Marginal Failure Patients Can Wash Their Own Blood at Home

During this time to treat patients with kidney failure who are convicted, people are more familiar with hemodialysis or dialysis should be done in the hospital. Though there are other treatments that can be done at home by patients themselves, thus saving time.
Kidney failure is the final stage of kidney disease in which kidney function is less than 15 percent. At this stage, the only way to prolong the life expectancy of patients with renal replacement therapy is.
To date there are only three kinds of renal replacement therapy, namely:

1. Hemodialysis (HD)
2. Peritoneal dialysis (dialysis or through the stomach) or Continuos ambulatory peritoneal dialysis (CAPD)
3. Transplant or a kidney transplant

"Ideally transplant, but is expensive and not easy to find a donor. What is now most do patients with kidney failure are dialysis or hemodialysis. But the truth is medically better CAPD (Continuos ambulatory peritoneal dialysis) that can be done alone at home or at work, "said Dr. stumps D Situmorang, SpPD.KGH, Director PGI Cikini Hospital, at the Press Conference World Kidney Day 'Protect Your Kidney Save Your Heart' at the House Ziebart PT Kalbe Farma, Jakarta, Thursday (03/10/2011).
Hemodialysis (HD) is an action taken at the hospital a week 2-3 years to clean up the toxins and remove excess fluid from the body (remember the natural kidneys are not able to perform its functions well).
Each time HD takes about 4-5 hours. In the hands of patients will be made a so-called Simino access to drain the dirty blood into the dialysis machine and returning the clean blood to the body. Machines used to clean the blood of these toxic substances.
While peritoneal dialysis (dialysis or through the abdomen) that is widely used today is the Continuos ambulatory peritoneal dialysis (CAPD) is an action taken by the patient at home 3-4 times per day to cleanse toxins and remove excess fluid from the in the body.
Each time CAPD takes about 30 minutes and the patient's stomach will be installed a catheter to remove fluid and toxins from the body. Here that serves as a filter or membrane filter is the abdominal cavity.
"Medically and better cost CAPD. This was getting a lot done in Hong Kong, Thailand, Taiwan. If in Indonesia can be very good, because not all hospitals can serve hemodialysis. CAPD can even be done in the villages by the patients themselves , "said Dr. stumps.
Here are some advantages CAPD compared to HD delivered by Dr. stumps, namely:

1. The remaining kidney function can still be saved
2. Toxic substances in the body can be removed
3. Do not add the burden of the heart so it can be done by anyone, including elderly patients
4. Using the 24 hours the body's natural processes
5. Can be done at home or the workplace without going to the hospital, and can be ordered and delivered to homes.
6. Higher hemoglobin levels so as to improve the quality of life
7. Smaller risk of getting hepatitis
8. More economical is the cost

Moreover, according to Dr. stumps, CAPD tends fewer contraindications than hemodialysis. The most common is infection because patients do not comply with hygiene rules before installation.
Unfortunately, renal replacement therapy is less popular compared with hemodialysis.
"Why not as popular as the HD, since HD was introduced first. From the survey results, patients with renal failure undergoing HD is only 30 percent are familiar with CAPD. And if in Thailand, CAPD patients with renal failure have a new HD first, except when experiencing certain conditions," dr-up stumps.
According to Dr. stumps, kidney failure patients undergoing CAPD is not the age of patients undergoing surgery in the abdominal area and patients with disturbances in the skin of the abdomen, as this can increase the risk of infection.
"The issue price depending on the prescription, there are 3 or 4 times a day. If it is 4 times a day the cost could reach 6.5 million per month for non Askes, if Askes be covered 100 percent," said Dr. Natalia Erlan, Marketing Manager PT Kalbe Farma Tbk.
Before the installation of CAPD system, kidney failure patients will be trained for several days installing the correct way, ie by obeying a few rules before installation, among others:

1. Wash hands before putting on CAPD system
2. Using a mask to cover your mouth
3. Maintain cleanliness of the environment around the room before installation CAPD system.

"CAPD is expected to create more renal failure patients independent and responsible," concludes Dr. Erlan.