Author: Leo and Lucy
Keywords: hemodialysis
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| From google images |
Patients with bleeding after dialysis, bleeding, including the nose, gums, skin, etc., they question this phenomenon, and very affect the patient's emotional and quality of life
Hemorrhage is one of the common complications of uremia, especially in uremic patients who receive hemodialysis. Hemodialysis patients bleeding a lot of places, common in gastrointestinal bleeding and cerebral hemorrhage, skin, muscle and oral mucosal bleeding is also rare. Due to uremic patients in vivo creatinine, urea nitrogen indicators were higher than normal, stimulating the relevant parts of the bleeding; uremia often associated with platelet dysfunction caused by coagulation disorders, platelet dysfunction and increased bleeding; In addition, can not be ignored is: The application of anticoagulants during hemodialysis can often induce or aggravate bleeding.
Under normal circumstances, the nose, gums, skin and other bleeding, we must first consider the application of anticoagulants. Hemodialysis is an extracorporeal circulation process in which blood contact with the dialysis membrane and dialysis membrane can trigger the coagulation system of the body, resulting in blood clotting, so hemodialysis often use anticoagulants to prevent coagulation, but the use of anticoagulants often become induced or Increase the cause of bleeding.
First of all, should pay attention to the amount of anticoagulant, because the use of anticoagulant dialysis how much directly affect the patient after dialysis will appear subcutaneous bleeding, then you need to re-evaluate the use of anticoagulants. Second, the type of anticoagulant should be considered. Usually, we use the anticoagulant is heparin or low molecular weight heparin, in order to avoid bleeding, recommend the use of low molecular weight heparin. The so-called low molecular weight heparin is extracted from the heparin molecular weight is relatively small that part. Low molecular weight heparin is relatively safer than heparin, so for patients with bleeding tendency, low molecular weight heparin is generally used.
If there is bleeding, it is recommended that dialysis without the use of any heparin, including low molecular weight heparin, non-heparin dialysis, so after dialysis to see whether there is bleeding phenomenon. If there is another, it is recommended to do blood clotting check, remove some of the possible blood system diseases. Bleeding problems will make the patient's emotions more irritable, is not conducive to hemostasis rehabilitation, so patients should pay attention to relax, actively with the treatment, diet do not eat spicy food, eliminate fear and irritability, is conducive to the smooth progress of treatment.
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