Showing posts with label Kidney Failure. Show all posts
Showing posts with label Kidney Failure. Show all posts
Saturday, 3 August 2013
What Diet For Dialysis
1.Note that low-protein diet: Many dialysis patients that dialysis should eat a low-protein diet, and this is wrong. Because dialysis, a portion of the protein will be lost as the dialysis fluid, the patient should instead increase protein intake, daily intake of 1 ~ 1.2g/kg. Should also be adequate intake of calories, 30 ~ 35kcal/kg daily intake of calories. To reduce lipid metabolism uremic patients should eat less animal offal, animal fats, etc., eat eggs, fish, beef and other high-quality animal protein.
2.Water restrictions: hemodialysis patients should be strictly controlled water intake, such as too much water, there may be heart failure, hypertension, acute pulmonary edema and even death. If a large number of ultrafiltration, will appear hypotension, vomiting, muscle cramps, fatigue and other after penetration. To alleviate thirst, you should avoid drinking tea, espresso drinks can add lemon slices or mint leaves, or will be part of a drink made of ice, in the mouth has a good thirst quencher effect.
3.Limit sodium, potassium : phosphate salts: Dialysis patients should strictly control the sodium, potassium, phosphorus and salt intake, eating salt 6 grams a day or so, if severe hypertension or edema, should be limited to 3g / day. Hemodialysis patients with elevated serum potassium is easy, hyperkalemia can lead to serious arrhythmia and even cardiac arrest.
In the diet, should avoid eating high-potassium foods, such as citrus, grapes, bananas, peanuts and so on. To minimize the amount of potassium in the diet, green leafy vegetables can be soaked for half an hour or more, eat soup, root vegetables should be peeled, sliced, after immersion in water to cook. In addition, patients should eat more calcium phosphorus foods such as egg yolks, organ meats, bone marrow, nuts food phosphorus more, should avoid eating more.
Labels:
Dialysis,
Kidney Failure
When To Start Dialysis Treatment
Many people feel that uremia is a disease, but Beijing Jingdong American Hospital experts to tell you is not an independent disease uremia is progressive chronic end stage renal failure, then what uremia When dialysis is good? we still see specialists introduction.
When dialysis is best? From the perspective of the medical profession in fact, neither is the sooner the better dialysis (dialysis prematurely did not significantly improve the prognosis), nor is it as late as possible (too late for dialysis patients prone to complications affecting life quality and long-term survival), but the best time to select the best kidney dialysis.
Then how to choose the best time to do kidney dialysis? We know the usual case, according to the degree of renal dysfunction, chronic renal failure can be divided into four:
1, renal decompensation: Although this loss of renal reserve capacity, but for the secretion of urine, discharge of metabolic waste, toxins and drugs, regulate water and electrolyte and acid-base balance is still good, so no special clinical manifestations, blood creatinine and blood urea nitrogen is usually normal or mildly elevated sometimes.
2, azotemia: This term moderate renal damage, renal dysfunction concentrated, there nocturia or polyuria, varying degrees of anemia, often azotemia, serum creatinine, blood urea nitrogen levels. Clinically, accompanied by nausea, loss of appetite and general mild discomfort. This period of protection, such as neglect of renal function, such as the emergence of severe vomiting, diarrhea, caused by hypovolemia, severe infection and the use of nephrotoxic drugs, etc., can cause rapid kidney function decline and failure.
3, renal kidney failure period (uremia preliminary): This period has been severely impaired renal function, severe loss of renal reserve capacity, unable to maintain the body's metabolism and water and electrolyte and acid-base balance. Impossible to maintain a stable internal environment, resulting in serum creatinine, blood urea nitrogen increased significantly dilute urine concentration dysfunction, acidosis, sodium retention, calcium, high phosphorus, potassium and other balance disorders performance. Can have significant anemia and gastrointestinal symptoms such as nausea, vomiting, loss of appetite. May also have neuropsychiatric symptoms, such as fatigue, inability to concentrate, listlessness and so on.
4, uremia: This period is late chronic renal failure, that uremia, clinical manifestations, symptoms become more pronounced, the performance of multiple organ pipe failure, such as the gastrointestinal tract, nervous system, cardiovascular, hematopoietic system, respiratory system, skin and metabolic system imbalance. Clinically manifested as nausea, vomiting, irritability, increased blood pressure, palpitation, chest tightness, not supine, breathing difficulties, severe anemia, convulsions, and even severe cases can be in the long-term coma. This period need to rely on dialysis to sustain life. Often due to hyperkalemia, cerebral edema, pulmonary edema, heart failure and sudden death.
From four, as long as the patient has renal failure to uremia shall be timely initiation of dialysis therapy, specifically, is the best time to achieve the following targets dialysis began: creatinine clearance less than 10 ml / (min · 1.73m2), serum creatinine greater than or equal 8mg/dl may be considered when starting dialysis, diabetes complications due to their earlier, more and more serious and should be appropriate for early dialysis; creatinine clearance less than 15 ml / (min · 1.73m2) when to start dialysis.
