Dialysis is the human body can not metabolize substances through the organ to reach the body balanced role of the state, who once kidney damage, the body's endocrine disorders will be until renal insufficiency when it will adopt dialysis, dialysis for kidney patients is a very direct solution to get rid of the pain, can delay life. But under the so many advantages often will inevitably harm to the human body, kidney dialysis What are the disadvantages of it Here we understand the next?:
1, dialysis chronic kidney disease, will produce dependency. Dialysis treatment is only an auxiliary tool on the kidneys, but can ease pain as soon as possible and not be able to dig up the roots, and dialysis for a long time, the body will produce dependence, over time can cause side effects on the human body.
2, kidney dialysis delay treatment, missed treatment opportunities. If, after dialysis, kidney will gradually begin no longer used, time will completely lose function, that time is no way to treat and fix.
3, kidney dialysis can save lives, but can not cure. Dialysis timely rapid detoxification toxins from the body, complications can dialyzed many and serious, life-threatening passage of time will.
4, kidney dialysis causes gradual loss of kidney. If you rely solely on long-term patients to dialysis, kidney function will be only because of prolonged disuse atrophy, scrap, and no longer fertile after dialysis.
Shijiazhuang kidney hospital is the national professional hospital treatment of kidney disease, with excellent team of experts and advanced medical equipment, can accurately diagnose the patient's condition, determine the best treatment options to achieve the best therapeutic effect. And patients now come to my hospital for medical treatment, can enjoy special subsidy fund Red Cross nephropathy.
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2015年12月25日星期五
Irregular dialysis uremic patients is taboo
Irregular dialysis uremic patients is taboo! Uremia is a chronic disease, there is currently no cure, patients can only rely on hemodialysis sustain life. Experts point out that, at present, the best treatment of uremic kidney transplant, but due to renal source of tension, matching difficulties and other reasons, many uremic patients can only take dialysis, exhaust the body of excess water and toxins.
Nephrology experts, uremia is known as end-stage kidney disease, which is a variety of end-stage renal disease is a common clinical syndrome. When kidney failure, the kidneys can not maintain normal work, metabolic waste and excess water can not be discharged, resulting in the accumulation of toxins, water retention, anemia. The uremic dialysis include hemodialysis, peritoneal dialysis, colon dialysis, hemodialysis is the use of hemodialysis machine leads to the patient's blood in vitro, through the machine to remove excess water and toxins, then carry blood back to the body of a method of treatment.
Many patients in the clinical symptoms improved because of financial problems after they terminated dialysis, leading to further deterioration of the disease. Experts believe that irregular dialysis can lead to toxins and water can not be discharged, the remnants of a further loss of kidney function and even lead to death.
It is understood that the new rural cooperative medical reimbursement for the cost of improved hemodialysis, to a certain extent, ease the financial burden of blood dialysis patients.
Nephrology experts pointed out that adhere to the law and the right way of life of dialysis, uremia not terrible. Regular weekly hemodialysis refers to the hospital for hemodialysis treatment 2-3 times, each time 4-5 hours. Uremic patients need to be familiar with the disease correctly, active treatment, be patient for dialysis, dialysis adhere to the law, to regain confidence in life.
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Nephrology experts, uremia is known as end-stage kidney disease, which is a variety of end-stage renal disease is a common clinical syndrome. When kidney failure, the kidneys can not maintain normal work, metabolic waste and excess water can not be discharged, resulting in the accumulation of toxins, water retention, anemia. The uremic dialysis include hemodialysis, peritoneal dialysis, colon dialysis, hemodialysis is the use of hemodialysis machine leads to the patient's blood in vitro, through the machine to remove excess water and toxins, then carry blood back to the body of a method of treatment.
Many patients in the clinical symptoms improved because of financial problems after they terminated dialysis, leading to further deterioration of the disease. Experts believe that irregular dialysis can lead to toxins and water can not be discharged, the remnants of a further loss of kidney function and even lead to death.
It is understood that the new rural cooperative medical reimbursement for the cost of improved hemodialysis, to a certain extent, ease the financial burden of blood dialysis patients.
Nephrology experts pointed out that adhere to the law and the right way of life of dialysis, uremia not terrible. Regular weekly hemodialysis refers to the hospital for hemodialysis treatment 2-3 times, each time 4-5 hours. Uremic patients need to be familiar with the disease correctly, active treatment, be patient for dialysis, dialysis adhere to the law, to regain confidence in life.
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Dialysis patients Nutrition
1) should pay attention to add high-quality low-protein (intake of 1.2 ~ 1.4g / (kg • d), such as egg white, fish, lean meat, milk, chicken, etc. (little or no urine the patient should reduce milk intake, can be used in place of other foods)
2) limit sodium intake is normal urine output, without limit sodium intake. When decreased urine output, usually a day not more than 3g. Patients with no urine should be controlled at 1-2g.
3) restrictions potassium intake of potassium intake should be according to the disease, usually daily intake of 2-2.5g, caution high potassium foods, such as mushrooms, seaweed, mustard and banana, orange and so on.
4) restrict phosphorus foods almost all the food phosphorus, should avoid eating foods high in phosphorus. Such as organ meats, dried fruit, chocolate and so on.
5) control fluid intake between dialysis twice the growth of the patient's weight must not exceed 2.5kg or not more than 4% of the original weight. Water intake generally increases urine previous day and then 500ml appropriate. (Drinking water including liquid input, soups, porridge, milk, fruits, etc.).
6) The appropriate vitamin supplements.
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2) limit sodium intake is normal urine output, without limit sodium intake. When decreased urine output, usually a day not more than 3g. Patients with no urine should be controlled at 1-2g.
3) restrictions potassium intake of potassium intake should be according to the disease, usually daily intake of 2-2.5g, caution high potassium foods, such as mushrooms, seaweed, mustard and banana, orange and so on.
4) restrict phosphorus foods almost all the food phosphorus, should avoid eating foods high in phosphorus. Such as organ meats, dried fruit, chocolate and so on.
5) control fluid intake between dialysis twice the growth of the patient's weight must not exceed 2.5kg or not more than 4% of the original weight. Water intake generally increases urine previous day and then 500ml appropriate. (Drinking water including liquid input, soups, porridge, milk, fruits, etc.).
6) The appropriate vitamin supplements.
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Dialysis patients dietary guidance
Learn nutritional status in hemodialysis patients and the main influencing factors provide a basis for dietary care. Hemodialysis patients with varying degrees of malnutrition majority. We should pay attention to nutritional problems in hemodialysis patients, provide targeted dietary guidance based on the nutritional status and influencing factors.
Hemodialysis; diet; nutrition; Nursing
Constantly updated and significantly improve the technical level of modern blood purification equipment, survival time of patients with chronic renal failure greatly extended. However, long-term dialysis patients due to the accumulation of toxins in water and urine, stomach and intestines slow, not dull is to eat vomiting, resulting in poor nutrient intake, or due to the unreasonable diet, leading to water retention, blood potassium disease, congestive heart failure, and even death. Meanwhile, with the decline of renal function, and protein loss and other reasons cause deterioration of the nutritional status of the patient. Good nutritional status can prevent or reduce the complications and improve dialysis effect, thereby enhancing the patient's ability to adapt to everyday life and social activities. Thus, long-term hemodialysis patients diet care has become an important issue.
Diet care points
Adequate intake of protein
Hemodialysis may lose a certain amount of protein and amino acids, while promoting protein catabolism, causing negative nitrogen balance. Therefore, hemodialysis patients should eat more protein than conservative treatment of patients. Protein intake to 1.2 kg / d more appropriate. Note that high quality protein, 80% high biological value should be given high-quality protein, such as egg white, milk, lean meat, fish and other animal protein, such as high quality protein amino acid content, utilization of synthetic human proteins than vegetable protein essential, produce metabolic wastes (such as urea) less.
Adequate intake of calories
Sufficient heat can inhibit protein alienation and maintain ideal weight; if insufficient heat, food protein will be consumed as heat source. Since protein catabolism accelerated gluconeogenesis increases can produce more metabolic waste. For hemodialysis patients, the recommended calorie intake and nutritional status should be based on the patient's blood lipid levels and labor intensity appropriate changes. Heat is mainly provided by carbohydrates and fat, carbohydrate intake is generally 5 g / (kg · d) ~ 6 g / (kg · d), fat intake is usually 1.3 g / (kg · d) ~ 1.7 g / (kg · d), should be more intake of unsaturated fatty acids, such as vegetable oil, can reduce cholesterol, free fatty acids and triglycerides, so as not to aggravate atherosclerosis.
Dialysis patients dietary guidance
Maintain water balance, limiting salt intake
Most hemodialysis patients little or no urine, strict control of water intake, diet foods try to eat more water. To maintain the water balance is to prevent complications and improve survival important part. Between dialysis water caused by excessive water retention, severe cases can cause circulatory overload and death. Ultrafiltration dialysis too much can cause low blood pressure, angina, arrhythmias and muscle spasms. In principle, the amount of water daily into the urine + dialysis UF = water / number of days between dialysis +500 mL. Determine the moisture limit of the best indicators of changes in body weight, weight gain between two dialysis should be controlled within 1.5 kg is appropriate. Patients should be every day under the same conditions, within a fixed time record weight and blood pressure. Drink hot and cold water to quench their thirst than drink water and add a few drops of lemon juice or mouth with ice cubes are a good way to control the amount of drinking water. Patients can observe liquid restrictions depends largely on sodium intake. Common clinical some new patients often feel thirst, the main reason is because there is no limit salt. Because sodium can retention of water, salt Iddo produce thirst, increased water intake. As appropriate to limit sodium in food, to avoid thirst, often can automatically reduce the amount of water to prevent water retention, high blood pressure, congestive heart failure and dialysis complications. So for hemodialysis patients, salt restriction limit is more important than water. The amount of salt is generally 3 g / d ~ 5 g / d.
Limit potassium, phosphorus intake
Hyperkalemia can cause arrhythmia, heart attack, avoid the use of potassium vegetables, such as spinach, mustard greens, bitter melon, dried mushrooms, leeks, cabbage, bamboo shoots, seaweed, lilies, mushrooms, bean sprouts and so on; avoid eating high potassium fruits, such as bananas, guava, cantaloupe, melons, grapes, oranges, carambola. Pay particular attention to the broth, soup, lettuce and other high potassium content, it should Eat. Wash eating vegetables should be cut, and then the dish burns, pour the soup and cook, and eat only fruits 1 d 2 times, preferably before eating soaking 1 h ~ 2 h and then eat. Others such as Chinese soup very high potassium content should be careful service. Lower potassium content in food can by soaking, boiling, ultra-low temperature refrigeration and other methods to remove potassium foods. Timely monitoring of serum potassium concentration, and adjusted at any time according to the amount of urine potassium intake to avoid too high or too low potassium.
Renal osteodystrophy, also known as renal osteodystrophy, a bone disease due to the calcium, phosphorus and vitamin D metabolism, secondary hyperparathyroidism, acid-base balance disorders caused by other factors. Hyperphosphatemia is caused by renal osteodystrophy and secondary hyperparathyroidism hyperthyroidism important factor, but also the maintenance hemodialysis patients with serious complications, so limiting intake of phosphorus in the diet is extremely important. Low phosphorus diet is dialysis patients avoid hyperphosphatemia first step. Phosphorus is mainly present in dairy products, egg yolks, organ meats (heart, liver), shrimp, peanuts, nuts, soy and other foods, pay attention to proper control; the soup contains dissolved phosphorus, should drink less better.
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Hemodialysis; diet; nutrition; Nursing
Constantly updated and significantly improve the technical level of modern blood purification equipment, survival time of patients with chronic renal failure greatly extended. However, long-term dialysis patients due to the accumulation of toxins in water and urine, stomach and intestines slow, not dull is to eat vomiting, resulting in poor nutrient intake, or due to the unreasonable diet, leading to water retention, blood potassium disease, congestive heart failure, and even death. Meanwhile, with the decline of renal function, and protein loss and other reasons cause deterioration of the nutritional status of the patient. Good nutritional status can prevent or reduce the complications and improve dialysis effect, thereby enhancing the patient's ability to adapt to everyday life and social activities. Thus, long-term hemodialysis patients diet care has become an important issue.
Diet care points
Adequate intake of protein
Hemodialysis may lose a certain amount of protein and amino acids, while promoting protein catabolism, causing negative nitrogen balance. Therefore, hemodialysis patients should eat more protein than conservative treatment of patients. Protein intake to 1.2 kg / d more appropriate. Note that high quality protein, 80% high biological value should be given high-quality protein, such as egg white, milk, lean meat, fish and other animal protein, such as high quality protein amino acid content, utilization of synthetic human proteins than vegetable protein essential, produce metabolic wastes (such as urea) less.
Adequate intake of calories
Sufficient heat can inhibit protein alienation and maintain ideal weight; if insufficient heat, food protein will be consumed as heat source. Since protein catabolism accelerated gluconeogenesis increases can produce more metabolic waste. For hemodialysis patients, the recommended calorie intake and nutritional status should be based on the patient's blood lipid levels and labor intensity appropriate changes. Heat is mainly provided by carbohydrates and fat, carbohydrate intake is generally 5 g / (kg · d) ~ 6 g / (kg · d), fat intake is usually 1.3 g / (kg · d) ~ 1.7 g / (kg · d), should be more intake of unsaturated fatty acids, such as vegetable oil, can reduce cholesterol, free fatty acids and triglycerides, so as not to aggravate atherosclerosis.
Dialysis patients dietary guidance
Maintain water balance, limiting salt intake
Most hemodialysis patients little or no urine, strict control of water intake, diet foods try to eat more water. To maintain the water balance is to prevent complications and improve survival important part. Between dialysis water caused by excessive water retention, severe cases can cause circulatory overload and death. Ultrafiltration dialysis too much can cause low blood pressure, angina, arrhythmias and muscle spasms. In principle, the amount of water daily into the urine + dialysis UF = water / number of days between dialysis +500 mL. Determine the moisture limit of the best indicators of changes in body weight, weight gain between two dialysis should be controlled within 1.5 kg is appropriate. Patients should be every day under the same conditions, within a fixed time record weight and blood pressure. Drink hot and cold water to quench their thirst than drink water and add a few drops of lemon juice or mouth with ice cubes are a good way to control the amount of drinking water. Patients can observe liquid restrictions depends largely on sodium intake. Common clinical some new patients often feel thirst, the main reason is because there is no limit salt. Because sodium can retention of water, salt Iddo produce thirst, increased water intake. As appropriate to limit sodium in food, to avoid thirst, often can automatically reduce the amount of water to prevent water retention, high blood pressure, congestive heart failure and dialysis complications. So for hemodialysis patients, salt restriction limit is more important than water. The amount of salt is generally 3 g / d ~ 5 g / d.
Limit potassium, phosphorus intake
Hyperkalemia can cause arrhythmia, heart attack, avoid the use of potassium vegetables, such as spinach, mustard greens, bitter melon, dried mushrooms, leeks, cabbage, bamboo shoots, seaweed, lilies, mushrooms, bean sprouts and so on; avoid eating high potassium fruits, such as bananas, guava, cantaloupe, melons, grapes, oranges, carambola. Pay particular attention to the broth, soup, lettuce and other high potassium content, it should Eat. Wash eating vegetables should be cut, and then the dish burns, pour the soup and cook, and eat only fruits 1 d 2 times, preferably before eating soaking 1 h ~ 2 h and then eat. Others such as Chinese soup very high potassium content should be careful service. Lower potassium content in food can by soaking, boiling, ultra-low temperature refrigeration and other methods to remove potassium foods. Timely monitoring of serum potassium concentration, and adjusted at any time according to the amount of urine potassium intake to avoid too high or too low potassium.
Renal osteodystrophy, also known as renal osteodystrophy, a bone disease due to the calcium, phosphorus and vitamin D metabolism, secondary hyperparathyroidism, acid-base balance disorders caused by other factors. Hyperphosphatemia is caused by renal osteodystrophy and secondary hyperparathyroidism hyperthyroidism important factor, but also the maintenance hemodialysis patients with serious complications, so limiting intake of phosphorus in the diet is extremely important. Low phosphorus diet is dialysis patients avoid hyperphosphatemia first step. Phosphorus is mainly present in dairy products, egg yolks, organ meats (heart, liver), shrimp, peanuts, nuts, soy and other foods, pay attention to proper control; the soup contains dissolved phosphorus, should drink less better.
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Hemodialysis patients what things to eat, and what not to eat?
Hemodialysis patients with non-dialysis patients with different diets. Hemodialysis patients eat those things, which things can not eat?
Hemodialysis patients with dialysis dialysate some protein will be lost, it should increase the quality of protein intake. Such as egg, milk, lean meat, fish, beef and so on. In order to ensure the effective functioning of the protein, every day should be adequate intake of calories.
To increase calcium intake. Hemodialysis patients should also add calcium, 1000 mg -1500 mg daily requirement, and therefore appropriate to add calcium and 1,25-dihydroxyvitamin calciferol.
Group 8 to add vitamins and folic acid.
To strictly control the salt intake. 5 grams of salt per day control (about one small teaspoon) and, if severe hypertension or edema, less urine, then salt intake also decreases.
