Dialysis is an important substitutive therapy for patients with Renal Failure. It includes two types: hemodialysis and peritoneal dialysis for each of them has its own indications and contraindications. Therefore, the patients with Renal Failure should choose their dialysis type cautiously under their doctors’ professional guidance. Then, who are the candidate of peritoneal dialysis? As follows:
1. Patients with Diabetic Nephropathy
Cardiovascular diseases are common complications of Diabetes so their
vascular walls are usually are very fragile and less flexible. If the patients
undergo hemodialysis, it need frequent blood vessel puncturing, which is very
likely to cause bleeding. Moreover, hemodialysis needs heparin for
anticoagulation. As the patients with Diabetes may have diabetic retinopathy.
The using of heparin may cause retinal hemorrhage to them.
2. The elderly patients
Most of patients with Renal Failure are accompanied with many other diseases
such as Diabetes, cardiovascular diseases such as high blood pressure,
myocardial infarction and so on. Compared with hemodialysis, peritoneal dialysis
only has a mild side influence on haemodynamics. Therefore, generally speaking,
it will not induce or aggravate arrhythmia, hypotension or cardiac ischemia.
Therefore, peritoneal dialysis is safer to the elder.
3. Patients with heart diseases
Just as it is mentioned above, hemodialysis can influence cardiac ischemia
seriously so it can cause sever fluctuation of blood pressure. Therefore, it is
very likely to cause heart failure or other heart problems during dialysis. As
peritoneal dialysis does not have that problem, it is more suitable for those
with heart disease.
4. Patients with hypertension
As patients with Diabetes, the patients with hypertension also have the
problems of vascular sclerosis and increased fragility of blood vessels.
Therefore, they have those problems for mentioned for patients with Diabetes. It
is better for patients with hypertension to use peritoneal dialysis.
Although dialysis can remit the patients’ symptoms temporarily, it can not
improve their renal function at all. Therefore, the patients should choose a
better treatment if their disease condition permits and should not give their
life opportunity totally to a machine. If you want to know more information
about dialysis and other better treatment methods, please email to