When end-stage renal failure occurs (that is, when the kidney function is irreversibly reduced to below 15% of normal), there are two treatment options: dialysis or a kidney transplant (also known as a renal transplant)
There are two types of dialysis: haemodialysis and peritoneal dialysis. This page deals with peritoneal dialysis In peritoneal dialysis, the patient’s peritoneum (membrane present inside the abdomen) is used for the purpose of dialysis. Peritoneal dialysis occurs within the patient’s body itself.>
For peritoneal dialysis, a tube called a catheter is surgically placed through the wall of the patient’s abdomen as permanent access for peritoneal dialysis. The catheter is usually placed about an inch below and to the side of the navel. About 2-4 inches of the catheter extends out of the body.
Through the catheter, the peritoneum is filled with peritoneal dialysate (fluid with chemicals that help to remove wastes from the body). The dialysate absorbs excess water and waste products. The dialysate remains in the peritoneum for a certain period of time. This is known as dwell time. After this period, the solution, along with the wastes, is drained from the abdomen into a sterile collection bag.
Peritoneal dialysis is of the following types:
NU Hospitals, in collaboration with Baxter, has set up a CAPD center with a
coordinator trained in CAPD manning the center.
At the center, patients are initiated on CAPD. Patients and their attendees are also educated regarding the procedure, hygiene, etc. Counseling about the various options available for patients with end-stage renal disease is also done. The center also possesses a cycler machine that enables patients to undergo CCPD when required. This process is completely automated.
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