To strictly control the intake of potassium. Easy hemodialysis patient's blood pressure elevated, hypertension can lead to serious arrhythmias and even cardiac arrest, so do not eat foods high in potassium, such as citrus, apples, grapes, bananas, mustard, peanuts, walnuts, mushrooms, etc., preserved Do not eat products. To reduce the potassium content of the diet, green leafy vegetables can be boiled into the boiling water, the water drained, and then burned. Root vegetables should be peeled, cut into thin slices, cooked in boiling water boiled before eating. Fruit also used the same method.
To strictly control the intake of phosphorus. Lowest phosphorus foods: rice, noodles, bread, milk, fish and the like. Highest phosphorus foods are: kelp, dried fish, skim milk powder, for phosphorus try not to eat foods that are high.
To strictly control the intake of water, beverages, too, to control the intake. Weight gain between two dialysis should not exceed 5% (weight gain should be controlled within 3 kilograms). Such as too much water may occur heart failure, hypertension, acute pulmonary edema and even death.
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Hemodialysis patients with dialysis dialysate some protein will be lost, it should increase the quality of protein intake. Such as egg, milk, lean meat, fish, beef and so on. In order to ensure the effective functioning of the protein, every day should be adequate intake of calories.
To increase calcium intake. Hemodialysis patients should also add calcium, 1000 mg -1500 mg daily requirement, and therefore appropriate to add calcium and 1,25-dihydroxyvitamin calciferol.
Group 8 to add vitamins and folic acid.
To strictly control the salt intake. 5 grams of salt per day control (about one small teaspoon) and, if severe hypertension or edema, less urine, then salt intake also decreases.
To strictly control the intake of potassium. Easy hemodialysis patient's blood pressure elevated, hypertension can lead to serious arrhythmias and even cardiac arrest, so do not eat foods high in potassium, such as citrus, apples, grapes, bananas, mustard, peanuts, walnuts, mushrooms, etc., preserved Do not eat products. To reduce the potassium content of the diet, green leafy vegetables can be boiled into the boiling water, the water drained, and then burned. Root vegetables should be peeled, cut into thin slices, cooked in boiling water boiled before eating. Fruit also used the same method.
To strictly control the intake of phosphorus. Lowest phosphorus foods: rice, noodles, bread, milk, fish and the like. Highest phosphorus foods are: kelp, dried fish, skim milk powder, for phosphorus try not to eat foods that are high.
To strictly control the intake of water, beverages, too, to control the intake. Weight gain between two dialysis should not exceed 5% (weight gain should be controlled within 3 kilograms). Such as too much water may occur heart failure, hypertension, acute pulmonary edema and even death.
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Peritoneal dialysis and hemodialysis which method is better
Kidney disease experts believe, peritoneal dialysis and hemodialysis are an effective way to treat uremia, treatment can make patients get proper long-term survival, both can also be used as treatment for renal transplantation transition to.
Clinically, peritoneal dialysis and hemodialysis which method is better? This question is not complicated. The following points are required to make a choice in patients with primary consideration to the issue.
Treatment: strengths and weaknesses
For therapeutic effect, peritoneal dialysis and hemodialysis different. The purpose of dialysis is to remove the body of toxic substances, in general, hemodialysis effect of small molecular weight toxins better than peritoneal dialysis, but peritoneal dialysis to clear toxic effect of high molecular weight is better than hemodialysis.
To uremia stage, many patients decreased urine output, if sufficient water is not clear, there will be a lot of water accumulated in the body, causing edema, heart enlargement and hypertension.
Hemodialysis is generally 2 to 3 times a week, on the day of dialysis, according to how much water can accumulate in the body, and the body of excess water removed, but in non-dialysis days, due to the small amount of urine, can not intake too more moisture. Peritoneal dialysis can clear water every day, more balanced, so the water intake by relatively few restrictions. But there is a minority of patients with peritoneal dialysis poor clear water effects.
When comparing the two: dominant PD
Compared with hemodialysis, peritoneal dialysis has many advantages, such as peritoneal dialysis generally does not induce or aggravate arrhythmias, hypotension cause or aggravate cardiac ischemia, and hemodialysis due to the short time to have more blood into CPB and dehydration faster, more prone to low blood pressure and cardiac ischemia. Peritoneal dialysis patients with fewer antihypertensive drugs to control blood pressure for better results, it can be more secure, better maintain water, electrolyte and acid-base balance.
Opportunity hemodialysis patients with blood-borne infectious diseases greatly increased, especially hepatitis B and hepatitis C, and peritoneal dialysis is basically not cause blood-borne infectious diseases.
To uremia stage, although must dialysis, renal function is not equal to zero but the rest of the kidney function although rarely, but they are extremely important for quality of life and long-term prognosis, protect the residual renal function is important. One of the outstanding advantages of peritoneal dialysis is the impact on residual renal function in hemodialysis relatively small.
Acceptance of peritoneal dialysis patients with chronic renal failure anemia often are relatively mild, it is because, unlike hemodialysis, as peritoneal dialysis, each dialysis are more or less lost some blood, dialysis may also be more blood removed toxic substances inhibiting erythropoiesis.
Peritoneal dialysis can be done at home, away from the dialysis center for residence and live in nursing home patients, peritoneal dialysis is more convenient compared with hemodialysis. Compared with hemodialysis, peritoneal dialysis medical costs are relatively low.
Experts believe that although peritoneal dialysis have more advantages, but it also has drawbacks. The following main points:
The first is abdominal infections, also known as peritonitis. Although the vast majority of peritonitis can be cured in the short term, but fever, pain patients will cause pain, more protein and other nutrients are lost from the abdominal cavity peritonitis occurs. With the improvement of dialysis devices and sterilization methods, peritoneal infection rate has dropped significantly, with an average of 3 years occurs once.
Secondly, many patients that peritoneal dialysis is relatively less convenient, who always have tubes, bathing and activities is not easy, but to do several times a day. Some patients also believe there is nothing inconvenient peritoneal dialysis can be performed at home, and can be adjusted according to their needs. Many dialysis patients well, a few years do not need to be hospitalized.
The third obvious drawback is carried out with the dialysis, the remaining kidney function less and less body fat than those toxins may be insufficient to clear.
Normal peritoneal dialysis, dependent on a relatively normal abdominal wall, peritoneum and abdominal cavity, therefore, abdominal organs trauma, major abdominal surgery early, fecal fistula or colostomy, peritoneal drain, diaphragmatic leak, intra-abdominal cancer, inflammatory merger or ischemic bowel disease who diverticulitis in patients with recurrent abdominal wall or skin infection focus, abdominal exist mechanical defects (such as surgical repair of abdominal hernia can not, gastroschisis, etc.), previous surgery so that the loss of peritoneal function or extensive peritoneal adhesions, are not preferred dialysis.
Furthermore, since the intra-abdominal pressure increases peritoneal dialysis, so there is a serious and lumbosacral disc disease who have severe lung disease with pulmonary insufficiency who should choose carefully.
Choose dialysis: based prescription
Hemodialysis and peritoneal dialysis are effective methods of treatment for end-stage renal failure, for the vast majority of end-stage patients, can choose hemodialysis, peritoneal dialysis can also choose, but for some patients, which in some way may choose more as appropriate, before making a decision, Professor Wang believes that patients should be carefully asked the doctor to make the best choice.
Must be clear, peritoneal dialysis and hemodialysis are not contradictory, the first use of peritoneal dialysis who, after years of dialysis, peritoneal dialysis is not satisfactory or if you do not want to do peritoneal dialysis, hemodialysis can be changed, first use of Hemodialysis, After dialysis a few years, if you want to dialysis, it is relatively easy.
For ready to be kidney transplant patients, during the transition phase, two ways are possible, according to our experience, the transition phase as a treatment for peritoneal dialysis may be more appropriate.
http://www.kidneyhospitalabroad.com/Christmas/index.html
kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
Clinically, peritoneal dialysis and hemodialysis which method is better? This question is not complicated. The following points are required to make a choice in patients with primary consideration to the issue.
Treatment: strengths and weaknesses
For therapeutic effect, peritoneal dialysis and hemodialysis different. The purpose of dialysis is to remove the body of toxic substances, in general, hemodialysis effect of small molecular weight toxins better than peritoneal dialysis, but peritoneal dialysis to clear toxic effect of high molecular weight is better than hemodialysis.
To uremia stage, many patients decreased urine output, if sufficient water is not clear, there will be a lot of water accumulated in the body, causing edema, heart enlargement and hypertension.
Hemodialysis is generally 2 to 3 times a week, on the day of dialysis, according to how much water can accumulate in the body, and the body of excess water removed, but in non-dialysis days, due to the small amount of urine, can not intake too more moisture. Peritoneal dialysis can clear water every day, more balanced, so the water intake by relatively few restrictions. But there is a minority of patients with peritoneal dialysis poor clear water effects.
When comparing the two: dominant PD
Compared with hemodialysis, peritoneal dialysis has many advantages, such as peritoneal dialysis generally does not induce or aggravate arrhythmias, hypotension cause or aggravate cardiac ischemia, and hemodialysis due to the short time to have more blood into CPB and dehydration faster, more prone to low blood pressure and cardiac ischemia. Peritoneal dialysis patients with fewer antihypertensive drugs to control blood pressure for better results, it can be more secure, better maintain water, electrolyte and acid-base balance.
Opportunity hemodialysis patients with blood-borne infectious diseases greatly increased, especially hepatitis B and hepatitis C, and peritoneal dialysis is basically not cause blood-borne infectious diseases.
To uremia stage, although must dialysis, renal function is not equal to zero but the rest of the kidney function although rarely, but they are extremely important for quality of life and long-term prognosis, protect the residual renal function is important. One of the outstanding advantages of peritoneal dialysis is the impact on residual renal function in hemodialysis relatively small.
Acceptance of peritoneal dialysis patients with chronic renal failure anemia often are relatively mild, it is because, unlike hemodialysis, as peritoneal dialysis, each dialysis are more or less lost some blood, dialysis may also be more blood removed toxic substances inhibiting erythropoiesis.
Peritoneal dialysis can be done at home, away from the dialysis center for residence and live in nursing home patients, peritoneal dialysis is more convenient compared with hemodialysis. Compared with hemodialysis, peritoneal dialysis medical costs are relatively low.
Experts believe that although peritoneal dialysis have more advantages, but it also has drawbacks. The following main points:
The first is abdominal infections, also known as peritonitis. Although the vast majority of peritonitis can be cured in the short term, but fever, pain patients will cause pain, more protein and other nutrients are lost from the abdominal cavity peritonitis occurs. With the improvement of dialysis devices and sterilization methods, peritoneal infection rate has dropped significantly, with an average of 3 years occurs once.
Secondly, many patients that peritoneal dialysis is relatively less convenient, who always have tubes, bathing and activities is not easy, but to do several times a day. Some patients also believe there is nothing inconvenient peritoneal dialysis can be performed at home, and can be adjusted according to their needs. Many dialysis patients well, a few years do not need to be hospitalized.
The third obvious drawback is carried out with the dialysis, the remaining kidney function less and less body fat than those toxins may be insufficient to clear.
Normal peritoneal dialysis, dependent on a relatively normal abdominal wall, peritoneum and abdominal cavity, therefore, abdominal organs trauma, major abdominal surgery early, fecal fistula or colostomy, peritoneal drain, diaphragmatic leak, intra-abdominal cancer, inflammatory merger or ischemic bowel disease who diverticulitis in patients with recurrent abdominal wall or skin infection focus, abdominal exist mechanical defects (such as surgical repair of abdominal hernia can not, gastroschisis, etc.), previous surgery so that the loss of peritoneal function or extensive peritoneal adhesions, are not preferred dialysis.
Furthermore, since the intra-abdominal pressure increases peritoneal dialysis, so there is a serious and lumbosacral disc disease who have severe lung disease with pulmonary insufficiency who should choose carefully.
Choose dialysis: based prescription
Hemodialysis and peritoneal dialysis are effective methods of treatment for end-stage renal failure, for the vast majority of end-stage patients, can choose hemodialysis, peritoneal dialysis can also choose, but for some patients, which in some way may choose more as appropriate, before making a decision, Professor Wang believes that patients should be carefully asked the doctor to make the best choice.
Must be clear, peritoneal dialysis and hemodialysis are not contradictory, the first use of peritoneal dialysis who, after years of dialysis, peritoneal dialysis is not satisfactory or if you do not want to do peritoneal dialysis, hemodialysis can be changed, first use of Hemodialysis, After dialysis a few years, if you want to dialysis, it is relatively easy.
For ready to be kidney transplant patients, during the transition phase, two ways are possible, according to our experience, the transition phase as a treatment for peritoneal dialysis may be more appropriate.
http://www.kidneyhospitalabroad.com/Christmas/index.html
kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
2015年12月24日星期四
Kidney dialysis treatment can get rid of it?
The development of kidney disease to uremia, on the need for dialysis, and people are helpless to dialysis, because it is difficult to get rid of once stained, but not dialysis and unable to control the disease. There is no way to get rid of dialysis patients with kidney disease?
There are many reports, claiming that uremic patients can get rid of dialysis, which makes the majority of patients with nephrotic spirit startled. But they have doubts: The publicity is that true?
Want to know dialysis can not get rid of, we will have to see in the end is doing dialysis.
"Dialysis is used to lower serum creatinine." This is the most people on dialysis intuitive understanding. In fact, dialysis is to clean the blood of harmful substances in a way, and plasmapheresis, immunoadsorption, hemofiltration equivalents are "blood purification technology." Hemodialysis is focused on cleaning up small molecules in the blood, but it is just creatinine small molecules, so dialysis has become a common means of uremia.
Kidney dialysis treatment can get rid of it?
Why dialysis will have a "dependency"?
Dialysis certainly can not let you actually produce dependence, our so-called "dependency", simply because dialysis can only clean up hazardous substances in the blood, but it does not prevent its regeneration, so the need to continue dialysis.
We know that the primary role of the kidneys in the blood is filtered out of the body of harmful substances. Once the kidneys fail, these harmful substances can not be successfully excreted, they can only stay in the blood which, it becomes necessary to carry out blood purification.
That is, if you can not restore kidney function, the blood of harmful substances discharged smoothly, dialysis must continue.
Why should we get rid of dialysis?
? How would it have been going dialysis appear three drawbacks:
First, from the community, because the long-term dialysis, at least twice a week, three times a week or even a serious need four times, so that the patient's time in the hospital most of the waste, it is difficult to ensure the normal social life.
Second, costly, time of dialysis need about 400 yuan, even once a week, a month they have thousands, plus other treatment costs, for ordinary families is undoubtedly a heavy burden.
Third, the deterioration of the condition. Dialysis how make the disease worse? Because long-term dialysis, the kidneys are not normal use, will accelerate renal atrophy.
How to get rid of dialysis?
To get rid of dialysis, it is necessary to restore kidney function. So, get rid of critical dialysis, it is to restore kidney function.
How recovery of renal function? In simple terms, is to prevent kidney cells continue to necrosis.
Why kidney cells necrosis? This is the most critical problem. We believe that the reason for renal cell necrosis, immune complex deposition is caused. This deposition on renal cell damage include three aspects: the first is aggressive immune and inflammatory response; the second is caused by renal cell proliferation or necrosis; third is caused by renal cell ischemia and hypoxia.
Therefore, the treatment of kidney disease should focus on cleaning up the immune complexes, should block the excesses of immune and inflammatory response, clearing hyperplasia or necrotic cells and improve cell ischemia and hypoxia conditions.
Be able to do the above points, you can get rid of dialysis.
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There are many reports, claiming that uremic patients can get rid of dialysis, which makes the majority of patients with nephrotic spirit startled. But they have doubts: The publicity is that true?
Want to know dialysis can not get rid of, we will have to see in the end is doing dialysis.
"Dialysis is used to lower serum creatinine." This is the most people on dialysis intuitive understanding. In fact, dialysis is to clean the blood of harmful substances in a way, and plasmapheresis, immunoadsorption, hemofiltration equivalents are "blood purification technology." Hemodialysis is focused on cleaning up small molecules in the blood, but it is just creatinine small molecules, so dialysis has become a common means of uremia.
Kidney dialysis treatment can get rid of it?
Why dialysis will have a "dependency"?
Dialysis certainly can not let you actually produce dependence, our so-called "dependency", simply because dialysis can only clean up hazardous substances in the blood, but it does not prevent its regeneration, so the need to continue dialysis.
We know that the primary role of the kidneys in the blood is filtered out of the body of harmful substances. Once the kidneys fail, these harmful substances can not be successfully excreted, they can only stay in the blood which, it becomes necessary to carry out blood purification.
That is, if you can not restore kidney function, the blood of harmful substances discharged smoothly, dialysis must continue.
Why should we get rid of dialysis?
? How would it have been going dialysis appear three drawbacks:
First, from the community, because the long-term dialysis, at least twice a week, three times a week or even a serious need four times, so that the patient's time in the hospital most of the waste, it is difficult to ensure the normal social life.
Second, costly, time of dialysis need about 400 yuan, even once a week, a month they have thousands, plus other treatment costs, for ordinary families is undoubtedly a heavy burden.
Third, the deterioration of the condition. Dialysis how make the disease worse? Because long-term dialysis, the kidneys are not normal use, will accelerate renal atrophy.