For absolutely no clinical signs and symptoms of uremia may be appropriate to delay dialysis patients, but in no case, creatinine clearance less than 10 ml / (min · 1.73m2) should begin dialysis. If nausea, vomiting and other symptoms of uremia, but nor explain reasons other than uremia and conservative treatment can not be alleviated, even if did not meet the standard of renal function should also be prepared to consider dialysis. When acute heart failure, uremia encephalopathy, severe hyperkalemia and acidosis and other serious complications after drug treatment can not be effectively controlled, it is urgent dialysis indications. In addition, for malnourished patients, despite positive non-dialysis treatment is still not correct, should also consider starting dialysis.
Labels:
Dialysis,
Kidney Failure
Wednesday, 12 June 2013
What Are The Disadvantages of End Stage Renal Failure With Dialysis ?
Dialysis for end stage renal failure patients is commonly used as a replacement therapy, many patients do not want to be the reason why dialysis, because dialysis has some shortcomings, uremia dialysis disadvantages as follows:
1.Once uremic patients beginning dialysis treatment is stopped, you will probably need to rely on life-sustaining kidney dialysis, you can not get rid of. With frequent dialysis, Kuang fee will gradually lose kidney function.
2. Although hemodialysis to eliminate harmful substances in the blood, the body to correct electrolyte and acid-base balance. But, after all, is a hemodialysis dialysis installation, does not completely replace the human body itself renal excretion and conditioning functions. Since hemodialysis only 12-15% of the body eliminate metabolic waste and toxins, far less than the purpose of purifying the blood.
3.Long-term stop dialysis, patients will present a series of complications, the patient touches the body's systems. Such as concurrent cardiovascular diseases, infections, anemia and other symptoms present.
4. With the further deterioration of renal disease patients on hemodialysis each stop time will be longer, increasing frequency, it will decrease the formation of renal units, so that the patient recovered renal function increases the Difficulty. And economically responsible will be heavier.
Labels:
Dialysis,
Kidney Failure
Saturday, 8 June 2013
Why Hemodialysis patients have low blood pressure
Most hemodialysis patients are complicated by cardiovascular and cerebrovascular diseases, let's take a look at the majority of hemodialysis hypotension reasons, but mainly has the following number of points;
1 volume deficiency: the majority of hypotension during hemodialysis with an excess of dehydration to the sharp decline in blood volume in a very short period of time excessive ultrafiltration, causing the volume and cardiac output decrease may be due to the appearance of those conditions: (a) the amount of the error estimate for ultrafiltration; (2) more water for dialysis patients and overstatement weight; (3) poor venous vascular access, so that venous hypertension caused increased pressure dialysis, ultrafiltration volume is too more, causing a lack of blood volume, but also more common in dialysis before a blood volume deficiency, such as eating less, low sodium diet, nausea, vomiting, blood pressure medication and vasodilator agents treatment.
(2) long-term use low sodium dialysate: dialysate sodium concentration lower than the plasma, resulting in lower serum sodium, plasma osmolality landing, body fluids into the cell, to hypovolemia.
3 weight gain between dialysis clearly: in the blood beyond the proper amount of timely landing weight before discount more than 5% of body weight, prone to low blood pressure, weight gain between dialysis therefore should be controlled below 4%.
4 blood vessel function unstable dialysis patients: atrial Britain, pericarditis, endotoxin, infection and bleeding easily lead to hypotension.
5 autonomic function disorders
Hypotension caused by excessive ultrafiltration occurs mostly after 1 hour at the beginning of dialysis, ultrafiltration does not add a certain amount of liquid, the dialysis membrane and allergic toxin induced hypotension, then appeared earlier, these elements exist many kinds of , then the timing of hypotension increases.
Labels:
Dialysis,
Kidney Failure
Friday, 7 June 2013
How Long Can Diabetics Sustain on Dialysis
Diabetes in recent years is climbing up quickly as the number one cause of end-stage kidney disease (ESKD). Diabetics with kidney failure account for a large percentage among all patients who do dialysis. Clinical statistics suggest that Diabetics on dialysis tend to have an average poorer prognosis than others. This could originate from complexity of Diabetes, and the patients need to take some active nursing care and treatments so as to improve their prognosis.
How long on diabetics on dialysis sustain?
USRDS findings in 2004 suggest that 5 year average survival rate for Diabetic Nephropathy patients on dialysis is 15-33.6 percent, which is much lower that in hypertensive kidney failure 42%, glomerularnephritis 53% and other diseases-43%.
