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SEK Figure 2: Continuous Peritoneal Dialysis for the purpose of outpatient abdominal catheter placed into Tenchff
Dializinde peritoneal (PD) peritoneum (abdominal membrane) behave as semi-permeable membrane. Konsontrasyonuna plasma electrolytes in the stomach friendly (except K and phosphorus) dialysis fluid is given. Excreted in the kidneys no longer harmful substances could not accumulate in the blood to the peritoneal dialysis fluid passes. This process repeated continuously in the blood of accumulated waste is excreted from the body through peritoneal dialysis fluid. Continuous Peritoneal Dialysis for outpatient Tenckhoff peritoneal catheters are placed. 4 times a day through this catheter in plastic bags 2 Lt ‘lik dializatlar wife is special. Change the abdominal cavity during the dialysis solution in the dialysis solution is drained out, instead of a new dialysis solution is filled bags. Continuous Peritoneal Dialysis solution outpatient glucose content of 1.5%, 2.3, 4:25 or 1:36%, 2.27, 3.86 to change.
The percentage of glucose more fluid shooting more dializatla is provided. Continuous Peritoneal Dialysis outpatient volume control is easier with the body fluids. Waste materials such as blood level fluctuations in Hemodialysis happens. Given intraperitoneally with insulin in diabetes to blood sugar control can be more easily and regularly. Also more frequent in patients with vascular path sugar problems (fistülşant) can be seen. Continuous Peritoneal Dialysis in the treatment of outpatient vascular path is not needed.
Hemodialysis due to cardiovascular disease to show intolerance for patients preferred outpatient Continuous Peritoneal Dialysis is a treatment modality. In addition, workers in professions that require travel machine recover from addiction that can be applied outpatient Continuous Peritoneal Dialysis.
The most important drawback of foot-and-Continuous Peritoneal Dialysis in patients with frequent peritonitis (peritonkarın membrane-inflammation) is. Continuous Peritoneal Dialysis in recent years, outpatient connection with changes made to the system a year per one peritonitis rate in patients. Changes as possible to reduce peritonitis dialysis bag needs to be done in accordance with the rules. Become turbid peritoneal fluid of peritonitis, abdominal pain, abdominal tenderness, nausea, vomiting, fever, chills, and may cause an increase in blood leukocytes. The long-term outpatient treatment of Continuous Peritoneal Dialysis fluids and waste from the body away dializatla failure may occur.
Many patients with outpatient Continuous Peritoneal Dialysis 5-10 years can be treated successfully. Continuous Peritoneal Dialysis patients as outpatients due to loss of dializatla protein is allowed to take more protein. Hemodialysis patients 0,8-1 g / kg / day when you need to take protein from the foot of Continuous Peritoneal Dialysis patients 1-1,2 g / kg / day protein can take. Continuous Peritoneal Dialysis patients also outpatient with food may take more water and salt.
Acute renal failure or chronic renal failure with peritoneal dialysis in acute attack can be applied in 48-72 hours. In this case, every hour is given to the new dialysis solution and the abdomen is taken.
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