How to get rid of dialysis?
To get rid of dialysis, it is necessary to restore kidney function. So, get rid of critical dialysis, it is to restore kidney function.
How recovery of renal function? In simple terms, is to prevent kidney cells continue to necrosis.
Why kidney cells necrosis? This is the most critical problem. We believe that the reason for renal cell necrosis, immune complex deposition is caused. This deposition on renal cell damage include three aspects: the first is aggressive immune and inflammatory response; the second is caused by renal cell proliferation or necrosis; third is caused by renal cell ischemia and hypoxia.
Therefore, the treatment of kidney disease should focus on cleaning up the immune complexes, should block the excesses of immune and inflammatory response, clearing hyperplasia or necrotic cells and improve cell ischemia and hypoxia conditions.
Be able to do the above points, you can get rid of dialysis.
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How peritoneal dialysis to prevent the intrusion of bacteria infection?
How peritoneal dialysis to prevent the intrusion of bacteria infection? Do peritoneal dialysis patients are susceptible to bacterial infections, especially when the home is more prone to dialysis, because of medical conditions at home not as hospitals, so patients should be taken to prevent dialysis When bacteria invade.
How to prevent bacterial infection in peritoneal dialysis it, from the following seven areas to do a good job in this regard.
1. Instead of doing peritoneal dialysis solution, the patient should be kept clean and dry indoors. Choose a good ideal environment, it can help patients avoid contamination due to the blurred vision caused by the operation.
2. The operator should wear a mask when the fluid exchange, prevention of infection by bacteria in the mouth or nasal breathing passages.
3. In fluid communication, the operator should be careful to use hand sanitizer contains antibacterial properties of their hands, including nails, under the fingertips. Handwashing can reduce the number of bacteria and reduces the risk of infection.
4. Carefully check the peritoneal dialysis fluid bags, once found broken bags or dialysis fluid becomes cloudy, the bags of dialysis solution must be discarded.
5. Peritoneal dialysate during the operation should be strictly in accordance with the procedures of sterile equipment, should avoid contamination, connection titanium joints need to change every six months, once the extension tube.
6. Peritoneal dialysis catheter exit site should pay attention to regular cleaning, it should reduce the risk of skin bacteria in export growth and prevent infection.
7. For peritoneal dialysis patients should eat foods rich in fiber can prevent constipation.
Peritoneal dialysis patients best to find a suitable treatment to repair their kidney function to get rid of kidney dialysis and prevent further damage. I wish you a speedy recovery!
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How to prevent bacterial infection in peritoneal dialysis it, from the following seven areas to do a good job in this regard.
1. Instead of doing peritoneal dialysis solution, the patient should be kept clean and dry indoors. Choose a good ideal environment, it can help patients avoid contamination due to the blurred vision caused by the operation.
2. The operator should wear a mask when the fluid exchange, prevention of infection by bacteria in the mouth or nasal breathing passages.
3. In fluid communication, the operator should be careful to use hand sanitizer contains antibacterial properties of their hands, including nails, under the fingertips. Handwashing can reduce the number of bacteria and reduces the risk of infection.
4. Carefully check the peritoneal dialysis fluid bags, once found broken bags or dialysis fluid becomes cloudy, the bags of dialysis solution must be discarded.
5. Peritoneal dialysate during the operation should be strictly in accordance with the procedures of sterile equipment, should avoid contamination, connection titanium joints need to change every six months, once the extension tube.
6. Peritoneal dialysis catheter exit site should pay attention to regular cleaning, it should reduce the risk of skin bacteria in export growth and prevent infection.
7. For peritoneal dialysis patients should eat foods rich in fiber can prevent constipation.
Peritoneal dialysis patients best to find a suitable treatment to repair their kidney function to get rid of kidney dialysis and prevent further damage. I wish you a speedy recovery!
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Renal failure patients need dialysis under what circumstances choose it?
Renal failure patients need dialysis under what circumstances choose it?
Renal failure patients need dialysis choose under what circumstances it? Renal dialysis had to be a right, which is also concerned about the many problems in patients. Dialysis is required based on the patient's condition may be, but also with the case of kidney disease patients to make judgments, so, for renal failure patients, be sure to choose the right hospital for treatment, try to avoid the occurrence of dialysis.
Kidney failure means the loss of kidney disease because of the occurrence of a pathological state of some or all of the features of this stage patients because of the loss of kidney function in patients in order to maintain normal physiological water and electrolyte balance and health status, etc., we have to use a method of dialysis to sustain life .
Shijiazhuang kidney hospital doctors pointed out: whether dialysis hemodialysis or peritoneal dialysis treatment for kidney failure patients who can only play a temporary role of artificial kidney, if once in a while there is no law dialysis, creatinine and urea Nitrogen will quickly rise, the body will appear complications. At the same time use after dialysis, dialysis patients will produce dependence, resulting in the number of dialysis more and more, and ultimately lifelong dialysis.
Shijiazhuang kidney hospital professional practitioners pointed out that in fact, most patients with renal failure, especially in patients with renal failure early, does not necessarily have to dialysis. As long as the right approach to take timely treatment, there is great hope to reverse. So under what circumstances patients with renal failure requiring dialysis? The scale how to grasp it?
Shijiazhuang kidney hospital doctor told the majority of patients with renal failure:
For renal failure patients, serum creatinine in 500umol / L or less, feeling itself no serious complications and no other patient is not on dialysis, should positive drug treatment, but patients must not be impatient drug treatment, because kidney nephron there is more than one million patients with renal injury, even the best medical technology also requires - a process, kidney function is gradually restored, as if the body of the wounds, for improvement will take time to repair .
For creatinine too high, such as the development of end-stage renal failure, uremia, and there are serious complications for the patient, the patient's own body of toxins too much or feeling bad, bad habits with clinical symptoms of vomiting, skin itching like, so at this time Patients should actively dialysis, otherwise there is always danger. Patients should in no danger of further aggressive treatment provided in other areas. Dialysis is the meaning of: providing a stable environment within the body to restore kidney function in the next step. Dialysis is necessary at this time, the treatment of the aid, if this time resolutely refused dialysis patients, undoubtedly tell priorities, but also irresponsible to life. We do not advocate blindly renal failure patients on dialysis, but in exceptional circumstances, we advocate temporarily dialysis.
Friends renal failure patients according to the above criteria, as well as their physical condition, to determine whether they need dialysis.
At the same time we choose treatment when kidney failure, suggest that you take Chinese medicine therapy, hormone therapy rather than Western medicine.
The reason for this suggestion everyone, because there are real cases before many patients, the use of western medicine treatment, the results immediately and repeatedly stopping the disease, and ultimately dragged on so gradually uremia. Even many patients the hospital for medical treatment, simply let the patients go home more - and so became a direct dialysis uremia!
Western medicine treatment of renal failure, the biggest drawback is that a temporary solution, just control surface disease, but not from the root cause to cure. Not only delay the patients the best treatment time, the deterioration of the disease is still to some extent.
And with this in stark contrast, Chinese medicine in the treatment of kidney failure, the use of traditional Chinese medicine treatment and therapy, treating the symptoms. Not only in patients with impaired kidney gradually repair and restore kidney function, while the eradication of the root causes of diseases, completely eradicate.
It is recommended that those suffering from kidney failure, dialysis patients do not need to take early action, the use of correct and effective treatment and timely treatment as soon as possible to get rid of illnesses reborn.
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Renal failure patients need dialysis choose under what circumstances it? Renal dialysis had to be a right, which is also concerned about the many problems in patients. Dialysis is required based on the patient's condition may be, but also with the case of kidney disease patients to make judgments, so, for renal failure patients, be sure to choose the right hospital for treatment, try to avoid the occurrence of dialysis.
Kidney failure means the loss of kidney disease because of the occurrence of a pathological state of some or all of the features of this stage patients because of the loss of kidney function in patients in order to maintain normal physiological water and electrolyte balance and health status, etc., we have to use a method of dialysis to sustain life .
Shijiazhuang kidney hospital doctors pointed out: whether dialysis hemodialysis or peritoneal dialysis treatment for kidney failure patients who can only play a temporary role of artificial kidney, if once in a while there is no law dialysis, creatinine and urea Nitrogen will quickly rise, the body will appear complications. At the same time use after dialysis, dialysis patients will produce dependence, resulting in the number of dialysis more and more, and ultimately lifelong dialysis.
Shijiazhuang kidney hospital professional practitioners pointed out that in fact, most patients with renal failure, especially in patients with renal failure early, does not necessarily have to dialysis. As long as the right approach to take timely treatment, there is great hope to reverse. So under what circumstances patients with renal failure requiring dialysis? The scale how to grasp it?
Shijiazhuang kidney hospital doctor told the majority of patients with renal failure:
For renal failure patients, serum creatinine in 500umol / L or less, feeling itself no serious complications and no other patient is not on dialysis, should positive drug treatment, but patients must not be impatient drug treatment, because kidney nephron there is more than one million patients with renal injury, even the best medical technology also requires - a process, kidney function is gradually restored, as if the body of the wounds, for improvement will take time to repair .
For creatinine too high, such as the development of end-stage renal failure, uremia, and there are serious complications for the patient, the patient's own body of toxins too much or feeling bad, bad habits with clinical symptoms of vomiting, skin itching like, so at this time Patients should actively dialysis, otherwise there is always danger. Patients should in no danger of further aggressive treatment provided in other areas. Dialysis is the meaning of: providing a stable environment within the body to restore kidney function in the next step. Dialysis is necessary at this time, the treatment of the aid, if this time resolutely refused dialysis patients, undoubtedly tell priorities, but also irresponsible to life. We do not advocate blindly renal failure patients on dialysis, but in exceptional circumstances, we advocate temporarily dialysis.
Friends renal failure patients according to the above criteria, as well as their physical condition, to determine whether they need dialysis.
At the same time we choose treatment when kidney failure, suggest that you take Chinese medicine therapy, hormone therapy rather than Western medicine.
The reason for this suggestion everyone, because there are real cases before many patients, the use of western medicine treatment, the results immediately and repeatedly stopping the disease, and ultimately dragged on so gradually uremia. Even many patients the hospital for medical treatment, simply let the patients go home more - and so became a direct dialysis uremia!
Western medicine treatment of renal failure, the biggest drawback is that a temporary solution, just control surface disease, but not from the root cause to cure. Not only delay the patients the best treatment time, the deterioration of the disease is still to some extent.
And with this in stark contrast, Chinese medicine in the treatment of kidney failure, the use of traditional Chinese medicine treatment and therapy, treating the symptoms. Not only in patients with impaired kidney gradually repair and restore kidney function, while the eradication of the root causes of diseases, completely eradicate.
It is recommended that those suffering from kidney failure, dialysis patients do not need to take early action, the use of correct and effective treatment and timely treatment as soon as possible to get rid of illnesses reborn.
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Dialysis chronic nephritis do it?
Dialysis chronic nephritis do it? Can you cure chronic nephritis, chronic glomerulonephritis, the key is the right choice of drug depends on whether or not! Chronic chronic nephritis is an autoimmune disease, in clinical above mainly for protein and occult blood. ? But why some patients with chronic nephritis condition permanently kidney specialist kidney hospital here to make the following specific analysis and description:
Dialysis chronic nephritis do it? Although the current treatment for this disease are many, but not all for the patients themselves, so that patients and friends must be clear. And carrying the disease before treatment, the first is to understand the etiology of the disease is a stubborn disease, chronic renal disease and chronic nephritis, not independence, but any primary or secondary renal the ball into the end-stage chronic nephritis in progress stage renal failure before, that is, the emergence of kidney inflammation, when different types of pathology and clinical symptoms of chronic glomerular nephritis is becoming consistent renal proteinuria, hematuria, edema, high blood pressure, kidney narrow, kidney dysfunction, kidney damage was irreversible, and all cases of end-stage renal failure, about 60% are caused by chronic glomerulonephritis chronic nephritis. Nephritis if not treated properly or not treated will develop uremia.
Most of the people for the treatment of chronic nephritis in drug selection above, the first choice is penicillin, while bed rest (the so-called diseases to third by rule, seven by raising, in particular for nephritis acute nephritis light condition, it points to the Special attention), and the need to limit salt intake. Micro-Chinese Medicine penetration therapy based on in-depth study of the pathology nephritis, for different pathological changes, to seize the key to blocking renal fibrosis, all-round, multi-target therapy. The means by dilation of blood vessels, anti-inflammatory, anticoagulant, degradation, the elimination of immune complexes.
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Dialysis chronic nephritis do it? Although the current treatment for this disease are many, but not all for the patients themselves, so that patients and friends must be clear. And carrying the disease before treatment, the first is to understand the etiology of the disease is a stubborn disease, chronic renal disease and chronic nephritis, not independence, but any primary or secondary renal the ball into the end-stage chronic nephritis in progress stage renal failure before, that is, the emergence of kidney inflammation, when different types of pathology and clinical symptoms of chronic glomerular nephritis is becoming consistent renal proteinuria, hematuria, edema, high blood pressure, kidney narrow, kidney dysfunction, kidney damage was irreversible, and all cases of end-stage renal failure, about 60% are caused by chronic glomerulonephritis chronic nephritis. Nephritis if not treated properly or not treated will develop uremia.
Most of the people for the treatment of chronic nephritis in drug selection above, the first choice is penicillin, while bed rest (the so-called diseases to third by rule, seven by raising, in particular for nephritis acute nephritis light condition, it points to the Special attention), and the need to limit salt intake. Micro-Chinese Medicine penetration therapy based on in-depth study of the pathology nephritis, for different pathological changes, to seize the key to blocking renal fibrosis, all-round, multi-target therapy. The means by dilation of blood vessels, anti-inflammatory, anticoagulant, degradation, the elimination of immune complexes.
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Renal dialysis can not much longer
1, to pay the corresponding economic value, and endure pain during dialysis. Maximum advice about the treatment of patients with kidney failure is the timeliness and effectiveness.
2, the same situation is not exactly reach the same stage renal failure, renal failure without dialysis can not say that much longer? Experts believe that most owners still depends on the extent of the disease, such as whether there is urine, severity of complications, whether kidney complete fibrosis, and many other reasons. If there is a certain amount of urine, a general description of the function of the kidney there is a certain, if take good care of the remaining kidney function, appropriate treatment and then restore some of nephron function, Chinese medicine treatment is possible to get rid of dialysis, sick long healthy life.
Renal dialysis can not live either choose dialysis patients will bring a lot of side effects?:
Experts say the dialysis membrane balance principle is based on the patient's blood through a membrane with many small holes (called semi-permeable membrane or pipe, medical), these holes can allow small molecules to pass through than it is, and a diameter greater than the film Molecular holes are prevented from leaving, while in contact with the semipermeable membrane and the dialysis fluid contains a certain chemical composition. Dialysis is a substitution effect, can not quite put all the toxins produced by the body are drained, then long-term dialysis, dialysis side effects are obvious, do long-term hemodialysis patients, then the kidneys will slowly atrophy, atrophy of the kidneys can not produce no blood urine, so moisture control more difficult for the human body.
On dialysis side effects, also known as an artificial kidney dialysis, it was also called kidney dialysis or dialysis. It is a blood purification technology. Hemodialysis patients to relieve symptoms and prolong survival have some significance. Dialysis short term, it can quickly reduce creatinine, blood urea nitrogen index, long-term dialysis treatment increased the difficulty and cost. Systemic organ damage is obvious, and some are irreducible harm.
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2, the same situation is not exactly reach the same stage renal failure, renal failure without dialysis can not say that much longer? Experts believe that most owners still depends on the extent of the disease, such as whether there is urine, severity of complications, whether kidney complete fibrosis, and many other reasons. If there is a certain amount of urine, a general description of the function of the kidney there is a certain, if take good care of the remaining kidney function, appropriate treatment and then restore some of nephron function, Chinese medicine treatment is possible to get rid of dialysis, sick long healthy life.
Renal dialysis can not live either choose dialysis patients will bring a lot of side effects?:
Experts say the dialysis membrane balance principle is based on the patient's blood through a membrane with many small holes (called semi-permeable membrane or pipe, medical), these holes can allow small molecules to pass through than it is, and a diameter greater than the film Molecular holes are prevented from leaving, while in contact with the semipermeable membrane and the dialysis fluid contains a certain chemical composition. Dialysis is a substitution effect, can not quite put all the toxins produced by the body are drained, then long-term dialysis, dialysis side effects are obvious, do long-term hemodialysis patients, then the kidneys will slowly atrophy, atrophy of the kidneys can not produce no blood urine, so moisture control more difficult for the human body.
On dialysis side effects, also known as an artificial kidney dialysis, it was also called kidney dialysis or dialysis. It is a blood purification technology. Hemodialysis patients to relieve symptoms and prolong survival have some significance. Dialysis short term, it can quickly reduce creatinine, blood urea nitrogen index, long-term dialysis treatment increased the difficulty and cost. Systemic organ damage is obvious, and some are irreducible harm.
