2014年5月17日星期六

Care of the elderly diabetic nephropathy law

Among the growing number of elderly people suffering from diabetes , and can you know? Diabetic nephropathy is a common complication of diabetes , patients increasingly large elderly population , and it is seriously affecting the patient's health and life . Thus , patients with diabetic nephropathy should be prepared to care . So care measures , what does?
1, the control of blood glucose : elderly diabetic nephropathy care measures are based on the good doctor to control blood sugar , because high blood sugar is considered to be caused by kidney disease due to start , strict glycemic control can delay the progression of kidney disease in pre-clinical , long-term maintenance of normal blood sugar , enables stable renal function , we observed glucose concentrations and urinary protein has a positive correlation , the reaction should be carefully observed after treatment , such as: changes in blood glucose , glycated serum protein index , changing urine and ketone bodies , such as renal function . Strict implementation guidance in elderly patients diet plan , as much as possible so that blood glucose control in 6.5mmol / L or less.
2 , control of blood pressure : hypertension patients with diabetic nephropathy , kidney disease have a major impact on their progress , and strict control of blood pressure can delay the development of diabetic nephropathy. Elderly diabetic nephropathy care measures should be a daily routine monitoring of blood pressure , blood pressure ≥ 150/90mmHg who have indications for the use of antihypertensive drugs , with normal renal function when converting enzyme inhibitor is preferred, renal dysfunction in Plendil be preferred , such as calcium antagonists , carefully observe the use of antihypertensive drugs in patients with blood pressure , reported to the doctor at any time , and when you adjust the application of antihypertensive drugs .
3 , protect blood vessels : vascular elasticity poor patients with diabetic nephropathy , vascular thin, brittle , hard for the characteristics of venipuncture to gentle movements , sharply, select vessels should follow the small to large, from far to near principle forearm move, veins to try to protect, to keep the blood dialysis , this hurdle is especially important.
4 , psychological care
Elderly diabetic nephropathy patients after learning of the disease often appear pessimistic mood , the treatment of loss of confidence , which in turn generates fear. These negative emotions can affect immune function through the central nervous system and endocrine system , so that the body of glucagon , increased release of catecholamines , etc. , thereby increasing the disease . Therefore, we should be concerned about comfort them, and it enhanced the confidence and courage to overcome the disease , in order to facilitate the elimination of pessimism , optimism kept thinking , emotional stability , in order to profit to the best therapeutic effect.
5 , the skin care
Immune dysfunction in elderly patients with diabetes , with microvascular disorders, local circulation disorders. As the sugar content increases the patient's skin , it is appropriate bacteria , so that the skin 's resistance is poor, easy to infection . Therefore , patients should be kept clean room with personal hygiene , regular ventilation, ground nails , bathe , especially hand-foot perineum clean and avoid scratching the skin infection . For critically ill patients , help them change position , massage pressure areas , sponge bath with warm water helps the body , 1 to 2 times per week , and pay attention to foot care , keep the local thermal drying , regular massage , promote blood circulation. Towels should always disinfect the sun to minimize risk factors .
6 , dialysis care sugar
Kidney dialysis patients with diabetes is the main treatment for end-stage renal disease . Entering the peritoneal dialysis or hemodialysis patients with chronic care need to be strengthened to protect the good fistula , prevent infection and fistula off. Patients on peritoneal dialysis should be strictly formal operations, strengthen the abdominal skin care to prevent infection and peritoneal dialysis tube tunnel , should strengthen primary care , and accurate records of intake , close observation of dialysis cases, so that patients get good treatment .
7 , dietary treatment and care
Diet therapy is the main basis for the treatment of diabetic nephropathy , the principle is to limit the amount of sodium in the diet principles diabetes, protein intake to limit , to ensure a daily intake of soluble fiber foods to slow food absorption , reduce postprandial blood sugar , improves lipid metabolism , promote bowel movements and prevent constipation. So that patients eat more green leafy vegetables, and pay attention to vitamin foods provide enough vitamin A and vitamin C. Tastes to light as well, try not to eat pickled products, fried foods, animal offal high fat content foods, strictly control the fat intake.

Through the above description, you are " the elderly diabetic nephropathy patients how to properly care should be clear now , I hope the majority of patients must be early detection and early treatment , and to the regular hospital for treatment of kidney and solve problems on their own pain . I wish you health .

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