High phosphorus in hemodialysis year-round can be adjusted by dietary adjustment, medication, and adjustment of dialysis pattern in order to achieve the purpose of lowering phosphorus.
1. Dietary adjustments, reduce the intake of phosphorus-containing diets, such as melon seeds, peanuts, broth, sesame sauce, etc.; change the way of cooking, such as peeling vegetables and fruits, soaking them for an hour and then frying them or boiling them and then frying them, which can reduce the content of potassium and phosphorus.
2. medication, oral lanthanum carbonate, svelamer and other drugs to reduce phosphorus, of which lanthanum carbonate need to be chewed during meals, these two drugs are common adverse reactions to gastrointestinal symptoms, such as nausea, vomiting, constipation, etc., and can be improved after stopping the drug. Both of them are prohibited for hypophosphatemia and intestinal obstruction.
3. Adjust the dialysis mode: the frequency of dialysis can be increased, or changed to hemofiltration, hemoperfusion, etc. to increase the removal of blood phosphorus.
Hemodialysis is the main treatment for chronic kidney disease stage 5, which often manifests as edema, nausea and vomiting, electrolyte disorder (high phosphorus, high potassium, low calcium) due to renal excretion dysfunction.
For hemodialysis patients with high phosphorus for years, it is recommended to communicate with the doctor of dialysis center and standardize the treatment under the doctor’s guidance. The above medications should be used in accordance with the doctor’s instructions, and should not be used without authorization, so as not to aggravate the condition.