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Pay attention to those issues uremia dialysis
First, for advanced renal failure, uremia dialysis patients, doctors need as soon as possible for patients and their families do ideological work to help patients and their families early resolve, its benefits are: 1, so that patients understand the principles of hemodialysis, in actual dialysis and better cooperation. 2, can be a better option period, in the event of late renal failure and uremia symptoms prior to incapacity began dialysis, reduction stage renal failure and uremia development and avoid the patient is dying state. 3, there is sufficient time for the patient ready for vascular access.
Second, control blood pressure, high blood pressure itself can damage the kidneys, chronic renal failure, hypertension control to help protect renal function. Before starting hemodialysis control of hypertension can delay the arrival of renal failure and reducing cardiovascular complications. Ultrafiltration and dialysis itself exclude sodium, also has a good antihypertensive effect.
Hemodialysis is a more direct way uremia patients with advanced renal failure, dialysis patients the best in the process, using the disease outside the governance, reduce excess burden on the kidneys, and the drug may be sufficient to reach the kidneys, the condition is restored.
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Second, control blood pressure, high blood pressure itself can damage the kidneys, chronic renal failure, hypertension control to help protect renal function. Before starting hemodialysis control of hypertension can delay the arrival of renal failure and reducing cardiovascular complications. Ultrafiltration and dialysis itself exclude sodium, also has a good antihypertensive effect.
Hemodialysis is a more direct way uremia patients with advanced renal failure, dialysis patients the best in the process, using the disease outside the governance, reduce excess burden on the kidneys, and the drug may be sufficient to reach the kidneys, the condition is restored.
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Uremia dialysis must be done?
Uremia dialysis must be done? Uremic dialysis creatinine tall must be done? Uremia renal parenchyma due to various causes most or all of chronic damage, loss of excretory function, and therefore can not excrete a variety of metabolic waste and degradation of some endocrine hormones, resulting in its accumulation in vivo toxicity in the sky.
Western medicine treatment for uremia, dialysis is chosen, it can only be said to be symptomatic treatment, the initial anti-inflammatory renal inflammatory response, etc., can not solve the problem of kidney fibrosis, kidney failure and thus it can not resolve to uremia The deterioration. The most common is the dialysis treatment, dialysis treatment will prompt relief of symptoms. However, since the cause of these symptoms of kidney disease do not get to stop, it still will be repeated, to repair the damaged kidney pathology construction job. And the more the number of dialysis, likely to have to rely on nature, on the adverse conditions.
See the lack of dialysis treatment, then there is no one good therapy to get rid of the disease in uremic patients can make it?
TCM therapy to clean the blood of toxins uremia, renal arteries by expanding levels, can promote blood circulation, relieve glomerular three high state of repair glomerular basement membrane, prompting metabolites excreted toxins, improve blood pressure, metabolic acid poisoning symptoms, nausea, vomiting and other adverse symptoms disappeared; medicine active substances into the human body through the kidneys quickly lesions, and immune complexes, induced renal toxicity factor other pathogenic factors closely, and its powerful attack, which was broken, cracking and clear, activate kidney unit, recovery of renal function, the ultimate cure uremia relative.
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Western medicine treatment for uremia, dialysis is chosen, it can only be said to be symptomatic treatment, the initial anti-inflammatory renal inflammatory response, etc., can not solve the problem of kidney fibrosis, kidney failure and thus it can not resolve to uremia The deterioration. The most common is the dialysis treatment, dialysis treatment will prompt relief of symptoms. However, since the cause of these symptoms of kidney disease do not get to stop, it still will be repeated, to repair the damaged kidney pathology construction job. And the more the number of dialysis, likely to have to rely on nature, on the adverse conditions.
See the lack of dialysis treatment, then there is no one good therapy to get rid of the disease in uremic patients can make it?
TCM therapy to clean the blood of toxins uremia, renal arteries by expanding levels, can promote blood circulation, relieve glomerular three high state of repair glomerular basement membrane, prompting metabolites excreted toxins, improve blood pressure, metabolic acid poisoning symptoms, nausea, vomiting and other adverse symptoms disappeared; medicine active substances into the human body through the kidneys quickly lesions, and immune complexes, induced renal toxicity factor other pathogenic factors closely, and its powerful attack, which was broken, cracking and clear, activate kidney unit, recovery of renal function, the ultimate cure uremia relative.
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Hemodialysis patients diet care
Constantly updated and significantly improve the technical level of modern blood purification equipment, survival time of patients with chronic renal failure greatly extended. However, long-term dialysis patients due to the accumulation of toxins in water and urine, stomach and intestines slow, not dull is to eat vomiting, resulting in poor nutrient intake, or due to the unreasonable diet, leading to water retention, blood potassium disease, congestive heart failure, and even death. Meanwhile, with the decline of renal function, and protein loss and other reasons cause deterioration of the nutritional status of the patient. Good nutritional status can prevent or reduce the complications and improve dialysis effect, thereby enhancing the patient's ability to adapt to everyday life and social activities [1,2]. Thus, long-term hemodialysis patients diet care has become an important issue.
1 diet care points
1.1 adequate intake of protein
Hemodialysis may lose a certain amount of protein and amino acids, while promoting protein catabolism, causing negative nitrogen balance. Therefore, hemodialysis patients should eat more protein than conservative treatment of patients [35]. Protein intake to 1.2 kg / d more appropriate. Note that high quality protein, 80% high biological value should be given high-quality protein, such as egg white, milk, lean meat, fish and other animal protein, such as high quality protein amino acid content, utilization of synthetic human proteins than vegetable protein essential, produce metabolic wastes (such as urea) less.
1.2 adequate intake of calories
Sufficient heat can inhibit protein alienation and maintain ideal weight; if insufficient heat, food protein will be consumed as heat source. Since protein catabolism accelerated gluconeogenesis increases can produce more metabolic waste. For hemodialysis patients, the recommended calorie intake and nutritional status should be based on the patient's blood lipid levels and labor intensity appropriate changes. Heat is mainly provided by carbohydrates and fat, carbohydrate intake is generally 5 g / (kg · d) ~ 6 g / (kg · d), fat intake is usually 1.3 g / (kg · d) ~ 1.7 g / (kg · d), should be more intake of unsaturated fatty acids, such as vegetable oil, can reduce cholesterol, free fatty acids and triglycerides, so as not to aggravate atherosclerosis.
1.3 to maintain the water balance, limiting salt intake
Most hemodialysis patients little or no urine, strict control of water intake, diet foods try to eat more water. To maintain the water balance is to prevent complications and improve survival important part. Between dialysis water caused by excessive water retention, severe cases can cause circulatory overload and death. Ultrafiltration dialysis too much can cause low blood pressure, angina, arrhythmias and muscle spasms. In principle, the amount of water daily into the urine + dialysis UF = water / number of days between dialysis +500 mL. Determine the moisture limit of the best indicators of changes in body weight, weight gain between two dialysis should be controlled within 1.5 kg is appropriate. Patients should be every day under the same conditions, within a fixed time record weight and blood pressure. Drink hot and cold water to quench their thirst than drink water and add a few drops of lemon juice or mouth with ice cubes are a good way to control the amount of drinking water. Patients can observe liquid restrictions depends largely on sodium intake. Common clinical some new patients often feel thirst, the main reason is because there is no limit salt. Because sodium can retention of water, salt Iddo produce thirst, increased water intake. As appropriate to limit sodium in food, to avoid thirst, often can automatically reduce the amount of water to prevent water retention, high blood pressure, congestive heart failure and dialysis complications. So for hemodialysis patients, salt restriction limit is more important than water. The amount of salt is generally 3 g / d ~ 5 g / d.
1.4 limit potassium, phosphorus intake
Hyperkalemia can cause arrhythmia, heart attack, avoid the use of potassium vegetables, such as spinach, mustard greens, bitter melon, dried mushrooms, leeks, cabbage, bamboo shoots, seaweed, lilies, mushrooms, bean sprouts and so on; avoid eating high potassium fruits, such as bananas, guava, cantaloupe, melons, grapes, oranges, carambola. Pay particular attention to the broth, soup, lettuce and other high potassium content, it should Eat. Wash eating vegetables should be cut, and then the dish burns, pour the soup and cook, and eat only fruits 1 d 2 times, preferably before eating soaking 1 h ~ 2 h and then eat. Others such as Chinese soup very high potassium content should be careful service. Lower potassium content in food can by soaking, boiling, ultra-low temperature refrigeration and other methods to remove potassium foods. Timely monitoring of serum potassium concentration, and adjusted at any time according to the amount of urine potassium intake to avoid too high or too low potassium.
Renal osteodystrophy, also known as renal osteodystrophy, a bone disease due to the calcium, phosphorus and vitamin D metabolism, secondary hyperparathyroidism, acid-base balance disorders caused by other factors. Hyperphosphatemia is caused by renal osteodystrophy and secondary hyperparathyroidism hyperthyroidism important factor, but also the maintenance hemodialysis patients with serious complications, so limiting intake of phosphorus in the diet is extremely important. Low phosphorus diet is dialysis patients avoid hyperphosphatemia first step. Phosphorus is mainly present in dairy products, egg yolks, organ meats (heart, liver), shrimp, peanuts, nuts, soy and other foods, pay attention to proper control; the soup contains dissolved phosphorus, should drink less better.
1.5 increase calcium intake, a water-soluble vitamin supplement
Because active vitamin D deficiency in dialysis patients as well as the body of active vitamin D effects on resistance, and dietary restriction of phosphorus intake, often resulting in low calcium concentration. Should be under close monitoring of serum calcium and phosphorus levels condition, the patient add enough calcium and vitamin D. Dialysis patients inevitably lose water-soluble vitamins, plus restrictions potassium, high phosphorus food and other factors, reducing the intake of water-soluble vitamins, it is timely to supplement, especially folic acid and vitamin B.
In addition, the trace element plays an important role in the treatment of uremic hemodialysis patients. Such as serum zinc reduction will affect uremic hemodialysis patients arteriovenous fistula anastomotic healing, reasonably zinc can promote anastomotic healing, iron supplementation can improve the patient's anemia status. In order to iron supplementation improved hemoglobin, dialysis patients can eat beef, lamb, pork, liver, blood, etc., limiting dietary intake of copper have a role in the prevention of atherosclerosis. By strengthening the patient's diet care and dietary guidance to patients, so that patients can take the initiative with the adjustment of the diet, the body can effectively improve the content of trace elements.
2 diet should pay attention to the problem of nursing
Note 2.1 good psychological care
Anxiety, depression, fear, sadness and other negative emotions, can cause the sympathetic nerve, and inhibit the secretion of digestive motility, leaving patients decreased appetite, eating less, or even anorexia; and a relaxed state of mind will promote appetite, guarantee digestion and absorption of nutrients. Therefore, the maintenance hemodialysis patients diet care must not ignore psychological care, promote patient and cheerful, improve the diet of compliance. Patients who can not strictly control the water, to be patient to talk, to correct poor eating habits and breach of the principles of health behavior, so that patients understand the volume overload adverse effects on the heart and blood pressure and excessive ultrafiltration occur in dialysis complications, the patient can consciously and strictly control the intake of sodium and water, maintain a good nutritional status, in order to facilitate a speedy recovery.
2.2 good health education
Long-term low-salt diet will affect the patient's appetite, attention should be based on the patient's eating habits, and offers a variety of color, smell and taste of food, to increase appetite. Generation of high potassium salt, dialysis patients with life-threatening, not edible. Multi-protein diet rich in potassium, phosphorus, and provide more hydrogen ions. When considering the protein nutrition, on the one hand to maintain nitrogen balance and prevent protein deficiency, and to minimize the accumulation of protein metabolites; on the other hand also to avoid hyperkalemia, hyperphosphatemia and severe metabolic acidosis. Therefore, be sure to patient education, to explain the nutritional requirements, the patient continues to investigate the intake of various nutrients to help patients make reasonable arrangements diet, develop individualized diet program, and according to the changing needs of the individual, continuous observation, timely adjustment. At the same time, but also let the patient's family to understand the nutritional content of various foods, and learn cooking of these foods, in order to correct for the patient to eat.
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1 diet care points
1.1 adequate intake of protein
Hemodialysis may lose a certain amount of protein and amino acids, while promoting protein catabolism, causing negative nitrogen balance. Therefore, hemodialysis patients should eat more protein than conservative treatment of patients [35]. Protein intake to 1.2 kg / d more appropriate. Note that high quality protein, 80% high biological value should be given high-quality protein, such as egg white, milk, lean meat, fish and other animal protein, such as high quality protein amino acid content, utilization of synthetic human proteins than vegetable protein essential, produce metabolic wastes (such as urea) less.
1.2 adequate intake of calories
Sufficient heat can inhibit protein alienation and maintain ideal weight; if insufficient heat, food protein will be consumed as heat source. Since protein catabolism accelerated gluconeogenesis increases can produce more metabolic waste. For hemodialysis patients, the recommended calorie intake and nutritional status should be based on the patient's blood lipid levels and labor intensity appropriate changes. Heat is mainly provided by carbohydrates and fat, carbohydrate intake is generally 5 g / (kg · d) ~ 6 g / (kg · d), fat intake is usually 1.3 g / (kg · d) ~ 1.7 g / (kg · d), should be more intake of unsaturated fatty acids, such as vegetable oil, can reduce cholesterol, free fatty acids and triglycerides, so as not to aggravate atherosclerosis.
1.3 to maintain the water balance, limiting salt intake
Most hemodialysis patients little or no urine, strict control of water intake, diet foods try to eat more water. To maintain the water balance is to prevent complications and improve survival important part. Between dialysis water caused by excessive water retention, severe cases can cause circulatory overload and death. Ultrafiltration dialysis too much can cause low blood pressure, angina, arrhythmias and muscle spasms. In principle, the amount of water daily into the urine + dialysis UF = water / number of days between dialysis +500 mL. Determine the moisture limit of the best indicators of changes in body weight, weight gain between two dialysis should be controlled within 1.5 kg is appropriate. Patients should be every day under the same conditions, within a fixed time record weight and blood pressure. Drink hot and cold water to quench their thirst than drink water and add a few drops of lemon juice or mouth with ice cubes are a good way to control the amount of drinking water. Patients can observe liquid restrictions depends largely on sodium intake. Common clinical some new patients often feel thirst, the main reason is because there is no limit salt. Because sodium can retention of water, salt Iddo produce thirst, increased water intake. As appropriate to limit sodium in food, to avoid thirst, often can automatically reduce the amount of water to prevent water retention, high blood pressure, congestive heart failure and dialysis complications. So for hemodialysis patients, salt restriction limit is more important than water. The amount of salt is generally 3 g / d ~ 5 g / d.
1.4 limit potassium, phosphorus intake
Hyperkalemia can cause arrhythmia, heart attack, avoid the use of potassium vegetables, such as spinach, mustard greens, bitter melon, dried mushrooms, leeks, cabbage, bamboo shoots, seaweed, lilies, mushrooms, bean sprouts and so on; avoid eating high potassium fruits, such as bananas, guava, cantaloupe, melons, grapes, oranges, carambola. Pay particular attention to the broth, soup, lettuce and other high potassium content, it should Eat. Wash eating vegetables should be cut, and then the dish burns, pour the soup and cook, and eat only fruits 1 d 2 times, preferably before eating soaking 1 h ~ 2 h and then eat. Others such as Chinese soup very high potassium content should be careful service. Lower potassium content in food can by soaking, boiling, ultra-low temperature refrigeration and other methods to remove potassium foods. Timely monitoring of serum potassium concentration, and adjusted at any time according to the amount of urine potassium intake to avoid too high or too low potassium.
Renal osteodystrophy, also known as renal osteodystrophy, a bone disease due to the calcium, phosphorus and vitamin D metabolism, secondary hyperparathyroidism, acid-base balance disorders caused by other factors. Hyperphosphatemia is caused by renal osteodystrophy and secondary hyperparathyroidism hyperthyroidism important factor, but also the maintenance hemodialysis patients with serious complications, so limiting intake of phosphorus in the diet is extremely important. Low phosphorus diet is dialysis patients avoid hyperphosphatemia first step. Phosphorus is mainly present in dairy products, egg yolks, organ meats (heart, liver), shrimp, peanuts, nuts, soy and other foods, pay attention to proper control; the soup contains dissolved phosphorus, should drink less better.
1.5 increase calcium intake, a water-soluble vitamin supplement
Because active vitamin D deficiency in dialysis patients as well as the body of active vitamin D effects on resistance, and dietary restriction of phosphorus intake, often resulting in low calcium concentration. Should be under close monitoring of serum calcium and phosphorus levels condition, the patient add enough calcium and vitamin D. Dialysis patients inevitably lose water-soluble vitamins, plus restrictions potassium, high phosphorus food and other factors, reducing the intake of water-soluble vitamins, it is timely to supplement, especially folic acid and vitamin B.
In addition, the trace element plays an important role in the treatment of uremic hemodialysis patients. Such as serum zinc reduction will affect uremic hemodialysis patients arteriovenous fistula anastomotic healing, reasonably zinc can promote anastomotic healing, iron supplementation can improve the patient's anemia status. In order to iron supplementation improved hemoglobin, dialysis patients can eat beef, lamb, pork, liver, blood, etc., limiting dietary intake of copper have a role in the prevention of atherosclerosis. By strengthening the patient's diet care and dietary guidance to patients, so that patients can take the initiative with the adjustment of the diet, the body can effectively improve the content of trace elements.
