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