Long term dialysis accelerates renal failure2017-01-24 11:30
Long term dialysis accelerates renal failure
Core tip: Title: long-term dialysis will accelerate the process of renal failure, uremia is a serious kidney disease in all, for the treatment of uremia is still in the study, many hospitals in the treatment of uremia, often used in all dialysis method, residual dialysis
Title: long term dialysis accelerates renal failure
Content: uremia is a more serious disease in all, for the treatment of uremia is still in the study, many hospitals in the treatment of uremia, often used in all dialysis, renal dialysis residual, which is harmful to kidney function. Residual renal function is critical for the treatment of uremia, reduction of dialysis complications and improvement of dialysis quality.
Long term dialysis in patients with uremia to speed up the process of renal failure. Dialysis patients can neither water retention, but not underweight. The clearance of water in dialysis can not be too fast, as far as possible to prevent the occurrence of low blood pressure, because of the lack of effective blood volume, can make the kidney further ischemia, aggravate kidney damage. Some hemodialysis patients have both urine volume and mild water retention but can not tolerate ultrafiltration, oral diuretics can not only increase the water and solute clearance, but also to prevent hypotension during dialysis.
Use of biocompatible dialysis membrane:
Synthetic polymer membrane (such as polysulfone membrane, polyacrylonitrile membrane etc.) can reduce dialysis complement, reduce inflammatory mediators and cytokines production, protection of residual renal function and reduce complications of dialysis is beneficial. In addition, the use of non heat dialysis water and bicarbonate dialysate, increasing dialysate sodium concentration, reduced cytokine production, prevent kidney damage caused by the sudden change of osmotic pressure in hemodialysis.
Control of hypertension, hypertension is the factor to promote the progression of renal disease in patients with nephropathy, especially in dialysis patients, easy to produce water retention and lipid metabolism disorders, which is caused by risk factors, blood pressure and renal arteriosclerosis; the dialysis blood pressure control in the normal range is very important, and should be the choice of antihypertensive drugs on renal damage. The.
Through the introduction of the above, we should be aware of it, long-term dependence on dialysis uremic patients, will accelerate the process of renal failure. Dialysis is a substitute for "artificial kidney" therapy, which is largely due to the inability to use. In hemodialysis, the rapid decrease of osmotic pressure can cause renal ischemia. This need to cause the attention of the majority of patients with uremia, dialysis treatment is the key to get rid of.