Renal lesion

He didn’t receive treatment for Chronic kidney disease (5th stage), he only has 3 months left.

“Doctor, people are talking about my kidney is not good, I’m afraid I needs to undergo dialysis?” When looking for nephrology clinic, the words that the patient afraid the most is “dialysis. They feel that they have to be sentenced to death for dialysis. In addition, the media misunderstood that the dialysis doctors received high income and some patients were afraid that they would be inadvertently “dialysis” because of their interests. They find around and seek for other medical treatment. The results often delayed their treatment and caused more complications. The thing is when do you needs to undergo dialysis?

When kidney disease has entered the end stage, the patient should be actively treated. The general person has a misconception about uremia and dialysis and believes that dialysis is a death sentence. In fact, this concept is a big mistake. Uremia can’t be cured but with proper control and treatment, patients can still live a similar life like ordinary people.

End-stage renal disease leads to accumulation of urinary toxins with the following symptoms:

1. Loss of appetite, nausea, vomiting, bad breath
2. Reduced memory and thinking
3. Anemia
4. Water accumulation, edema
5. Electrolyte adjustment is out of balance – electrolyte metabolism disorder (skin itching)
6. The acidity of blood tends to be acidic (metabolic acidosis)
7. Abnormal calcium metabolism
8. Blood pressure rises
9. In severe cases, convulsions, coma, etc.

How to treat end stage renal disease?

1. Hemodialysis: In hemodialysis, a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood. To get your blood into the dialyzer, the doctor needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm.
2. Peritoneal dialysis: A soft plastic tube (catheter) is placed in your belly by surgery. A sterile cleansing fluid is put into your belly through this catheter. After the filtering process is finished, the fluid leaves your body through the catheter.

Kidney Transplantation: Kidney transplants may be considered for severe conditions.

	Hemodialysis	Peritoneal dialysis
Common name	Wash blood vessels, wash　kidneys	Wash belly
method	Hemodialysis uses a man-made membrane (dialyzer) to filter wastes and remove extra fluid from the blood.	Peritoneal dialysis uses the lining of the abdominal cavity (peritoneal membrane) and a solution (dialysate) to remove wastes and extra fluid from the body.
frequency	2 to 3 times a week, 4 hours each time	Perform 3 to 5 times a day, depending on the patient’s residual renal function
Advantages	Ÿ Quickly remove waste and water from the body Ÿ It is most often done by trained health professionals who can watch for any problems.	Ÿ Does not use needles. It gives you more freedom than hemodialysis. It can be done at home or in any clean place. You can do it when you travel. You may be able to do it while you sleep. You can do it by yourself. Ÿ It doesn’t require as many food and fluid restrictions as hemodialysis Ÿ No bleeding risk
Disadvantages	Ÿ It causes you to feel tired on the day of the treatments. Ÿ It increases your risk of bloodstream infections. Ÿ It can cause problems such as low blood pressure and blood clots in thedialysis access.	Ÿ There must be space for storing potions and clean，　changeable medicine in the home. Ÿ The procedure may be hard for some people to do. Ÿ The dialysate contains high concentrations of glucose, which is prone to obesity and hyperlipidemia. Ÿ It increases your risk for an infection of the lining of the belly, calledperitonitis.
Who is not suitable (taboo)	Ÿ Forearm blood vessels are too thin or often blocked Ÿ Bad heart and lung function Ÿ Have a history of cirrhosis	Ÿ Have undergone abdominal surgery, peritoneal adhesion to visual impairment Ÿ Poor blood sugar control Ÿ Can’t take care of itself and no fixed family to take care of.