Survival rate also differs among those on peritoneal dialysis and hemodialysis. According to Heaf research, 2 year morbidity rate among diabetics on PD is higher than those on HD; but in later years, as with residual kidney function decreasing quickly, the advantage of PD disappears. Van Bisssen reports suggest that those who initially do PD and later change to HD after kidney function is totally lost have a higher survival rate than those who have been from the beginning continuously doing HD.
What factors affect prognosis in diabetic kidney failure patients?
For diabetics on dialysis, daily care nursing, the controlling of complications and treatment approaches are the most important aspects that affect prognosis.
﹡Diabetes as a systemic disease often combines other vascular diseases in end-stage kidney failure, for instance, diabetic retinopathy, cardiovascular disease, foot damage, etc. Those who can control blood glucose well with least complications can predict a better prognosis than others.
﹡Long-term insufficiency of dialysis affect prognosis. Metabolic wastes in the body can be categorized into micro, middle and macro molecular ones. Dialysis can only remove the micromolecular substances. In view of long-term, middle and macro molecular wastes can cause dangerous complications to body systems such as brain and heart. That’s why recently blood purification techniques have driven attention to improve life expectancy in kidney failure.
﹡Nursing care also matters. Diabetics with low immunity and high blood glucose make them more prone for infections. Dietary nutrient supplement should be ensured, sodium intake controlled and liquid consumption balance are all important daily care points.
﹡Effective treatment is the most important way to boost life. By way of treating the kidneys and repairing injured kidney tissues, diabetics have chance to improve their kidney condition, relive from complications and improve life expectancy. Treatment from Micro-Chinese Medicine and Immunotherapy bring a chance to treat kidneys, hopefully to reduce dialysis intervals if not started it long, and decrease dialysis intervals for those on years of dialysis.
Learn about end stage renal disease treatment
Labels:
Dialysis,
Kidney Failure
Thursday, 18 April 2013
Creatinine 9.7 ,GFR 8.1 :How To Treat
Left kidney is normal in placement. Perfusion and cortical tracer uptake severely impaired. Drainage cannot be commented upon due to severely impaired cortical function.
Right kidney is normal in placement. Perfusion and cortical tracer uptake severely impaired. Drainage cannot be commented upon due to severely impaired cortical function.
Background activity is increased.
Differential renal function GFR
Left Kidney: 43 % 3.5 ml /min.
Right Kidney: 57 % 4.6 ml /min.
Total GFR: 8.1 ml /min.
IMPRESSION:
Overall impaired renal function.
Bilateral kidneys with poor cortical function.
-----------------------------------------------------------------------------------------
Hi Ravi Mittal
How are you?This is Dr.Alice from China kidney disease hospital.
We just talked on the website and also talked on the phone,you said that your father have the kidney failure problem and you want to find a good treatment for him.
I am so sorry about your father's problem and I appreciate the effort you have done for your father.I will try my best to help.
As your father haven't been dialysis and his body condition is still good,there is hope for him to avoid dialysis and live a better life,so pls do not worry.
I want to know,did he have some symptoms like nausea,headache,loss of appitate,anemia?
In our hopsital,we use the Chinese Medicine and Immune treatment to help patients with this problem.I will tell you more details about the treatment when tomorrow we analysis your father's codition.
Now I want to tell you, if you wanner come,you need the passports.You can send the copy of the passports to me and then I make the Invitation Letter for you,it will be more convient for you to get the visa.When you fly to Beijing airport,I can pick you in the airport,you do not need to worry anything about that.
There is a brochure for you,you can check it,hope it can make you more convient.
Labels:
Kidney Failure
Saturday, 13 April 2013
Why Dialysis Can Not Treat Diabetic Kidney Disease from Root
When diabetes develops into diabetic kidney disease, most people will choose dialysis for creatinine is high. But we will find that it can not treat diabetes from root, which makes people feel confused. Please don’t worry.
We know kidneys have three main functions: 1) Absorb the useful substance from the human body, such as the renal tubules can absorb the useful substance from the original urine. 2) Discharge the waste product from the human body. Such as the waste product can be leakage from the glomeruli. 3) Secrete the waste product from the kidneys. Such as the kidneys can secrete the EPO to produce the red blood cell, and kidneys can secrete the special substance to maintain the balance of blood pressure.
At present, dialysis only can achieve the second function, the first and the third function can’t be achieved by the dialysis. Therefore, after the dialysis, more patients’ creatinine still higher than the normal level, and the hemoglobin is lower than the normal level.
Therefore, only receive the dialysis can help her discharge the waste products, it can't repair the damaged kidneys, can't treat the kidney disease.
So we suggest Micro-Chinese Medicine Osmotherapy , it is aimed to repair her damaged kidney cells thus help stop the dialysis. read more click on diabetic nephropathy
Labels:
Dialysis,
Kidney Failure
Friday, 12 April 2013
Female Patients With Chronic Nephritis Can Be Pregnant
Pregnancy in patients with chronic nephritis, kidney disease specialist talks after renal check carefully checked, and then determine whether the pregnancy.
