Who Can Not Do Peritoneal Dialysis
Dialysis is a commonly used treatment for Kidney Failure patients. It has two types, namely hemodialysis and peritoneal dialysis. Who can not do peritoneal Dialysis? Read on to learn more information.
Generally speaking, there is no absolute contraindication in peritoneal dialysis, but peritoneal dialysis therapy should not be used in the following cases: extensive peritoneal adhesion, intestinal trauma, less than 3 days after abdominal surgery, colostomy or fecal fistula, extensive abdominal wall infection, malignant abdominal tumors, severe pulmonary diseases with dyspnea, pregnancy, long-term inability to absorb enough calories and protein. Peritoneal dialysis should be used more cautiously especially for peripheral circulatory failure, severe intestinal inflation and abdominal distention, extensive intestinal adhesion, high ascites, severe abdominal infection or diseases with unknown causes.
What dietary principles should peritoneal dialysis patients pay attention to?
(1)A high amount of high-quality diet
Every fluid exchange in peritoneal dialysis patients results in loss of protein, which can lead to muscle depletion over time. Patients can take in high quality animal protein, such as milk, lean meat, eggs, poultry, fish and so on. These foods are rich in essential amino acids and produce the least waste after decomposition. Therefore, peritoneal dialysis patients should eat more of these animal protein foods. Dietary protein content can be calculated according to body weight, about 1.2 g/kg of protein, and peritonitis patients need to increase to 1 g/kg protein.
(2) Sodium restriction
Because peritoneal dialysate contains 132 mmol/L of sodium, which is lower than plasma sodium concentration, hypernatremia caused by ultrafiltration can be corrected and sodium discharged into dialysate can be accelerated. If the diet is too salty, it can often lead to water and sodium retention. In order to make edema subside, it is necessary to use 4.25% glucose dialysate to strengthen ultrafiltration. Although the excess water will be absorbed, the hyperosmotic sugar calorie is also high, easy to make patients gain weight, therefore, it is better to eat a low-salt diet.
(3) Supplementation of water-soluble vitamins
For example, vitamin C, vitamin Bl, vitamin B6 and folic acid can be lost from dialysate. It is necessary to eat more food rich in vitamins.
In addition, oral supplementation of 1,25-hydroxycalciferol, a hormone, can promote calcium absorption, prevent osteomalacia, and improve muscle weakness and myalgia.
(4) Water restriction
Every fluid exchange in peritoneal dialysis patients can bring out excess water. Therefore, the requirement of daily drinking water can be relaxed, but in patients with less urine and no urine, excessive drinking water can cause hypertension, tissue edema, heart failure, pulmonary edema, dyspnea, shortness of breath and so on. Therefore, the daily allowable drinking water is about 2,000 ml.
Who can not do peritoneal dialysis? Now you get the answer. For more information on dialysis, please leave a message below or contact online doctor.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***