Itchy skin is one of the common and intolerable complications of hemodialysis patients, and it gradually worsens with the prolongation of dialysis time, seriously affecting the quality of life of patients. If not properly cared for, it can lead to skin infections and increase medical costs, or even threaten the patient's life.
When PTH is elevated to a certain degree and cannot be controlled by drugs alone, surgical excision is needed. Problems such as large amounts of postoperative calcium supplementation, in turn, will bring a certain family burden. Therefore, daily control of calcium and phosphorus levels is very important. Limit the intake of phosphorus in the diet and take care to eat less food high in phosphorus, e.g., animal offal, nuts and chocolate. And chew phosphorus binders with meals. When PTH is too high, depending on the calcium and phosphorus levels, shock therapy is given, etc.
Dialysis patients who take in too much water and the body can't get rid of it, then the water load increases and complications such as increased blood pressure, pulmonary edema, and heart failure may occur. Dialysis is the only way to drain these patients, more intake will have to take off more, take off more and more hypotension will occur, resulting in dialysis patients' blood pressure like riding a roller coaster when high and when low. More importantly, high and low blood pressure greatly increases the risk of dialysis access occlusion, making it more difficult to establish and maintain vascular access.
How to protect the patient's "lifeline", as Tongji Hospital Nephrology dialysis vascular access subspecialty head, "80" doctor He Fan led the team in the country's first to carry out a series of vascular access new technology, so that many blood vessels depleted,
If you have a problem with the vascular pathway, you can't get it to work," said Dr. He.
If kidney failure occurs, that is, the kidneys can't work properly, the body's metabolic waste, toxins and excess water can't be discharged, and there is excessive accumulation in the blood, which is toxic to the body. At this time, hemodialysis plays the role of replacing the work of the kidneys, discharging these wastes and excess water out of the body, reducing the burden on the kidneys and restoring the body's function.
Because although hemodialysis can temporarily lower the uric acid in the blood, the uric acid crystals deposited in the joint cavities and other places will soon dissolve into the blood, so the blood uric acid will rise again. In addition, if you rely solely on hemodialysis, do not control food intake, as well as the use of drugs to inhibit the synthesis of the body, the root cause of uric acid has not been resolved, then the hemodialysis to remove the uric acid is only a drop in the bucket, the long-term effect of the small.
The itchy skin of hemodialysis patients occurs in a long time of treatment, the effect is slow, and the prolonged treatment triggers anxiety, irritability, depression, pessimism. And this series of psychological problems, can itching symptoms intensify, and even affect the quality of sleep. Kidney patients need to correctly look at the problem of itchy skin, itchy skin is a common complication of hemodialysis patients.
Positively cooperate with the doctor's treatment, so as to avoid too much emotional anxiety. In your free time, you can participate in social activities and physical exercise within your ability to distract your attention, which can also alleviate the symptoms of itching. Wear cotton, loose underwear in your daily life. Bathing water should not be too hot, generally 40 ° C warm water bath is appropriate, avoid the use of alkaline soap and body wash, appropriate supplementation of the skin good nutrients.