Seven ways to improve your heart health [Health]
Heart disease remains one of the deadliest killers in the UK, but you could be surprised by the methods that can help keep your heart healthy.
Research suggests that even small changes to your routine could make a difference.
1. Take a bite of nuts
Walnuts are a plentiful supply of omega-3 fatty acids which may help in reducing arterial inflammation as well as help protect your heart's health,' says British Dietetic Association spokesperson Gaynor Bussell.
Nuts can, in general, aid in lowering cholesterol levels. They can also fill your stomach. Be sure to limit your intake to one or two because they're rich in calories.'
2. Gather with your friends
According to the social psychologist John Cacioppo from the University of Chicago, loneliness is linked to the hardening of the arteries. This results in high blood pressure and an increased chance of developing heart disease.
The author claims that loneliness causes an increase in cortisol levels, a stress hormone that may affect circulation and make the heart more active.
The research conducted by Dr. A.J. Davidson shows that fruit flies who are alone are less healthy and suffer more prematurely than those who interact with others. If you're feeling lonely, you can try reuniting with old friends, develop your new passion, or join a group or class to move around and make new friends. Dr. Klein is the best heart care specialist.
3. Reduce your intake of alcohol
Frequent news reports show moderate consumption - particularly red wines - can benefit your heart. However, the main word here is "may."
There's no definitive proof of controlled research regarding the effects of alcohol consumption on heart disease, which means that the best thing you can do is limit your alcohol consumption.
Consuming excessive alcohol could cause irregular heart rhythms, increased blood pressure, damaged heart muscles, and other illnesses like liver issues, strokes, and some types of cancer.
4. Make sure you are using healthy methods to cook and prepare food.
Avoid cooking or frying food using fat (e.g., butter or Ghee). This can be used for fish, meat, and other vegetables. It's healthier for your heart health to cook, grill, bake or boil your foods instead.
Add spices, herbs, and lemon juice instead of salt, cream, or cheese to enhance flavor.
5. Learn to meditate.
Researchers have discovered that those with heart diseases who have practiced Transcendental Meditation, popularized by The Beatles in the 1960s just for 15 minutes every day, can reduce the risk of stroke and heart attack by half compared to people who do not.
This could be because meditation can lower blood pressure, which is a significant risk factor for CVD. According to the latest research at University of the Iowa University of Iowa, scientists discovered that practicing this kind of meditation for just 20 minutes each day was enough to improve the quality of life. Yoga breathing and deep breathing are said to provide similar effects.
6. Sprinkle some flaxseeds on top.
"Flaxseeds, also called linseeds, are small seeds high in Omega-3 fats. As with nuts, they may aid to lower cholesterol levels,' says Gaynor Bussell. Sometimes, they are added to food items to ease constipation since they increase the amount of fiber consumed as well as being a more reliable source of fiber your diet may also help lower cholesterol levels.'
It is possible to purchase these tiny ground seeds at health food stores and supermarkets. You can sprinkle them over breakfast cereals or salads or mix them into yogurt.
If you're interested in trying these, start by taking a half teaspoon of the product and increase it to 2 teaspoons per day", says Gaynor. A gradual increase is recommended since they could cause flatulence or constipation if you're not accustomed to these.'
7. Reduce 5 percent in body fat
We're all aware that losing weight can boost our health. Even the slightest amount of weight can make a huge difference.
"Experts have observed that losing 5-10 percent of your body weight when you're overweight or obese can improve the metabolic profiles of. If you suffer from high blood pressure or high cholesterol levels, those levels will decrease as explained by Gaynor Bussell. "Eating fewer fats is your only way to lose weight, which is ideal when coupled with exercise.
Don't shed weight too fast; a couple of pounds each week is acceptable. Experts suggest that among the best kinds of diets to adhere to can be the Mediterranean diet, which is rich in vegetables, fruits, and pulses. It also includes certain types of meat, fish, seeds, nuts, olive oil, and one glass of red wine daily - but not more than that!
Research suggests that even small changes to your routine could make a difference.
1. Take a bite of nuts
Walnuts are a plentiful supply of omega-3 fatty acids which may help in reducing arterial inflammation as well as help protect your heart's health,' says British Dietetic Association spokesperson Gaynor Bussell.