Renal blood flow during pregnancy than usual significantly increased in the glomerular hyperperfusion, hyperfiltration state, pregnancy vivo coagulation factors and the fiber factor changes so that the body in a hypercoagulable state, these changes for normal kidney no significant effect, but for patients with chronic nephritis, can kidney burden, leading to the original kidney disease aggravated, so that deterioration of renal function. When chronic nephritis women pregnancy, compared with normal women prone to pre-eclampsia and other serious complications of pregnancy, a great danger to the survival of the fetus and pregnant women, patients with chronic nephritis care must be taken during pregnancy.
Before pregnancy in the hospital for a series of checks, especially renal check, the nephritis stable condition, with normal renal function, blood pressure is not high, not much urine protein and kidney pathological examination of small lesions can be considered. Membranous nephropathy women, even pathological changes the lighter nor should pregnancy, clinical data have revealed that part of the pregnancy were at an early stage no obvious abnormalities, but to the middle and late renal function occurred deteriorated sharply, even life-threatening.
Patients with lupus nephritis satisfactory control, under the circumstances, considering pregnancy. Occult nephritis in general pregnancy, the whole process of pregnancy must be placed under the close monitoring of renal medicine, obstetrics and gynecology practitioner, and stopped in the middle and late pregnancy to go to work, pay attention to rest. Majority of patients with latent nephritis safe pregnancy and childbirth, but a small number of pregnant women during pregnancy increased nephritis, these women need to terminate the pregnancy, the decision shall be made by the physician.
However, it should be noted that even if the kidney function in patients with chronic nephritis relatively stable, preferably ships, pregnancy is still possible to make nephritis exacerbations. Therefore, pregnancy must be closely observed, attention to edema and changes in blood pressure, urine and kidney function tests.
In early pregnancy, medium-term need to hospital for examination once every 2 weeks to 32 weeks after the week check order to identify problems and timely treatment. During pregnancy, such as urine protein and (or) high blood pressure, you should stay in bed, and treatment under the guidance of a doctor. If the decline in renal function, we must first analyze the reasons, to see whether the complicated pyelonephritis, for excessive diuretic-induced dehydration and the presence of high blood pressure. If these reasons need for timely treatment; corrective above reasons renal function continued to decline, or can not find other incentives lead to renal dysfunction, should be timely termination of pregnancy, to ensure the safety of pregnant women.
For the safe delivery of nephritis maternal postpartum need to seriously rest, not tired, maternal and child care and care should, on a regular basis to the Department of Nephrology, check blood pressure, routine urine tests, renal function, in order to prevent some patients in the postpartum busy parenting ignore self-protection leaving nephritis deterioration.
Labels:
Kidney Failure
Side Effect Of Peritoneal Dialysis
Peritoneal dialysis uses the peritoneum as a semi-permeable membrane, using the action of gravity poured into the patient's peritoneal cavity preparation good dialysate through the catheter, so that on both sides of the peritoneum exist the differential solute concentration gradient, the high concentration side of the solute to the low concentrationside of the move (diffuse effect); moisture from the hypotonic side to the hypertonic side of the mobile (infiltration). By peritoneal dialysis fluid replacement, in order to achieve clear metabolites, toxic substances and correcting water, electrolyte balance disorders purpose.
Peritoneal dialysis main disadvantages are the following:
1 induced infection: the peritoneal dialysis catheter dedicated when the medium was changed to be connected to the dialysis bag, so there is the possibility of intra-abdominal infections, and to do so in any and peritoneal dialysis step, they have to wash our hands thoroughly. With current technology, peritonitis has been greatly reduced.
2 increase in body weight and triglyceride in the blood: Since the dialysis solution is to use glucose to remove excess moisture, it may be in the dialysis absorb a part of glucose, may cause the patient's weight gain, elevated blood triglycerides and other lipids , so they need proper exercise and reducing sugar intake.
Protein excessive loss: the loss of a little protein and vitamins in the dialysis process, so the need from food. In addition to maintaining the original normal eating habits, eating more fish, meat, eggs, milk and other high-quality protein, and the best source of vitamin fruits and vegetables supply the body needs.
Labels:
Dialysis,
Kidney Failure
High Fever After Dialysis With Renal Failure Patients
Renal failure dialysis patients fever is due to pleural effusion pleural inflammatory stimuli, it could be a serious kidney damage, lower the body's immune system, to encounter slightly infections can also cause symptoms such as fever, patients, dialysis treatmentboth have some damage on the body or mind.
What are the side effects of Renal failure dialysis ?
Imbalance syndrome: during dialysis or shortly after, mainly to the nervous system symptoms, such as irritability, headache, vomiting, high blood pressure, severe drowsiness, epileptic grand mal seizures, coma and even death.
