When talking about dialysis, patients and also patients’ family member always feel scared because they all think dialysis means that the disease has got into an irreversible stage and no other treatment can be helpful for patients in this stage. What’s worse, they also think when patients begin to have dialysis, they have to accept dialysis for their whole life and only kidney transplant can be chosen finally. Is these true? We have to say this is also true even though most of the time dialysis means the severity of the disease. In order to have a more general idea on dialysis, an expert on dialysis expressed his own opinion on some points of dialysis.
Q: Is it dialysis necessary for patients who have end stage renal failure? Why they need dialysis?
A: not all renal failure patients need dialysis. When the disease progress further, patients will have anuria, anemia, vomiting, heart failure, and difficulty in lying down or other serious symptoms. Kidneys are easy to get further damage. As a result, more and more toxin and metabolic waste will accumulate in body, causing damage to other internal organs. If patients do not have dialysis in time under such condition, high-toxin in body will threaten to patients’ life. Therefore, timely and scientific dialysis is necessary for patients who are in end stage renal failure in order to get more time for the doctors to find other effective treatment methods to improve kidney condition.
Q: Why so many patients can not stop dialysis in their future life once they begin to accept dialysis?
A: For most patients, dialysis can not be stopped once it is begun. What’s worse, the frequency of dialysis is also increasing gradually, just like opiophagy. Why? This is because the former treatment is not systemic or comprehensive. Most renal failure patients said that dialysis is the only method that their doctors offered them when their disease progress into end stage. No other treatment for kidney is taken, which is the reason why dialysis can not be stopped. For most patients who are in end stage renal failure, they must know clearly that dialysis is used to save life not to treat the disease. Long-term dialysis can not repair kidney. Instead, it will make remained kidney function declined gradually. When all kidney function has lost, patients have to use dialysis to do all the work that should be done by kidney, and then they will need more and more dialysis. Therefore, when patients are having dialysis, cooperative treatment is also necessary in order to improve kidney condition. Talking about the treatment, the treatment should start from repairing renal intrinsic cells. Once remained kidney function can be protected and repaired effectively, kidneys can play filtrating function better, and then dialysis can be delayed and some patients can also have the chance to get rid of dialysis.
Q: Why patients will have less urine when they are having dialysis?
A: Generally speaking, the change of urine volume during dialysis can be divided into four periods which refer to progressive period, oliguria period, recover period and diuretic period. Normally, there is 4000ml blood in body. If patients drink 1000ml water per day, but only discharge 200ml. More water will be kept in body and permeate into blood vessel gradually. Under such condition, there will be 4800ml blood in body. This is only for one day. How about one week? When blood vessel can not burden, these blood will enter to heart gradually, which will also burden heart, causing heart failure. When patients are having dialysis, their urine will be always affected more or less, but in this stage, the change of urine volume is in order to protect heart function. If heart function is normal, urine volume can also recover to normal level. However, if less urine volume is caused by the disease not dialysis, effective and positive treatment is necessary. What’s more, even in the period of diuretic period, both patients and doctors also need to make sure that it is normal physical urine or false urine because sometimes diuresis can also increase urine volume, but when patients stop medication, urine volume will reduce again.
Q: Is it OK if the body weight reduces greatly during dialysis? Is there any problem?
A: It is true that during dialysis patients’ body weight will decrease, but this does not means the more decrease, the better. Generally, the change of body weight between two dialysis should be controlled at the level of around 1.5kg. If the change is out of this range, it may bring more damage to heart, kidney or liver. Therefore, patients should not have dialysis with the pure purpose of discharging toxin, but with no plan. A scientific dialysis is very important.
Q: When dialysis will have less meaning for patients who are having end stage renal failure?
A: Normally, the function of dialysis will be limited when patients have the following condition. The size of kidney is smaller than 5cm; patients have serious anemia which means Erythropoietin is not enough to relieve anemia; blood pressure is higher than 230; patients have had no urine for more than 9 months; patient have serious electrolyte disorder and potassium is higher than 8.0 but no treatment is effective to reduce the level of potassium. However, the above condition is also not so definite. For example, a patient who has had no urine for 10 month, he still get a relative good effect, which means there is still hope for such patients if we can find a correct method for kidney. However, such successful care is really seen. Therefore, an early treatment is important for patients who have kidney disease.
Besides, this expert also pointed out that some patients only see the change of the test results, which may also mislead them during the treatment because when treating the disease, we should focus not only on the test results, but also the root of the disease that is the kidney condition. Some patients always have repeated illness condition, which is mainly because the root cause, kidney damage, is not solved. Therefore, during the treatment of kidney disease, no matter Chinese medicine treatment or Western medicine treatment, both of them should start with repairing kidney so that the disease can be treated more effective and fundamentally.
Based on the above, is there any other treatment can be chosen during dialysis. Expert mentioned that Micro-Chinese Medicine will be a good choice for patients who are having kidney disease. This therapy has combined both Chinese Medicine and Western medicine. It can not only treat the symptoms, but also can repair damaged renal intrinsic cells. When western medicine is relieving related symptoms, Chinese Medicine can play a better effect on repairing kidney. Besides, this therapy is used in an external application method, which makes the prescription more effective and safe.
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