Don't drink the old fire soup in uremic patients2017-01-24 11:38
Don't drink the old fire soup in uremic patients
Core tip: with the deepening of the incidence of chronic kidney disease in younger hemodialysis patients with nephropathy each year is increasing at a rate of 10%, therefore, hemodialysis patients in self health management outside the hospital to control the disease of abnormal key. However, experts pointed out that about 70%
With the deepening of the pathogenesis of chronic kidney disease in younger hemodialysis patients with nephropathy each year is increasing at a rate of 10%, therefore, hemodialysis patients in self health management outside the hospital to control the disease of abnormal key. However, experts pointed out that about 70% of hemodialysis patients can not manage their own. She said that the old fire, part of fruits and vegetables and even water, are likely to lead to deterioration. Kidney patients should master self health management know-how, beware of hyperkalemia, hyperphosphatemia in the "high" disease.
30 year old uremia patients increased by nearly 10% per year
"Under 30 years of age in patients with uremia, and now we receive dialysis patients accounted for nearly 10%, and is growing at an annual rate of 10%." A kidney physician said, the provincial people's hospital hemodialysis center has more than 300 patients in long-term dialysis treatment, the youngest patient with uremia is only 9 years old.
It is estimated that the incidence of chronic kidney disease in China about 100 million people. In recent years due to chronic kidney disease showed the trend of younger, common chronic nephritis, chronic pyelonephritis, autoimmune diseases, kidney damage, are likely to develop chronic renal failure, namely uremia. She said that 30% to 40% of patients with diabetic nephropathy need to be treated with hemodialysis, and 5% of patients with chronic nephritis should be hemodialysis.
Patients are usually treated three times a week for maintenance dialysis, the rest of the time at home and normal. But it also brings a big problem: 70% of patients are difficult to achieve self health management.
Experts said that the clinical common to the patient thus leading to repeated or even sudden illness. There is a patient with uremia just under control, the sudden onset of heart failure in the middle of the night, was sent back to the hospital for emergency treatment. The concentration of serum potassium in normal people should be below 5.5, and her blood potassium concentration was increased to 8.2, after hemodialysis Depotassium finally turned the corner. The doctor asked that she ate some fruit at dinner, and drank the soup.
Experts say the most likely problem is that patients with no urine. The urine is completely free and detoxification pathways, in the urine of patients with intermittent, sweating, soup, eat fruit and water can not discharge, it is easy to cause heart failure, pulmonary edema, life-threatening."
Dialysis patients should be measured daily"
"Water is another poison for uremic patients."
Experts pointed out that, in particular, dialysis patients, oliguria or urine state, if more water, easily lead to acute heart failure, induced uremia heart disease. Some patients with poor weight control should be dehydrated four or five kg each time, excessive dehydration dialysis, and dehydration rate is too fast, will increase the burden on the heart."
She said that hemodialysis patients, especially those who do not need to strictly control the amount of urine drinking water, it is best to develop a daily measurement of dry weight habits. The dialysis middle-aged fat muscle content of this population is relatively stable, but the moisture content will be more obvious changes with the daily intake, generally require anuria daily weight gain may not exceed 1 kg weight gain during dialysis in 5% the following is normal. "More than the limited increase in body weight, mostly water, it will be dialysis through hemodialysis." She said that the ideal amount of non urine should be less than two kg of water, while those who can be properly relaxed urine control of water, but generally do not recommend eating watermelon and other high moisture content of food.
Dialysis patients should also have a knack for drinking water, such as hot days when thirsty, can spit out the mouth, or use cotton swab moistened lips or mouthwash. Feel very thirsty when sipping, or will one day be drinking water evenly, with the container installed.