ISSN: 1305-385X
Hakkında: Özel sayılar şeklinde yayınlanır.
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Dialysis Modality Selection In End Stage Renal Disease
Dr. F. Fevzi ERSOYa
aİç Hastalıkları AD, Nefroloji BD, Akdeniz Üniversitesi Tıp Fakültesi, Akdeniz Üniversitesi Organ Nakli Araştırma ve Uygulama Merkezi, ANTALYA
If dialysis modalities started in a relatively early degree of end stage renal disease patients such as a creatinine clearence of 12-15 ml/mn, patients can be protected of detrimental effects of advanced uremia in the whole body and expected survival can be extended significantly. Main dialysis modalities are two: Hemodialysis is suitable both for in-center and also as a home treatment modality. It’s easy, can be maintened a longer time, requires less patient participation, has a longer technical survival. Peritoneal dialysis could be established as ambulatory therapy with 4-5 daily exchanges with 2-2.5 L peritoneal dialysis dialysis solutions. As an ambulatory and with high geographic availability treatment modality (CAPD-continuous ambulatory peritoneal dialysis), it is suitable for young , physically active patients who does not want to be dependent on machines but it also be set as a home therapy using automatic peritoneal dialysis exchange machines (APD-automatic peritoneal dialysis). Because of lower hepatitis risk, it is also recommended in patients with living related kidney transplantation donors, and also the ones on cadaveric renal transplantation lists. Third option is directly setting the kidney transplantation without having any dialysis period which is named as “preemptive kidney transplantation”.Keywords: Hemodialysis, peritoneal dialysis, kidney transplantationTurkiye Klinikleri J Int Med Sci 2005, 1(21):88-92
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