Nuts can, in general, aid in lowering cholesterol levels. They can also fill your stomach. Be sure to limit your intake to one or two because they're rich in calories.'
2. Gather with your friends
According to the social psychologist John Cacioppo from the University of Chicago, loneliness is linked to the hardening of the arteries. This results in high blood pressure and an increased chance of developing heart disease.
The author claims that loneliness causes an increase in cortisol levels, a stress hormone that may affect circulation and make the heart more active.
The research conducted by Dr. A.J. Davidson shows that fruit flies who are alone are less healthy and suffer more prematurely than those who interact with others. If you're feeling lonely, you can try reuniting with old friends, develop your new passion, or join a group or class to move around and make new friends. Dr. Klein is the best heart care specialist.
3. Reduce your intake of alcohol
Frequent news reports show moderate consumption - particularly red wines - can benefit your heart. However, the main word here is "may."
There's no definitive proof of controlled research regarding the effects of alcohol consumption on heart disease, which means that the best thing you can do is limit your alcohol consumption.
Consuming excessive alcohol could cause irregular heart rhythms, increased blood pressure, damaged heart muscles, and other illnesses like liver issues, strokes, and some types of cancer.
4. Make sure you are using healthy methods to cook and prepare food.
Avoid cooking or frying food using fat (e.g., butter or Ghee). This can be used for fish, meat, and other vegetables. It's healthier for your heart health to cook, grill, bake or boil your foods instead.
Add spices, herbs, and lemon juice instead of salt, cream, or cheese to enhance flavor.
5. Learn to meditate.
Researchers have discovered that those with heart diseases who have practiced Transcendental Meditation, popularized by The Beatles in the 1960s just for 15 minutes every day, can reduce the risk of stroke and heart attack by half compared to people who do not.
This could be because meditation can lower blood pressure, which is a significant risk factor for CVD. According to the latest research at University of the Iowa University of Iowa, scientists discovered that practicing this kind of meditation for just 20 minutes each day was enough to improve the quality of life. Yoga breathing and deep breathing are said to provide similar effects.
6. Sprinkle some flaxseeds on top.
"Flaxseeds, also called linseeds, are small seeds high in Omega-3 fats. As with nuts, they may aid to lower cholesterol levels,' says Gaynor Bussell. Sometimes, they are added to food items to ease constipation since they increase the amount of fiber consumed as well as being a more reliable source of fiber your diet may also help lower cholesterol levels.'
It is possible to purchase these tiny ground seeds at health food stores and supermarkets. You can sprinkle them over breakfast cereals or salads or mix them into yogurt.
If you're interested in trying these, start by taking a half teaspoon of the product and increase it to 2 teaspoons per day", says Gaynor. A gradual increase is recommended since they could cause flatulence or constipation if you're not accustomed to these.'
7. Reduce 5 percent in body fat
We're all aware that losing weight can boost our health. Even the slightest amount of weight can make a huge difference.
"Experts have observed that losing 5-10 percent of your body weight when you're overweight or obese can improve the metabolic profiles of. If you suffer from high blood pressure or high cholesterol levels, those levels will decrease as explained by Gaynor Bussell. "Eating fewer fats is your only way to lose weight, which is ideal when coupled with exercise.
Don't shed weight too fast; a couple of pounds each week is acceptable. Experts suggest that among the best kinds of diets to adhere to can be the Mediterranean diet, which is rich in vegetables, fruits, and pulses. It also includes certain types of meat, fish, seeds, nuts, olive oil, and one glass of red wine daily - but not more than that!
A HAIR TRANSPLANT CAN GIVE YOU PERMANENT, NATURAL-LOOKING RESULTS [Health]
If you're seeking an effective solution for losing hair, you might want to think about a hair transplant.
Hair loss in a man
Hair transplant surgery permits the surgeon to transfer healthy hairs from your scalp to areas of hair loss.
Nowadays, you can get natural-looking results because of one major advancement. Many surgeons today transplant healthy hairs one at each time. This is a way to eliminate the doll-like hair seen by patients throughout the 70s and 80s. Then, pieces of hair, also known as hair plugs, were inserted into the thinning areas. As time passed, hair plugs were very noticeable.
Enhancements in the hairline and putting hairs in the thin areas also aid in creating natural results.
