD – Continuous Ambulatory Peritoneal Dialysis & CCPD – Continuous Cycling Peritoneal Dialysis. However, some patients also use a combination of both these methods.
The ideal type of peritoneal dialysis which is best suited for the patients depends upon their personal preferences, lifestyle & associated medical conditions. Moreover, patients can also customize their dialysis program by combining these two forms to suit their requirements. For instance, patients using CCPD may perform one extra exchange in afternoon so as to remove more waste & also prevent any absorption of too much fluid.
Several factors influence how well peritoneal dialysis works for patients in removing extra fluid & wastes from their blood. Some of these factors are listed below.
Peritoneal dialysis healthcare team will perform several tests so as to check if the dialysis of patient is able to remove enough waste products generated by the body. These tests some of which are performed during the first week of peritoneal dialysis help determine whether the patient is receiving adequate dose or amount of dialysis.
In case these test results show that peritoneal dialysis schedule is not able to remove enough wastes, doctors may alter the routine of dialysis. This change may involve altering the number of exchanges, increasing the amount of dialysate solution patients have been using for each exchange or by using a dialysate solution featuring a higher concentration of dextrose.
Patients on their part can improve peritoneal dialysis results & overall health by consuming the right type of foods including foods which are low in phosphorous & sodium. Dieticians can also help patients develop individualized meal plans which are based upon their body weight, personal preferences, remaining kidney function & associated medical conditions like high blood pressure & diabetes. Taking prescribed medications in time is also important for obtaining the best possible results from peritoneal dialysis treatment. Patients are also most likely to require various medications in order to stimulate production of red blood cells, control blood sugar, control levels of certain nutrients in blood & prevent buildup of phosphorous in their blood.
Peritoneal dialysis is one more way to remove waste products from blood when kidneys are no longer able to do an adequate job. India, which has emerged as an ideal global medical tourism hub providing a wide spectrum of high quality but low cost healthcare solutions including hemodialysis & peritoneal dialysis treatments for kidney failure to people from all around the world, is a sensible choice. IndiaMedTrip which is associated with the top doctors, surgeons & hospital facilities is one of the leading medical tourism company based in South Asia offering a range of affordable medical solutions to international patients. IndianMedTrip services begin with the first telephone conversation & progress to assist in finding the right doctor & hospital, obtaining medical visa, warm reception on arrival at airport, convenient travel, comfortable accommodation, scheduled appointments with doctors & treatment without any waiting period, choice of an exotic recuperative vacation, follow-up checks & a successful farewell.