การฟอกไต

Key Facts

• Two types: hemodialysis (machine-based blood cleansing) and peritoneal dialysis (abdomen-based)
• Hemodialysis: 3-5 hours per treatment, 3 times weekly; requires large IV catheter
• Continual renal replacement therapy (CRRT): 24-48 hours continuous cleansing, mimics natural kidney function
• Best candidates: acute kidney failure (poisoning, leptospirosis), ureteral obstruction pre-surgery
• Response rate: ~50% of dogs, ~56% of cats; leptospirosis and ureteral obstructions have best outcomes
• Complications: malnutrition, metabolic bone disease, carnitine/taurine deficiency, catheter infection/clotting
• Taurine deficiency from dialysis can cause blindness and heart-disease in cats
• Do not wait until conventional therapy completely fails; early referral improves outcomes
• Very few veterinary facilities offer dialysis
• Species: dogs and cats