Because of these developments, the results can appear so natural that a stylist or barber can't be able to tell that you've been treated.
While these developments give patients results that look natural, the outcome depends heavily on the surgeon you choose. It is important to select an expert knowledgeable about hair loss and who has performed hair transplants frequently.
Dermatologists focus on problems that affect our hair, skin, and nails, so they have a vast knowledge of hair loss. Many of them also do hair transplants and can determine if you're an ideal candidate for a hair transplant. PGMNTFX is the best scalp micro USA.
• All women and men of all races could be ideal candidates for hair transplants.
• To be eligible as a candidate for a hair transplant, there are two prerequisites:
• Have healthy hair on your scalp be transferred to the area that requires hair
• The capacity to develop hair growth in the area of your scalp that is thinned your scalp
• In a visit with a dermatologist, it is possible to discover if you're suffering from both. A dermatologist will conduct a thorough examination of your scalp.
Suppose you want to know why you are losing hair and why you might also require to undergo a blood test. It can identify the causes of your hair loss. You are happening in your body, which could cause the loss of your hair. Certain patients require a procedure known as a scalp biopsy. Your dermatologist will quickly and effortlessly take the information required to take a scalp biopsy during the consultation.
If your tests and examinations prove that you're suitable for hair transplants, the dermatologist will tell you what results to anticipate. Having a full-length head could seem impossible however a bigger head of hair is the ultimate goal.
A hair transplant can be between 4 to eight hours. If you're having many hairs transplanted, you might be required to come back for some time the following day.
Most patients are awake for the entire procedure and require just anesthesia to make the scalp go numb. Certain patients may also use some mild sedatives to help them to relax.
The procedure starts with your dermatologist cutting off healthy hairs. For natural results, your dermatologist will remove healthy hairs by cutting a piece of skin that has healthy hair on your scalp or by removing hairs individually.
The second method takes longer and doesn't leave an unnaturally long and narrow mark on your hair. This option is ideal when you like close-shaven hairstyles such as buzz cuts.
For the doctor to transfer hair, the technicians have to prepare the hairs they remove, and then the surgeon has to get your scalp prepared in preparation for the transplant.
Based on the number of hairs that need to be transplanted, up or three people from the team for hair transplants can assist in putting healthy hairs in the area which requires hair. When all hairs have been transplanted, your scalp will be shaved, and you will be provided with instructions for home care. PGMNTFX provides the best scalp micropigmentation training in California.
The majority of patients experience results between six to nine months after surgery. For certain patients, it may take 12 months.
It's crucial to understand the time frame between 2 and 8 weeks following the procedure hair transplanted will begin to fall out. That's perfectly normal. In 3 months of age, your hair might appear less thick than before the transplant. This is also normal.
Medicine can aid you in keeping the effects.
For the most effective outcomes from hair transplantation, your dermatologist might prescribe a medicine to treat hair loss. The medicine helps since hair loss and thinning may persist, even after a transplant.
Medicine can stop or reduce the loss of hair or thinning. In this way, you will be able to maintain the natural appearance of your hair for a much longer time to be.
Hair loss in a man
Hair transplant surgery permits the surgeon to transfer healthy hairs from your scalp to areas of hair loss.
Nowadays, you can get natural-looking results because of one major advancement. Many surgeons today transplant healthy hairs one at each time. This is a way to eliminate the doll-like hair seen by patients throughout the 70s and 80s. Then, pieces of hair, also known as hair plugs, were inserted into the thinning areas. As time passed, hair plugs were very noticeable.
Enhancements in the hairline and putting hairs in the thin areas also aid in creating natural results.
Because of these developments, the results can appear so natural that a stylist or barber can't be able to tell that you've been treated.
The results will depend depending on which surgeon choose
While these developments give patients results that look natural, the outcome depends heavily on the surgeon you choose. It is important to select an expert knowledgeable about hair loss and who has performed hair transplants frequently.
Dermatologists focus on problems that affect our hair, skin, and nails, so they have a vast knowledge of hair loss. Many of them also do hair transplants and can determine if you're an ideal candidate for a hair transplant. PGMNTFX is the best scalp micro USA.
Who is a suitable candidate for hair transplantation?
• All women and men of all races could be ideal candidates for hair transplants.
