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Your grandmother's condition is also necessary to do dialysis at present, but if you do not dialysis, uremia patients will soon have excessive metabolic waste in the body, leading to the failure of various organs, and finally life-threatening. Therefore, the comprehensive pros and cons, dialysis ** or the advantages outweigh the disadvantages, it depends on whether to choose hemodialysis or peritoneal dialysis, which has its own advantages and disadvantages, hemodialysis is more thorough, but it has a certain load on the heart, and it is easy to cause stress blood pressure to rise, peritoneal dialysis is not dangerous but will lead to protein loss, it can be selected according to the situation, it is recommended to give priority to hemodialysis, if you can, you can continue, if you can't, choose peritoneal dialysis.
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Because uremia is a stage where the kidneys basically do not function, the metabolic waste products in the body cannot be excreted from the urine through the kidneys, so dialysis** is required. Dialysis is the process of drawing blood out of the body, separating the metabolic waste products inside through the dialysis machine, and then transfusing the blood back into the body. Generally, the whole process lasts a few hours.
For patients with kidney failure, it is generally done 2-3 times a week.
During dialysis, blood is constantly exported from the body and then returned to the body, which is a relatively large burden on the heart. Therefore, if the patient has poor heart function, he should pay attention to this aspect.
In addition, since the blood has to go through the dialysis machine n times during the whole process, if the dialysis machine is not clean, it will spread some diseases. However, regular dialysis centers use disposable equipment, so this problem should not occur.
At the same time, because dialysis requires surgery at the blood vessels in the wrist to establish vascular access for dialysis, it may cause bleeding or other accidents, but the incidence is not very high.
Although dialysis is risky (all medical procedures are risky), if dialysis is not carried out, uremia patients will soon become life-threatening due to excessive metabolic waste in the body, leading to organ failure. Therefore, the comprehensive pros and cons, the advantages of dialysis still outweigh the disadvantages.
It's just that dialysis should be done in a regular hospital, which will be safer.
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Ay. If you don't understand upstairs, don't talk nonsense, do you understand? It's not a joke, it's a matter of human life!
It depends on the conditions in your home, which is very good, and I think that dialysis can prolong the life of the elderly.
But this is at a cost, not that dialysis is bad, there is a saying upstairs that dialysis can cause anemia, hehe, just kidding!
Perfusion can cause dialysis not because dialysis patients (especially those with kidney failure) are already very anemic, and most of them are using erythropoietin, so anemia and dialysis have nothing to do with it!
The second floor is simply a medical blind, not dialysis is even a problem to live, and what do you say hurts the body, your logic is really problematic!
Dialysis is divided into peritoneal dialysis and hemodialysis, and it is recommended that you choose hemodialysis!
However, the family must consider whether the cost of dialysis can be afforded. This is not a spur-of-the-moment impulse, and there are many patients who later give up their efforts due to financial conditions!
General hemodialysis According to the level of 2010, it will cost between 5,000 yuan and 6,000 yuan per month, which is not counting your money for other complications!
Between 70,000-80,000 yuan a year! Even if you can deal with a "critical illness", you have to bear a considerable part of it!
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It's really annoying that some medical blindness who don't know how to pretend to understand.
1. If you want to continue to live, you must do dialysis, you can choose abdominal dialysis or hemodialysis, and you should consult your attending doctor for the specific choice.
2。It turns out that if there has been hydronephrosis, then the ** of uremia should be obstructive nephropathy.
If you are old, I don't know if there are any recent cases that can cause acute kidney damage**. If so, removing these factors can reverse kidney function. If not, you will continue to do dialysis until you die.
4. All medical operations are risky, and it is necessary to read the hemodialysis and puncture consent form clearly, which is relatively complete.
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Seriously, it's big, people are old, dialysis is painful, can't drink water, 3 times a week, and will be anemic, take medicine, replenish blood, maintain the status quo, and live a few more years It's good.
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Dialysis is very hurtful, and the elderly may not be able to bear it.
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See what causes uremia.
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If you don't do it, you're dead end – if you don't have a heart problem – you can do dialysis.
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Dialysis can be done for the elderly, and dialysis has little to do with age, but it is necessary to pay attention to the complications caused by dialysis in the elderly.
Dialysis is the most advanced form of kidney failure.
