Dialysis

Dialysis: the advice of the specialist doctor

Questions to Professor Michel Omer, nephrologist specialist doctor, Marseille. He coordinated and directed the book Living with Kidney Disease. He gives some advice to people to be dialyzed.

1 - In case of dialysis, the patient must follow certain dietary rules. What are the main principles?

The diet of the patient in chronic renal failure is summarized as follows: it is necessary to eat and not to restrict calorie intake.
The salt must be limited to 4 to 6 g of sea salt (no dietary salt), the intake of animal and vegetable proteins will be a little limited before dialysis and expanded in dialysis patients. Finally, the consumption of dairy products and fruits must often be reduced.

2 - How to be sure that dialysis works well, play their role in purifying blood?

The quality of a dialysis is evaluated on the improvement of the clinical state of the patient, in particular the recovery of the appetite, better physical form. Finally, on the good control of the biological assessment.

3 - In everyday life, what are the factors unfortunately most often neglected (wrongly) by dialysis patients?

Among the factors often neglected, there is no or poor compliance of treatments especially those to control the rise of phosphates and potassium. In addition to dietary measures (limit cooked commercial dishes rich in phosphate additives, cheeses spread, cocoa, chocolate.), Usually the patient must take during meals drugs that are phosphorus chelators (Fosrenol®, Renagel®, Renevela®). Kayexalate® is a chelator of potassium.

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