If dialysis is inevitable, it is suggested to do five preparatory work, kidney friends suffer less

The course of uremia is long, most patients will have psychological disorders, such as excessive depression, anxiety or fear. In particular, knowing that renal replacement therapy can increase the psychological burden, and even abandon oneself, lose the courage to live. Patients should actively adjust their mentality, face the disease correctly, tell their families their thoughts in time, communicate with the attending doctors more, understand the methods and significance of dialysis treatment, trust doctors, and seek the help of psychological doctors when necessary. < / P > < p > patients with uremia need to play a good role in the family, do housework within their ability, communicate with their families more, and reflect the significance and value of their own existence, which can enhance self-confidence and make patients have a sense of rebirth. Harmonious family atmosphere can improve the quality of life of dialysis patients. Each dialysis treatment is bound to increase medical costs. Patients and family members need to be well prepared for the cost of dialysis and reimbursement methods, and they can also choose peritoneal dialysis with a slightly lower cost. < / P > < p > patients with uremia need to regulate their diet, maintain unobstructed feces, limit potassium and sodium intake, monitor their weight at least once a day to see if there is edema, and regularly monitor and record the changes of blood pressure and urine volume, so as to achieve self-management. According to their interests, physique and age, they should choose suitable sports, such as Taijiquan, yoga or walking, etc. We can also choose low labor intensity work, which can divert attention, effectively alleviate or reduce physical discomfort, and improve the long-term prognosis of patients. The main methods of renal replacement therapy are kidney transplantation, hemodialysis and peritoneal dialysis. Relatively speaking, renal transplantation has low risk of death and high quality of life, but it is limited by many aspects, such as appropriate kidney source, self-quality and ethical issues. Hemodialysis patients need regular dialysis treatment every week, but vascular access must be prepared before dialysis. Many complications, such as hypotension, muscle spasm and arrhythmia, should be prevented. After peritoneal dialysis training in the hospital can be carried out at home, free time, and will not affect the work, need to go to the hospital regularly for review, and there will be no arrhythmia and hypotension. This method is suitable for people with poor vascular conditions and cardiovascular and cerebrovascular diseases. < / P > < p > the doctor should introduce the patient’s condition and the necessity of dialysis in detail, so that they can make mental preparation in advance. Patients with long-term hemodialysis need to do a good job in vascular access. At first, they can puncture the large artery and vein on the surface temporarily, which is conducive to the convenience of puncture and protection of blood vessels in the future. In addition, doctors should also do arteriovenous fistula operation for patients as soon as possible. In addition, hypertension will aggravate the deterioration of renal function, so blood pressure must be controlled before hemodialysis, otherwise it will cause cardiovascular complications. 20