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Peritoneal dialysis

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Description:


The Peritoneal Dialysis (PD) is carried out by introduction to an abdominal cavity of a special dialysis fluid.
At the same time the role of a semipermeable membrane carries out a peritoneum mesothelium. Peritoneal dialysis is effective at the acute renal failure (ARF) and the hronmchesky renal failure (HRF).
For treatment of sick HPN use intermittent peritoneal dialysis  and continuous out-patient peritoneal dialysis. Intermittent peritoneal dialysis, as well as a chronic hemodialysis, carry out 2-3 times a week on 9-10 h, at the same time for one session of 18-20 times there is an automatic change of a peritoneal dialysis fluid. At continuous out-patient peritoneal dialysis  in difference the dialysis fluid resides in an abdominal cavity, it is replaced by the patient of 4-6 times a day.
Continuous out-patient peritoneal dialysis is applied more often in house conditions. At treatment of PAPD in comparison with a chronic hemodialysis the best control of the ABP is provided, the osteodystrophy, a polyneuropathy, anemia, a hypogonadism due to the best clearance of "average molecules" progress more slowly.  Continuous out-patient peritoneal dialysis can be applied when carrying out a hemodialysis is difficult, especially at arterial hypotension, hypocoagulation, in pediatric practice, at a diabetes mellitus, heavy atherosclerosis. At HPN with the expressed overhydratation and a hyperpotassemia continuous out-patient peritoneal dialysis  is not applied as unlike a hemodialysis it does not provide bystry removal of excess of water and potassium.

Continuous out-patient peritoneal dialysis is complicated by staphylococcal peritonitis which is, as a rule, sensitive to antibacterial therapy and does not demand the termination of treatment of PAPD.

Схема проведения перитонеального диализа

Scheme of carrying out peritoneal dialysis



The used drugs:

  • Препарат Гепарин.

    Heparin

    Anticoagulants.

    RUP of Belmedpreparata Republic of Belarus

  • Препарат Еврозидим.

    Evrozidim

    Antimicrobic means for system use. Beta лактамные antibiotics. Generation cephalosporins III.

    Agio Pharmaceuticals Ltd. (Adzhio Pharmasyyutikals Ltd.) India

  • Препарат Гепарин.

    Heparin

    Straight line anticoagulant.

    JSC Sintez Russia

  • Препарат Орзид.

    Orzid

    Antimicrobic means for system use. Beta лактамные antibiotics. Generation cephalosporins III.

    Orchid Healthcare (Orkhid Helskea) India

  • Препарат Гепарин.

    Heparin

    Anticoagulants.

    SC Balkan Pharmaceuticals SRL (Balkans Pharmasyyutikals) Republic of Moldova

  • Препарат «ДИАЛ-ФАРМЛЭНД 1,75» с глюкозой.

    "DIAL-FARMLEND 1,75" with glucose

    Solution for continuous out-patient peritoneal dialysis

    LLC Pharmlend Republic of Belarus

  • Препарат «ДИАЛ-ФАРМЛЭНД 1,25» с глюкозой.

    "DIAL-FARMLEND 1,25" with glucose

    Solution for continuous out-patient peritoneal dialysis

    LLC Pharmlend Republic of Belarus

  • Препарат Фортазим.

    Fortazim

    Antimicrobic means for system use. Beta лактамные antibiotics. Generation cephalosporins III.

    Agio Pharmaceuticals Ltd. (Adzhio Pharmasyyutikals Ltd.) India

  • Препарат Нефротект.

    Нефротект

    Drug for parenteral food - solution of amino acids.

    Fresenius Kabi Gmbh (Frezenius Kabi) Germany


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