In recent years,incidence of Diabetes and hypertension increased significantly i coupled with the arrival of an aging society. The elderly renal function
itself is a downward trend in the role of various etiologies, renal
function is more easily damaged. Easy
to overlook a lot of patients have symptoms of kidney disease before
the knowledge of the kidneys and kidney disease, little is known about
or nothing about, so that kidney disease has shown. Patients disapprove, of these symptoms is fatigue due to rest for some time will heal. There
are still some patients, due to economic conditions, the disease can
have a delaying tactics, less than a last resort not the hospital. Whether
it is inadvertently overlooked, or the indifference of the disease,
depicting disease in slow development of deterioration, and eventually
developed into uremia uremia is a serious kidney disease, most doctors
recommend dialysis, then, under what circumstances must do dialysis do?
Indications to rapidly start dialysis in chronic renal failure:
(1) drugs can not control the hyperkalemia ≥ 6.5mmol / L;
(2)
sodium retention, oliguria, anuria, high degree of edema associated
with heart failure, pulmonary edema, high blood pressure;
(3) metabolic acidosis pH <7.2;
(4)
complicated by uremic pericarditis, gastrointestinal bleeding, central
nervous system symptoms such as trance, drowsiness, coma, convulsions,
and psychiatric symptoms.
Second,
early dialysis indications: uremia progress quickly obvious
deterioration in general condition, severe gastrointestinal symptoms,
and can not eat, malnutrition; concurrent peripheral neuropathy; red
blood cell volume in 15%; diabetic nephropathy, kidney disease of
connective tissue disease, old age patients.
Third, the clinical manifestations of uremia, such as nausea, vomiting, edema, heart failure;
Above,
serum creatinine> 707.2μmmol / L, and endogenous creatinine
clearance <10ml/min; uremic nitrogen to 30mmol / L (80mg/d1)
In addition the experts advise patients to control blood sugar and blood fat,follow a low-salt diet, limit protein intake, smoking cessation, avoid renal
Poison, lifestyle changes, correction of anemia, correction of acidosis,
the treatment of renal osteodystrophy, correcting malnutrition,
treatment cardiovascular complications and so on. The doctor will accurately determine when to require dialysis treatment, ahead of a comprehensive pre-dialysis missionary. So be sure to actively cooperate with the doctors.
You may also communicate with free experts online for more about it.
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Dangers for Patients with Diabetic Nephropathy on Dialysis