Considering peritoneal dialysis at home can be a viable option for managing kidney failure due to multiple myeloma. Here are some key points about peritoneal dialysis:
Types of Peritoneal Dialysis
1. Continuous Ambulatory Peritoneal Dialysis (CAPD):
- Involves performing dialysis manually by attaching a plastic bag to Show Full Answer
Considering peritoneal dialysis at home can be a viable option for managing kidney failure due to multiple myeloma. Here are some key points about peritoneal dialysis:
Types of Peritoneal Dialysis:
1. Continuous Ambulatory Peritoneal Dialysis (CAPD):
- Involves performing dialysis manually by attaching a plastic bag to a tube in your abdomen.
- Each cycle (exchange) takes 30-45 minutes, and you perform 3-5 exchanges daily during waking hours.
- Allows you to go about normal daytime activities.
2. Continuous Cycling Peritoneal Dialysis (CCPD) or Automated Peritoneal Dialysis (APD):
- Uses a machine (cycler) to perform dialysis automatically overnight.
- Reduces fluid and waste buildup, lessening stress on the heart and arteries.
- Easier to maintain a normal work schedule.
Considerations:
- Health Requirements:
- Good vision is necessary to perform peritoneal dialysis correctly and prevent infection.
- If you are morbidly obese or have had multiple abdominal surgeries, peritoneal dialysis may not be suitable.
- Complications:
- Peritonitis, an infection of the peritoneum, is a rare but serious complication.
- Over time, you may develop nutritional deficiencies, anemia, and bone problems.
- Insurance:
- Your health insurance may not cover 100% of dialysis costs.
Advantages:
- Less fluid and waste buildup compared to hemodialysis.
- Reduced stress on the heart and arteries.
- More flexibility with your schedule.
Current Treatment:
- You are currently on Velcade, Darzalex, and Cytoxan, which are common treatments for multiple myeloma.
Given your current treatment and condition, discussing the switch to peritoneal dialysis with your healthcare provider is essential to ensure it aligns with your overall treatment plan and health status.
October 14
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