Cardiovascular and cerebrovascular complications: is the leading cause of death in Renal failure dialysis patients. For example, low blood pressure is more common, caused due to dehydration too much too fast effective hypovolemia due, is also found in the dialysis membrane rupture or other causes of bleeding, severe arrhythmia, myocardial infarction, pericardial hemorrhage and acute left ventricular failure.
Dialyzer used for the first time syndrome: disinfection or dialysis membrane and dialysis pipeline caused by allergies.
Renal failure dialysis there are other treatment methods? Micro-Chinese Medicine in the regulation of the body's immune has a very clear role, with two-way adjustment, but also will not produce toxic side effects. Micro-Chinese Medicine treatment of Renal failure , from treating the symptoms start, can effectively reduce serum creatinine, blood urea nitrogen, control blood pressure and prevent the condition continued to deteriorate. Micro-Chinese Medicine direct role in the pathological tissues, clear the immune complexes and necrotic tissue, damage to the glomerular basement membrane, eliminate immune complexes on the basement membrane and diseased tissue, repair damaged basement membrane, activating the body's immune system, so that patients after an absence of cold and fever, stable condition.
Integrative medicine treatment - the kidney immune blocked regulate removal therapy in the treatment of Chinese and Western medicine Renal failure breakthrough to bring the gospel to the majority of patients with Renal failure , in accordance with the six-step treatment method to remove a large number of toxins, regulate the body's immune disorders, creatinine, urea nitrogen returned to normal, and finally improve restore the kidney immune function reaches the treatment of Renal failure .
Labels:
Dialysis,
Kidney Failure
Wednesday, 10 April 2013
Diet Plan For Renal Dialysis
1 . the total energy intake. The total energy of the dialysis patients generally include proteins, sugars and fats. Carbohydrate fiber and polysaccharide-based limit fat intake.
2 . protein intake. Uremi
c patients before dialysis intake of protein 0.8g/kg daily protein intake per day after the dialysis 1.2g/kg. Food rich in high biological value protein, such as egg yolks, milk, lean meat.
3. Vitamin intake. Dialysis patients lost during dialysis water-soluble vitamins, folic acid and vitamin B for dialysis patients, we must. Consumption of foods rich in vitamins, can also reduce the incidence of anemia and cardiovascular disease.
4 . water and salt intake. Dialysis patients according to their specific conditions appropriate intake of salt.
5. Calcium, phosphorus, potassium intake. Affect renal function debilitating kidney excretion of calcium and phosphorus transformation function is restricted to dialysis patients to reduce the intake of calcium phosphorus and potassium, adequate vitamin D. Renal failure in patients with hypokalemia disease, to replenish potassium.
Labels:
Dialysis,
Kidney Failure
Creatinine 300 Can not dialysis?
Serum creatinine is one of the important manifestations of renal injury, contain excessive levels of creatinine in the blood and other tissues and organs of the body will produce a lot of damage. To lower creatinine, recovery of renal function is very important, creatinine 300 how to do? Below to see expert analysis:
Elevated serum creatinine kidney sustained damage caused if a simple treatment for reducing creatinine, is very difficult to play a fundamental role in the treatment, may be temporarily reduced creatinine, but a withdrawal or cold will cause creatinine continues to rise.
Creatinine 300 dialysis? How to cure?
Dialysis did not alleviate the related condition is due to more than the initial dialysis caused the initial dialysis dialysis disequilibrium syndrome can occur, blood urea nitrogen and other substances to reduce too quickly, leading to intracellular, extracellular fluid osmolality imbalance, caused by increased intracranial pressure and due to cerebral edema may occur in patients with dizziness, vomiting, headache, and severe convulsions. usually over a period of time will ease as the regulatory function of perfect, adjustable sodium hemodialysis security, which can effectively reduce dialysis disequilibrium syndrome incidence.
Impaired renal units from fundamental repair is essential. Our hospital of traditional Chinese medicine kidney area ion permeability import holographic instrument ion treatment of traditional Chinese medicine, imported directly through the skin and meridians of the human body back lesions, the ion treatment after the drug has greater efficacy and permeability, treatment more thoroughly. Changing the traditional treatment only to look at the drop creatinine external indicators on the treatment. Thorough treatment, less recurrence encounter, such as colds and infections.
Labels:
Dialysis,
Kidney Failure
Treatment Renal failure Without Dialysis
Renal failure refers to a variety of advanced kidney disease, renal progressive destruction of the effective renal units gradually reduced, not enough to fully discharge the body of metabolic wastes and maintain the stability of the human body environment, lead to the accumulation of metabolites, water, electrolyte and acid-base balance disorders and kidney endocrine dysfunction syndrome.
