les causes, les symptômes, le diagnostic et les traitements pour le diabète et la néphropathie diabétique
dimanche 29 juillet 2012
Two methods of dialysis treatment of diabetic nephropathy? What kind of medicine?
Two methods of dialysis treatment of diabetic nephropathy? What kind of medicine? Clear answer to this question for patients is necessary, diabetic nephropathy, diabetic complications, systemic diabetic microvascular disease one of the manifestations, clinical features of proteinuria, progressive ... When renal function is severely impaired have been clinical manifestations, whether we should choose what kind of renal replacement therapy? Kidney ... two methods of dialysis therapy for diabetic nephropathy? What kind of medicine? Xiaobian finishing:
Two methods of treatment of diabetic nephropathy dialysis severely damaged when the renal function has been clinical manifestations, whether we should choose the way of what kind of renal replacement therapy? Renal replacement therapy is currently the main treatment for ESRD, including hemodialysis and peritoneal dialysis two kinds of method. For patients with end-stage of diabetic nephropathy, we should say that the above two methods are able to receive a significant effect, prolong life, improve quality of life. Each method has its own characteristics. For each patient, but also should be based on the patient's condition, medical conditions to do.
Peritoneal dialysis is basically a close to the physiological status of dialysis peritoneal dialysis does not affect the habits and social interactions, simple operation, easy to carry out. Patients or their families can master the technology under close medical supervision, dialysis at home, reducing the inconvenience to and from hospitals. In the process of peritoneal dialysis, there is no dramatic changes of hemodynamic and body fluid volume and blood biochemical fluctuations to maintain homeostasis. The ability to remove middle molecular substances. If patients have some residual renal function, peritoneal dialysis can be a long time to be protected to maintain a certain amount of urine in patients with better quality of life. Therefore, many scholars believe that the end-stage diabetes. Nephropathy in renal replacement therapy should be preferred peritoneal dialysis is superior. With the deepening of clinical research for patients with diabetic nephropathy in which renal replacement therapy as the preferred, there are different points of view.
Peritoneal dialysis is unsatisfactory, the operation is not standardized, there will still be the occurrence of intra-abdominal infection. Peritoneal dialysis patients to more loss of protein, can decreased resistance, caused by peritoneal catheter-related infections increased incidence. Peritoneal dialysis patients is often associated with elevated blood lipids, may increase the absorption of dialysate glucose in promoting abnormal lipid metabolism. Abnormal lipid metabolism is one of the risk factors that cause heart complications. Peritoneal dialysis patients often show poor dialysis adequacy, the occurrence may be related to the occurrence of peritonitis and peritoneal sclerosis.
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