Theme |
Diversity of hemodialysis therapies |
Title |
Long hemodialysis |
Author |
Kanenori Maeda |
Department of Nephrology, Maeda Clinic |
Author |
Koichiro Tsuruta |
Department of Clinical Engineering, Maeda Clinic |
Author |
Yuki Maeda |
Department of Nephrology, Maeda Clinic |
Author |
Yasushi Mochizuki |
Department of Nephro-Urology, Nagasaki University Graduated School of Biomedical Sciences |
[ Summary ] |
The environment surrounding dialysis-treatment, in terms of improved equipment and water treatment technology, dialyzer quality, dialysate purification and the biocompatibility of devises has steady progressed due to current efforts and those of our predecessors. Prevention of complications involving drug therapy has certainly advanced as have symptomatic treatments, and renal failure treatments. However, the very simple principles of removing excess uremic toxins by "diffusion" and "adsorption", and removing body fluids by "filtration" have not changed in the 50 years since the introduction of hemodialysis therapy.Hemodialysis therapy is still in the developmental stages. Therefore, medical personel, need to recognize there is much room for improvement in this field. Currently the upper limits of dialysis dosage are not known. We must recognize there is a shortage of dialysis available. It is thought that long-term hemodialysis is an effective treatment. |