The conventional treatment of kidney failure is dialysis, dialysis is not only a long time, but did not do dialysis, and can not be removed completely remove the toxic substances in the blood, dialysis, just for the creatinine small molecules, macromolecular immune complexes and pathogenic antibodies and not effectively clear ongoing dialysis led to the accumulation of a lot of toxins, and easy to produce a variety of complications, many patients with kidney failure, died of heart failure and other complications. Drawbacks, our hospital dialysis for renal failure patients the most advanced blood adsorption technology introduced Micro-Chinese Medicine osmotherapy system, build a Micro-Chinese Medicine + immunoadsorption treatment system. And immune adsorption technology as the core, the joint application of hemodialysis, hemofiltration, hemoperfusion and continuous blood dialysis four blood purification technology, adsorption treatment technology for the immune complexes, kidney disease hospital characteristics specific blood purification system. It and Micro-Chinese Medicine osmotherapy match, not only can effectively remove the blood of toxins, small molecule, can remove endogenous pathogenic factors of the patient's body, as well as the various types of immune complex for the treatment of Micro-Chinese Medicine and transplantation in the treatment of creating a clean and relaxed environment restorative treatment. The successful application of this technology has brought four effects:
① immune complexes can be cleared so that the patient's kidney function be improved;
② clean environment within the blood can repair the damaged intrinsic cells due substances and conditions ;
③ The cleaning of the blood within the environment so that the damage to the cell's DNA to be copied protein synthetic realized; function to repair the damaged inherent cells the
④ clean internal environment to become a reality 。
Labels:
Dialysis,
Kidney Failure
Wednesday, 3 April 2013
How To Prepare Kidney Dialysis
1.Have all your questions answered by your renal specialist, the hospital dietitian, the nursing staff and your social worker.
2.Talk to your social worker about transportation problems or financial difficulties. Medicare and Medicaid cover 100 percent of the cost of dialysis, plus transportation and even a phone line if you need it, in case a transplant call comes through for you.
3.Prepare for a fistula to be surgically inserted into your forearm. Refuse to let anyone take your blood pressure or draw your lab work from the arm that contains your fistula once it has been inserted.
4.Follow a renal diet. (See "How to Eat While On Dialysis.") Restrict your fluid intake. In many cases, this means no more than 1,000 cc or one quart of liquid a day.
5.Avoid all potassium, and take as many as five Tums a day to help increase your phosphorus and calcium levels. Check with your doctor first, though.
6.Prepare yourself for monthly blood work. You'll also have a series of four to six vaccinations against hepatitis B.
7.Check your fistula site every day. Place your hand above and below your fistula to feel a fluttery movement, called a thrill. If you don't feel movement, call your dialysis center.
8.Avoid lifting anything heavier than 25 pounds.
Learn about Can I Stop Dialysis with Kidney Failure
Labels:
Dialysis,
Kidney Failure
Low Pressure Happens During Peritoneal Dialysis
Peritoneal dialysis helps to remove excessive fluids from the body, during which blood pressure is alway lowered. Low blood pressure is very dangerous and patients may just feel wretched when blood pressure is slightly lowered, but when it decreases to an extremely lower level, shock occurs. Well what to do to avoid such a condition when lower blood pressure happens during peritoneal dialysis.
To know the answer clearly, let's learn how does lower blood pressure occur firstly.
Peritoneal dialysis can only remove water that is in your blood. For people with serious swelling symptom, most of the fluids exist in the tissues, not in the blood. When fluids in the blood vessels are removed away within 3 or 4 hours, fluids among tissues can not ooze into blood vessels timely, as a result of which, bloodstream in blood vessels decreases and blood pressure decreases as well.
What to do when lower pressure happens during peritoneal dialysis?
Many methods can be adopted to prevent or treat low blood pressure during peritoneal dialysis.
About how to prevent low blood pressure in peritoneal dialysis
1. Be sure your dry weight is right
2. Make sure your dialysis machine is set correctly before dialysis
3. You can do nocturnal home hemodialysis, instead of peritoneal dialysis because nocturnal home dialysis does not cause low blood pressure easily.
About what to do when low blood pressure occurs in peritoneal dialysis?
1. Choose sodium modeling, because sodium helps pull fluid from the tissues into blood.
2. Slow down the filtration rate when the dialysis is near the end of the dialysis.
3. Drink some salty water
4. Make you head is lower than your feet
These are just some of the most common management on low blood pressure during peritoneal dialysis. If you are interested, you can contact us to learn more effective treating measures.
Low blood pressure is a common and leading risky event during peritoneal dialysis and if not managed properly, patients will lose their life. Therefore, learning these basic knowledge is very necessary for peritoneal dialysis patients.
Labels:
Dialysis,
Kidney Failure
Tuesday, 2 April 2013
Why Do People Go into Coma after Dialysis
Why do people go into coma after dialysis? Recently. this question has been posed so many times by people on-line. To help people solve this problem, we update this article to explain the causes why people go into coma after dialysis and how to prevent dialysis.
