CAPD eases kidney patients who cannot visit hospital regularly for dialysis
Not everyone suffering from chronic kidney disease is blessed to get a kidney donor. So the only option left for them is to undergo dialysis until they get a matching donor. However, there are certain patients who are not even able to visit the hospital regularly for dialysis. This is no longer a concern for patients and their family now. With the advancement of medical technology dialysis can be conducted at home through the Continuous Ambulatory Peritoneal Dialysis (CAPD) technology.CAPD eases kidney patients who cannot visit hospital regularly for dialysis.
Unlike the regular hemodialysis, CAPD is done while one goes about with their normal day-to-day activities. During the process the patient’s peritoneum in the abdomen is used as a membrane across which fluids and dissolved substances (electrolytes, urea, glucose and other small molecules) are exchanged from the blood. Fluid is introduced through a permanent tube in the abdomen and flushed out through regular exchanges throughout the day (continuous ambulatory peritoneal dialysis). This technology of CAPD is used as an alternative to hemodialysis.
The abdomen is cleaned in preparation for surgery, and a catheter is surgically inserted with one end in the abdomen and the other protruding from the skin. The cathetert is usually placed 10 – 14 days before dialysis starts. Some peritoneal dialysis catheters may be used immediately. Before each infusion, the catheter must be cleaned and flow into and out of the abdomen needs to be tested. A large volume of fluid is introduced to the abdomen over the next ten to fifteen minutes. This process usually is done three, four or five times in a 24-hour period while you are awake during normal activities.
In comparison to hemodialysis, the CAPD technology has several benefits. With continuous dialysis, the extra fluids can be controlled more easily and this reduces stress on the heart and blood vessels. The patient is able to eat more and use fewer medications and also they can do perform more of their daily activities making it easier for them to work and travel. At the same time there might be some patients for whom peritoneal dialysis may not be appropriate. There are some patients whose abdomen or belly particularly those who are morbidly obese or those with multiple prior abdominal surgeries, for these group of people peritoneal dialysis treatments might be impossible. Meanwhile, other complications from peritoneal dialysis might include infection around the catheter site or infection of the lining of the abdominal wall (peritonitis). However, all these complications can be managed or prevented.