When patients suffer from kidney failure, they will lose the function to remove dirt residual disposal from the body. In order to survive, the patient must perform washing treatment of the blood so that dirt does not accumulate in the blood. There are two methods are generally carried out, i.e. hemodialysis and continuous ambulatory peritoneal dialysis (CAPD). So, how is the comparison between hemodialysis and CAPD? Which one is better?
How to work hemodialysis and CAPD?
Before knowing the comparisons of hemodialysis and CAPD, You should know in advance how the second treatment is working.
Hemodialysis is a procedure of washing the blood using a machine dialyzer that functions made to resemble a kidney. A doctor or attendant will insert a catheter that resembles the smooth tube into a large blood vessel in the neck or chest. Later, the blood will be excreted from the body and then filtered through a machine before it is discharged back into the body.
If You need treatment with a longer period of time, your doctor may make access by combining the artery on the vein under the skin so that blood vessels become larger and the access blood flow more easily. However, such a procedure should be done several months before You begin hemodialysis.
Usually hemodialysis is done three times a week, each treatment takes about four hours or could be more depending on the amount of liquids that must be removed.
Different with hemodialysis, the procedure CAPD do not use the machine. This procedure will utilize the membrane of the peritoneal on a layer inside Your abdomen as a filter the blood natural.
Before starting this treatment, You will undergo a small operation to insert a catheter into the stomach. Later, the dialysis fluid made of a mixture of sugar and minerals will be inserted into the abdomen through a catheter. After the bag of fluid was empty, You just take off and seal the catheter and then return to work as usual.
The liquid that has entered it will stay in the stomach for several hours. At that time, the dialysis fluid will absorb dirt and liquids that are not needed in the body. Once done, remove the dialysis fluid from the abdomen and then fill it again with new fluid. Usually this procedure can be done 3-5 times in a day.
Which is better, hemodialysis or CAPD?
Before selecting which treatment is right for You, might be a good idea if You know the comparison between the method of treatment with hemodialysis and methods of CAPD.
Probably, many people who feel that a method of treatment with CAPD is more practical compared with hemodialysis. Because this treatment can be done by yourself, You can control yourself how fluid that will be used to wash out the blood so it will not be burdensome work of the heart and blood vessels.
In addition, You can directly perform the activity as usual after the treatment. CAPD can also be done everywhere. Even when You travel long distance, the treatment will still last as long as You bring a good supply of bags of dialysis fluid that is enough. With CAPD, the drugs used are also not as much as if You are doing hemodialysis.
When talking about treatment which is more effective, there has been no evidence that states clearly that one method of treatment is better than the other.
As is known, the main goal of treatment of dialysis is to prolong and maintain the quality of life of the patient, not cure renal failure.
There is some research that states that the hemodialysis treatment is provide optimal results for the improvement of the condition of the patient compared with the treatment of CAPD.
However, there are also shows that the results of treatment of peritoneal dialysis (PD) including CAPD with hemodialysis, even work a little better on some patients.
To be sure, a group of researchers from Singapore was held a research to compare the life expectancy between patients who choose hemodialysis treatment with patients who underwent the treatment of PD.
These studies involving 871 patients, 641 patients start treatment with hemodialysis, while 230 patients started treatment with peritoneal dialysis including CAPD.
Then, researchers see the development of the patient during the five years since the start of the treatment by considering the factor of the health of the body of the patient and demographic factors such as age, gender, and ethnicity.
The results of treatment between the two does not show a significant difference
Researchers saw no significant differences between patients who do hemodialysis treatment with the treatment of peritoneal dialysis including CAPD.
The results of the research show, there are 157 cases of death in patients who undergo treatment of peritoneal dialysis within a period of five years. Whereas, there are 225 cases of death in patients undergoing hemodialysis treatment.
If compared with the number of patients on each treatment, the percentage of deaths of a group of peritoneal dialysis is greater compared with the group of hemodialysis. However, the results also can not be swallowed raw. Other factors also contribute to determine how well the treatment is working.
In the group undergoing peritoneal dialysis, many patients also have other health conditions such as diabetes mellitus, hypertension, and heart disease. Some of them also had higher levels of hemoglobin and higher protein.
The treatment of CAPD may be recommended to patients who are younger and more healthy. Nevertheless, more research remains to be done to see its effectiveness.
Choosing a treatment for kidney failure proper
Regardless of the results of the study, the treatment of hemodialysis and CAPD has advantages and shortcomings respectively.
The treatment of CAPD may be recommended if You cannot tolerate the sudden change in fluid balance that would normally occur when undergoing hemodialysis. CAPD is also more suitable for You who have busy days and still want to work or travel to distant places.
CAPD or types of peritoneal dialysis other not recommended in patients who have used major surgery around the abdomen, a hernia, and the problem of colitis. Especially for You who also have diabetes, dialysis fluid used in this treatment contain sugar so that it is feared may increase blood sugar levels or hyperglycemia.
Indeed, the hemodialysis will be less practical when compared to CAPD. However, the excess, You will get help from the officer that has been trained so that the errors that occur when the treatment is minimal. You also do not need to set up the tools in the house because all is already available in the hospital.
Actually this treatment can also be done at home, it’s just that not many hospitals or medical centers that provide these services. You have to undergo treatment according to the schedule that already determined. You may also will need about two hours after the treatment before feeling recovered.
If You are still not sure to choose between the treatment of hemodialysis and CAPD, consult back at the doctor to adjust with the condition that You have.
Things to do while undergoing treatment of renal failure
Both hemodialysis and CPAD, the treatment undertaken any course should be accompanied with a healthier lifestyle. Here are some things You should do during treatment:
- Eat healthy food. Limit foods with high content of protein, sodium, potassium, and phosphorus are high. Consult with your doctor or dietitian to determine the diet right.
- The consumption of drugs in accordance with the rules given by the doctor.
- Specifically for who undergo treatment of peritoneal dialysis, avoid bathing with hot water or places with water are not given the chlorine in order not to exposed to infection.
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