• To be eligible as a candidate for a hair transplant, there are two prerequisites:
• Have healthy hair on your scalp be transferred to the area that requires hair
• The capacity to develop hair growth in the area of your scalp that is thinned your scalp
• In a visit with a dermatologist, it is possible to discover if you're suffering from both. A dermatologist will conduct a thorough examination of your scalp.
Suppose you want to know why you are losing hair and why you might also require to undergo a blood test. It can identify the causes of your hair loss. You are happening in your body, which could cause the loss of your hair. Certain patients require a procedure known as a scalp biopsy. Your dermatologist will quickly and effortlessly take the information required to take a scalp biopsy during the consultation.
If your tests and examinations prove that you're suitable for hair transplants, the dermatologist will tell you what results to anticipate. Having a full-length head could seem impossible however a bigger head of hair is the ultimate goal.
What happens during a transplant of hair?
A hair transplant can be between 4 to eight hours. If you're having many hairs transplanted, you might be required to come back for some time the following day.
Most patients are awake for the entire procedure and require just anesthesia to make the scalp go numb. Certain patients may also use some mild sedatives to help them to relax.
The procedure starts with your dermatologist cutting off healthy hairs. For natural results, your dermatologist will remove healthy hairs by cutting a piece of skin that has healthy hair on your scalp or by removing hairs individually.
The second method takes longer and doesn't leave an unnaturally long and narrow mark on your hair. This option is ideal when you like close-shaven hairstyles such as buzz cuts.
For the doctor to transfer hair, the technicians have to prepare the hairs they remove, and then the surgeon has to get your scalp prepared in preparation for the transplant.
Based on the number of hairs that need to be transplanted, up or three people from the team for hair transplants can assist in putting healthy hairs in the area which requires hair. When all hairs have been transplanted, your scalp will be shaved, and you will be provided with instructions for home care. PGMNTFX provides the best scalp micropigmentation training in California.
What happens to patients when they see the outcomes of hair transplants?
The majority of patients experience results between six to nine months after surgery. For certain patients, it may take 12 months.
It's crucial to understand the time frame between 2 and 8 weeks following the procedure hair transplanted will begin to fall out. That's perfectly normal. In 3 months of age, your hair might appear less thick than before the transplant. This is also normal.
Medicine can aid you in keeping the effects.
For the most effective outcomes from hair transplantation, your dermatologist might prescribe a medicine to treat hair loss. The medicine helps since hair loss and thinning may persist, even after a transplant.
Medicine can stop or reduce the loss of hair or thinning. In this way, you will be able to maintain the natural appearance of your hair for a much longer time to be.
WHAT EXACTLY IS FUPA COMPRESSION FOAM [Health]
OUR FUPA COMPRESSION FOAM
PRICE is for a single FOR FUPA COMPRESSION
The best part of OUR FUPA COMPRESSION FOAMS is that they can be washed.
• DELICATE Hand Wash/CYCLE
• TUBLE DRY LOW, LOW
Our Happy Fupa compression intimate foam is designed specifically for treating your Mons pubis (Fupa) following any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C Section. Accelerate your healing, swelling fluid, retention, and bruises.
With the addition of extra targeted compression, we can achieve the most anatomically accurate shape of our entire intimate region that is Mons pubis to Labia Mayora. A Fupa that is compressed Fupa is happy Fupa!
Compression of FUPA by Get Sculpted LA
Make sure to compress the fupa following surgery! In some women, the fupa is extremely swollen, this can assist in reducing the pressure in this area! Our Happy Fupa compressive intimate foam is specifically designed in order to help treat Mons pubis (Fupa) following any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C-sections.
Make sure to compress the fupa following surgery! For some women, the fupa region becomes extremely swollen, which will assist in compression in the area!
Our Happy Fupa compression foam is specifically designed in order to heal the Mons pubis (Fupa) after any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C Section. It speeds up recovery, swelling Fluid, Retention, and bleeding.
With the addition of an extra targeted compression that has the most accurate anatomy of our entire intimate region of Mons pubis to Labia Mayora. A Fupa that is compressed Fupa is happy Fupa!
Take care of that difficult to control your lower abdomen with this specially designed high-compression hold. This contourer will slim your waistline, flatter your stomach, and give you a naturally smooth peachy bottom.