2 diet should pay attention to the problem of nursing
Note 2.1 good psychological care
Anxiety, depression, fear, sadness and other negative emotions, can cause the sympathetic nerve, and inhibit the secretion of digestive motility, leaving patients decreased appetite, eating less, or even anorexia; and a relaxed state of mind will promote appetite, guarantee digestion and absorption of nutrients. Therefore, the maintenance hemodialysis patients diet care must not ignore psychological care, promote patient and cheerful, improve the diet of compliance. Patients who can not strictly control the water, to be patient to talk, to correct poor eating habits and breach of the principles of health behavior, so that patients understand the volume overload adverse effects on the heart and blood pressure and excessive ultrafiltration occur in dialysis complications, the patient can consciously and strictly control the intake of sodium and water, maintain a good nutritional status, in order to facilitate a speedy recovery.
2.2 good health education
Long-term low-salt diet will affect the patient's appetite, attention should be based on the patient's eating habits, and offers a variety of color, smell and taste of food, to increase appetite. Generation of high potassium salt, dialysis patients with life-threatening, not edible. Multi-protein diet rich in potassium, phosphorus, and provide more hydrogen ions. When considering the protein nutrition, on the one hand to maintain nitrogen balance and prevent protein deficiency, and to minimize the accumulation of protein metabolites; on the other hand also to avoid hyperkalemia, hyperphosphatemia and severe metabolic acidosis. Therefore, be sure to patient education, to explain the nutritional requirements, the patient continues to investigate the intake of various nutrients to help patients make reasonable arrangements diet, develop individualized diet program, and according to the changing needs of the individual, continuous observation, timely adjustment. At the same time, but also let the patient's family to understand the nutritional content of various foods, and learn cooking of these foods, in order to correct for the patient to eat.
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Dialysis can not treat kidney failure and other problems it
Many dialysis patients are not willing to accept that once the dialysis will no longer be able to get rid of, can only rely on dialysis to die slowly. In fact, this idea is there is a certain misunderstanding, as we explain in detail below.
Renal failure, dialysis treatment is not right? Why not? Because kidney failure when renal dysfunction to a certain extent, the body of a large number of toxins can not be excreted through the kidneys, will severely damage various body organ, including especially the heart, severe damage to the brain, lung, blood, etc., will involve patient safety, do not use this time as hemodialysis, the toxins from the body down as quickly as possible, each organ failure soon will affect the lives of patients. In order to ensure the safety of patients, or the timely and effective measures taken by the dialysis treatment of kidney failure.
However, a simple dialysis is also not acceptable. Because dialysis is the artificial replacement kidney detoxification method is an alternative to just play a role in detoxification and treatment methods will not achieve the role of a temporary recovery of renal function. Long-term dialysis can easily lead to a series of complications, would seriously damage the organ. So if dialysis, in conjunction with conservative therapy protect renal function is also very necessary.
Renal failure, dialysis treatment is not right? Micro-penetration of traditional Chinese medicine therapy is played blocking renal fibrosis, and eventually recover the residual renal function, once the effect of micro-based traditional Chinese medicine therapies to maximize play, will be able to residual nephrons repair, if repair of residual renal unit in place, you can restore some kidney function, detoxification function of the patients will recover, toxins will gradually decrease. Of course, in conjunction with dialysis, to create a good environment for the treatment of Micro-Chinese role to play, in order to better treatment! Treatment properly is also promising to get rid of dialysis!
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Renal failure, dialysis treatment is not right? Why not? Because kidney failure when renal dysfunction to a certain extent, the body of a large number of toxins can not be excreted through the kidneys, will severely damage various body organ, including especially the heart, severe damage to the brain, lung, blood, etc., will involve patient safety, do not use this time as hemodialysis, the toxins from the body down as quickly as possible, each organ failure soon will affect the lives of patients. In order to ensure the safety of patients, or the timely and effective measures taken by the dialysis treatment of kidney failure.
However, a simple dialysis is also not acceptable. Because dialysis is the artificial replacement kidney detoxification method is an alternative to just play a role in detoxification and treatment methods will not achieve the role of a temporary recovery of renal function. Long-term dialysis can easily lead to a series of complications, would seriously damage the organ. So if dialysis, in conjunction with conservative therapy protect renal function is also very necessary.
Renal failure, dialysis treatment is not right? Micro-penetration of traditional Chinese medicine therapy is played blocking renal fibrosis, and eventually recover the residual renal function, once the effect of micro-based traditional Chinese medicine therapies to maximize play, will be able to residual nephrons repair, if repair of residual renal unit in place, you can restore some kidney function, detoxification function of the patients will recover, toxins will gradually decrease. Of course, in conjunction with dialysis, to create a good environment for the treatment of Micro-Chinese role to play, in order to better treatment! Treatment properly is also promising to get rid of dialysis!
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Pruritus in dialysis patients treatment!
Pruritus in dialysis patients treatment! Treatment of pruritus in dialysis patients! Pruritus in hemodialysis patients is a common symptom, its pathogenesis is not entirely clear.
Maintaining blood dialysis patients with a variety of pathological skin changes.
Skin mast cells to release histamine and other active substances increase; extracorporeal device can activate blood neutrophils and the release of a variety of active substances; mineral content increases skin calcium, magnesium, phosphorus and the like; microvascular disease can cause skin damage arising skin symptoms.
Also with hyperthyroidism, iron deficiency anemia, too much vitamin A, neuropathy.
①, everyday dress to choose soft, loose, cotton clothes, especially underwear, avoid wearing wool and chemical fiber products, clothes, avoid stimulating the skin and cause itching, but also avoid wearing tight underwear, prolonged exposure to prevent skin pressure and cause itching.
②, wash their hands, Qin nails, keep the skin clean and moist. When the itchy skin, with the pulp without nails grasping around to avoid scratching the skin, causing skin infections.
Bath water temperature is not too high, in order to warm bath is appropriate, with a neutral and weakly acidic bath liquid bathing, should not use soap or harsh bath gel, moisturizer after bathing wipe neutral, keep the skin moist not dry.
③, when intolerable pruritus, local cold water, cold towel cold lemonade smear or have itching effect, do not use hot water; when the body itching, can be heated bath has some anti-itch effect.
Lemonade itching smear method is: Take a lemon, cut into 4-5 thin slices, soak in warm water 200ml in 20min, take a clean towel, soaked in lemonade, twist Semi gently applied repeatedly itching site .
Note that the water temperature is not too cold or hot, when applying moderate force, precordial, abdomen should not smear, in order to avoid discomfort, ulceration site will not smear.
④, keeping dialysis adequacy, relieve itching is the basis for the strict implementation of the doctor's advice and keep the dialysis time is the key, stubborn pruritus, may use hemodialysis plus hemoperfusion, hemodialysis plus hemofiltration treatment under doctor's orders, to strengthen toxins, especially macromolecules remove toxins, relieve itching.
⑤, daily food selection should not increase creatinine, urea light, easily digestible, rich in vitamins and high-quality animal protein foods, try to avoid eating spicy, pungent or likely to lead to excessive food allergies, which has been proved to have allergies food, including similar foods should definitely not eat.
Keep stool, not when you can take a laxative medication, will accumulate allergens excreted in time. Should quit alcohol, do not drink tea, coffee, do not eat or Eat less animal offal. Nuts high phosphorus foods.
⑥, to develop good habits early hours, to ensure adequate sleep, avoid psychological stress. Anger and impatience; itching caused severe sleep difficulties may be carried out in warm water bath before going to sleep, sedatives according to doctor's orders additional services if necessary, to ensure adequate sleep.
More outdoor activities, but to do what, to reduce direct skin exposure to outdoor activities, avoid excessive UV exposure, but an appropriate ultraviolet radiation can reduce the skin, calcium, magnesium, phosphorus and other mineral content, so that relieve itching.
⑦, associated with hypercalcemia, calcium and phosphorus ratio imbalance, when secondary hyperparathyroidism, according to the doctor's advice is correct, regular medication, such as phosphorus binders need to be taken in eating.
Generalized pruritus can be oral antihistamine medication.
Hypercalcemia blood dialysis available low calcium dialysate on dialysis.
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kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
Maintaining blood dialysis patients with a variety of pathological skin changes.
Skin mast cells to release histamine and other active substances increase; extracorporeal device can activate blood neutrophils and the release of a variety of active substances; mineral content increases skin calcium, magnesium, phosphorus and the like; microvascular disease can cause skin damage arising skin symptoms.
Also with hyperthyroidism, iron deficiency anemia, too much vitamin A, neuropathy.
①, everyday dress to choose soft, loose, cotton clothes, especially underwear, avoid wearing wool and chemical fiber products, clothes, avoid stimulating the skin and cause itching, but also avoid wearing tight underwear, prolonged exposure to prevent skin pressure and cause itching.
②, wash their hands, Qin nails, keep the skin clean and moist. When the itchy skin, with the pulp without nails grasping around to avoid scratching the skin, causing skin infections.
Bath water temperature is not too high, in order to warm bath is appropriate, with a neutral and weakly acidic bath liquid bathing, should not use soap or harsh bath gel, moisturizer after bathing wipe neutral, keep the skin moist not dry.
③, when intolerable pruritus, local cold water, cold towel cold lemonade smear or have itching effect, do not use hot water; when the body itching, can be heated bath has some anti-itch effect.
Lemonade itching smear method is: Take a lemon, cut into 4-5 thin slices, soak in warm water 200ml in 20min, take a clean towel, soaked in lemonade, twist Semi gently applied repeatedly itching site .
Note that the water temperature is not too cold or hot, when applying moderate force, precordial, abdomen should not smear, in order to avoid discomfort, ulceration site will not smear.
④, keeping dialysis adequacy, relieve itching is the basis for the strict implementation of the doctor's advice and keep the dialysis time is the key, stubborn pruritus, may use hemodialysis plus hemoperfusion, hemodialysis plus hemofiltration treatment under doctor's orders, to strengthen toxins, especially macromolecules remove toxins, relieve itching.
⑤, daily food selection should not increase creatinine, urea light, easily digestible, rich in vitamins and high-quality animal protein foods, try to avoid eating spicy, pungent or likely to lead to excessive food allergies, which has been proved to have allergies food, including similar foods should definitely not eat.
Keep stool, not when you can take a laxative medication, will accumulate allergens excreted in time. Should quit alcohol, do not drink tea, coffee, do not eat or Eat less animal offal. Nuts high phosphorus foods.
⑥, to develop good habits early hours, to ensure adequate sleep, avoid psychological stress. Anger and impatience; itching caused severe sleep difficulties may be carried out in warm water bath before going to sleep, sedatives according to doctor's orders additional services if necessary, to ensure adequate sleep.
More outdoor activities, but to do what, to reduce direct skin exposure to outdoor activities, avoid excessive UV exposure, but an appropriate ultraviolet radiation can reduce the skin, calcium, magnesium, phosphorus and other mineral content, so that relieve itching.
⑦, associated with hypercalcemia, calcium and phosphorus ratio imbalance, when secondary hyperparathyroidism, according to the doctor's advice is correct, regular medication, such as phosphorus binders need to be taken in eating.
Generalized pruritus can be oral antihistamine medication.
Hypercalcemia blood dialysis available low calcium dialysate on dialysis.
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kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
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2015年12月23日星期三
Get rid of kidney patients on dialysis is not a dream
The development of kidney disease to uremia, on the need for dialysis, and people are helpless to dialysis, because it is difficult to get rid of once stained, but not dialysis and unable to control the disease. There is no way to get rid of dialysis patients with kidney disease?
There are many reports, claiming that uremic patients can get rid of dialysis, which makes the majority of patients with nephrotic spirit startled. But they have doubts: The publicity is that true?
Want to know dialysis can not get rid of, we will have to see in the end is doing dialysis.
"Dialysis is used to lower serum creatinine." This is the most people on dialysis intuitive understanding. In fact, dialysis is to clean the blood of harmful substances in a way, and plasmapheresis, immunoadsorption, hemofiltration equivalents are "blood purification technology." Hemodialysis is focused on cleaning up small molecules in the blood, but it is just creatinine small molecules, so dialysis has become a common means of uremia.
Why dialysis will have a "dependency"?
Dialysis certainly can not let you actually produce dependence, our so-called "dependency", simply because dialysis can only clean up hazardous substances in the blood, but it does not prevent its regeneration, so the need to continue dialysis.
We know that the primary role of the kidneys in the blood is filtered out of the body of harmful substances. Once the kidneys fail, these harmful substances can not be successfully excreted, they can only stay in the blood which, it becomes necessary to carry out blood purification.
That is, if you can not restore kidney function, the blood of harmful substances discharged smoothly, dialysis must continue.
Why should we get rid of dialysis?
? How would it have been going dialysis appear three drawbacks:
First, from the community, because the long-term dialysis, at least twice a week, three times a week or even a serious need four times, so that the patient's time in the hospital most of the waste, it is difficult to ensure the normal social life.
Second, costly, time of dialysis need about 400 yuan, even once a week, a month they have thousands, plus other treatment costs, for ordinary families is undoubtedly a heavy burden.
Third, the deterioration of the condition. Dialysis how make the disease worse? Because long-term dialysis, the kidneys are not normal use, will accelerate renal atrophy.
How to get rid of dialysis?
To get rid of dialysis, it is necessary to restore kidney function. So, get rid of critical dialysis, it is to restore kidney function.
How recovery of renal function? In simple terms, is to prevent kidney cells continue to necrosis.
Why kidney cells necrosis? This is the most critical problem. We believe that the reason for renal cell necrosis, immune complex deposition is caused. This deposition on renal cell damage include three aspects: the first is aggressive immune and inflammatory response; the second is caused by renal cell proliferation or necrosis; third is caused by renal cell ischemia and hypoxia.
Therefore, the treatment of kidney disease should focus on cleaning up the immune complexes, should block the excesses of immune and inflammatory response, clearing hyperplasia or necrotic cells and improve cell ischemia and hypoxia conditions.
Be able to do the above points, you can get rid of dialysis. For kidney disease patients, dialysis is not a dream to get rid of!
http://www.kidneyhospitalabroad.com/Christmas/index.html
kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
There are many reports, claiming that uremic patients can get rid of dialysis, which makes the majority of patients with nephrotic spirit startled. But they have doubts: The publicity is that true?
Want to know dialysis can not get rid of, we will have to see in the end is doing dialysis.
"Dialysis is used to lower serum creatinine." This is the most people on dialysis intuitive understanding. In fact, dialysis is to clean the blood of harmful substances in a way, and plasmapheresis, immunoadsorption, hemofiltration equivalents are "blood purification technology." Hemodialysis is focused on cleaning up small molecules in the blood, but it is just creatinine small molecules, so dialysis has become a common means of uremia.
Why dialysis will have a "dependency"?
Dialysis certainly can not let you actually produce dependence, our so-called "dependency", simply because dialysis can only clean up hazardous substances in the blood, but it does not prevent its regeneration, so the need to continue dialysis.
We know that the primary role of the kidneys in the blood is filtered out of the body of harmful substances. Once the kidneys fail, these harmful substances can not be successfully excreted, they can only stay in the blood which, it becomes necessary to carry out blood purification.
That is, if you can not restore kidney function, the blood of harmful substances discharged smoothly, dialysis must continue.
Why should we get rid of dialysis?
? How would it have been going dialysis appear three drawbacks:
First, from the community, because the long-term dialysis, at least twice a week, three times a week or even a serious need four times, so that the patient's time in the hospital most of the waste, it is difficult to ensure the normal social life.
Second, costly, time of dialysis need about 400 yuan, even once a week, a month they have thousands, plus other treatment costs, for ordinary families is undoubtedly a heavy burden.
Third, the deterioration of the condition. Dialysis how make the disease worse? Because long-term dialysis, the kidneys are not normal use, will accelerate renal atrophy.
How to get rid of dialysis?
To get rid of dialysis, it is necessary to restore kidney function. So, get rid of critical dialysis, it is to restore kidney function.
How recovery of renal function? In simple terms, is to prevent kidney cells continue to necrosis.
Why kidney cells necrosis? This is the most critical problem. We believe that the reason for renal cell necrosis, immune complex deposition is caused. This deposition on renal cell damage include three aspects: the first is aggressive immune and inflammatory response; the second is caused by renal cell proliferation or necrosis; third is caused by renal cell ischemia and hypoxia.
Therefore, the treatment of kidney disease should focus on cleaning up the immune complexes, should block the excesses of immune and inflammatory response, clearing hyperplasia or necrotic cells and improve cell ischemia and hypoxia conditions.
Be able to do the above points, you can get rid of dialysis. For kidney disease patients, dialysis is not a dream to get rid of!
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Uremia dialysis Chishimehao
For kidney dialysis patients, the control diet in their daily lives is an important position. So, uremia dialysis ate?
1, low moisture. Hemodialysis, often less urine or no urine, if any drinking water, can cause excessive water retention, systemic edema, hypertension and heart failure. Once the rescue is not timely, it will endanger the patient's life.
2, low salt. Excessive intake of sodium can lead to high blood pressure, and the patient is thirsty, not well controlled intake of water.
