malnourished hemodialysis patients how to adjust

Dialysis patients with complications

With the progress of social development, medical technology, chronic renal failure patients on hemodialysis increasing year by year. Although hemodialysis is to elicit the patient's blood in vitro, and then by means of devices on the dialysis machine, the excess water and toxins from the body, while the correction of electrolyte and acid-base balance disorders, and then clean the blood back to your body, so as to achieve the treatment the purpose of uremia. However, dialysis patients after dialysis, if not pay attention to their diet, often lead to malnutrition and a series of complications.

Factors of malnutrition in hemodialysis patients which

Causes of malnutrition, what does? Shijiazhuang Kidney Disease Hospital Nephrology third straight PRESERVATION in the hospital's "Second large kidney Friends", the main reason for its presence in the audience is introduced.

PRESERVATION said, inadequate intake of protein and energy malnutrition in dialysis patients is the main produce. The study found that the increase in hemodialysis and peritoneal dialysis patients' needs for protein and energy. However, many long-term dialysis patients due to anorexia or predialysis artificially low protein diet which led to reduced intake of protein and energy, and thus at the beginning of dialysis serious malnutrition.

In addition, it includes a number of other factors, such as drugs, exercise less, loneliness, depression and poverty can cause reduced food intake, especially in elderly patients show more prominent. Recent studies have found that thin, plain or may be involved in malnourished dialysis patients.

After malnourished hemodialysis patients should be treated

Strengthening dialysis, improved dietary protein and energy intake. PRESERVATION said that strengthening dialysis, increased clearance of uremic toxins can effectively improve the inadequate dialysis due to inadequate dietary intake of lead. Promote gastric emptying, improve the biocompatibility of dialysis membrane, increase physical activity and psychological intervention can improve the patient's appetite. For peritoneal dialysis patients may be appropriate to reduce the amount of stored abdominal dialysate patients avoid a sense of fullness, thereby improving patient dietary protein and energy intake.

Salt intake restriction patient, control capacity equilibrium. Excessive load capacity is an important factor in malnutrition in dialysis patients, the effective capacity control is an important way to promote better nutrition patients. Dialysis patients daily salt intake should not exceed 6g, so you can effectively control the volume status of the patient.

Dialysis patients with complications. Complications also an important cause of malnutrition, it should be aggressive treatment of complications in dialysis patients, such as acidosis, inflammation, diabetes and other complications. If patients have persistent infection, it is necessary and reasonable to use antibiotics.

In addition, with the promotion of gastrointestinal drugs such as cisapride and domperidone, or appetite stimulants such as megestrol acetate, and the use of erythropoietin may improve patients' appetite, proper nutrition needed to supplement patients.

Because of potassium through the kidneys often did not break out, so potassium content of more food, kidney patients should not eat or do not eat.