If serum creatinine, potassium and sodium are either stable or normal, it s probably because he is getting dialysis twice per week. The dialysis is removing what the kidneys can t I ve heard of people switching to a very low protein diet (much lower than the pre-dialysis low protein diet) and strictly controlling potassium, sodium and fluid intake. But I think that they usually still produce urine. The switch to a low protein diet is more than just giving up meat, it s also replacing many grain based foods with special low protein versions of those foods too, which can have an added cost. The switch to a very low protein diet requires (I ve been told) expensive amino acid supplements to ensure that the body gets all the amino acids it cannot produce that are normally found in meat and meat alternatives. But obviously don t try a new diet this without full consultation with your renal dietitian and your nephrologist. I m wondering if he is finding dialysis painful because he is not controlling his fluid intake and therefore needs quite a bit of fluid pulled off at each dialysis session. When I was on hemo, I still produced urine, but I know of a lot of other people (usually elderly) that drank and ate what ever they wanted and would always come into the clinic with way too much fluid then complain about how uncomfortable/painful it was and everytime the nurses would say well don t drink so much! I eventually switched to peritoneal dialysis. No needles and excess fluid is continuously being removed.
What is the BUN value? Also if creatine is 5.5, that is not a normal range. I assume that this person has chronic renal failure rather then renal insufficient. Renal failure can not be reversed, dialysis is the only way to clean the blood. Is this person doing hemodialysis or CPD? CPD is a great deal less painful then HD.
i ve been on dialysis three times a week for a year now. i m also not considering transplant. my blood work is always in perfect levels and yet i cannot skip one day of dialysis. there is NO other way besides transplant to survive. your friend is just going to have to live with the pinches of the needles. because the machine is doing the work that the kidneys are not able to. here s a video of my very first dialysis: http://youtube.com/watch?v=YI8P9ZN92p0
Do these exercises everyday and the kidney function will start to improve slowly.It will take a few months to get better, but then you will not need dialysis. These pranayam exercises will help control the diabetes and the side effects.Build up the timing gradually.If you feel tired or dizzy, stop and resume later.The benefits will be noticed in weeks as the sugar level is checked daily.Over the long tern the diabetes will be in full control and the medicine can be reduced in consultation with the doctor. Anulom Vilom – Close your right nostril with thumb and deep breath-in through left nostril then – close left nostril with two fingers and breath-out through right nostril then -keeping the left nostril closed deep breath-in through right nostril then - close your right nostril with thumb and breath-out through left nostril. This is one cycle of anulom vilom. Repeat this cycle for 20 to 30 minutes twice a day(maximum 60 minutes in one day). Children under 15 years - do 5 to 10 minutes twice a day. You can do this before breakfast/lunch/dinner or before bedtime or in bed.Remember to take deep long breaths into the lungs.You can do this while sitting on floor or chair or lying in bed. Kapalbhati -(Do it before eating) Push air forcefully out through the nose about once per second. Stomach will itself go in(contract in). The breathing in(through the nose) will happen automatically. Establish a rhythm and do for 20 to 30 minutes twice a day.(Max 60 min/day) Children under 15 years – do 5 to 10 minutes twice a day. Not for pregnant women. Seriously ill people do it gently. Also everyday press the centre point of the palm of your hand 40 times with the thumb and press the tips of all fingers 40 times each.
No comments:
Post a Comment