显示标签为“Kidney Dialysis”的博文。显示所有博文
显示标签为“Kidney Dialysis”的博文。显示所有博文

2015年7月1日星期三

What are Side Effects of Dialysis for ESRD Patients

The incidence of end stage renal disease is relatively large, and treatment methods are different, in fact, is very common dialysis treatment, but also produce many side effects of dialysis. We are not very familiar with this, that in the end what are the side effects of uremia dialysis treatment?
How Long You Can Live on Kidney Dialysis

ESRD patients receiving dialysis when there will be muscle spasm

Although the cause of muscle cramps is not very clear, and dialysis may be tissue hypoxia, low sodium and circulating blood volume related. Dialysis headache: relatively rare, the rate was 5%, a common cause of high blood pressure, nervous headache. Arrhythmia: One of the side effects of ESRD dialysis treatment is the cause of arrhythmia coronary heart disease, heart failure, pericarditis, severe anemia, electrolyte and acid-base balance disorders, hypoxemia, hypotension, and drugs. Arrhythmia was 50%.Home Care for Dialysis Patients Shijiazhuang Kidney Disease Hospital

 Dialysis phenomenon will occur during hypotension

General incidence rate of 20% -40%. Typical manifestations of hypotension, nausea, vomiting, sweating, paleness, dyspnea, and decreased blood pressure. Stage renal dialysis treatment in hypertension: mainly in dialysis late, the reason is not clear, but stubborn, difficult to handle. Dialysis disequilibrium syndrome: the main symptoms are nausea, vomiting, headache, fatigue, irritability and so on. The incidence rate of 10% -20%. Severe cases may have convulsions, tremors. The main treatment is given immediately hypertonic solution such as mannitol or hypertonic glucose intravenously, sedatives, discontinue dialysis if necessary.Much Pain After Dialysis: Causes and Treatments

Can I Really Stop Dialysis with Chinese Medicine Therapy

 Stage renal dialysis treatment there will be a comprehensive symptoms

It is the application of a new dialyzer and pipes caused. It occurred a few minutes after the start of dialysis to about 1 hour. Performance-divided into A and B types. A model showed difficulty in breathing, sense of body heat, a sudden cardiac arrest. Light showed itching, hives, cough, tears, runny nose, muscle cramps, and diarrhea.

ESRD dialysis treatments have some effect, but we can not blindly rely on dialysis to treat uremia, the best prevention of the disease must do the preparatory work in their lives.

2014年11月1日星期六

What are the side effects of hemodialysis

What are the side effects of hemodialysis
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!

2014年1月15日星期三

How Dry Weight and Fluid Gain Affect Dialysis Patients

A person with healthy kidneys may urinate up to seven times a day. Most people on dialysis; however, make little to no urine, because their kidneys are no longer properly removing wastes and extra fluid from the body. Without urination, fluid builds up in the body and can cause swelling, shortness of breath and/or weight gain. Hemodialysis filters the blood to remove excess fluid from your blood to get you down to your dry weight.
What is dry weight?
Dry weight is your weight without the excess fluid that builds up between dialysis treatments. This weight is similar to what a person with normal kidney function would weigh after urinating. It is the lowest weight you can safely reach after dialysis without developing symptoms of low blood pressure such as cramping, which can occur when too much fluid is removed.
Dialysis cannot rid the body of fluid as effectively as healthy kidneys that work around the clock. Most hemodialysis patients go to dialysis treatment three times a week for about four hours, so the body holds onto extra fluid and waste in the days between treatments.
Fluid is removed during dialysis to return the patient to his or her dry weight by the end of the treatment. Ideally, the goal is to target a weight where the patient will be normally hydrated (not feel thirsty) and feel comfortable.
How is dry weight determined?
In most cases, dry weight is an estimate determined by your doctor, based on his or her experience and your input. Your doctor will prescribe your dry weight based on your weight when you have:
normal blood pressure
the absence of edema or swelling
neck veins that are not distended
the absence of lung sounds (rales and crackles) related to fluid overload
no shortness of breath or congestive heart failure
a normal size heart shadow on X-ray
It is generally a clinical estimate since there are no reliable scientific ways of measuring dry weight. Many patients can be above their dry weight and have extra fluid without it being noticeable or causing clinical symptoms.

Dry weight should be assessed every three to six weeks and adjusted when a patient gains or loses actual weight. Other factors, such as urine output and swelling between treatments, also should be considered when adjusting the dry weight. (Urine output often stops completely after six months of being on hemodialysis.) Your doctor will determine dry weight gain, as opposed to fluid weight gain.

2013年12月27日星期五

Kidney Dialysis

What Is Kidney 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.
There are different types of kidney dialysis, including:
· Hemodialysis. Blood is filtered using dialyzer and dialysis machine.
· Peritoneal dialysis. Blood is filtered inside the body after the abdomen is filled with a special cleaning solution.
Hemodialysis
In hemodialysis, a machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately. Hemodialysis is the most common way to treat advanced kidney failure. The procedure can help you carry on an active life despite failing kidneys.
Hemodialysis requires you to follow a strict treatment schedule, take medications regularly and, usually, make changes in your diet.
Hemodialysis is a serious responsibility, but you don't have to shoulder it alone. You'll work closely with your health care team, including a kidney specialist and other professionals with experience managing hemodialysis. You may be able to do hemodialysis at home.
Definition
Peritoneal dialysis (per-ih-tuh-NEE-ul di-AL-uh-sis) is a way to remove waste products from your blood when your kidneys can no longer do the job adequately. During peritoneal dialysis, blood vessels in your abdominal lining (peritoneum) fill in for your kidneys, with the help of a fluid (dialysate) that flows into and out of the peritoneal space.
Peritoneal dialysis differs from hemodialysis, a more commonly used blood-filtering procedure. With peritoneal dialysis, you can give yourself treatments at home, at work or while traveling. You may be able to use fewer medications and eat a less restrictive diet than you can with hemodialysis.
How to Know if Kidney Dialysis Is Working
You will have blood tests done, about once a month, to determine if kidney dialysis is removing enough wastes from your body. Your health care provider will specifically look at the level of blood urea nitrogen (BUN), which provides an overall measurement for the amount of waste products in your body. Electrolytes such as sodium, potassium, calcium, and bicarbonate will also be monitored.
What Happens if I Stop Kidney Dialysis?
Dialysis is not a cure for kidney failure. If your kidneys do not work, and you stop dialysis, your kidneys will continue to fail. You cannot live without at least one functioning kidney, unless you get a kidney transplant. Without a kidney transplant, you will need dialysis for the rest of your life.
Diet Considerations During Dialysis
If you have kidney disease, your doctor has likely recommended changes to yourdiet. Following a kidney-specific diet is very important to the success of your dialysis treatment. Diets can differ depending on the type of dialysis you get. Your kidney specialist -- or nephrologist -- will advise you on what dietary measures you need to take. For example, you will likely need to limit fluids and salt. Keep in mind that fluids aren't just found in drinks. Soups, fruits, and even ice cream contain plenty of water than can affect your body's water balance.

You may also be told to limit foods that are rich in phosphorus and potassium and to eat a high-protein diet. Before making any diet changes, talk to your health care team. They can provide further information on diet during dialysis.

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