Patients with kidney failure are of any age, and there are many patients of any age, especially in the elderly. Dialysis is necessary in elderly patients with kidney failure, otherwise it can be life-threatening. Dialysis for the elderly has certain risks, especially for patients with cardiovascular disease, and dialysis can also aggravate cardiovascular disease, and patients will have heart attacks.
risk. Dialysis for elderly patients with advanced kidney failure is a challenge for the patients themselves, and every dialysis is like a breakthrough.
It is important to pay extra attention when doing dialysis to avoid problems for the patient. Patients who need dialysis are in the middle and advanced stages, so the patient's physical condition is not very good, and there will be many major complications. Dialysis causes hemodynamic changes, and hypotension may occur.
Anticoagulant drugs used in dialysis can increase the risk of bleeding, such as intracerebral hemorrhage.
Therefore, there are still certain risks associated with dialysis in elderly patients.
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Danger Give him more protection for safety.
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Dialysis is necessary for patients with renal failure if they have uremia, and the cost of dialysis varies from place to place, but only dialysis can solve the problem of not being able to urinate, otherwise, hyperkalemia and cardiac arrest may occur. Regular follow-up of kidney function.
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Hemodialysis can also be used a little, but it is not very useful, after all, the kidney function has failed.
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Renal failure in the elderly, due to the failure of multifunctional organs in the whole body, has corresponding differences from the symptoms of young people, such as edema or obvious asthma, nausea, vomiting, abdominal pain, diarrhea, abdominal distention, melena, joint swelling and pain, deformity, hematuria, proteinuria, increased nocturia, more than 3 times a day at night, or obvious irritability, mental and neurological disorders, etc. Due to atypical symptoms, long-term hypertension, diabetes, coronary heart disease, etc., the patient has edema and asthma, which is easy to delay the condition, and has caused advanced renal failure when it is discovered. Patients with the above symptoms are recommended to regularly recheck ion renal function, urine routine, blood routine, etc., to prevent delays due to missed diagnosis**.
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Different from peritoneal dialysis, hemodialysis uses an artificial semi-permeable membrane, which introduces the patient's blood and dialysate into the dialyzer (artificial kidney) at the same time, one side of the dialysis membrane is blood, and the other side is dialysate, with the help of the solute concentration gradient and osmotic gradient on both sides of the membrane, diffusion, convection, adsorption are used to remove toxins, and excessive water retention in the body is removed through superconsideration and osmosis, and electrolytes and acid-base balance disorders are corrected.
1) Indications for chronic maintenance hemodialysis: maintenance hemodialysis can be performed for patients with clinical manifestations of chronic renal failure, blood urea nitrogen exceeding 20 mmol, and serum creatinine exceeding 400 micromolar liters.
2) Indications for emergency dialysis: hyperkalemia (more than millimol liters) that cannot be controlled by drugs; Oliguria, anuria, and high edema that cannot be treated with drugs; Chronic renal failure with acute heart failure, pulmonary edema, cerebral edema; high blood pressure that cannot be controlled by medications; metabolic acidosis that cannot be corrected by medications; Concurrent pericarditis, gastrointestinal bleeding, and central nervous system symptoms.
The choice between hemodialysis and peritoneal dialysis should be made on a case-by-case basis. The hemodialysis efficiency is high, and the protein loss during the dialysis process is low. However, such patients often have damage to the cardiovascular system, are prone to cardiovascular complications and hypotension during dialysis, and hypoglycemia may occur after dialysis.
Peritoneal dialysis can reduce the cardiovascular burden during hemodialysis and avoid hypoglycemic complications. However, the disadvantage is that it may increase the chance of intra-abdominal infection and increase protein loss.
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Hemodialysis is one of the most commonly used methods of blood purification. Acute and chronic renal failure is the most important indication for hemodialysis, and other diseases are also used.
Indications for dialysis for acute renal failure (1) Dialysis should be performed immediately in patients with high catabolism whose blood urea nitrogen (BUN) rises by 9mmol L per day. (2) Non-high catabolism patients can be dialysis if they meet one of the following conditions**: anuria, oliguria for more than 48 hours; bun> or 9mmol l rise per day; serum creatinine (SCR) > 440 mol L; Serum potassium" or electrocardiogram with hyperkalemia; Metabolic acidosis (HCO3
15mmol/l);There are obvious symptoms of heart failure, cerebral edema, pulmonary edema and uremia.
Indications for dialysis for chronic renal failure: (1) Plasma urea nitrogen (BUN) >; 2) Serum creatinine (SCR) > or creatinine clearance (CCR).
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