2015年2月4日星期三

Preparation of Dialysis for Patients with Chronic Kidney Disease(CKD)

At present, there are more than 800,000 patients depending on dialysis. As for patients who will undergo dialysis, what should they do before dialysis? What preparation work should they take?
Ⅰ. Patients with Chronic Kidney Disease should go to the specialized kidney disease hospital before dialysis. If that, it can reduce the death rate of dialysis in the early period,promote the living quality after prognosis, and shorten the hospitalization time and reduce the treatment cost.Besides that, patients should test Glomerular Filtration Rate (GFR) once three months.
Ⅱ. Patients should take active treatment of complications
1. Better Anemia. It is suggested that if Haemoglobin B is <100g/L, patients should take erythropoietin(EPO) to keep haemoglobin 110-120g/L, no more than 130g/L.
2. Keep normal metabolism of bone mineral. It is suggested to keep Blood calcium 2.1-2.4mmol/L; blood phosphorus 0.9-1.5mmol/L; blood iPTH 70-110pg/ml
3. Keep blood pressure <130/80mmhg
4. Relieve the abnormal metabolism of blood fat and blood sugar, as well as hyperuricemia, and so on.
Ⅲ. Enhance education to patients, and make them keep positive attitude towards dialysis.
Education of dialysis. When the eGFR of patients is <20ml/min/1.73㎡ or patients will take dialysis within 6months, they should get relevant knowledge about dialysis;Get rid of bad habits. Patients with dialysis should give up smoking and drinking, in addition to diet control and so on;Take Immunotherapyatic medical tests, build up case file, and choose the style of dialysis and blood vessel tract.
Besides the above, when eGFR is< 15ml/min/1.73㎡, patients should take general examinations once 2 to 4 week including symptoms, physical sign, renal functions, blood electrolyte(blood potassium, blood calcium, blood phosphorus, and so on), acid-base balance(blood HCO3-,or CO2CP,and so on), Haemoglobin B, blood coagulation function, and so on.

Renal experts point out that even though dialysis can remove the wastes and toxin fast, it is just one replacing treatment and it has no pathological treatment effects of Chronic Kidney Disease (CKD). patients should not just take dialysis and delay the treatment of Chronic Kidney Disease(CKD). Micro-Chinese Medicine Osmotherapy is one effective treatment method, and patients under dialysis can take it into consideration. For the more details about Micro-Chinese Medicine Osmotherapy, you can consult our online experts or send e-mail to me. There are specialized staff to serve you!

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