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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