When should I begin renal dialysis? All patients with Renal Failure are all
concerned about this issue. Although renal dialysis can help patients excrete
the toxins and wastes in their bodies effectively, it also can cause many side
effects on patients. Therefore, the patients with Renal Failure should choose a
proper time to begin renal dialysis.
Renal dialysis therapy can put much financial burden on patients. What’s
more, it also can cause a series of serious complications such as low blood
pressure, infection, muscle cramps and so on. However, if they delay renal
dialysis, the patients may have many complications of Uremia thus influencing
their prognosis. Therefore, the patients with Renal Failure should begin renal
dialysis before their disease develops into critical stage and when the damage
to other organs caused by Uremia is still irreversible and should not delay
dialysis until they have had serious complications of Uremia. The following
article lists some indications for dialysis.
1. The patients have uremic symptoms such as itching, vomit, nausea, fatigue,
poor appetite, and decline in body weight and so on.
2. The patients with Renal Failure have serious high blood pressure, obvious
edema, or heart failure caused by retention of water and sodium;
3. The patients have serious electrolyte disturbance, especially when blood
potassium level exceeds 6.5mmol/L or have acidosis( PH<7.1);
4. The patients with Renal Failure have the hemorrhagic tendency or have
uremic encephalopathy, peripheral neuropathy and so on.
5. Generally speaking, the non-Diabetes patients should begin dialysis when
their creatinine clearance rate is less than 10ml/min. However, the patients
with Diabetes should begin dialysis earlier when their creatinine clearance rate
is below 15 ml/min.
The above article just has provided the reference indications. The patients
with Renal Failure should make their dialysis plan under their doctors’ guidance
appropriately.