types of dialysis Peritoneal dialysis in the home

Peritoneal dialysis in the home




 
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More and more doctors and people living with chronic kidney disease agree that home dialysis (either peritoneal or hemodialysis) is the best option whenever it is possible to take advantage of it. Why choose treatment at home?

    Home dialysis improves the quality of life. You can lead a more normal work and social life.
    Home dialysis improves the results. With longer or more frequent treatment sessions, people who choose dialysis at home tend to have fewer dietary restrictions and take fewer medications. Not only do they have better general health and more energy: they live longer.

CHOOSE THE APPROPRIATE TREATMENT FOR YOU
Whether you are preparing for dialysis or want to switch to another type of dialysis, our Treatment Decision Guide can help you decide which are the best treatment options for you.
Download the guide

    What is it
    What can you expect?
    How to prepare
    pd-access
    Training for DP
    Control of the DP
    Your treatment team

Peritoneal dialysis (PD): two types; you choose
There are two types of peritoneal dialysis (PD): continuous ambulatory peritoneal dialysis (CAPD) and continuous cyclic peritoneal dialysis (CCPD). The benefits of the two types of PD have minimal differences, that is why it is essentially their personal choice and schedule, in addition to the recommendation of the nephrologist.
Continuous ambulatory peritoneal dialysis (CAPD)
It is done continuously, without a machine, 4 to 5 times a day practically anywhere, at home, at work, on vacation, even in a car. That is why it is called "ambulatory". One does not connect to a machine of any kind. It is possible to move to any place and at any time.

What is the DPCA about?

    You put approximately 2 quarts of wash fluid in your abdomen and then drain it. This is done to connect a plastic bag with fluid, called dialysate, to the soft tube (catheter) in your abdomen.
    By lifting the plastic bag up to shoulder height, gravity pushes the liquid into the abdomen. This is called "filling". When empty, the plastic bag is removed and disposed of.
    The lavage fluid (dialysate) stays inside your abdomen for several hours. This is called "permanence." During this time, the waste products and the additional liquid are expelled from the blood through the peritoneal membrane and the dialysate.
    When this is finished, the dialysate drains from the abdomen through a catheter placed inside a plastic bag, which can be closed and discarded.
    The process of these 3 steps, filling, permanence and draining, is called "exchange".
    The actual filling or draining time is approximately 30 minutes. It is done during usual daily activities. Because 3, 4 or 5 exchanges are performed in a 24-hour period, some people prefer to perform them close to meal times or at bedtime.

FLY WITHOUT PROBLEMS WITH PERITONEAL DIALYSIS
All airlines that depart from the United States are obliged to let you take your medications, syringes and dialysate on board. However, they limit this to a liquid supply for 1 or 2 days. An amount that exceeds the requirement must be sent by mail.

Tip: All medications and dialysate must be in the original container and clearly labeled.
PRIORITY BAGGAGE, FREE OF CHARGE
By law, the cycler is considered an essential medical device. You can not be charged a fee for registering your cycler as luggage.
Continuous cyclic peritoneal dialysis (CCPD)
The DPCC works basically in the same way as the DPCA. However, instead of making manual exchanges several times a day while awake, the DPCC uses a machine called a cycler. The cycler does the work for you while you sleep. The cycler is programmed to perform all exchanges in a period of 8 to 10 hours. The DPCC is done every night.



How to master the DPCA and the DPCC
You will first learn how to perform manual ambulatory peritoneal dialysis (CAPD) exchanges, which will make your training with continuous cyclic peritoneal dialysis (CCPD) easier. And if, for any reason, the cycler does not work (or in case of a power cut), you can manage your treatments by knowing how to do CAPD.
Tell him
When considering treatment options for dialysis, it is important to be as informed as possible. Also share the decision making with your doctor and your close loved ones. Be honest about your concerns and ask questions. Talking about it can help you make the best decision.