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Renal failure, hemodialysis

2016-12-31 08:57
A more than and 70 year old more than 10 years of hypertension, history of diabetes patients, about eight years ago found that renal dysfunction and proteinuria, two years ago, bradycardia, heart failure and kidney failure twice in the ICU, the suggestion of combining traditional Chinese and Western medicine, exercise prescription drug and diet after two years, achieved good control. Diabetes can be considered an international epidemic in twenty-first Century, and it is prevalent everywhere, especially in emerging countries. Diabetic patients may cause heart failure, myocardial disease, hypertension and kidney disease, there are many people died of diabetic nephropathy and end-stage renal disease caused by hemodialysis treatment in each year, the disease accounted for more than 1/3 new dialysis patients.
The symptoms of heart failure (1) cannot lie easy breathing difficulties, can only adopt a posture (2) cough up sputum blood bubbles (3) easy to anxiety and restlessness, nausea and loss of appetite (4) fullness (5) lower extremity edema and pulmonary edema. The diagnosis of heart failure include: clinical symptoms, chest X light, electrocardiogram and echocardiography. To prevent heart failure, first of all to prevent recurrence, solutions are as follows: (1) we should control blood pressure and aspirin and diuretics; (2) prohibit smoking, weight loss and exercise; (3) are prohibited from drinking.
Some patients with severe heart failure due to severe edema do not rely on hemodialysis to remove excess water. These patients with end-stage renal disease to maintain its life, regardless of the weather must be every Tuesday to three times to accept hemodialysis dialysis units. If can effectively delay the deterioration of heart and kidney, patients will be from every Tuesday to three times dialysis and can improve the quality of life of patients with pain.
1, drug programs include: diabetes drugs, antihypertensive drugs, heart failure drugs, kidney protection drugs and diuretics.
2, the diet plan includes: low protein, low phosphorus, low potassium, low salt and appropriate calories.
3, sports programs include: simple tail fists hit each movement. To help the wall vertical movement.
To use the "coup" treatment of renal failure
Mr Chan is suffering from chronic renal failure, the doctors checked, given Mr Chan and heart disease, advanced in age, then recommend the use of peritoneal dialysis. Mr Chan refused, saying: "I don't do peritoneal dialysis danger!" originally, as early as twenty years ago, his brother also suffered from the same disease, the use of peritoneal dialysis in the treatment of complicated infection peritonitis, and later had to switch to hemodialysis treatment.
In the 80s of last century, when the peritoneal dialysis bag dual system has not yet been invented, the incidence of peritonitis is relatively high, some patients due to repeated peritonitis caused by peritoneal dialysis failure, had to withdraw from peritoneal dialysis treatment. Since the birth of the dual system, reducing the chance of contamination during the change, the incidence of peritonitis has been greatly reduced. Peritoneal dialysis is the first choice of treatment for patients with chronic renal failure, because it is simple and convenient, can delay the decline of residual renal function, and has good social return.
The applicable scope of peritoneal dialysis is wide, many are not suitable for hemodialysis and residual renal function in selected patients with peritoneal dialysis. Because without cardiopulmonary bypass, the cardiovascular stability is good, suitable for low blood pressure, low blood volume, with severe cardiovascular and cerebrovascular diseases, such as ischemic heart disease, cardiomyopathy, severe hypertension, severe arrhythmia and cerebrovascular disease in patients with diabetes, and the elderly is the preferred dialysis method. In addition, the utility model has little influence on the growth and development of children, and avoids the pain of puncture, and is especially suitable for children.

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