Patients suffering from end-stage renal disease are generally treated through peritoneal dialysis or hemodialysis, commonly known as "blood washing".
Patients need to go to the hospital or blood washing center 2 or 3 times a week, and each course of treatment takes 3 to 4 hours, which has a negative impact on the psychology and schedule of many patients.
Therefore, the HA has started to provide suitable patients with a home hemodialysis plan, so that patients can wash their blood at home without the need to travel back and forth to the blood wash center, which makes the treatment more convenient and frees up more personal time. The psychological quality of the patients has been greatly improved.
Prince of Wales Hospital has introduced a new generation of home blood washing pilot program. Patients can completely wash blood at home by themselves with only 10 days of training.
Mr. Wen has suffered from end-stage renal failure for many years. Since 4 years ago, he has to go to the hospital for blood washing three times a week. During the process, he is tired and often loses his appetite. At the same time, he has too much water in his body and his blood pressure rises. He needs to take a variety of drugs and sit down. wheelchair.
Since last year, through the program, I can go home to wash my blood. In addition to my blood pressure being healthy and my appetite greatly improved, I no longer need to be in a wheelchair, my spirit is also improved, and I can go back to work and go out with my family.
The patient's blood wash time is more flexible
Patients with end-stage renal failure generally can only be treated by peritoneal dialysis, that is, "washing the stomach." After several years, some patients with peritoneal dialysis need to switch to hemodialysis, that is, "washing of blood" due to the decline in efficacy.
Li Jintao, a consultant doctor at the Department of Internal Medicine and Drug Therapy at Prince of Wales Hospital, pointed out that patients all over the world who are undergoing "dialysis" treatment are advocating "home dialysis" treatment.
The patient's blood washing time is more flexible, and the treatment time is not subject to the service time of the hospital; the new generation of blood washing machines is smaller and more convenient to operate than the current old home dialysis machines. Getting on a cruise ship and traveling is no problem.”
Li Jintao, a consultant doctor at the Department of Internal Medicine and Drug Therapy, Prince of Wales Hospital, pointed out that the new-generation blood washer is small in size.
More than 6,900 kidney failure patients in Hong Kong need blood washing
In Hong Kong, there are more than 6,900 patients with renal failure receiving hemodialysis until this year. Mr. Man is one of more than 100 patients receiving hemodialysis at Prince of Wales Hospital.
He had end-stage renal failure due to diabetes and high blood pressure when he was young. He started peritoneal dialysis at home in 2015, but unfortunately because of bacterial infection of the peritoneum, he was no longer suitable for belly washing, so he changed to wash blood at Weiyuan Hospital three times a week. In addition to needing to arrive at the hospital several hours in advance every time, the treatment time is also pre-booked.
Mr. Wen said, "Many times when I go to the hospital in advance, I have to push other activities to accommodate. I don't feel much pressure to wash blood at my own house and enterprise, I feel good, and I can accommodate at any time. It's not a problem to eat and play all the way."
Mr. Wen, who suffers from kidney failure, has been hospitalized for many years. After starting the home hemodialysis program, toxins are removed better than before, and he no longer has to use a wheelchair.
He pointed out that the limited treatment time is not limited to the daytime, and his work and activity time are allocated more conveniently.
(Photo by Liang Sixing)
Beneficiary patients: individuals are energetic
After starting home hemodialysis treatment, blood pressure gradually decreased, and the dosage of blood pressure medicines can be further reduced. There used to be more than 10 kinds of medicines reduced to 4 to 5 kinds. After four months, there is no need to take any blood pressure lowering medicines.
Li Jintao said that Mr. Wen's hemoglobin has also been greatly improved, and he doesn't need to take blood injections; his body has been cleared of toxins better, his skin quality has also improved, his body has more energy and strength, and he can even resume work.
"I used to feel like a parasite, and I needed to go to the hospital every day to rely on blood washing, but after (home hemodialysis), I feel that (treatment) can be done independently, I have energy and spirit, and I can exercise slowly, I don't need it. in a wheelchair."
Before home hemodialysis, Mr. Wen needs to receive 10 days of machine operation training by nurses.
Au Wai-yin, a registered nurse (Department of Internal Medicine and Therapeutics) at Prince of Wales Hospital, said that the new generation of hemodialysis machines is easier to operate than the old one, and requires less water, only about 30 to 60 liters each time.
She said with a smile that the most important thing is to give patients confidence to "tack the needle".
"Most of the time, Mr. Wen managed to get started easily, but sometimes he lost his confidence when he was struggling, and then he continued to struggle." Mr. Wen pointed out that he had tried once or twice that the blood vessels in his arms were not obvious. , which made it more difficult for him to find the blood vessels "unreachable", and finally called back to the hospital to ask Au Huixian for help.
At present, there are 22 new-generation hemodialysis machines in Hong Kong. We have introduced 7 of them in the first phase, and 3 patients have completed their training and have gone home to wash their blood. We will continue to add machines to allow more suitable renal failure patients to receive home hemodialysis programs.
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