3, the right amount of protein. Moderate intake of quality protein, such as chicken clear, fresh meat, add hemodialysis missing part of the protein, the appropriate limit the intake of tofu, soy and other vegetable protein, reduce the burden on the kidney.
4, potassium, phosphorus. Hyperkalemia likely to cause irregular heart beats, heart attack, and hyperphosphatemia can cause secondary hyperparathyroidism, causing intractable itching and other complications, should control high phosphorus potassium food intake, eat bananas, oranges, peanuts, shrimp, egg yolk and other foods.
5, the right amount of vitamins. For water-soluble vitamins, dialysis patients were generally low, such as vitamin B6, vitamin C, etc., but in normal circumstances diet, generally not vitamin C, in order to avoid high oxalic acid hyperlipidemia, hemodialysis patients may be appropriate to add complex Vitamin B.
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1, low moisture. Hemodialysis, often less urine or no urine, if any drinking water, can cause excessive water retention, systemic edema, hypertension and heart failure. Once the rescue is not timely, it will endanger the patient's life.
2, low salt. Excessive intake of sodium can lead to high blood pressure, and the patient is thirsty, not well controlled intake of water.
3, the right amount of protein. Moderate intake of quality protein, such as chicken clear, fresh meat, add hemodialysis missing part of the protein, the appropriate limit the intake of tofu, soy and other vegetable protein, reduce the burden on the kidney.
4, potassium, phosphorus. Hyperkalemia likely to cause irregular heart beats, heart attack, and hyperphosphatemia can cause secondary hyperparathyroidism, causing intractable itching and other complications, should control high phosphorus potassium food intake, eat bananas, oranges, peanuts, shrimp, egg yolk and other foods.
5, the right amount of vitamins. For water-soluble vitamins, dialysis patients were generally low, such as vitamin B6, vitamin C, etc., but in normal circumstances diet, generally not vitamin C, in order to avoid high oxalic acid hyperlipidemia, hemodialysis patients may be appropriate to add complex Vitamin B.
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kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
Dialysis treatment in the end how much money do?
Dialysis including hemodialysis and peritoneal dialysis, a treatment for kidney failure, uremia patients often taken. Many uremic patients to sustain life and the choice of dialysis, but dialysis is not the thing once and for all, although the majority of dialysis patients with uremia can help prolong life, but relatively short-lived, and dialysis treatment requires high medical costs, it is one of many uremia , renal failure patients prohibitive problem, but also many ordinary families can not afford the "money pit."
Dialysis treatment really need to spend much money? Really want to spend, and God, in debt it?
Dialysis treatment in the end how much money do?
Dialysis treatment in the end how much money do?
Under normal circumstances, the cost of dialysis in general is not low, especially in end-stage uremia, with severe disease, dialysis will become more frequent, costs will grow exponentially. Specifically, the cost of dialysis is not fixed at all, because there are many factors that affect dialysis, hemodialysis and peritoneal dialysis costs are not the same, different regions, different hospitals, different dialysis equipment, different Dialysis effect determines the cost of dialysis is not exactly the same, but there is a range of values in general. Although some hospitals has been reduced and the reduction of the related costs, but year-round treatment for patients is still not a small number.
Past that uremia it is incurable, since the 1920s to carry out dialysis and renal transplant, so that the life of uremic patients can be significantly extended. However, dialysis and kidney transplantation expensive treatment costs. On dialysis, the removal of conventional pharmaceutical therapy, dialysis treatment late is probably the biggest cost of all kidney patients, in our country, a normal dialysis treatment, you need to go to the hospital 2-3 times a week, every 3-5 months hours of dialysis once every hundred dollars in fees.
Choose dialysis, uremia, renal failure patients upset
Dialysis is a method to treat uremia popular, although it is known dialysis costs, spending money like water, but they are far more than the desire for survival dialysis costs, no matter how expensive, they still want to spend original capital treatment, in order to Dialysis costs incur tremendous economic pressure, such a family is a lot, but in the course of treatment, it is because a lot of families can not afford the huge medical expenses, and forced to choose drop out of life lost hope. Therefore, in order to effectively avoid unnecessary expenses, in order to make their bodies less suffer some of the pain of torture. Choose a regular choose a regular, authoritative hospital is essential.
Uremic patients on chronic dialysis treatment is not life-sustaining "savior"
Experts, What is the cost for dialysis, we right in the end, not to mention the cost of treatment is high or low a problem. For dialysis uremia, dialysis patients timely treatment causes symptoms. However, since the cause of these symptoms do not get to stop kidney disease, renal failure, dialysis patients in dialysis usually three, the symptoms again within five days, so often shorter and shorter intervals form of dialysis, hemodialysis increasing frequency form of dialysis-dependent, and long-term kidney dialysis treatment will accelerate scrapped. So, for the treatment of uremia, dialysis is not a better way.
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Dialysis treatment really need to spend much money? Really want to spend, and God, in debt it?
Dialysis treatment in the end how much money do?
Dialysis treatment in the end how much money do?
Under normal circumstances, the cost of dialysis in general is not low, especially in end-stage uremia, with severe disease, dialysis will become more frequent, costs will grow exponentially. Specifically, the cost of dialysis is not fixed at all, because there are many factors that affect dialysis, hemodialysis and peritoneal dialysis costs are not the same, different regions, different hospitals, different dialysis equipment, different Dialysis effect determines the cost of dialysis is not exactly the same, but there is a range of values in general. Although some hospitals has been reduced and the reduction of the related costs, but year-round treatment for patients is still not a small number.
Past that uremia it is incurable, since the 1920s to carry out dialysis and renal transplant, so that the life of uremic patients can be significantly extended. However, dialysis and kidney transplantation expensive treatment costs. On dialysis, the removal of conventional pharmaceutical therapy, dialysis treatment late is probably the biggest cost of all kidney patients, in our country, a normal dialysis treatment, you need to go to the hospital 2-3 times a week, every 3-5 months hours of dialysis once every hundred dollars in fees.
Choose dialysis, uremia, renal failure patients upset
Dialysis is a method to treat uremia popular, although it is known dialysis costs, spending money like water, but they are far more than the desire for survival dialysis costs, no matter how expensive, they still want to spend original capital treatment, in order to Dialysis costs incur tremendous economic pressure, such a family is a lot, but in the course of treatment, it is because a lot of families can not afford the huge medical expenses, and forced to choose drop out of life lost hope. Therefore, in order to effectively avoid unnecessary expenses, in order to make their bodies less suffer some of the pain of torture. Choose a regular choose a regular, authoritative hospital is essential.
Uremic patients on chronic dialysis treatment is not life-sustaining "savior"
Experts, What is the cost for dialysis, we right in the end, not to mention the cost of treatment is high or low a problem. For dialysis uremia, dialysis patients timely treatment causes symptoms. However, since the cause of these symptoms do not get to stop kidney disease, renal failure, dialysis patients in dialysis usually three, the symptoms again within five days, so often shorter and shorter intervals form of dialysis, hemodialysis increasing frequency form of dialysis-dependent, and long-term kidney dialysis treatment will accelerate scrapped. So, for the treatment of uremia, dialysis is not a better way.
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How peritoneal dialysis to prevent the intrusion of bacteria infection?
How peritoneal dialysis to prevent the intrusion of bacteria infection?
How peritoneal dialysis to prevent the intrusion of bacteria infection? Do peritoneal dialysis patients are susceptible to bacterial infections, especially when the home is more prone to dialysis, because of medical conditions at home not as hospitals, so patients should be taken to prevent dialysis When bacteria invade.
How to prevent bacterial infection in peritoneal dialysis it, from the following seven areas to do a good job in this regard.
1. Instead of doing peritoneal dialysis solution, the patient should be kept clean and dry indoors. Choose a good ideal environment, it can help patients avoid contamination due to the blurred vision caused by the operation.
2. The operator should wear a mask when the fluid exchange, prevention of infection by bacteria in the mouth or nasal breathing passages.
3. In fluid communication, the operator should be careful to use hand sanitizer contains antibacterial properties of their hands, including nails, under the fingertips. Handwashing can reduce the number of bacteria and reduces the risk of infection.
4. Carefully check the peritoneal dialysis fluid bags, once found broken bags or dialysis fluid becomes cloudy, the bags of dialysis solution must be discarded.
5. Peritoneal dialysate during the operation should be strictly in accordance with the procedures of sterile equipment, should avoid contamination, connection titanium joints need to change every six months, once the extension tube.
6. Peritoneal dialysis catheter exit site should pay attention to regular cleaning, it should reduce the risk of skin bacteria in export growth and prevent infection.
7. For peritoneal dialysis patients should eat foods rich in fiber can prevent constipation.
Peritoneal dialysis patients best to find a suitable treatment to repair their kidney function to get rid of kidney dialysis and prevent further damage. I wish you a speedy recovery!
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How peritoneal dialysis to prevent the intrusion of bacteria infection? Do peritoneal dialysis patients are susceptible to bacterial infections, especially when the home is more prone to dialysis, because of medical conditions at home not as hospitals, so patients should be taken to prevent dialysis When bacteria invade.
How to prevent bacterial infection in peritoneal dialysis it, from the following seven areas to do a good job in this regard.
1. Instead of doing peritoneal dialysis solution, the patient should be kept clean and dry indoors. Choose a good ideal environment, it can help patients avoid contamination due to the blurred vision caused by the operation.
2. The operator should wear a mask when the fluid exchange, prevention of infection by bacteria in the mouth or nasal breathing passages.
3. In fluid communication, the operator should be careful to use hand sanitizer contains antibacterial properties of their hands, including nails, under the fingertips. Handwashing can reduce the number of bacteria and reduces the risk of infection.
4. Carefully check the peritoneal dialysis fluid bags, once found broken bags or dialysis fluid becomes cloudy, the bags of dialysis solution must be discarded.
5. Peritoneal dialysate during the operation should be strictly in accordance with the procedures of sterile equipment, should avoid contamination, connection titanium joints need to change every six months, once the extension tube.
6. Peritoneal dialysis catheter exit site should pay attention to regular cleaning, it should reduce the risk of skin bacteria in export growth and prevent infection.
7. For peritoneal dialysis patients should eat foods rich in fiber can prevent constipation.
Peritoneal dialysis patients best to find a suitable treatment to repair their kidney function to get rid of kidney dialysis and prevent further damage. I wish you a speedy recovery!
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Patients with chronic kidney disease, dialysis can avoid it?
Patients with chronic kidney disease, dialysis can avoid it?
Patients with chronic kidney disease can avoid dialysis do? Dialysis is called artificial machine, he replaces the kidney function, but long-term dependence generated so severe loss of kidney function, then for kidney disease patients, can not avoid dialysis? We With the view of some of the treatment cases.
Chen is a longtime diabetic medication irregularly, so bad blood glucose and blood pressure control. He heard no medicine can treat kidney disease, but recently heard radio ads, buy some "cure for kidney disease," eat, the results because the moon face, severe high blood pressure and breathing difficulties and kidney to National Cheng Kung University Hospital inpatient, It was diagnosed as "acute pulmonary edema uremia" and begin receiving hemodialysis treatment.
Lin five years ago due to edema and urinary bubble and found to have severe proteinuria, to hospital check are 4 chronic kidney disease (serum creatinine was 4.5mg / dl), and kidney shrank case, the daily urinary protein excretion was 2 g. After giving vasopressin converting enzyme inhibitors (ACEI) and the second type 2 vasopressin (ARB) therapy, proteinuria decreased to 0.3 g / day, renal function remained at 4 to 5 years after 5mg / dl or so, the situation does not worsen.
In Taiwan, the most common cause of chronic renal failure and uremia diabetic nephropathy (such as Chen), the second is chronic glomerulonephritis (eg Lin), the third is hypertension. But whatever the reason, once the serum creatinine greater than normal, it means the patient's kidney function only less than half, and each patient deterioration of renal function speeds are fixed, but if the patient like Mr. Chen as irregular medication , taking away the recipe, then the speed becomes faster, whereas if the patient and physician collaboration and treated properly, the speed will slow down, and may even not deteriorate, that the patient did not live long enough to need dialysis.
In the past, when the kidneys shrank to a certain extent, the continued deterioration of renal function is inevitable, but in recent years in the treatment of chronic kidney disease gradually breakthrough. National Cheng Kung University Hospital, chronic kidney disease prevention and promotion of the inclusion of case management in the first four renal disease (glomerular filtration rate of 15 ~ 30ml / min, normal to 100ml / minute) of patients in the 2 years of follow 57% worsening renal function in patients through five or subject to dialysis treatment, while 43% of patients with renal function remained stable, and in the analysis, it was found proteinuria in patients with stable renal function are low, and the use of ACEI or ARB ratio 亦较high, exactly what is so magical and treatment can make from dialysis patients with chronic renal failure? This thanks to recent advances in basic and clinical medicine, have to make this the doctor was previously thought sooner or later "must" dialysis disease Treatment glimmer exposed, and therefore, this disease should be early to see a kidney specialist, and in close cooperation with the medical staff, so that it can achieve the best therapeutic effect, after all, if the patient does not need dialysis, then the state, society, family and individuals are a great help.
Treatment of chronic renal failure as follows:
First, the need to strictly control blood pressure to 130 / 85mmHg or less (if proteinuria> 1g / day, the blood pressure to be controlled to 125 / 75mmHg or less), the use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin first type by Inhibitors (ARB) for the treatment of first-line medication.
Second, reduce proteinuria: ACEI and ARB have a very good therapeutic effect.
Third, low-protein diet: body weight daily intake of 0.6 grams per kilogram of high quality protein physiological value (eg: animal protein, eggs, milk, etc.).
Fourth, if high blood pressure, heart failure or severe edema, it must absorb low-salt diet (3 grams of salt per day), but the absence of these cases, the salt intake must be patient urinary excretion of salt daily basis to decide, and therefore the market rumors of "kidney disease patients need to eat a low-salt diet," you are wrong.
Fifth, to avoid possible deterioration of renal function following factors: such as the abuse of drugs (steroids, cold medicine, analgesics, X-ray contrast agents, some of this antibiotic drugs of unknown origin, etc.), dehydration, heart failure, low blood pressure or shock, urinary obstruction, infection, electrolyte imbalance.
Six, if oliguria (urine less than 500 ml per day) and severe kidney failure, low potassium intake must diet.
Seven, treatment of primary disease: such as diabetes and autoimmune glomerulonephritis.
In short, the treatment of chronic renal failure in recent years has made great progress, but the medical community for this disease are not so pessimistic, and now nephrologists have more aggressive treatment of these patients, If you could add a high degree of patient cooperation itself, the chronic kidney disease is definitely treatable, and uremia be avoided.
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Patients with chronic kidney disease can avoid dialysis do? Dialysis is called artificial machine, he replaces the kidney function, but long-term dependence generated so severe loss of kidney function, then for kidney disease patients, can not avoid dialysis? We With the view of some of the treatment cases.
Chen is a longtime diabetic medication irregularly, so bad blood glucose and blood pressure control. He heard no medicine can treat kidney disease, but recently heard radio ads, buy some "cure for kidney disease," eat, the results because the moon face, severe high blood pressure and breathing difficulties and kidney to National Cheng Kung University Hospital inpatient, It was diagnosed as "acute pulmonary edema uremia" and begin receiving hemodialysis treatment.
Lin five years ago due to edema and urinary bubble and found to have severe proteinuria, to hospital check are 4 chronic kidney disease (serum creatinine was 4.5mg / dl), and kidney shrank case, the daily urinary protein excretion was 2 g. After giving vasopressin converting enzyme inhibitors (ACEI) and the second type 2 vasopressin (ARB) therapy, proteinuria decreased to 0.3 g / day, renal function remained at 4 to 5 years after 5mg / dl or so, the situation does not worsen.
In Taiwan, the most common cause of chronic renal failure and uremia diabetic nephropathy (such as Chen), the second is chronic glomerulonephritis (eg Lin), the third is hypertension. But whatever the reason, once the serum creatinine greater than normal, it means the patient's kidney function only less than half, and each patient deterioration of renal function speeds are fixed, but if the patient like Mr. Chen as irregular medication , taking away the recipe, then the speed becomes faster, whereas if the patient and physician collaboration and treated properly, the speed will slow down, and may even not deteriorate, that the patient did not live long enough to need dialysis.
In the past, when the kidneys shrank to a certain extent, the continued deterioration of renal function is inevitable, but in recent years in the treatment of chronic kidney disease gradually breakthrough. National Cheng Kung University Hospital, chronic kidney disease prevention and promotion of the inclusion of case management in the first four renal disease (glomerular filtration rate of 15 ~ 30ml / min, normal to 100ml / minute) of patients in the 2 years of follow 57% worsening renal function in patients through five or subject to dialysis treatment, while 43% of patients with renal function remained stable, and in the analysis, it was found proteinuria in patients with stable renal function are low, and the use of ACEI or ARB ratio 亦较high, exactly what is so magical and treatment can make from dialysis patients with chronic renal failure? This thanks to recent advances in basic and clinical medicine, have to make this the doctor was previously thought sooner or later "must" dialysis disease Treatment glimmer exposed, and therefore, this disease should be early to see a kidney specialist, and in close cooperation with the medical staff, so that it can achieve the best therapeutic effect, after all, if the patient does not need dialysis, then the state, society, family and individuals are a great help.
