Guidelines for seeking medical treatment during the epidemic prevention and control period丨How to self-management at home for hemodialysis patients?

Hemodialysis is the most commonly used treatment for patients with acute and chronic renal failure. It uses the principle of semi-permeable membrane to move various harmful and excess metabolic wastes and excess electrolytes from the body to the body through diffusion, convection and other principles. To achieve the purpose of purifying blood, correcting water, electrolyte and acid-base balance. Regular hemodialysis is the basic measure for these patients to survive. Generally, hemodialysis treatment is centralized in medical institutions three times a week.

During the epidemic prevention and control period, hemodialysis may be suspended one or more times due to various factors. At this time, what should patients do to better survive this difficult time?

On October 29, Professor Wang Pei from the Blood Purification Center of the First Affiliated Hospital of Zhengzhou University reminded that first, do personal protection and guard your “green code”.

He said that ordinary hemodialysis centers only accept “green code” patients, so be sure to protect your “green code”, and to achieve “two points and one line” between the dialysis room and the place of residence; wear a mask throughout the whole process after leaving home, do not Eat and drink outside the home; keep a distance of more than 1 meter from others under any circumstances; try not to take public transportation; keep a distance from other people when queuing in the dialysis waiting area, do not crowd, do not talk; if accompanied by family members, family members Try to go to an open place, do not stand at the door of the dialysis room; be sure to conduct nucleic acid testing in a timely manner as required.

Wang Pei said: “At the same time, we must adjust our mentality and keep a relaxed mood. Under the epidemic, it is inevitable to have anxiety, worry, fear and other emotions, which may affect sleep, communication with people, and even lead to blood pressure fluctuations and increased heart rate. The risk of decline. All patients and friends should adjust their mentality, relax, and deal with it easily.”

In addition, adjust your life and actively respond to emergencies. Wang Pei suggested, “During the epidemic, dialysis may become irregular, and we must prepare for the worst. Therefore, we should manage our lifestyle more strictly than usual. For example, manage your ‘mouth’, do not drink water or eat Porridge, try to control your weight; eat less food with high salt, high potassium, and high phosphorus such as ham, instant noodles, dried fruit, fruit, preserved fruit, pickles.”

“Finally, self-management must be done well, and self-help is needed when it is critical.” Wang Pei reminded patients that they should have antihypertensive, potassium-lowering, phosphorus-lowering, and vasodilator drugs at hand, as well as blood pressure monitors and blood glucose meters (patients with diabetes mellitus). ), weight scales and other self-management tools, when you can’t go to the dialysis room for treatment as planned, you should do a good job of self-management, measure blood pressure, blood sugar (patients with diabetes), and weight every day, keep in touch with doctors in time, and if necessary, Medication under the guidance of a doctor.

“The epidemic prevention and control has disrupted the dialysis rules, but all patients and friends must work hard to adapt to this special situation. During this period, you should pay more attention to your emotional management, sleep management, weight management, etc. Don’t blindly eat, drink, and adjust yourself. diet and rest.” Wang Pei said. (Zhang Xinhui)