| 特集名 | 在宅血液透析療法 | |
|---|---|---|
| 題名 | 新生会における在宅血液透析 -- 経験と問題点 | |
| 発刊年月 | 1998年 06月 | |
| 著者 | 小川 洋史 | 新生会第一病院内科 |
| 【 要旨 】 | 在宅血液透析(在宅HD)は，社会福祉法人「新生会」において昭和46年より取り組んでいる．在宅透析における安全性については当初より厳重にチェックされ，重大な事故は生じていない．このような安全性の確保には，充実した教育システムと，事故を予防したり，発生後には迅速かつ的確な対応をする管理システムの確立が不可欠である．また，在宅HDにおいては，一人で安全・簡便にでき，効率も施設透析と同等以上の機器の開発が切望される． 社会活動を行いながら透析30年への時代へ向かうに，在宅HDの果たす役割は大きいと考える．慢性腎不全患者の治療選択肢が増えることを望むものである． |
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| Theme | Home Hemodialysis | |
|---|---|---|
| Title | Home hemodialysis at Shinseikai -- Experiences and problems | |
| Author | Hiroshi Ogawa | Department of Internal Medecine, Shinseikai Dai-ich Hospital |
| [ Summary ] | Home hemodialysis (HHD) was developed in the United States, and began in our group, the Social Welfare Corporation "Shinseikai", in 1971. While in home hemodialysis must be conducted with the same degree of safety available at medical facilities, it is may be surprising to learn that extracorporeal circulation treatment, utilizing an artificial kidney may be conducted in the patients' home from the initiation of dialysis treatment. Regarding to safety, treatment has been checked very carefully, from the start of treatment and no serious accidents have occurred. Indispensable in securing this level of operational safety has been a comprehensive educational system and the establishment of a management system, both of which prevent accidents, as well as to providing rapid and appropriate countermeasures, if any problems occur. There are great expectations for the development of HHD as a device offering the same efficiency available at dialysis facilities, which can be safely and simply operated by patients themselves. It is hoped that HHD will play a greater role for in the future, those patients who wish to function normally in society, while continuing to undergo dialysis, for thirty years of more. It is hoped that this will increase choice of treatments available for patients with chronic renal insufficiency. |
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