2014年12月9日星期二

Why do the majority of patients after hemodialysis would reduce the amount of urine

osmotic diuresis

Why do the majority of patients after hemodialysis would reduce the amount of urine? For the majority of patients after hemodialysis Why urine will reduce this problem do the following presentation

Most patients beginning hemodialysis will gradually reduce the amount of urine, some patients may be no urine. main reason for its dialysis patients Uremic toxic substance creatinine concentration decreased, the original role of osmotic diuresis disappear; the situation in vivo dialysis ultrafiltration significantly improved water retention, excessive ultrafiltration during dialysis renal blood flow reduction. Further deterioration of the original kidney disease Dengjun decreased urine output during hemodialysis. For more urine of patients, should be adjusted according to the duration of dialysis and ultrafiltration, try to avoid excessive ultrafiltration exacerbated by factors such as residual renal function impairment. For patients on maintenance dialysis has begun, as long as adequate dialysis, it will not affect the disease oliguria.

Experts pointed out that, especially in dialysis patients, and little or no urine state, if more water, easily induced acute heart failure, heart disease induced by uremia. Every time some patients have poor weight control dehydration forty-five kg, "dialysis excessive dehydration and dehydration too fast, it will increase the load on the heart."
She said, hemodialysis patients, especially those who no urine should be strictly controlled amount of drinking water, it is best to develop a measure "dry weight" habits every day. Because the majority of dialysis in the elderly, muscle fat content in this population is relatively stable, while the moisture content will have a more significant change with the daily intake, patients generally require no urine daily weight gain may not be more than 1 kg, weight gain during dialysis 5% or less is normal. "More than a limited increase in weight, mostly water, go through dialysis to hemodialysis out." She said, no urine were once the ideal amount of dehydration should be two kilograms or less, while in urine may be appropriate to relax on the water control, but generally do not recommend eating watermelon high moisture content of the food.

Dialysis patients should also master the knack of drinking water, such as hot days when thirsty Italy, after the spit can gargle, or with a cotton swab moistened lips or mouth. Feeling very thirsty to drink water when the small mouth, or distribution of the potable water a day on average, with containers installed

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