Why do people go into coma after dialysis?
Some people go into coma after dialysis. In mild cases, patients just suffer coma for several minutes after dialysis, but in serious cases, coma lasts for several days or until the death of patients. Dialysis causes coma in different ways and the followings are the several major causes.
1. Many dialysis patients have anemia and for these people, they suffer from anoxia and ischemia of brain easily. Without enough blood and oxygen in the brain, coma appears. For this problem, we can inject some human albumin to make their marrow to produce blood.
2. Dialysis is a procedure which replace our failed kidney to discharging wastes in the blood. For dialysis patients, there are large amounts of toxins in their blood, and with dialysis, wastes and toxic substances can be cleared away greatly. However, because of the sudden clearance of these wastes, brain disease appears every easily. In clinical, brain disease caused by dialysis is manifested as intense headache, nausea, vomit, speech disorder, muscle cramp, somnolence, coma and even death. To avoid brain disease caused by dialysis, the first duration time of dialysis needs to be limited within 2 to 3 hours. Besides, high sodium dialysis is also needed.
How to prevent dialysis?
Apart from coma, long time dialysis alway present us different kinds of serious complications, so preventing dialysis actively is very important for kidney disease patients. As long as we get far away from dialysis, coma caused by dialysis is avoided therewith.
Dialysis is needed when kidneys are failed in discharging excess wastes in the blood. Therefore, increasing kidney function is the most fundamental solution for preventing dialysis.
Labels:
Dialysis,
Kidney Failure
Thursday, 28 March 2013
Dialysis Life Expectancy
Renal dialysis is a mechanical method of removing waste products and excess fluid from the blood when the kidneys are unable to do so (renal failure). The two forms of dialysis are hemodialysis and peritoneal dialysis. Hemodialysis cycles blood through a machine that filters the blood and returns it to the body cleaned of waste. Peritoneal dialysis cycles fluid into and out of the abdomen using the individual's own abdominal membrane (peritoneum) as a filter.
.Many dialysis with kidney disease patients have a question about Life expectancy on dialysis .
The normal life expectancy of a patient is 3-5 years. It is assumed that if a person is undergoing the treatment for chronic kidney diseases, then the end is near. This is because only someone with the most advanced stage (stage 5) of this disease will be put under the treatment. This stage is also known as End Stage Renal Disease (ESRD) and recovering from this is virtually unheard of. The mortality rate for patients suffering from ESRD is 22% annually, and this effectively means that surviving beyond 5 years is going to be highly unlikely.
When a person decides to undergo dialysis, it is a conscious decision that he/she must make. The fact is that without dialysis, the patient will not survive for more than a few weeks. The kidneys process the urea in the body and release it in the form of urine, so when the kidneys stop working, urine stops getting released from the body. As a result of this, the vascular system will soon get flooded with liquid, and the heart will be unable to keep up with this added volume. The lungs will also get flooded, and this will result in a lack of oxygen to the brain and to the heart.
Additionally, the kidneys then fail to absorb potassium and phosphorus, causing the heart to beat irregularly, and causing the aorta to harden respectively. The added amount of urea in the body will also lead to toxemia, which will damage the heart, the brain and blood vessels.
Labels:
Dialysis,
Kidney Failure
Wednesday, 27 March 2013
How Much Kidney Function Can You Lose Before You Need Dialysis?
How much kidney function can you lose before you need dialysis? Kidney dialysis is a life-support treatment that uses a special machine to filter harmful wastes, salt, and excess fluid from your blood. This restores the blood to a normal, healthy balance. Dialysis replaces many of the kidney's important functions.
When the kidneys are no longer able to remove enough fluid and waste products from the body, dialysis is required. Sometimes in the case of an acute situation this is only short-term and the kidneys resume their natural function. But in chronic cases, when you get to the fifth stage of this disease, dialysisor a kidney transplant is necessary to prolong life. This is called end-stage renal disease (ESRD). But now doctors, dietitians and scientists have begun to understand how important a role diet is playing to reverse kidney disease before and in some instances, even after it gets to this stage.
Who Needs Kidney Dialysis?
Kidney dialysis is a necessary treatment for people with end-stage kidney disease or permanent kidney failure. You need dialysis if you've lost about 85% to 90% of your kidney function. Temporary dialysis may be needed in some cases.
The kidney dialysis treatment itself usually does not cause any pain or discomfort. However, some patients may develop low blood pressure, which can lead toheadache, cramping, nausea, and vomiting. This usually goes away after a few treatments.
If you are on dialysis, you may also feel like:
You have less energy. Dialysis can cause you to feel tired.
You are depressed. Depression is a common problem among many patients on dialysis, but it can often be treated. Talk to your health care provider if you are feeling depressed.