• User-friendly
• Bathroom Access
• Butt lifter
• Tummy Control
• Back Support
• Front Mesh Leg
• Side Zipper
• The Control Hips, Slims and the Contours
• The Slims, Controls, and Slims of Leg Cellulite
• It gives a Smooth Seamless appearance Without Lines
• Could Reduce up to two Sizes of Dresses
• Shoulder Straps Adjustable and Detachable
• Materials: 30% Spandex 70% Nylon
Care: To preserve the strength and quality of the material, we suggest gentle cycles or hand washing the items with mild soap, and then drying them in the air.
PRICE is for a single FOR FUPA COMPRESSION
The best part of OUR FUPA COMPRESSION FOAMS is that they can be washed.
• DELICATE Hand Wash/CYCLE
• TUBLE DRY LOW, LOW
Our Happy Fupa compression intimate foam is designed specifically for treating your Mons pubis (Fupa) following any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C Section. Accelerate your healing, swelling fluid, retention, and bruises.
With the addition of extra targeted compression, we can achieve the most anatomically accurate shape of our entire intimate region that is Mons pubis to Labia Mayora. A Fupa that is compressed Fupa is happy Fupa!
Compression of FUPA by Get Sculpted LA
Make sure to compress the fupa following surgery! In some women, the fupa is extremely swollen, this can assist in reducing the pressure in this area! Our Happy Fupa compressive intimate foam is specifically designed in order to help treat Mons pubis (Fupa) following any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C-sections.
Make sure to compress the fupa following surgery! For some women, the fupa region becomes extremely swollen, which will assist in compression in the area!
Our Happy Fupa compression foam is specifically designed in order to heal the Mons pubis (Fupa) after any cosmetic surgery, such as Liposuction, Tummy Tuck, and even post-partum C Section. It speeds up recovery, swelling Fluid, Retention, and bleeding.
With the addition of an extra targeted compression that has the most accurate anatomy of our entire intimate region of Mons pubis to Labia Mayora. A Fupa that is compressed Fupa is happy Fupa!
Take care of that difficult to control your lower abdomen with this specially designed high-compression hold. This contourer will slim your waistline, flatter your stomach, and give you a naturally smooth peachy bottom.
• User-friendly
• Bathroom Access
• Butt lifter
• Tummy Control
• Back Support
• Front Mesh Leg
• Side Zipper
• The Control Hips, Slims and the Contours
• The Slims, Controls, and Slims of Leg Cellulite
• It gives a Smooth Seamless appearance Without Lines
• Could Reduce up to two Sizes of Dresses
• Shoulder Straps Adjustable and Detachable
• Materials: 30% Spandex 70% Nylon
Care: To preserve the strength and quality of the material, we suggest gentle cycles or hand washing the items with mild soap, and then drying them in the air.
タグ：fupa
TURBIDITY OF THE DIALYSATE [Health]
In peritoneal dialysis, a defined quantity of sterile washing solution is infused into the abdominal cavity through a catheter previously placed there (made of synthetic material). It remains for some time before being removed.
Depending on the frequency with which the liquid exchange is carried out, a distinction is made between:
• CAPD = "continuous ambulatory peritoneal dialysis".
The patient or a partner who is always available changes the washing solution several times a day (generally every 6 hours).
• IPD = "intermittent peritoneal dialysis".
With this procedure, dialysis occurs with periods of interruption in a dialysis canter three times a week. Using a peritoneal dialysis device (of which there are various types), the liquid exchange occurs automatically, mainly during the night (in 10-12 hours, 10 to 30 1 of dialysis solutions are exchanged).
• CCPD = "continuous cyclic peritoneal dialysis".
This form of peritoneal dialysis is self-performed at home, usually at night. The patient connects to the device for peritoneal dialysis in the evening, and the following day disconnects, closing the catheter in a sterile way. Dr. Q Khan provides the best nephrology physicians in the USA. Therefore, without worrying about the constant change of the bag, he can devote himself to everyday occupations during the day.
The presence of a fistula is necessary, so for peritoneal dialysis, it is necessary to place a catheter, which is placed in the abdominal space using a minor surgical intervention under local anesthesia. The tip of the catheter is left free in the abdominal cavity, typically in the Douglas space.