Treatment of chronic renal failure as follows:
First, the need to strictly control blood pressure to 130 / 85mmHg or less (if proteinuria> 1g / day, the blood pressure to be controlled to 125 / 75mmHg or less), the use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin first type by Inhibitors (ARB) for the treatment of first-line medication.
Second, reduce proteinuria: ACEI and ARB have a very good therapeutic effect.
Third, low-protein diet: body weight daily intake of 0.6 grams per kilogram of high quality protein physiological value (eg: animal protein, eggs, milk, etc.).
Fourth, if high blood pressure, heart failure or severe edema, it must absorb low-salt diet (3 grams of salt per day), but the absence of these cases, the salt intake must be patient urinary excretion of salt daily basis to decide, and therefore the market rumors of "kidney disease patients need to eat a low-salt diet," you are wrong.
Fifth, to avoid possible deterioration of renal function following factors: such as the abuse of drugs (steroids, cold medicine, analgesics, X-ray contrast agents, some of this antibiotic drugs of unknown origin, etc.), dehydration, heart failure, low blood pressure or shock, urinary obstruction, infection, electrolyte imbalance.
Six, if oliguria (urine less than 500 ml per day) and severe kidney failure, low potassium intake must diet.
Seven, treatment of primary disease: such as diabetes and autoimmune glomerulonephritis.
In short, the treatment of chronic renal failure in recent years has made great progress, but the medical community for this disease are not so pessimistic, and now nephrologists have more aggressive treatment of these patients, If you could add a high degree of patient cooperation itself, the chronic kidney disease is definitely treatable, and uremia be avoided.
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WhatsApp:+8615511395691
Viber:+8613393010526
Renal failure patients need dialysis under what circumstances choose it?
Renal failure patients need dialysis under what circumstances choose it?
Renal failure patients need dialysis choose under what circumstances it? Renal dialysis had to be a right, which is also concerned about the many problems in patients. Dialysis is required based on the patient's condition may be, but also with the case of kidney disease patients to make judgments, so, for renal failure patients, be sure to choose the right hospital for treatment, try to avoid the occurrence of dialysis.
Kidney failure means the loss of kidney disease because of the occurrence of a pathological state of some or all of the features of this stage patients because of the loss of kidney function in patients in order to maintain normal physiological water and electrolyte balance and health status, etc., we have to use a method of dialysis to sustain life .
Shijiazhuang kidney hospital doctors pointed out: whether dialysis hemodialysis or peritoneal dialysis treatment for kidney failure patients who can only play a temporary role of artificial kidney, if once in a while there is no law dialysis, creatinine and urea Nitrogen will quickly rise, the body will appear complications. At the same time use after dialysis, dialysis patients will produce dependence, resulting in the number of dialysis more and more, and ultimately lifelong dialysis.
Shijiazhuang kidney hospital professional practitioners pointed out that in fact, most patients with renal failure, especially in patients with renal failure early, does not necessarily have to dialysis. As long as the right approach to take timely treatment, there is great hope to reverse. So under what circumstances patients with renal failure requiring dialysis? The scale how to grasp it?
Shijiazhuang kidney hospital doctor told the majority of patients with renal failure:
For renal failure patients, serum creatinine in 500umol / L or less, feeling itself no serious complications and no other patient is not on dialysis, should positive drug treatment, but patients must not be impatient drug treatment, because kidney nephron there is more than one million patients with renal injury, even the best medical technology also requires - a process, kidney function is gradually restored, as if the body of the wounds, for improvement will take time to repair .
For creatinine too high, such as the development of end-stage renal failure, uremia, and there are serious complications for the patient, the patient's own body of toxins too much or feeling bad, bad habits with clinical symptoms of vomiting, skin itching like, so at this time Patients should actively dialysis, otherwise there is always danger. Patients should in no danger of further aggressive treatment provided in other areas. Dialysis is the meaning of: providing a stable environment within the body to restore kidney function in the next step. Dialysis is necessary at this time, the treatment of the aid, if this time resolutely refused dialysis patients, undoubtedly tell priorities, but also irresponsible to life. We do not advocate blindly renal failure patients on dialysis, but in exceptional circumstances, we advocate temporarily dialysis.
Friends renal failure patients according to the above criteria, as well as their physical condition, to determine whether they need dialysis.
At the same time we choose treatment when kidney failure, suggest that you take Chinese medicine therapy, hormone therapy rather than Western medicine.
The reason for this suggestion everyone, because there are real cases before many patients, the use of western medicine treatment, the results immediately and repeatedly stopping the disease, and ultimately dragged on so gradually uremia. Even many patients the hospital for medical treatment, simply let the patients go home more - and so became a direct dialysis uremia!
Western medicine treatment of renal failure, the biggest drawback is that a temporary solution, just control surface disease, but not from the root cause to cure. Not only delay the patients the best treatment time, the deterioration of the disease is still to some extent.
And with this in stark contrast, Chinese medicine in the treatment of kidney failure, the use of traditional Chinese medicine treatment and therapy, treating the symptoms. Not only in patients with impaired kidney gradually repair and restore kidney function, while the eradication of the root causes of diseases, completely eradicate.
It is recommended that those suffering from kidney failure, dialysis patients do not need to take early action, the use of correct and effective treatment and timely treatment as soon as possible to get rid of illnesses reborn.
http://www.kidneyhospitalabroad.com/Christmas/index.html
kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
Renal failure patients need dialysis choose under what circumstances it? Renal dialysis had to be a right, which is also concerned about the many problems in patients. Dialysis is required based on the patient's condition may be, but also with the case of kidney disease patients to make judgments, so, for renal failure patients, be sure to choose the right hospital for treatment, try to avoid the occurrence of dialysis.
Kidney failure means the loss of kidney disease because of the occurrence of a pathological state of some or all of the features of this stage patients because of the loss of kidney function in patients in order to maintain normal physiological water and electrolyte balance and health status, etc., we have to use a method of dialysis to sustain life .
Shijiazhuang kidney hospital doctors pointed out: whether dialysis hemodialysis or peritoneal dialysis treatment for kidney failure patients who can only play a temporary role of artificial kidney, if once in a while there is no law dialysis, creatinine and urea Nitrogen will quickly rise, the body will appear complications. At the same time use after dialysis, dialysis patients will produce dependence, resulting in the number of dialysis more and more, and ultimately lifelong dialysis.
Shijiazhuang kidney hospital professional practitioners pointed out that in fact, most patients with renal failure, especially in patients with renal failure early, does not necessarily have to dialysis. As long as the right approach to take timely treatment, there is great hope to reverse. So under what circumstances patients with renal failure requiring dialysis? The scale how to grasp it?
Shijiazhuang kidney hospital doctor told the majority of patients with renal failure:
For renal failure patients, serum creatinine in 500umol / L or less, feeling itself no serious complications and no other patient is not on dialysis, should positive drug treatment, but patients must not be impatient drug treatment, because kidney nephron there is more than one million patients with renal injury, even the best medical technology also requires - a process, kidney function is gradually restored, as if the body of the wounds, for improvement will take time to repair .
For creatinine too high, such as the development of end-stage renal failure, uremia, and there are serious complications for the patient, the patient's own body of toxins too much or feeling bad, bad habits with clinical symptoms of vomiting, skin itching like, so at this time Patients should actively dialysis, otherwise there is always danger. Patients should in no danger of further aggressive treatment provided in other areas. Dialysis is the meaning of: providing a stable environment within the body to restore kidney function in the next step. Dialysis is necessary at this time, the treatment of the aid, if this time resolutely refused dialysis patients, undoubtedly tell priorities, but also irresponsible to life. We do not advocate blindly renal failure patients on dialysis, but in exceptional circumstances, we advocate temporarily dialysis.
Friends renal failure patients according to the above criteria, as well as their physical condition, to determine whether they need dialysis.
At the same time we choose treatment when kidney failure, suggest that you take Chinese medicine therapy, hormone therapy rather than Western medicine.
The reason for this suggestion everyone, because there are real cases before many patients, the use of western medicine treatment, the results immediately and repeatedly stopping the disease, and ultimately dragged on so gradually uremia. Even many patients the hospital for medical treatment, simply let the patients go home more - and so became a direct dialysis uremia!
Western medicine treatment of renal failure, the biggest drawback is that a temporary solution, just control surface disease, but not from the root cause to cure. Not only delay the patients the best treatment time, the deterioration of the disease is still to some extent.
And with this in stark contrast, Chinese medicine in the treatment of kidney failure, the use of traditional Chinese medicine treatment and therapy, treating the symptoms. Not only in patients with impaired kidney gradually repair and restore kidney function, while the eradication of the root causes of diseases, completely eradicate.
It is recommended that those suffering from kidney failure, dialysis patients do not need to take early action, the use of correct and effective treatment and timely treatment as soon as possible to get rid of illnesses reborn.
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How to control the amount of drinking water in dialysis patients
First, decide how much urine Factors
Normal urine depends on the day (much water, urine volume and more; less water, less urine) daily drink into the body of water and the amount of liquid by other means (such as sweat) discharged.
If the weather is hot, sweating, drinking less, certainly less urine, and vice versa, the more urine.
On the kidney itself, normal one day urine depends glomerular filtration rate and tubular reabsorption rate.
Under normal circumstances, every day and night by glomerular filtration of the blood of about 1,800 liters, most of the original urine among selectivity has been reabsorbed back into the blood in renal tubules.
Urine normal one day, adults 24 hours discharge of urine is 1000-1800 ml, more than 2500 ml of urine, less than 500 milliliters oliguria, no less than 100 milliliters of urine.
Often due to renal tubular reabsorption of water reduction (urine concentration disorders) caused;
Oliguria of less than 500 ml of urine; no less than 50 milliliters of urine, mainly in patients with glomerular filtration rate reduction related disease.
Normal is 1.5 ~ 2L, of course, drink more, or fever, have an absolute effect on the urine.
If a person in one day 24 hours, urine output over 2500ml, can be called polyuria.
Normal urine output is 1500 to 2000ml normal, do not concern.
Second, how much day to drink water
A day at least to consume 2500 ml of water, and the food we eat every day already contains a lot of water, like vegetables 90% water, 80% water fruits, meat and fish also containing 70% moisture.
Excluding these water to drink 1500 ml a day is enough.
Drink plenty of water to thirsty people can not be the standard.
Thirst is the body of water requires replenishment signal out of balance, when cellular dehydration has been to a certain extent, given the central nervous system.
Thirsty to drink water, earth cracks again equal to irrigation, is not conducive to good health.
Adults drink at least six times a day is best.
Fasting drink the most effective, the water will circulate directly from the digestive tract, and is absorbed by the body.
Drink plenty of water can eliminate sweat, urinate, in addition to lower the body temperature, but also ruled out toxic substances in the blood.
Typically, every night we evaporation through the skin to breathe and lost 300-400 milliliters of water.
Therefore, wake up, the first drink a large glass of water, not only can complement the loss of water due to metabolism of the body, washing the stomach has been emptied, can effectively dilute the blood, reduce blood viscosity, prevent the occurrence of cardiovascular and cerebrovascular diseases.
Third, how many considered normal urine output
According to experts, a different urine output indicates that different diseases, what was normal urine output?
Let's for a specific look.
①, frequent urination
Within a certain period of time generally refers to the phenomenon of excessive urination.
There is a world phenomenon common in renal insufficiency, renal vascular sclerosis, prostate hyperplasia;
If men have urinary symptoms and associated with each decreased urine output, which is common in urinary tract inflammation, such as acute cystitis, urethritis, bladder tumors and stones, urinary tract tuberculosis.
②, urgency
Clinical think, urgency of urination wait refers feel, and most had symptoms of prostatitis.
③, dysuria
After urination or voiding urethral pain, and more from urethritis, prostatitis, cystitis cause.
Dysuria urethritis caused or aggravated occurred at the beginning of urination;
Prostatitis, cystitis occurred at the end of urination, pain mostly burning or knife-like.
④, slow urination
Voiding of urine can not be quickly discharged, more time-consuming, laborious, and sometimes see small urinary stream, and even interrupted urine flow or dribbling. This indicates that there is more than an enlarged prostate or urethral stricture.
⑤, urinary incontinence
Urinary incontinence medicine will be divided into two categories of true and false.
Incontinence refers to the tension imbalance detrusor and sphincter between certain causes, loss of sphincter control urine flow out involuntarily;
Pseudo-incontinence, mostly women after childbirth or menopause vaginal fascia between the bladder relaxation, in peacetime can still control urination, once when sudden increase in abdominal pressure, such as coughing, running, etc. can not be under control.
⑥, increased urine output
How much affected by temperature, diet, environment, human activities and there are differences of daily urine output.
Adult 24 hours in total about 1500 ml.
If too much urine, day in 2500 ml or more, even up to 7000 to 8000 ml or more, it is likely to be diabetes, diabetes insipidus, hypercalcemia, hypokalemia, chronic nephritis or renal insufficiency caused by polyuria.
Male friends must remember.
⑦, decreased urine output
Men daily urine output at least 1000 ml, and not less than 500 ml.
If less than 24 hours total urine volume 400 ml, medicine will be called oliguria.
This kidney disease symptoms are usually caused by renal dysfunction performance.
⑧, summary
Every day is not only a human urination rid the body of excess water, but some of the body does not absorb the toxins removed.
How much urination and whether their health also have a great relationship.
Therefore, the experts called upon to express themselves a lot of attention when urinating, if anomalies, timely access to regular hospital checks, to avoid protracted illness.
Fourth, how reasonable drinking dialysis
①, hemodialysis patients how to drink water
Water on uremic patients can be said of another poison.
Especially in dialysis patients, and little or no urine state, if more water, easily induced acute heart failure, heart disease induced by uremia.
Every time some patients with poor control of body weight should dehydration forty-five kg, dialysis excessive dehydration, and dehydration too fast, it will increase the heart load.
With the onset of chronic kidney disease younger trend deepened, kidney patients undergoing hemodialysis is growing at 10 percent per year rate of increase, therefore, outside the hospital hemodialysis patient self-governance on the health condition exception handling key.
However, there are about Qi Cheng hemodialysis patients stop myself.
Hemodialysis patients, especially no urine water intake should be strictly controlled, because the old fire soup, some fruits and vegetables and even water, are likely to exacerbate the condition.
Kidney patients should grasp the self health management know-how, beware of hyperkalemia, hyperphosphatemia this "high" disease.
So, how to control water hemodialysis patients?
Patients usually three times a week to do maintenance dialysis therapy, rest time at home and being mortals.
But it also brings a big problem: 70% of patients difficult to achieve self-health management.
The problem is most likely in patients with anuria.
Urine is a detoxification method, and completely anuria patients in the intermittent, sweating, soup, fruit plus the water did not break out, it is easy to cause heart failure, pulmonary edema, a life-threatening.
Common clinical patients thus leading to repeated illness and even sudden danger.
Clinical Case: If bits disease control in patients with uremia just good, middle of the night suddenly appeared unstable heartbeat, was sent back to hospital.
Potassium concentration in normal people should be 5.5 or less, and his potassium level was already surging to 8.2, after dialysis was the ultimate removal of potassium through.
Upon inquiry, the doctor discovered that he ate some fruit at dinner, drank the old fire soup.
Hemodialysis patients, especially no urine should be strictly controlled amount of drinking water, it is best to develop every measure "dry weight" habits.
Due mostly to middle-aged dialysis, muscle fat content in this population is relatively stable, while the moisture content will vary daily intake have a more significant change, generally require no urine of patients daily weight gain may not be more than one kilogram.
Weight gain during dialysis below 5% are normal.
Over limit weight gain, mostly water, to go through dialysis to hemodialysis out.
Anuria ideal amount of dehydration should first two kilograms or less, while in urine may be appropriate to relax the control of water, but generally not recommended to eat watermelon high water content foods.
Dialysis patients should also grasp the knack of drinking water, such as hot days when thirsty Italy, after the spit can gargle, or with a cotton swab moistened lips or mouth.
Especially when you feel thirsty then sips of water, or even a day of potable water distribution, container installed.
500ml + dialysis three times a week with the same amount of water, urine, dialyzed 2 times per week with 300ml + urine equal volume of water, 100ml + 1 times weekly dialysis water and the same amount of urine.
Increase between dialysis twice before and after weight should not exceed 5% of the original weight; or daily weight gain is substantially no more than 1 ~ 1.5Kg.
②, control of moisture technique
1. The day of potable water evenly distributed, with a fixed part of the container installed or lemon juice mixed with water to form ice, thirsty in the mouth, so that the ice slowly melt.
2. When a little thirsty, with a cotton swab moistened lips or mouth, small mouth again when very thirsty to drink water.
3. Use a small cup of water containing scale.
4. adequate dialysis.
5. low sodium diet: eat pickles, bacon, canned food and so on.
6. thirst not to drink warm water, and should drink ice water or hot water.
7. mouth with mints thirsty.
8. Avoid spicy food.
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Normal urine depends on the day (much water, urine volume and more; less water, less urine) daily drink into the body of water and the amount of liquid by other means (such as sweat) discharged.
If the weather is hot, sweating, drinking less, certainly less urine, and vice versa, the more urine.
