Hemodialysis used to treat renal failure, uremia, you can substitute the kidneys play a role in some of the features, but just to clear blood dialysis waste, the root causes of kidney disease in renal fibrosis but not have any therapeutic effect. So alone can not cure kidney dialysis. And there are some side effects of dialysis, nephrotic Broad Medical Research Institute of Nanjing Zhao Zhong Xian Director noted that hemodialysis is renal failure, uremia patients purify the blood and maintain the life of a therapy, treatment is also a side effect, mainly as follows:
1. hypotension: One of the most common side effect of hemodialysis, the incidence rate of 20% -40%. Hypotension occurs for many reasons, most of which occurred in the late hypotension after dialysis began. Le blood dialysis late fall or more due to excessive ultrafiltration acetate dialysate suited due. Treatment: Trendelenburg, stop ultrafiltration, slowing the pump flow rate, oxygen, if necessary, quick to add 100-200 ml of saline or 50% glucose, 20 ml, albumin infusion, combined with the cause, due to treatment.
2. arrhythmia: incidence of about 50% to ventricular premature beat is more common. Side effects of hemodialysis causes coronary heart disease, failure, pericarditis, severe anemia, electrolyte and acid-base balance disorders, hypoxemia, hypotension, and drugs. Treatment: due and symptomatic treatment, but should pay attention to the drug in the dialysis patient retention and toxicity.
3. dialysis muscle spasm: hemodialysis is one of the more common side effects, the incidence of 10% -15%, the main site for the gastrocnemius muscle, foot, other parts of the upper limb and abdominal muscles. The reason is not very clear, and dialysis may be tissue hypoxia, hyponatremia, and the relative lack of circulating blood line clearance. Treatment: slow down or pause ultrafiltration, 100-200 ml of normal saline and hypertonic saline or hypertonic sugar.
4. dialysis disequilibrium syndrome: incidence of 3.4% -20%. The main side effect of hemodialysis nausea, vomiting, irritability, severe cases may have convulsions, coma and even death. Light without treatment; severe treatment is mainly given immediately hypertonic solutions such as mannitol, glucose or 3% 50% 10 ml of sodium chloride, but also lose albumin, if necessary, sedatives and other symptomatic treatment; more serious termination of dialysis.
5. Heart failure; hemodialysis is the most dangerous, one of the serious side effects, symptomatic treatment of treatment, should be used to strengthen the sequential dialysis or ultrafiltration.
As can be seen above hemodialysis or have a certain risk, so Shijiazhuang Kidney Disease Hospital Dr. Yang remind everyone must pay more attention, careful treatment. And a relatively strong dependence on hemodialysis, if we choose this method of treatment, it will follow our lives and bring us to withstand the pain of hemodialysis.
Hello, friend. I'am a kidney doctor's assistant come from Shijiazhunag Kidney Disease Hospital, China. If you or your loved one is suffering from kidney disease and have no idea how to deal with, please feel free to contact us: renal-disease@hotmail.com and we are glad to help you! Best regard!
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