Choices of Treatments for End-stage Renal Disease (ESRD) 如何選擇末期腎衰竭的治療方式(英文). 2019/12/23. What is end-stage renal disease? When renal ...HygieneEducationHealthEducationHomeHygieneEducationChoicesofTreatmentsforEnd-stageRenalDisease(ESRD)如何選擇末期腎衰竭的治療方式(英文)HygieneEducationHealthEducationChoicesofTreatmentsforEnd-stageRenalDisease(ESRD)如何選擇末期腎衰竭的治療方式(英文)文章分享Home分享至FaceBook分享至LineQrcode列印下載A-A+ChoicesofTreatmentsforEnd-stageRenalDisease(ESRD)如何選擇末期腎衰竭的治療方式(英文)2020/12/29Whatisend-stagerenaldisease?Whenrenalfunctiondeclinestobelow10%ofthenormalcapacity,thekidneycannothandlemetabolicwastesandwaterefficiently.Thenuremicsymptoms,suchasedema,nausea,vomiting,fatigueanddyspneawouldappear.Inadditiontodietmodificationandmedicaltreatment,renalreplacementtherapiesareeventuallymandatoryformaintenanceofhomeostasisandpreventionoflife-threateningcomplications.WhattreatmentsareavailableforESRD?ConservativetreatmentSymptomatictreatmentwithmedicationanddietrestrictionoffluid,salt,proteinandsomeelectrolytesaresimpleandeasytocarryout,butmaynotbeenoughforthosewithadvancedrenalfailure.RenalreplacementtherapiesRenaltransplantation：Afterrenaltransplantation,lifelonguseofimmunosuppressantisnecessarytopreventrejection.Inadditiontocadaverickidney,kidneyfromalivingrelateddonorisalsoanoption.HemodialysisAdvantagesDisadvantagesclearwasteandwaterrapidlyandefficientlyprocedureoperatedbyprofessionalpeoplefrequentcontactwithmedicalstaffsufferingduetovascularpuncturemorediscomfortduringandafterthetreatmentwasteandfluidaccumulationbetweenthetreatmentsmorestrictrestrictionofdietneededmoreadverseeffectoncardiopulmonarysystemmorelikelytobeanemicforbloodlossduringthetreatmentthescheduleofthetreatmentcannotbechangedfreelyPeritonealdialysisAdvantagesDisadvantagescontinuousremovalofwastesandwatermoreroomforselfcontrollessrestrictionofdietnoneedforpuncturelessanemialesseffectoncardiovascularsystembetterpreservationofresidualrenalfunctionmoreflexibletreatmentschedulepossibilityofperitonitisandcatheterrelatedinfectio