In addition to kidney transplantation, patients with uremia mainly rely on hemodialysis 3 times a week to maintain their lives. The various complications caused by dialysis of have made many patients and their families suffer. Your health will only get worse after uremia? As uremia becomes younger, how can citizens better prevent and treat it?
The incidence of uremia is showing a trend of younger
chronic disease management should be "three points of treatment and seven points of care"
This year, a 61-year-old patient, Uncle Huang, has been dialyzed for more than 4 years because of hypertension and . Like most dialysis patients, when Uncle Huang first started dialysis, he lacked knowledge about dialysis. He only knew that dialysis was "going to the dialysis center three times a week, taking out the blood from his body through the machine, and filtering and cleaning it."
But not long after dialysis, Uncle Huang began to experience various discomforts: he would get asthma after walking for a long time, he felt uncomfortable during dialysis, and had to sleep for several hours after getting off the machine to relieve fatigue, and also accompanied by heart failure and insomnia... After the refined chronic disease management of Kanghua Sun Dialysis Center, two months later, Uncle Huang's diastolic blood pressure dropped from the previous 180mmHg to below 150mmHg, and systolic blood pressure dropped from the original 130mmHg to 90mmHg. In addition to normal blood pressure, symptoms such as heart failure and asthma have been significantly improved, and the skin color is also rosy and fair.
It is reported that uremia, also known as end-stage chronic renal failure, is gradually deteriorating and developing on the basis of various renal injuries. The incidence rate of chronic kidney disease in the Chinese population is between 11% and 12%. Due to the poor prevention and control of chronic diseases such as diabetes , hypertension, and chronic kidney disease , and the early symptoms of kidney disease are less obvious, and obvious symptoms are already in the middle and late stages. The awareness rate of kidney disease is low, and it is easy to be misled by misconceptions such as " kidney deficiency ". The choice of unscientific diagnosis and treatment methods is selected, and the incidence rate of uremia is increasing year by year and younger.
As the saying goes, "Three points to treat and seven points to care", and this is especially true for the management of chronic diseases of uremia. Professor Liu Xusheng, Director of the Department of Nephrology of Guangdong Provincial Hospital of Traditional Chinese Medicine, reminded that dialysis patients are chronic diseases after entering regular dialysis. The core of chronic disease diagnosis and treatment is to prevent and control the occurrence of complications, prolong life and improve quality of life, which mainly relies on refined nursing care.
"Advanced and standardized chronic disease management standards and models If it is implemented in grassroots hospital and independent dialysis centers, it can serve the majority of hemodialysis patients more widely. When patients experience serious complications, they can also be transferred to Grade A hospital for treatment in time, so as to form an up-down linkage and a two-way referral to in ." Director Liu said.
According to reports, the effectiveness of uremia chronic disease management mainly depends on nursing. Kanghua Sunshine Dialysis Center first introduced new hemodialysis chronic disease management models such as personalized + harmless dialysis since 2008, which can minimize the damage of dialysis to human organs such as the heart, brain and kidneys; the nurse team can closely observe and intervene in advance during dialysis to achieve asymptomatic dialysis; regular tests, actively intervene in abnormal indicators, achieve normal indicators and comfortable dialysis; patients' "improvement of test indicators", "fatigue after dialysis", "correct medication rate", and "proportion of patients taking hypertensive drugs" are included in the chain center dialysis quality management assessment to prevent and control the occurrence of complications.
ZhiduoD
If you have Uremia, your body will only get worse and worse?
is not certain, the case of patient Uncle Huang illustrates this. If enough toxins and water can be removed during hemodialysis, professional and refined chronic disease management can be achieved, and sufficient range and detailed adjustments can be made in lifestyle, it is possible to maintain a better health status for a long time.
What should I pay attention to during uremia?
Don't get off the machine in advance during dialysis, and the time should be extended as long as possible; adopt a high-calorie, low-protein diet; pay attention to a low-salt diet to reduce external food; control the amount of water, drink less soup or beverages every day; eat anything with phosphorus binding agent.
What are the risk factors related to uremia?
1. Chronic diseases such as diabetes and hypertension
2. Chronic infectious diseases such as chronic hepatitis
3. Long-term use of nephrotoxic drugs such as painkillers
4. Obesity
5. If you have a history of kidney disease in your family
How to prevent uremia?
1. Regular renal examinations, abnormal urine tests and many years of increase in creatinine indicate signs of kidney damage. You should go to the nephrology department for re-examination in time. Diabetic patients should be checked once a year; hypertensive patients should be tested at the time of diagnosis and at the beginning of treatment, and then once every 3 years; individuals with a family history should be checked once every 3 years.
2. Correct bad living habits, such as holding urine, staying up late for a long time, big fish and meat, irregular daily routines, etc.
3. Monitor changes in blood pressure and strictly follow medical advice. Once blood pressure rises, you should take reasonable measures to control it; regularly monitor your own symptoms and indicator changes after taking the medicine, and promptly communicate with the doctor.
Interview and writing: Nandu reporter Yang Liyun
