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Comparison of Peritoneal Dialysis and Hemodialysis
Once the patient has understood the way the two processes function, he/she has to choose one of them as the long term modality. The choice is often not easy. Let us consider the advantages and disadvantages of each modality.
- Highly efficient in removal of toxins
- Fluid removal can be regulated.
- Completely free from the machines in between sessions.
- Frequent Nephrologist follow up.
- No protein loss on dialysis.
- Little risk of infection in those having AV Fistula.
- Need to visit hospital frequently.
- Needle pricks involved in each session.
- Small amount of blood loss in each session.
- Use of Heparin, which increases bleeding risk.
- Risk of Hypotension.
- Faster loss of remaining kidney functions.
- Exposure to foreign membrane to which there may be immunological response.
- No Hospital visits.
- No needle pricks
- Complete freedom of movement.
- No loss of working hours.
- No blood loss.
- Longer preservation of remaining kidney functions.
- Better quality of life.
- Continuous loss of toxins from the circulation.
- Less efficient compared to Hemodialysis
- Higher amount of protein losses.
- Risk of abdominal infection if cleanliness not maintained.
- Infrequent visits to Nephrologist.
- Slight abdominal discomfort.