Dialysis treatment for kidney failure, please explain in detail

Whether patients with chronic renal failure receive peritoneal dialysis** or hemodialysis** depends on the patient's own wishes and also on a clinical basis. If peritoneal dialysis** is performed relatively early in the end-stage of renal failure and when the patient is generally in good condition, it is better to protect the patient's residual renal function, and the patient is relatively less likely to develop oliguria symptoms. After peritoneal dialysis**, every day peritoneal dialysis will help remove toxins from the body, because a certain amount of toxins are produced in the body every day, and a person's creatinine level is not reduced by peritoneal dialysis, but mainly determined by residual kidney function.

There are a lot of toxins in the body, which can not be explained by creatinine. For dialysis patients, creatinine does not necessarily drop, but it is basically not life-threatening. If the patient does not receive peritoneal dialysis** and does not receive renal replacement**, persistently elevated serum creatinine can be life-threatening.

Therefore, the effect depends on the patient's residual kidney function, if peritoneal dialysis is done earlier, some patients will have creatinine drop in the early stage, or remain at a certain level for a longer time.

If you don't have a good choice Qingdao, go to Jingkang Hospital, you can, I heard that it is the most effective method at present, and it is not repeated. In fact, it's not the main thing, safety and whether it looks good is the key, I hope you have good luck.

If the anhydride is too high, it indicates that there is kidney damage and enters the stage of renal insufficiency. High blood pressure can lead to kidney damage, and kidney disease can worsen high blood pressure, requiring medication to control blood pressure.

Kidney failure refers to the decline of kidney function, can not be detoxified normally, very bad for the body, resulting in dark complexion, fatigue, abdominal pain and other symptoms, there will also be anemia, kidney failure often occurs in overworked people, may also be kidney injury in the population, dialysis is only to replace the kidney to discharge toxins from the body, once dialysis, must be used for a long time, only at the end of kidney failure, that is, uremia, need to do dialysis, dialysis must go to a regular hospital, can not be done privately, if not disinfected, but will be infected.

Renal failure is a pathological condition in which the kidney function is partially or completely lost due to the development of various chronic kidney diseases in the later stages. In the middle and late stages, there are three main methods, the first is the best way: kidney transplantation, the second is hemodialysis of the kidney, it is recommended to have dialysis two to three times a week, and finally peritoneal dialysis, the patient can put a peritoneal dialysis tube in the abdomen at home, three to four times a day.

Patients with kidney failure need to pay attention to the **method**, the ** of kidney failure ** is very important, so what should be ** is the key. It is better to go to Beijing Lianke Traditional Chinese Medicine Nephrology Hospital for **.

Hemodialysis is an important means of acute renal failure, where conservative is ineffective, dialysis should be carried out in the following situations: 1. Severe sodium water retention. Such as acute pulmonary edema and cerebral edema.

2. Hyperkalemia, serum potassium above micro-liters. 3. Blood urea nitrogen micro-moliter or more or blood creatinine 442 micro-moliter or more. 4. In a high catabolic state, the daily blood urea nitrogen rises by more than milli mololiters or the blood creatinine rises by more than a micromoliter, and the serum potassium rises by more than 1 milli mole per day.

5. No obvious hypercatabolism, but no urine for more than two days or oliguria for more than 4 days. 6. Severe acidosis, carbon dioxide binding capacity is less than 13 milliliters, and blood pH value is less than. 7. Uremia symptoms are severe, such as drowsiness, coma, convulsions, seizures, etc.

8 oliguria 2 is proposed to have heart failure or with serum potassium higher than 6 mmol, and hyperkalemia changes on ECG. 9 For mistype transfusions, free hemoglobin 800 mg liters.

The following indications are available for dialysis:

Severe sodium and water retention, such as acute pulmonary edema and cerebral edema;

electrolyte abnormalities, particularly hyperkalemia (serum potassium 6 5 mmol L or hyperkalemia on ECG);

High catabolism, daily urea nitrogen rose by 14 3mmol l, creatinine rose by 177umol l;

If it is non-high catabolic type, there is oliguria or anuria for more than 2 days, creatinine 442umol l, urea nitrogen 21 4mmol l, creatinine clearance 10ml?min-1?(1．73m2)-1；

Uremia symptoms are severe, such as drowsiness, coma, convulsions, seizures, etc.; For mistyped blood transfusions, free hemoglobin 800mg l.

Patients with kidney disease have end-stage renal disease, which is when the kidneys are unable to maintain the state necessary for the body's normal survival. The primary function of the kidneys is to eliminate metabolic waste products and produce urine. If the urine cannot be produced smoothly, then the machine needs to help it is called dialysis, to put it simply, the patient with uremia cannot be discharged, the urine is not stored in the bladder but in the blood, and then it will penetrate into every cell, and every cell in the body is soaked in urine, and dialysis is required in this state.

As long as the body usually does not have things, when the kidneys can not be discharged well, accumulate in the body, as long as the accumulated things are toxins for the body, people often say that they drink more water when they are on fire, but this is not the case for patients who drink more water to kidney failure, if there is no urine, drink a sip of water can not be excreted in the body, drink 1000ml to save 1000ml, drink 2000ml to save 2000ml, 3 days you may save 4000ml, 5000ml becomes a big water bag, so that the heart can't stand it, it is full in the blood vessels, and the blood vessels can't hold it in the tissues, and the heart is also very heavy, and it will be breathless and uncomfortable. Therefore, to a certain extent, water is also a toxin for patients with kidney disease. Dialysis is needed when the kidneys cannot maintain the functional state that the body needs, such as water cannot be discharged, and some metabolic wastes such as urea, creatinine and other toxins cannot be discharged.

Metabolic wastes such as urea and creatinine are just a representative of the body's metabolic wastes, in fact, there are more than 200 kinds of toxins produced in the body every day, and some of these 200 kinds will have adverse effects after accumulation in the body, and some may not be particularly obvious.

The decision on whether to have a renal puncture is as follows: not every kidney patient must have a renal puncture. Renal aspiration is a pathologic diagnosis.

Different pathological diagnoses, diagnoses, and prognosis are different. Renal puncture is a commonly used method for diagnosing the type of nephritis in Western medicine, and it is mainly based on the results of renal puncture to determine which type of nephritis you have.

Analysis: (1) Indications for hemodialysis for acute renal failure:

Anuria for 2 days or oliguria for 3 days. Daily weight gain of more than 2 0kg. with edema, pulmonary edema, pleural effusion.

Uremia symptoms such as nausea, vomiting, bleeding tendency, and neurological and psychiatric symptoms are present. Blood creatinine 530 4 mol l or blood urea nitrogen 21 42mmol l; or a daily rise in serum urea nitrogen of 10 71 mmol l, and a daily rise in serum potassium of 1 0 mmol l.

Potassium in the blood 》6 0mmol l. Serum HCO36 5 mmolL.

Anyone who meets more than two of the above criteria may be considered for hemodialysis. However, it should also be determined by taking into account the patient's primary disease, clinical condition, degree of anemia, cardiac status, and urine output. Dialysis patients should be accompanied by appropriate medications** in order to achieve indicators.

After relative stability, dialysis may be reduced or dialysis may be stopped, while long-term dialysis will gradually atrophy the kidneys irreversibly, and only rely on dialysis.

Suggestions:

Hello, when the creatinine level of general renal impairment is higher than 707, it will reach the uremia stage and require hemodialysis** You can also take a look at "Zhou Sanshan's perseverance" again