On the kidney itself, normal one day urine depends glomerular filtration rate and tubular reabsorption rate.
Under normal circumstances, every day and night by glomerular filtration of the blood of about 1,800 liters, most of the original urine among selectivity has been reabsorbed back into the blood in renal tubules.
Urine normal one day, adults 24 hours discharge of urine is 1000-1800 ml, more than 2500 ml of urine, less than 500 milliliters oliguria, no less than 100 milliliters of urine.
Often due to renal tubular reabsorption of water reduction (urine concentration disorders) caused;
Oliguria of less than 500 ml of urine; no less than 50 milliliters of urine, mainly in patients with glomerular filtration rate reduction related disease.
Normal is 1.5 ~ 2L, of course, drink more, or fever, have an absolute effect on the urine.
If a person in one day 24 hours, urine output over 2500ml, can be called polyuria.
Normal urine output is 1500 to 2000ml normal, do not concern.
Second, how much day to drink water
A day at least to consume 2500 ml of water, and the food we eat every day already contains a lot of water, like vegetables 90% water, 80% water fruits, meat and fish also containing 70% moisture.
Excluding these water to drink 1500 ml a day is enough.
Drink plenty of water to thirsty people can not be the standard.
Thirst is the body of water requires replenishment signal out of balance, when cellular dehydration has been to a certain extent, given the central nervous system.
Thirsty to drink water, earth cracks again equal to irrigation, is not conducive to good health.
Adults drink at least six times a day is best.
Fasting drink the most effective, the water will circulate directly from the digestive tract, and is absorbed by the body.
Drink plenty of water can eliminate sweat, urinate, in addition to lower the body temperature, but also ruled out toxic substances in the blood.
Typically, every night we evaporation through the skin to breathe and lost 300-400 milliliters of water.
Therefore, wake up, the first drink a large glass of water, not only can complement the loss of water due to metabolism of the body, washing the stomach has been emptied, can effectively dilute the blood, reduce blood viscosity, prevent the occurrence of cardiovascular and cerebrovascular diseases.
Third, how many considered normal urine output
According to experts, a different urine output indicates that different diseases, what was normal urine output?
Let's for a specific look.
①, frequent urination
Within a certain period of time generally refers to the phenomenon of excessive urination.
There is a world phenomenon common in renal insufficiency, renal vascular sclerosis, prostate hyperplasia;
If men have urinary symptoms and associated with each decreased urine output, which is common in urinary tract inflammation, such as acute cystitis, urethritis, bladder tumors and stones, urinary tract tuberculosis.
②, urgency
Clinical think, urgency of urination wait refers feel, and most had symptoms of prostatitis.
③, dysuria
After urination or voiding urethral pain, and more from urethritis, prostatitis, cystitis cause.
Dysuria urethritis caused or aggravated occurred at the beginning of urination;
Prostatitis, cystitis occurred at the end of urination, pain mostly burning or knife-like.
④, slow urination
Voiding of urine can not be quickly discharged, more time-consuming, laborious, and sometimes see small urinary stream, and even interrupted urine flow or dribbling. This indicates that there is more than an enlarged prostate or urethral stricture.
⑤, urinary incontinence
Urinary incontinence medicine will be divided into two categories of true and false.
Incontinence refers to the tension imbalance detrusor and sphincter between certain causes, loss of sphincter control urine flow out involuntarily;
Pseudo-incontinence, mostly women after childbirth or menopause vaginal fascia between the bladder relaxation, in peacetime can still control urination, once when sudden increase in abdominal pressure, such as coughing, running, etc. can not be under control.
⑥, increased urine output
How much affected by temperature, diet, environment, human activities and there are differences of daily urine output.
Adult 24 hours in total about 1500 ml.
If too much urine, day in 2500 ml or more, even up to 7000 to 8000 ml or more, it is likely to be diabetes, diabetes insipidus, hypercalcemia, hypokalemia, chronic nephritis or renal insufficiency caused by polyuria.
Male friends must remember.
⑦, decreased urine output
Men daily urine output at least 1000 ml, and not less than 500 ml.
If less than 24 hours total urine volume 400 ml, medicine will be called oliguria.
This kidney disease symptoms are usually caused by renal dysfunction performance.
⑧, summary
Every day is not only a human urination rid the body of excess water, but some of the body does not absorb the toxins removed.
How much urination and whether their health also have a great relationship.
Therefore, the experts called upon to express themselves a lot of attention when urinating, if anomalies, timely access to regular hospital checks, to avoid protracted illness.
Fourth, how reasonable drinking dialysis
①, hemodialysis patients how to drink water
Water on uremic patients can be said of another poison.
Especially in dialysis patients, and little or no urine state, if more water, easily induced acute heart failure, heart disease induced by uremia.
Every time some patients with poor control of body weight should dehydration forty-five kg, dialysis excessive dehydration, and dehydration too fast, it will increase the heart load.
With the onset of chronic kidney disease younger trend deepened, kidney patients undergoing hemodialysis is growing at 10 percent per year rate of increase, therefore, outside the hospital hemodialysis patient self-governance on the health condition exception handling key.
However, there are about Qi Cheng hemodialysis patients stop myself.
Hemodialysis patients, especially no urine water intake should be strictly controlled, because the old fire soup, some fruits and vegetables and even water, are likely to exacerbate the condition.
Kidney patients should grasp the self health management know-how, beware of hyperkalemia, hyperphosphatemia this "high" disease.
So, how to control water hemodialysis patients?
Patients usually three times a week to do maintenance dialysis therapy, rest time at home and being mortals.
But it also brings a big problem: 70% of patients difficult to achieve self-health management.
The problem is most likely in patients with anuria.
Urine is a detoxification method, and completely anuria patients in the intermittent, sweating, soup, fruit plus the water did not break out, it is easy to cause heart failure, pulmonary edema, a life-threatening.
Common clinical patients thus leading to repeated illness and even sudden danger.
Clinical Case: If bits disease control in patients with uremia just good, middle of the night suddenly appeared unstable heartbeat, was sent back to hospital.
Potassium concentration in normal people should be 5.5 or less, and his potassium level was already surging to 8.2, after dialysis was the ultimate removal of potassium through.
Upon inquiry, the doctor discovered that he ate some fruit at dinner, drank the old fire soup.
Hemodialysis patients, especially no urine should be strictly controlled amount of drinking water, it is best to develop every measure "dry weight" habits.
Due mostly to middle-aged dialysis, muscle fat content in this population is relatively stable, while the moisture content will vary daily intake have a more significant change, generally require no urine of patients daily weight gain may not be more than one kilogram.
Weight gain during dialysis below 5% are normal.
Over limit weight gain, mostly water, to go through dialysis to hemodialysis out.
Anuria ideal amount of dehydration should first two kilograms or less, while in urine may be appropriate to relax the control of water, but generally not recommended to eat watermelon high water content foods.
Dialysis patients should also grasp the knack of drinking water, such as hot days when thirsty Italy, after the spit can gargle, or with a cotton swab moistened lips or mouth.
Especially when you feel thirsty then sips of water, or even a day of potable water distribution, container installed.
500ml + dialysis three times a week with the same amount of water, urine, dialyzed 2 times per week with 300ml + urine equal volume of water, 100ml + 1 times weekly dialysis water and the same amount of urine.
Increase between dialysis twice before and after weight should not exceed 5% of the original weight; or daily weight gain is substantially no more than 1 ~ 1.5Kg.
②, control of moisture technique
1. The day of potable water evenly distributed, with a fixed part of the container installed or lemon juice mixed with water to form ice, thirsty in the mouth, so that the ice slowly melt.
2. When a little thirsty, with a cotton swab moistened lips or mouth, small mouth again when very thirsty to drink water.
3. Use a small cup of water containing scale.
4. adequate dialysis.
5. low sodium diet: eat pickles, bacon, canned food and so on.
6. thirst not to drink warm water, and should drink ice water or hot water.
7. mouth with mints thirsty.
8. Avoid spicy food.
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Analysis of internal fistula complications hemodialysis patients and nursing
Vascular access in dialysis patients is the "lifeline", healthy vascular access patency is effectively its long-term survival of dialysis basic conditions, patients on chronic dialysis fistula from the body to use more, and now fistula 3-year survival of 65% to 75% its success rate in addition to the length of the patient and vein conditions, but also with fistula postoperative care and use is appropriate related.
Thrombosis: the performance of dialysis is inadequate flow, vascular anastomosis pulse, tremor disappeared, vascular murmur disappeared, such as venous thrombosis, the venous pressure significantly increased; fistula stenosis: the performance of dialysis blood flow than the original reduction, such as the proximal vein stenosis, the venous pressure, and even lead to forced ultrafiltration; fistula infection showed partial superficial skin inflammation, the formation of cellulitis or abscess. Systemic manifestations, a small amount of bacteria or toxins can enter the bloodstream causing sepsis and bacteremia; fistula aneurysm showed abnormally dilated blood vessels near the puncture site, prolapse, diameter> 37.5px
Form (a) thrombosis
Early (after 24 hours) thrombotic vascular conditions are poor reasons (such as blood vessels too small, there is phlebitis, vascular spasm, etc.); 2 intraoperative vascular endothelial damage, arteriovenous anastomosis when registration and poor; 3 hypercoagulable state; less than 4 hypovolemia, hypotension; 5 primary disease with vascular disease (such as diabetes, lupus red scar on the skin, etc.). Late Causes: [1] Use of improper or wrong way to stop bleeding; [2] local infection; [3] hypotension, dehydration, blood loss; [4] use of erythropoietin, the blood viscosity; [5] of the arterial vein intimal hyperplasia.
(B) fistula stenosis
Stenosis occurred in anastomosis vein, its reasons: [1] repeatedly puncture the blood vessel intimal injury caused by fibrosis; [2] hemodynamic factors, eddy anastomotic site to promote the deposition of fibrin and platelets, causing thrombosis formation and stenosis; [3] infection violate the vessel wall; [4] hematoma and hematoma caused by vascular stenosis.
(C) fistula infection
Predisposing factors: the dialysis patient's immune function is low, malnutrition, repeated puncture, strict aseptic technique can cause.
(D) the formation of aneurysms: immature fistula premature application, long-term fixed puncture the blood vessel wall damage, poor flexibility and easy prolapse; sustained hypertension or venous pressure; bad puncture technique, repeated formation of hematoma; suture technical defects or suture is not sufficient.
Fourth, prevention and care
(A) thrombosis prevention and care
Early thrombosis should immediately open the anastomotic suture forearm as local thrombolysis embolectomy or thrombus has had to give back the machine of fistula; patients using heparin saline flush lumen, such as patients with hypercoagulable state may be 20 ~ 40mg intravenous heparin and, if necessary 24 hours after systemic heparin. Wound dressing should not be too tight, to avoid pressure, dehydration and low blood pressure. Attention to the protection fistula, do not measure blood pressure in the fistula side arm, blood and transfusion.
(B) Infection Prevention and Care
Puncture skin strict disinfection, aseptic technique, try not to repeat the use of the needle, otherwise they will be strictly disinfected. Hemostasis at the end of dialysis have aseptic technique. Suspend the use of local infection within the fistula, use of temporary vascular access, strengthen local skin disinfection. Incision and drainage of abscess formation in a timely manner, systemic antibiotics.
(C) a reasonable puncture site selection
Arterial puncture site should be away from the fistula 5 ~ 150px, and radial deviation, so the patient wrist-induced vascular bleeding puncture before the first observation of fistula blood vessels line, and then find out the blood vessel punctured tube arm thickness, elasticity and depth. Vascular arm light exposure can tie a tourniquet is unclear, but the tie should be short time. Puncture with the right method, remember to use fixed-point method, a new needle puncture needle points from the last point at least 25px or more buttons into the needle may also be used, such as buttons, like clothes, fixed several puncture point, rotate their use.
(Iv) take effective methods to stop bleeding
When the angle of needle injection angle puncture to the same oppression strength necessary to effectively stop the bleeding but bruit appropriate, hematoma occurred within 24 hours prohibition heat, to prevent congestion worsened recommend cold packs immediately, help make the blood vessels to stop bleeding, If hematoma should be suspended fistula use, so as not to puncture injury worse.
(V) strengthen health education of nurses should be in the former fistula patients do missionary work, the importance of the patient made it clear to the fistula. Fistula typically requires four to eight weeks before using mature, especially the elderly. Prevent fistula site thrombosis, controlling high blood pressure, do not use the side of the arm has a fistula heavy lifting, to prevent lateral pressure, fluids, blood, and blood pressure. As no bleeding after dialysis, may in the second daily Hirudoid ointment and gently massage 2 to 3 times a day to soften the skin caused by repeated puncture scar.
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WhatsApp:+8615511395691
Viber:+8613393010526
Thrombosis: the performance of dialysis is inadequate flow, vascular anastomosis pulse, tremor disappeared, vascular murmur disappeared, such as venous thrombosis, the venous pressure significantly increased; fistula stenosis: the performance of dialysis blood flow than the original reduction, such as the proximal vein stenosis, the venous pressure, and even lead to forced ultrafiltration; fistula infection showed partial superficial skin inflammation, the formation of cellulitis or abscess. Systemic manifestations, a small amount of bacteria or toxins can enter the bloodstream causing sepsis and bacteremia; fistula aneurysm showed abnormally dilated blood vessels near the puncture site, prolapse, diameter> 37.5px
Form (a) thrombosis
Early (after 24 hours) thrombotic vascular conditions are poor reasons (such as blood vessels too small, there is phlebitis, vascular spasm, etc.); 2 intraoperative vascular endothelial damage, arteriovenous anastomosis when registration and poor; 3 hypercoagulable state; less than 4 hypovolemia, hypotension; 5 primary disease with vascular disease (such as diabetes, lupus red scar on the skin, etc.). Late Causes: [1] Use of improper or wrong way to stop bleeding; [2] local infection; [3] hypotension, dehydration, blood loss; [4] use of erythropoietin, the blood viscosity; [5] of the arterial vein intimal hyperplasia.
(B) fistula stenosis
Stenosis occurred in anastomosis vein, its reasons: [1] repeatedly puncture the blood vessel intimal injury caused by fibrosis; [2] hemodynamic factors, eddy anastomotic site to promote the deposition of fibrin and platelets, causing thrombosis formation and stenosis; [3] infection violate the vessel wall; [4] hematoma and hematoma caused by vascular stenosis.
(C) fistula infection
Predisposing factors: the dialysis patient's immune function is low, malnutrition, repeated puncture, strict aseptic technique can cause.
(D) the formation of aneurysms: immature fistula premature application, long-term fixed puncture the blood vessel wall damage, poor flexibility and easy prolapse; sustained hypertension or venous pressure; bad puncture technique, repeated formation of hematoma; suture technical defects or suture is not sufficient.
Fourth, prevention and care
(A) thrombosis prevention and care
Early thrombosis should immediately open the anastomotic suture forearm as local thrombolysis embolectomy or thrombus has had to give back the machine of fistula; patients using heparin saline flush lumen, such as patients with hypercoagulable state may be 20 ~ 40mg intravenous heparin and, if necessary 24 hours after systemic heparin. Wound dressing should not be too tight, to avoid pressure, dehydration and low blood pressure. Attention to the protection fistula, do not measure blood pressure in the fistula side arm, blood and transfusion.
(B) Infection Prevention and Care
Puncture skin strict disinfection, aseptic technique, try not to repeat the use of the needle, otherwise they will be strictly disinfected. Hemostasis at the end of dialysis have aseptic technique. Suspend the use of local infection within the fistula, use of temporary vascular access, strengthen local skin disinfection. Incision and drainage of abscess formation in a timely manner, systemic antibiotics.
(C) a reasonable puncture site selection
Arterial puncture site should be away from the fistula 5 ~ 150px, and radial deviation, so the patient wrist-induced vascular bleeding puncture before the first observation of fistula blood vessels line, and then find out the blood vessel punctured tube arm thickness, elasticity and depth. Vascular arm light exposure can tie a tourniquet is unclear, but the tie should be short time. Puncture with the right method, remember to use fixed-point method, a new needle puncture needle points from the last point at least 25px or more buttons into the needle may also be used, such as buttons, like clothes, fixed several puncture point, rotate their use.
(Iv) take effective methods to stop bleeding
When the angle of needle injection angle puncture to the same oppression strength necessary to effectively stop the bleeding but bruit appropriate, hematoma occurred within 24 hours prohibition heat, to prevent congestion worsened recommend cold packs immediately, help make the blood vessels to stop bleeding, If hematoma should be suspended fistula use, so as not to puncture injury worse.
(V) strengthen health education of nurses should be in the former fistula patients do missionary work, the importance of the patient made it clear to the fistula. Fistula typically requires four to eight weeks before using mature, especially the elderly. Prevent fistula site thrombosis, controlling high blood pressure, do not use the side of the arm has a fistula heavy lifting, to prevent lateral pressure, fluids, blood, and blood pressure. As no bleeding after dialysis, may in the second daily Hirudoid ointment and gently massage 2 to 3 times a day to soften the skin caused by repeated puncture scar.
http://www.kidneyhospitalabroad.com/Christmas/index.html
kidneyhospitalabroad@hotmail.com
WhatsApp:+8615511395691
Viber:+8613393010526
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