You may also feel like you have less time to get things done. Kidney dialysis requires strict scheduling and adjustments to lifestyle, which can disrupt your ability to work or enjoy everyday activities. This may be frustrating for you or your family. Counselors may be able to help you cope.
Labels:
Dialysis,
Kidney Failure
Saturday, 23 March 2013
Immunotherapy Treat Kidney Disease Other Than Dialysis
Why we can not get a good effect after having tried many therapies in treating kidney disease? why does kidney disease relapse easily? That is because we don't find the reason of kidney disease. so in this step, we should find out the harmful substances which cause damage to kidneys, which part of our kidney is damaged, is glomerulis or renal tubules? Our hospital has brought the most advanced equipment to do the special tests, like lymphocyte subsets which can judge patient's immune function; toxins in urine, which can tell us what kinds of toxins are accumulated in patient's body. These toxins may contain uric acid, creatinine, b2-microglobulin, CYS-C, retinol binding protein, homocysteine, parathyroid hormone. If patients have protein in urine, we also can judge which type of protein it is by urinary protein electrophoresis, then we can offer proper treatment schedule.
Because your renal function has reduced a lot. That is the reason why creatinine is high since it can not discharge the toxin natually. Too much toxin deposits in his body. This step aims to clear the harmful substances (containing micromolecule substances, middle molecular substances, and macromolecules) with the help of many kinds of blood purification equipment, like immunosprption technics, plasma exchange,hemofusion, CRRT and so on. Then the further damage to our kidneys and other organs can be stopped. Your son has got aneurysma on his arm, this is due to long time of dialysis, which may due to some thrombus. Now how about his another arm? Hence, dialysis should not be long time sustain.
The above steps of treatment only aim at the harmful substances in our blood, and has no effect on the harmful substances deposited in kidneys, because there are specific attachment region on the face of kidneys, so when the harmful substances move to kidneys with the blood circulation, they will deposit in kidney, and cause imflammatory reaction. Therefore, you can see proteinuria. So in this step,we will use some specific immunosuppressive agents to block the reaction. But in western medicine, immunosuppressive agents are also adopted commonly, why it can not get a good therapeutic effect, the reason is that the kinds and quantity of harmful substances are not known, so doctors are often not sure the dose of medicine.
During this step of treatment, we will solve the deposition of harmful substances in kidneys. When our kidney is damaged, the blood flow volume in kidneys will reduce, so our hospital will use Micro-Chinese Medicine Osmotherapy to increase the blood flow volume in kidneys. You may have heard of Chinese medicine (Chinese herbs) before. Here only a simple affix “Micro-“is added before it, but it means a lot improvement in treating kidney disease. Traditional Chinese herbs are oral medicine. Firstly, they burden the kidneys, because the kidney is the organ responsible for filtrating fluid. Secondly, most of Chinese herbs decoction is bitter to drink. Many patients cannot bear them. Lastly, the rate of sorption by kidneys is very low, for it arrives at renal lesions through many tracts, such as digestive tract and gastrointestinal tract.
Labels:
Dialysis,
Kidney Failure
Renal Failure Patient Don't Dialysis Will Die ?
The kidney is indispensable for the vital organs of the human body, once suffering from renal failure is a very serious problem, many patients asked to renal failure, dialysis will die? This issue we have to take seriously, and not dialysis for kidney failure will die?Jingdong Sino-US Hospital expert answers made below, we together look.
Renal failure disease course, terrible, but the correct treatment can be cured. No matter what the disease, if untreated, late will have serious consequences. Currently, many patients with renal failure renal failure patients in addition to the dialysis no longer viable count, it is not true for patients with renal failure, dialysis is not the best method of treatment.
Dialysis is how is it? Him like a machine kidney instead kidneys work, renal failure in patients with creatinine quickly reduce the patient's own kidneys for a long time without the waste slowly shrinking, so dialysis times will become more and more intensive , costs will continue to increase, of course, can not be avoided dialysis complications, and greatly reduces the quality of life of patients with renal failure. Then mentioned that the dialysis times more than the number of direct affect the difficulty of late Chinese medicine treatment of conservative treatment.
Then kidney failure dialysis is not going to die? Long as renal failure in patients with creatinine within 1300umol / L, 24-hour urine volume more than 1200ml and dialysis, the number is still less than 10 times, Hospital Nephrology independent research and development "of natural immune balance therapy "treatment of renal failure, integrative medicine, treating the symptoms.
This method to pass kidney meridians, blood circulation, kidney function is activated for the purpose, to promote and improve the already shrinking necrosis kidney microcirculation, accelerate lesions kidney metabolism, give full play to the role of the active ingredient in the drug, to repair damaged glomerular enhanced glomerular reabsorption, restore the the kidney normal physiological function, and so naturally to normal serum creatinine, blood urea nitrogen, kidney failure will be treated .
Labels:
Dialysis,
Kidney Failure
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