| Peritoneal
dialysis (PD) uses a natural filter, a membrane inside
your body called the peritoneal
membrane. Unlike hemodialysis,
the patient does not need to travel to a dialysis
center. Instead, patients are trained to do dialysis
at home, on their own schedule.(Kidneydirections.com)
In PD, a soft tube called
a catheter is used to
fill your abdomen with
a cleansing liquid called dialysis
solution. The walls of your abdominal
cavity are lined with a membrane
called the peritoneum,
which allows waste products and extra fluid to pass from your
blood into the dialysis solution. The solution contains a
sugar called dextrose that will pull wastes and extra fluid
into the abdominal cavity. These wastes and fluid then leave
your body when the dialysis solution is drained. The used
solution, containing wastes and extra fluid, is then thrown
away. The process of draining and filling is called an exchange
and takes about 30 to 40 minutes. The period the dialysis
solution is in your abdomen is called the dwell time. A typical
schedule calls for four exchanges a day, each with a dwell
time of 4 to 6 hours. Different types of PD have different
schedules of daily exchanges.(niddk.nih.gov)
Types
of Peritoneal Dialysis
The type of PD you choose
will depend on the schedule of exchanges you would like to
follow, as well as other factors. You may start with one type
of PD and switch to another, or you may find that a combination
of automated and nonautomated exchanges suits you best. Work
with your health care team to find the best schedule and techniques
to meet your lifestyle and health needs.(niddk.nih.gov)
CAPD:
Continuous Ambulatory Peritoneal Dialysis
APD:
Automated Peritoneal Dialysis |