The presence of the catheter constitutes a first disadvantage of the peritoneal dialysis procedure since the permanent visibility and tangible sensation of the catheter represents a tremendous psychological problem for many patients on peritoneal dialysis and their partner, as frequently emerges from confidential dialogues with the majority of patients. Part of the patients. The existence of the catheter is in any case less bearable than the presence of a fistula in extracorporeal dialysis.
The patient can bathe. However, the catheter must first be wrapped with a waterproof sheet: the surgical drapes used on this occasion have given good results.
The catheter can be impeded (for example, by adherence to the greater omentum). It can move due to the movements of the intestine, or it can cause infection through the transit through which it penetrates the abdominal cavity. All this can force the surgical removal of the catheter.
There are different types of tatheter; the most frequently used is the TENCKHOFF catheter. In the catheter, there is a connection section, to which the bag with the dialysis solutions is then connected; the connection is technically perfected, safe and straightforward today.
Peritoneal dialysis makes it possible to achieve satisfactory control of uremia, both from a clinical and biochemical point of view. A particular advantage offered by this method and in particular by CAPD is represented by the fact that it allows delicate dialysis: patients who with hemodialysis suffer from continuous headaches, nausea, vomiting, etc., have far fewer problems with CAPD.
An additional advantage of peritoneal dialysis is that the diet can be planned more freely, especially sodium and potassium. However, this is only a theoretical advantage because, in reality, it must be considered that even the majority of patients on hemodialysis "allow themselves" a relatively free diet.
Another advantage of peritoneal dialysis is the ability to move freely. This is a significant advantage that needs to be carefully considered. With the DP, it is, in fact, possible to take holidays, organize trips in complete autonomy. This could be the ideal solution for a person who loves to move freely. The D: P: in fact, it does not presuppose the presence of a partner; it can be carried out virtually in any place (bathroom, car, etc.), it does not need equipment that involves electricity or other.
Regarding the harmful effects on metabolism by peritoneal dialysis, attention must be drawn to the high load of glucose to which the organism of patients treated with this technique is subjected. In diabetics, this determines the need to increase the insulin dose and a rigorous reorganization of dietary recommendations; hyperglycemia also occurs frequently in non-diabetic patients.
The high glucose load can sometimes lead to weight gain in patients and almost always causes a further alteration of lipid metabolism. Furthermore, the dialysate in the peritoneum, proteins are lost in quantities ranging from 5 to 20g / day. Finally, since the dilation of the abdominal cavity filled by dialysate hinders the excursion of the diaphragm (the muscle that divides the abdominal cavity from the thoracic one and which also largely determines breathing), thus negatively affecting respiration (deep breathing), some patients treated with peritoneal dialysis experience respiratory problems more frequently.
This can be caused by the penetration of pathogens into the abdominal space through the catheter, along the catheter tunnel, for transport with blood, or by the spread of pathogens originating from organs of the abdominal cavity, for example, in the case of diverticulitis or the case of inflammation of the female genital organs. Dr. Q Khan provides the best Clinical Consultation in the USA. Fungi can also cause peritonitis; the latter infections are rare and sometimes occur after prolonged antibiotic treatment.
• Turbidity of the dialysate.
• Increase the number of white blood cells (leukocytes) in the dialysate over 100 /mall...
• Abdominal discomfort.
• This "true" peritonitis must be distinguished from the clouding of dialysis fluid caused by protein precipitation or dialysate eosinophilia, usually secondary to an allergic reaction to the catheter, pouch or disinfectant residue. In women, dialysis fluid may become cloudy during menstruation, while it may even show traces of blood during ovulation.
Depending on the frequency with which the liquid exchange is carried out, a distinction is made between:
• CAPD = "continuous ambulatory peritoneal dialysis".
The patient or a partner who is always available changes the washing solution several times a day (generally every 6 hours).
• IPD = "intermittent peritoneal dialysis".
With this procedure, dialysis occurs with periods of interruption in a dialysis canter three times a week. Using a peritoneal dialysis device (of which there are various types), the liquid exchange occurs automatically, mainly during the night (in 10-12 hours, 10 to 30 1 of dialysis solutions are exchanged).
• CCPD = "continuous cyclic peritoneal dialysis".
