MANAGEMENT OF HYPERLIPIDEMIA IN PATIENTS ON PERITONEAL DIALYSIS (PD)

Lutfi Zylbeari, Ferizate Dika, Sadi Bexheti, Nasir Behxheti, Hanife Rustemi Ahmeti, Agron Dogjani, Arbnore Qaili, Zamira Bexheti

Abstract

Peritoneal dialysis(PD) is a type of dialysis that uses the peritoneum in a person's abdomen as the membrane through which fluid and dissolved substances are exchanged with the blood. Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen(perytoneum), or belly, to filter your blood inside your body. What are the types of peritoneal dialysis? Continuous ambulatory peritoneal dialysis (CAPD),automated peritoneal dialysis.The main differences between the two types of peritoneal dialysis arethe schedule of exchanges one uses a machine and the other is done by hand.If one type of peritoneal dialysis doesn’t suit you, talk with your doctor about trying the other type.CAPD doesn’t use a machine. You do the exchanges during the day by hand.You can do exchanges by hand in any clean, well-lit place. Each exchange takes about 30 to 40 minutes. During an exchange, you can read, talk, watch television, or sleep. With CAPD, you keep the solution in your belly for 4 to 6 hours or more. The time that the dialysis solution is in your belly is called the dwell time. Usually, you change the solution at least four times a day and sleep with solution in your belly at night. You do not have to wake up at night to do an exchange.Lipid metabolism disorders in patients with End Stage Renal Disease(ESRD) are first described in 1827 by Dr Bright, especially in patients with nephrotic syndrome (1,2,3).

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