Friday, August 11, 2017

Why do you feel tired after dialysis?

01
Complication and dialysis ultrafiltration volume
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The more complications, the more likely to be fatigue, among which hypotension and cramping are the most common.
The most common causes of cramping and hypotension are dehydration, excess cardiovascular compensation, effective circulatory insufficiency, hypotension, or cramping.
For example: when we get off the plane, there are always a few severely dehydrated patients who will rest in the corridors for a while. Or, listen to the patient under the machine after the voice, feeble, with hoarse, usually the water rose more, and more and cause fatigue and weakness.
Many patients believe that this kind of fatigue, sleep well, but in fact, some sleep can not be alleviated, that is:
The greater the amount of water loss, the more percentage of weight gain, the more tired the rest and sleep can not be alleviated. Therefore, the daily dialysis interval is very important to control the amount of water.
In addition, excessive weight gain during the dialysis interval results in an excessive volume of the body and is directly related to the onset of cardiovascular disease. The mortality of cardiovascular complications is one of the main mortality rates.
Therefore, accurate and stable maintenance of dry weight can not only improve survival time, reduce complications, but also improve the quality of daily life.
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02
Chronic inflammation and C reactive protein
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Chronic inflammatory conditions affect the rest of patients after sleep fatigue relief. That is, the higher the C reactive protein (CRP) in hemodialysis patients, the less tired the rest and sleep.
The following is an introduction to C reactive proteins:
CRP and 8mg/L in patients with fatigue rate was significantly higher than that of more than 8mg\L. CRP is an important marker of inflammatory response, and is a reliable index to evaluate the state of micro inflammation in maintenance hemodialysis patients.
CRP > 8mg\L indicated that the patient was in a state of micro inflammation. Micro inflammatory status is now considered to be a major contributing factor to malnutrition. The higher the CRP in the patient, the higher the incidence of malnutrition in the patient, which affects the relaxation of the rest and sleep.

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