臨牀透析 Vol.33 No.6(4-2)


特集名 創造する透析医療―新たなmodalityへの期待と課題
題名 透析療法の新たな視点(2)さまざまな腎代替療法を受けての所感
発刊年月 2017年 06月
著者 古薗 勉 近畿大学生物理工学部医用工学科
【 要旨 】 腎代替療法(renal replacement therapy ; RRT)とは,血液透析,腹膜透析および腎移植の三つの末期腎不全治療法のことを指す.在宅血液透析を含め,約30年間をかけてすべてのRRTを経験した一症例が,一般的にいわれているこれらの治療法の利点と“実感”との乖離について主観的な立場から述べた.末期腎不全患者の残存腎機能をいかに長く保たせるかが,患者の“実感”に大きく影響する.結論として,一般的に知られている透析療法の利点と本症例の実感との大きな乖離はないが,間歇的治療から持続的治療に移行することによって,“good well-being”を感じるということは明らかな事実である.
Theme Creation of hemodialysis modalities for new goals
Title Opinions concerning receiving of various types of renal replacement therapy
Author Tsutomu Furuzono Department of Bioengineering, Faculty of Biology-Oriented Science and Technology, Kindai University
[ Summary ] Renal replacement therapy (RRT) is available in three forms for end-stage renal disease (ESRD). These are hemodialysis, peritoneal dialysis and kidney implantation. A certain patient who has experienced all forms of the RRT, including home hemodialysis treatment, for approximately 30 years described the differences between the general advantages of RRT as well as his feelings about treatments. The most important factor influencing the feelings of ESRD patients receiving dialysis therapies depends on how we maintain residual kidney functions over long periods. In conclusion, there is no major difference between the advantages of various forms of RRT that are normally believed and the feelings of the certain patient about RRT. However, it is obvious truth that he experiences "good well-being" when he changes from intermittent treatment to continuous one for ESRD treatment.
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