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НАРУШЕНИЯ НА СЪНЯ ПРИ ПАЦИЕНТИ НА ДИАЛИЗА

SLEEP DISORDERS IN DIALYSIS PATIENTS

Sleep disorders are extremely common among dialysis patients. The most commonly reported complaints are excessive daytime sleepiness, sleep apnea syndrome, restless legs syndrome, snoring and intermittent limb movement disorders. Clinical studies have found that sleep apnea syndrome (SAS), restless legs syndrome (RLS) and recurrent limb movement disorder (RLMD) are much more common in dialysis patients than among the general population. Undoubtedly, these sleep problems have a significant negative impact on quality of life, as they are often mentioned as the main sources of stress.

Sleep apnea is a chronic disease that is a repeated respiratory arrest during sleep, the consequences of which is low level of oxygen in the blood. Conducted researches show that sleep apnea may lead to increased levels of cardiovascular events and to the accelerated development of atherosclerosis in patients with chronic kidney disease.

In Bulgaria, no specific studies have been conducted based on the problem of sleep disorders in patients with CKD. However, global research has shown that problems with these disorders occupy a significant part in systemic history of patients with CKD.

НОВИ МАШИНИ ЗА ХЕМОДИАФИЛТРАЦИЯ ЩЕ БЪДАТ ДОСТАВЕНИ В ДИАЛИЗЕН ЦЕНТЪР „НЕФРОЛАЙФ“ДО ДНИ

HEMODIAFILTRATION MACHINES OF THE HIGHEST CLASS WILL BE AVAILABLE WITHIN A FEW DAYS IN “NEPHROLIFE” DIALYSIS CENTER

Dialysis Center “NephroLife” have always strived to provide quality dialysis treatment and impeccable medical care.
We are introducing hemodiafiltration as part of the medical practices applied in our center and so we will cover all possible aspects of dialysis treatment according to the needs of the patients.

For all patients who need hemodiafiltration, the clinic will provide brand new Fresenius 5008S machines from the end of October.
As always, NephroLife provides to the patients new and high-quality equipment and consumables for dialysis treatment from FRESENIUS Germany, with proven reliability and efficiency.

The desire to improve the quality of life of hemodialysis patients leads to the development of methods for extrarenal blood purification.

However, the application of this method is strictly individual to each patient and is prescribed after consultation with a nephrologist.

NephroLife specialised team of doctors, nurses and world-known consultants with vast experience in dialysis treatment are working together to deliver the best patient care according to all international standards of medical practice.

All patients and their families are more than welcomed to explore the clinic and the facilities they provide.
For more information, consultations and starting treatment in NephroLife Dialysis Center, you are welcomed to visit the clinic (behind MALL Plaza), or call: 056555588; 0879084777

Ambassador of the State of Israel Yoram Elron

AMBASSADOR OF THE STATE OF ISRAEL YORAM ELRON VISITED NEPHROLIFE DIALYSIS CENTER – THE LARGEST ISRAELI INVESTMENT IN BURGAS REGION

On October 13th, during his first visit to Burgas, the Ambassador Elron get acquainted with the medical practices applied in the first dialysis center in Bulgaria, introducing Israeli know-how in the sphere of dialysis. He was accompanied by Yordanka Ananieva (Deputy Mayor of the cit5y of Burgas), Dr. Loris Manuelyan(“Municipal Doctor” of Burgas region) and Orlin Mandov – Honorary Consul of Israel in Bulgaria. They were welcomed by the medical team of the clinic and Mr. Ran Fuchs – the investor and owner of the dialysis center.

Mr. Ran Fuchs introduced to the guests the medical equipment and the high medical standard applied in dialysis treatment at NephroLife and also added:

“NephroLife is the first dialysis center in Bulgaria to introduce the high-tech practices already applied in Israel in the sphere of dialysis and high-quality equipment and consumables of the global company Fresenius – Germany, specializing in life-saving technologies for infusion, transfusion and clinical nutrition. Leading news from our clinic is that from the end of October, for all patients who need hemodiafiltration, the clinic will provide brand new Fresenius 5008S machines. By adding hemodiafiltration as part of the medical practices applied in our center, we will cover all possible aspects of dialysis treatment”.

We also provide to our patients the opportunity to consult with world-renowned specialist prof. Thalia Weinstein with extensive experience in the field of Nephrology and Dialysis treatment. The clinic maintain a high medical standard and we are always up to date with the latest trends and practices applied in sphere of dialysis “.

In front of the journalists the Ambassador Yoram Elron specified the areas for future Israeli investments in Burgas emphasizing that medicine still remains one of the most important.
“The biggest Israeli investment in Burgas is in the field of medicine. The investors built the dialysis center NephroLife with the assistance of the Municipality of Burgas. I hope the Israeli investments in the region to be increased in all areas, but especially in medicine, which is the purpose of my visit here “said the Ambassador.

УРЕМИЯ

UREMIA

Uremia is a clinical syndrome characterized by elevated blood urea levels. It is based on metabolic abnormalities, fluid imbalance, electrolytes and hormones associated with the deterioration of renal function.
Uremia is more common in patients with chronic kidney disease (CKD), especially in the later stages of CKD or in acute kidney damage if the loss of kidney function is rapid. Urea itself has both direct and indirect toxic effects on a number of tissues.

Urea is synthesized in the liver and is the end product of protein metabolism. It is transmitted from the liver through the blood to the kidneys, where it is excreted in the urine. However, when kidney function is impaired, waste products and toxins such as creatinine and urea accumulate in the blood and cannot be effectively filtered and removed. If uremia is left untreated, this condition is life-threatening.

Symptoms:

Tingling and numbness of the hands and feet – neuropathy

General fatigue and low energy

Nausea, vomiting and loss of appetite

High blood pressure

Swelling of the ankles

Dry skin and itching

More frequent urination

Chronic kidney disease and factors leading to kidney failure and uremia are:

Congenital anomalies of the kidneys

Polycystic kidneys

Diabetic nephropathy

Congestive heart failure and arrhythmias

Chronic pyelonephritis

Kidney stones, enlarged prostate

Taking certain medications and corticosteroids

 

ХИПЕРВОЛЕМИЯ

HYPERVOLEMIA

The presence of too much water in the blood and the overload of the body with fluids is called hypervolemia.

One of the main functions of our kidneys is to balance fluids in the body. However, for dialysis patients, it is unable to regulate the required ratio of salts and fluids in the body. Hypervolemia is usually the result of a health problem. However, its mild form can occur after consuming foods with too much sodium or during hormonal changes. That is why it is so important to follow a diet plan that limits the amount of sodium (salt) and fluid intake for patients with kidney problems.

The most common symptoms include:

• unexplained and rapid weight gain
• swelling of the arms and legs
• abdominal bloating
• shortness of breath

Treatment

The condition of hypervolemia is managed in several ways. The most commonly used is with diuretics (drugs that increase the amount of urine that the body produces).
It is important to note that the basis of prescribed treatment is according to the specific health problem. For example, for patients with heart failure, beside taking diuretics, additional therapy will be given.

Clinical studies have shown that in patients with severe kidney problems, diuretics do not lead to the desired result so the necessary therapy is renal replacement, such as dialysis. If you are already on dialysis, longer or more frequent dialysis procedures might be needed to remove excess fluid from your body.
People with heart, kidney or liver disease may also need a diet low in salt. This will help keeping the sodium levels within normal limits, which in turn will avoid the condition of hypervolemia.

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