Disadvantages of long-term abdominal dialysis

  What are the disadvantages of long-term peritoneal dialysis? The main complications of peritoneal dialysis are: 1. Intubation complications: wound bleeding, small amount of bloody fluid in the abdominal cavity, visceral perforation, mild intestinal obstruction after intubation, leakage of dialysis fluid, distortion of dialysis tubing in the tunnel, poor drainage of dialysis fluid, blockage of dialysis tubing and displacement of dialysis tubing, etc.  2, peritoneal dialysis complications abdominal pain: peritonitis, abdominal hyperinflation, stimulation of hypertonic glucose, improper PH configuration of osmotic solution or too low concentration and improper location of dialysis tubing can cause abdominal pain. Treatment: corresponding measures should be taken for different etiologies.  3, peritoneal dialysis complicating abdominal distension: abdominal distension can be produced at the initial stage due to non-adaptation to peritoneal dialysis or reduced intestinal motility.  4, peritoneal dialysis complicated by peritonitis (mainly infection at the skin outlet of peritoneal dialysis tubing): is the most common complication, including bacterial, fungal, tuberculosis, chemical and eosinophilic peritonitis, because repeated infection can thicken the peritoneum, adhesion, make the dialysis rate drop, and eventually lead to failure of peritoneal dialysis, so the abdominal infection should focus on prevention, strict implementation of disinfection, isolation, aseptic operation techniques. Particular attention should be paid to high-risk groups. Abdominal dialysis-associated infections are the most important reason for abdominal dialysis patients to drop out, but at present, mature abdominal dialysis centers are probably infected at the level of once every 3-5 years, ask this frequency can you guarantee not to catch a cold? More than 90% of the first infection can be well controlled after the application of antibiotics, although it needs to be taken seriously, not everywhere to kill!  5, peritoneal dialysis complications electrolyte, acid-base balance disorders: inadequate dialysis or diet control is not strict, can cause hyperkalemia; and out excess, poor diet, can lead to hypokalemia. —– for electrolyte disorders, any dialysis is not adequate diet control is not strict can appear, this is not a complication of abdominal dialysis, assuming that kidney failure is not dialysis, if not follow the instructions to control the diet, this will also appear, related to dialysis?  6, peritoneal dialysis complications hypotension: the choice of inappropriate high sugar, hypertonic dialysis fluid, a large number of dehydration and resulting in hypovolemia, hypotension. —– concurrent hypotension seen in a large number of dehydration, ask if well-trained kidney friends, with mature experience in the abdominal dialysis center, will often appear this situation?  7, peritoneal dialysis complications of pulmonary insufficiency: perfusion increases intra-abdominal pressure, the diaphragm is elevated and pulmonary dysfunction occurs, starting in patients with pre-existing lung disorders or who have developed lung infections. —– started in patients with pre-existing lung disease, and patients with chronic obstructive pulmonary disease are listed in the relative contraindications, but serious lung disease is not caused by abdominal dialysis 8, vagal reflex symptoms: some patients experience vagal reflex symptoms such as bradycardia, hypotension and dyspnea during the input and discharge of dialysis fluid. —— This can occasionally occur, the incidence is also very low, after the slow entry of fluid, change of posture can be alleviated, not uncorrectable 9, peritoneal dialysis other complications: such as low back pain, intestinal adhesions, hemorrhoids aggravation, etc., are less common. —— lumbago can reduce the dose of abdominal stay and change to automatic peritoneal dialysis machine treatment at night, intestinal adhesions are seen in a large number of patients who apply high concentration of abdominal dialysis fluid, dialysis more than 10 years of a very small number of patients, at least the current domestic very rare, hemorrhoids aggravation.  What are the disadvantages of long-term peritoneal dialysis is introduced to you here, it is recommended that patients and friends apply conservative treatment at the same time to protect residual kidney function, block kidney fibrosis, lengthen dialysis time, and gradually reduce the number of dialysis. I hope that patients and friends recover their health soon! —– above read through, did not find any disadvantages of abdominal dialysis, can only be called complications, any kind of treatment has its complications, which is unavoidable, and the best way to protect residual kidney function is to dialysis at the right time, adequate dialysis, (blocking fibrosis, please ask the author of the article to know where to block fibrosis? This experiment only exists on the rat, do not take out to fool kidney friends), lengthening the dialysis time will only make your dialysis more inadequate, the residual kidney function decline faster, so will not be able to restore health as soon as possible?