Depends on patient. In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer.
Home Peritoneal! I'm not a nephrologist, but I helped my husband with both home hemodialysis and home peritoneal dialysis. Any treatment at home is more comfortable, more flexible, and has less risk of infection. Besides, nobody is more committed to your safety and care than you are! See "arranging your life when dialysis comes home, " written by me and jane mcclure (shameless promotion!) good luck. Lgromkomd.
Dialysis methods. Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity.
Different types. These are two ways to try and do what your kidneys usually do (filter substances from the blood). Hemo is filtering the blood, and peritoneal is by placing fluid in your belly to let the substances equilibrate.
Don't know. This is variable. Would contact the facility or provider to obtain more information about the anticipated cost.
Blood vs peritoneum. Both are equally effective in "washing"/"clearing" the blood - the differences are more of cost and convenience (av fistula vs peritoneal access catheter/3 x'sper week vs nightly/faster vs slower/....).
Both means to an end. Hemodialysis and peritoneal dialysis both accomplish filtering the blood of impurities. Hemodialysis is done by rapidly filtering the blood through a machine using a catheter or a surgically created access. Sessions usually last four hours and are done three times a week. Peritoneal dialysis is done by instilling special fluid into the abdomen and overnight the impurities are removed.
Different filters! Both hemodialysis and peritoneal dialysis remove toxins and excess fluid in kidney failure. In hemodialysis, blood runs out of the body through IV tubing, and into a machine - where it's filtered before returning to the body. In peritoneal dialysis, dialysis fluid is introduced into the abdomen, where it interfaces with blood by way of the peritoneal membrane. Read 'help! I need dialysis' by agar.
Renal Diet. Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs.
Long discussion! Each is a modality of kidney replacement therapy. Hemo uses a blood vessel access (fistula, graft, or catheter) getting portion of your blood at a time out and into a sterile machine through a filter to clean all the toxins and return it to you, 3 times a wk, 3-4 hrs each time. Peritoneal done at home 8-10 hr/d manually or by a cycler no blood involved using your abdominal cavity membrane as a filter.
Types of dialysis. The answer to your question is too long to answer here. Please go to this link for a detailed answer to your question. Http://www. Davita. Com/kidney-disease/dialysis Good luck.
Kidney failure. Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care.
Patient and resource. Peritoneal dialysis is the way to go if you want to keep a job or if you travel. The patient does it at home. Hemodialysis is done mostly at facilities and you can't can't keep a job and can't travel. Also, peritoneal dialysis is around 20k/year cheaper. However, there are not many people that are able to take care of it properly. I am working on improving peritoneal dialysis at my practice.
Independence. You can do pd at home or even if you are camping outside. You are not attached to hd unit on every other day basis. Also, your fluid and diet restrictions will be much easier. Also, the residual urine output will be lost much slower on pd than in hd. All of that will come at a cost of more responsibility. Remember, salt restriction is big in both modalities.
Access. I agree with the freedom that pd offers, but remember that not everyone has blood vessels that can support a fistula or graft, so sometimes pd is a nice way to fix that.