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ПСИХОЛОГИЧЕСКИ СЪТРЕСЕНИЯ, СТРЕС И ТРЕВОЖНОСТ ПРИ ПАЦИЕНТИТЕ НА ХЕМОДИАЛИЗА

STRESS AND ANXIETY IN HEMODIALYSIS PATIENTS

It is an indisputable fact that the news of starting hemodialysis, which patients with chronic renal failure (CKD) receive, is an extremely traumatic psychological moment – where starts suffering not only the body, but also the soul of the patient.

Dialysis treatment that continues for years, and the fact that the patient is dependent on the specialized equipment – the dialysis machine, on the observance of a strictly defined dietary regime, significantly limit the personal freedom of the patient, his social contacts, and seriously disturb his professional realization.

As a result, the patient experiences stress and anxiety, which have an adverse effect on the entire healing process, adaptation, emotions and quality of life.

Is hemodialysis treatment so scary and hopeless?

The short answer is: NO.

Here’s the longer one:

Hemodialysis treatment is now years away from what it was in the 90s – the equipment in private dialysis centers is at an excellent level, and in most municipal hospitals the old dialysis machines with hundreds of thousands of hours of service have already been replaced with new ones.

Competition between medical facilities raises the level of service for patients, and brand new Fresenius machines and consumables can now be seen more and more, which contributes to the excellent cleansing of toxins from the patient’s body.

The procedures, in turn, are tolerated by the patient much better, there are no constant vomiting, headaches during dialysis caused by low-quality and repeatedly used consumables, “disinfected” in formalin solution, there is no shortage of drugs to maintain a good level of hemoglobin, iron, calcium, phosphorus no longer “flys in the sky”. Hepatitis epidemics have not occurred for decades.

The many dialysis facilities scattered in the cities allow all patients not to be “tied to the machine”, but to be able to travel, if they wish, to go to the sea or on holiday abroad.

Most patients of working age continue with their employment.

Dialysis patients at a younger age, and not only that, have an excellent chance and opportunity for transplantation – again thanks to the quality dialysis they perform, which preserves the body as much as possible and gives it the necessary time until the cherished moment of transplantation, the chance also increases for the new authority to be accepted.

Cases of patients of childbearing age who, after a successful transplant, become mothers and continue their lives to the fullest are no longer rare.

Of course, for a job between two people to be done successfully and well, both must participate equally. Efforts are also needed on the part of the patients.

A good diet, strict adherence to dietary restrictions, no matter how unpleasant they may be at times, is a necessary part of the process.

Regular control of blood pressure, timely help from various specialists (cardiologist, endocrinologist, etc.), when necessary, are the best helper for the patient with CKD.

Last, but not least, is the choice of a dialysis structure – it is most important that the patient chooses that place where there is a successful symbiosis between excellent, new equipment, excellent medical control carried out during the dialysis sessions – which means the doctor to be constant between his patients, because in dialysis “whites” happen in seconds. One of the most important people in the dialysis facility is the dialysis nurses – they literally hold the patients’ lives in their hands. When the dialysis nurse is experienced, she can “stab” even the most difficult fistula, can sense an approaching danger for the patient even before the doctor has thought about it, and prevent it.

Medicines are also an indispensable part of the treatment and help in the long term to maintain the good general condition of the body. Saving them, unfortunately, does not lead to anything good.

In conclusion, dialysis is a team game, a game of trust and professionalism.

And let’s not forget that there is always a chance!

BALANCING WORK AND DIALYSIS

БЕЗПЛАТЕН НЕФРОЛОГИЧЕН СКРИНИНГ

NEPROLIFE WITH FREE NEPHROLOGY SCREENING IN APRIL

The package will include routine tests of urine and blood indicators – urea and creatinine and subsequent free examinations by the nephrologist Dr. S.Stamova.

Due to the great interest, dialysis center NephroLife continues its collaboration with the well-known nephrologist Dr. S. Stamova.

The campaign which will take place in April is aimed to all patients with nephrological kidney diseases and chronic renal failure.

To request participation in the campaign, you can contact us at 056 / 555 588 and 0878 925 945, where you will receive additional information and guidelines for your registration.

Dates for laboratory tests – April 24 and 25, consultations with Dr. Stamova – April 26 (Wednesday).

The number of patients with chronic kidney diseases is growing annually worldwide, including in Bulgaria. According to the Bulgarian Nephrology Society, 13% of Bulgarian citizens suffer from kidney diseases. Screening in the first is the first step that leads to early detection and more successful follow-up therapy. Unfortunately, a large percentage of patients do not have clinical indications in the early stages of CKD, when the disease process can be most effectively affected. Therefore, regular examinations and nephrological consultations are recommended, especially in risk groups – patients with arterial hypertension, diabetes and in cases of kidney disease in the family.

Бъбречна недостатъчност – как да разбера?

KIDNEY FAILURE – WHAT SHOULD I KNOW AT THE BEGINNING?

Let’s start from the beginning – what is the function of the kidneys?

And the answer is – our kidney system is multi-component: kidneys are not just a filter, but also play an important role in:

– excretory function – through the kidneys – excess water, salts and nitrogen-containing substances, which are formed as a result of the exchange of substances in the body of each person, are excreted in the urine.

– maintenance of an optimal balance in the “internal environment” – this is the so-called “homeostasis” – In case of changes in the water-salt and acid-alkaline internal environment of the body, the kidneys include a number of compensatory mechanisms with which they restore this balance.

– stimulating the production of red blood cells (erythrocytes) – specific kidney cells produce the hormone “erythropoietin”, whose task is to stimulate the bone marrow to produce blood cells.

– maintenance of normal strength and structure of human bones – the kidneys are also actively involved in the production of vitamin D3, which is responsible for the strength of bones in the human body.

When do we start talking about chronic kidney failure (CKD)?

When these renal functions begin to decrease until they are completely lost (last stage of renal failure, when creatinine has already reached levels of approx. 850 µmol/l.

Sometimes, quite imperceptibly, the degree of kidney failure is reached, which necessitates frequent examination of the state of kidney function.

Of course, it takes time to reach the end stage of CKD, but eventually, the kidneys are irreversibly damaged.

The first signs are a decrease in the amount of urine excreted – an important symptom, which, however, is not always manifested.

Sometimes the exact opposite symptom is present – excessive excretion of urine (polyuria). This happens when, in an attempt to excrete substances the body does not need, the damaged kidneys excrete more water because they cannot concentrate the urine.

Patients excrete up to 3 or more liters of urine per day, urges to urinate are frequent even at night!

  For comparison – a healthy person usually urinates within 1.5 l/24 hours.

  Other characteristic complaints are easy fatigue, high blood pressure that is not affected by medication, or at least not subject to normal regulation and control, nausea, nocturnal shortness of breath and difficulty breathing, which are due to pulmonary edema, drowsiness. Diabetes is also a ‘first aid in the development of CKD’

That is why prevention and regular monitoring of kidney health by a nephrologist is so important.

If you have any of the symptoms described above, accompanied by frequent urinary infections, kidney pain, if you have been suffering from diabetes for several years – contact a nephrologist who will prescribe preventive tests, including creatinine and urea, and consult you subsequently.

CHRONIC KIDNEY FAILURE AND CARDIOVASCULAR DISEASES

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