Why do people prefer dialysis (Hemodialysis)?

https://www.top1health.com/Article/33/17748?page=2

1. [Global Trends]: The current treatment of hemodialysis is still accepted. The United States is the most used country, followed by Japan and Germany. Taiwan is also more acceptable for hemodialysis than peritoneal dialysis. The country with the best performance in peritoneal dialysis worldwide is Hong Kong, accounting for 83% of all dialysis patients. In addition, New Zealand, Australia and Canada have achieved good results.
2. The impact on the quality of life of peritoneal dialysis is small]: In fact, compared with hemodialysis, peritoneal dialysis has the same effect as treatment, but peritoneal dialysis has less effect on quality of life and can be washed at home. It is a relatively simple treatment. But why is the use rate of peritoneal dialysis not high? In addition to inadequate education, patients do not know or do not understand peritoneal dialysis, mainly related to the lack of self-confidence and determination of patients to cause halfway.

Director of the Far Infrared Center and Cardiovascular Surgery of Changhua Xiuchuan Hospital

“I am very pleased to see the development of medical far infrared rays, and I am willing to further provide you with the timing, methods and concepts of far infrared radiation therapy.”

https://www.tdq.org.tw/?p=390

1. It should be used at the beginning of the establishment of the fistula or artificial blood vessel.

Medical clinical studies have shown that irradiating low-energy far-infrared rays has the following effects:

Far-infrared expert consultation – far infrared rays can extend the life of the fistula

1. Irradiation after the fistula operation can shorten the time of one-third of the fistula development.
2. Patients with poor vascular status after fistula surgery, low-energy far-infrared rays can be irradiated within one month after surgery, which can increase the success rate by 95%.
3. Can reduce the risk of complications in the future, such as venous pressure, vascular fibrosis, infection, pain, hematoma, phlebitis and other discomfort.
4. Continued exposure for one year can increase the blood flow of the fistula by 1.7 times. The proportion of failed fistulas decreased by 58.5%.

Arteriovenous fistula can be said to be the lifeline of hemodialysis patients. If you want to undergo dialysis well, you have to see if hemodialysis can filter out the metabolic waste and toxins in the patient’s body. During dialysis, a blood flow of 250 to 350 cc per minute in the hollow fiber tube is considered normal. Whether the patient’s blood flow is normal or not, the key is that the patient must have a healthy vein to make a catheter tube that is thick enough and mature enough, and far infrared rays can accelerate the formation of carbon monoxide on the inner wall of the blood vessel, improve blood flow velocity, and prevent fistula sclerosis. Increase the life of the fistula and reduce the number of reoperations due to obstruction of the fistula.

2. Need to be illuminated everyday

Far-infrared rays need to be carried out for a long time, and the effect is limited in a short period of time. It is best to use them at home or at any time, and far-infrared energy is low, which is easily covered by clothing or moisture.

3. Far infrared rays are not as hot as possible

Far-infrared phototherapy is essentially a low-energy therapy. The non-thermal effect is its greatest feature. It is definitely not as hot as possible, and it is not as effective as the power. This has been confirmed by medical research. At present, it can be observed clinically that the long-term irradiation of far-infrared has improved the smooth flow rate of the fistula, and the increase of dialysis blood flow is a manifestation of the non-thermal effect of far-infrared rays.

Moreover, far infrared rays can also improve the dry itching of the skin that often occurs in patients with kidney disease. Almost all uremic patients have experienced a process of itching during the course of their disease. At first it may be local and paroxysmal itching. After a period of time, the range of itching gradually enlarges, the time is lengthened, the frequency increases, and even sleep may be affected. This urinary pruritus is a local or systemic itching that occurs in patients with chronic renal failure.

Clinical trials have shown that far infrared rays can help patients with uremia to improve the dry itching of the skin and achieve an itching and analgesic effect. Due to the exclusive high-far red radiation power, the Haruki far-infrared, which is approved by major medical institutions, is suitable for direct treatment on the skin, and defects that far infrared rays are easily covered by clothing. Applied attach-type far infrared to the itching parts and at the same time, the skin temperature can be raised to 41 degrees Celsius which means the heat will effectively relieve itching in a short time.