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Comparison Of Haemodialysis And Peritoneal Dialysis

Perbandingan (Perbedaan) antara Hemodialisis dengan Dialisis Peritoneal

Haemodialysis Peritoneal dialysis
Efficient Less efficient
4 hours three times per week usually adequate Four exchanges per day usually required, each taking 30-60 minutes (continuous ambulatory peritoneal dialysis) or 8-10 hours each night (automated peritoneal dialysis)
2-3 days between treatments A few hours between treatments
Requires visits to hospital (although home treatment possible for some patients) Performed at home
Requires adequate venous circulation for vascular access Requires an intact peritoneal cavity without major scarring from previous surgery
Careful compliance with diet and fluid restrictions required between treatments Diet and fluid less restricted
Fluid removal compressed into treatment periods; may cause symptoms and haemodynamic instability Slow continuous fluid removal, usually asymptomatic
Infections related to vascular access may occur Peritonitis and catheter-related infections may occur
Patients are to some extent dependent on others Patients can take full responsibility for their treatment

Davidson's Principles & Practice of Medicine 20th Edition (Churchill Livingstone) 2007

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