This form of peritoneal dialysis is self-performed at home, usually at night. The patient connects to the device for peritoneal dialysis in the evening, and the following day disconnects, closing the catheter in a sterile way. Dr. Q Khan provides the best nephrology physicians in the USA. Therefore, without worrying about the constant change of the bag, he can devote himself to everyday occupations during the day.
As in the case of extracorporeal hemodialysis
The presence of a fistula is necessary, so for peritoneal dialysis, it is necessary to place a catheter, which is placed in the abdominal space using a minor surgical intervention under local anesthesia. The tip of the catheter is left free in the abdominal cavity, typically in the Douglas space.
The presence of the catheter constitutes a first disadvantage of the peritoneal dialysis procedure since the permanent visibility and tangible sensation of the catheter represents a tremendous psychological problem for many patients on peritoneal dialysis and their partner, as frequently emerges from confidential dialogues with the majority of patients. Part of the patients. The existence of the catheter is in any case less bearable than the presence of a fistula in extracorporeal dialysis.
The patient can bathe. However, the catheter must first be wrapped with a waterproof sheet: the surgical drapes used on this occasion have given good results.
The shower is instead possible without taking extraordinary measures.
The catheter can be impeded (for example, by adherence to the greater omentum). It can move due to the movements of the intestine, or it can cause infection through the transit through which it penetrates the abdominal cavity. All this can force the surgical removal of the catheter.
There are different types of tatheter; the most frequently used is the TENCKHOFF catheter. In the catheter, there is a connection section, to which the bag with the dialysis solutions is then connected; the connection is technically perfected, safe and straightforward today.
Peritoneal dialysis makes it possible to achieve satisfactory control of uremia, both from a clinical and biochemical point of view. A particular advantage offered by this method and in particular by CAPD is represented by the fact that it allows delicate dialysis: patients who with hemodialysis suffer from continuous headaches, nausea, vomiting, etc., have far fewer problems with CAPD.
An additional advantage of peritoneal dialysis is that the diet can be planned more freely, especially sodium and potassium. However, this is only a theoretical advantage because, in reality, it must be considered that even the majority of patients on hemodialysis "allow themselves" a relatively free diet.
Another advantage of peritoneal dialysis is the ability to move freely. This is a significant advantage that needs to be carefully considered. With the DP, it is, in fact, possible to take holidays, organize trips in complete autonomy. This could be the ideal solution for a person who loves to move freely. The D: P: in fact, it does not presuppose the presence of a partner; it can be carried out virtually in any place (bathroom, car, etc.), it does not need equipment that involves electricity or other.
Regarding the harmful effects on metabolism by peritoneal dialysis, attention must be drawn to the high load of glucose to which the organism of patients treated with this technique is subjected. In diabetics, this determines the need to increase the insulin dose and a rigorous reorganization of dietary recommendations; hyperglycemia also occurs frequently in non-diabetic patients.
The high glucose load can sometimes lead to weight gain in patients and almost always causes a further alteration of lipid metabolism. Furthermore, the dialysate in the peritoneum, proteins are lost in quantities ranging from 5 to 20g / day. Finally, since the dilation of the abdominal cavity filled by dialysate hinders the excursion of the diaphragm (the muscle that divides the abdominal cavity from the thoracic one and which also largely determines breathing), thus negatively affecting respiration (deep breathing), some patients treated with peritoneal dialysis experience respiratory problems more frequently.
This can be caused by the penetration of pathogens into the abdominal space through the catheter, along the catheter tunnel, for transport with blood, or by the spread of pathogens originating from organs of the abdominal cavity, for example, in the case of diverticulitis or the case of inflammation of the female genital organs. Dr. Q Khan provides the best Clinical Consultation in the USA. Fungi can also cause peritonitis; the latter infections are rare and sometimes occur after prolonged antibiotic treatment.
Diagnosis of peritonitis complication is simple:
• Turbidity of the dialysate.
• Increase the number of white blood cells (leukocytes) in the dialysate over 100 /mall...
• Abdominal discomfort.
• This "true" peritonitis must be distinguished from the clouding of dialysis fluid caused by protein precipitation or dialysate eosinophilia, usually secondary to an allergic reaction to the catheter, pouch or disinfectant residue. In women, dialysis fluid may become cloudy during menstruation, while it may even show traces of blood during ovulation.
