Winter weather is dry, ordinary people sometimes feel itching discomfort. For patients with kidney disease, especially renal insufficiency and dialysis, the incidence of itching is higher. Can affect life quality obviously. How does skin pruritus do?
In addition to the bath temperature should not be too high, choose mild small irritant bath milk, avoid the use of alkaline soap such as basic methods, an Iranian study found that the use of diluted acetic acid bath, can effectively reduce skin itching. Use moisturizer to keep skin moist, is the most basic method. You can take advantage of the bath after the pores open absorption good time, quickly apply lotion, such as baby moisturizer, olive oil glycerin, vitamin E lotion and so on. Relieve pruritus caused by dry skin. Topical use of 1% pimocaine hydrochloride lotion or 0.025% capsaicin cream has a good effect on local itching in a small area. There were no serious adverse reactions.
These are external ways to relieve itching. Here are some solutions to internal problems caused by itching.
Counteract pruritus caused by high levels of blood phosphorus. The kidney can balance electrolyte calcium and phosphorus levels in the body, so patients with kidney problems, renal insufficiency and uremia are more likely to develop calcium and phosphorus disorders. This causes itching and discomfort.
Control high phosphorus foods. Patients with high levels of blood phosphorus should avoid eating large amounts of foods with high levels of phosphorus, especially foods containing food additives, in which phosphorus is inorganic phosphorus. The organic phosphorus content and absorption rate are much higher than the fresh food, try not to eat. That is, patients usually eat more fresh food, avoid eating a lot of processed food.
Use phosphorus removal drugs, etc. For patients with dietary control who still have high levels of blood phosphorus, use drugs that remove phosphorus, such as calcium carbonate, calcium acetate, lanthanum carbonate, if necessary, under the guidance of a doctor. For the patients with severe hyperparathyroidism which can not be controlled by drugs, surgical treatment can reduce the levels of parathyroid hormone and blood phosphorus, and the symptoms of pruritus disappear.
Uremic patients can appropriately increase dialysis. Dialysis can remove waste, including phosphorus, from the body, and a four-hour hemodialysis can remove about 800 mg of phosphorus. A proper increase in the duration and frequency of dialysis can also improve itching symptoms. Of course, successful kidney transplants are a more complete way to restore the function of uremic patients than to increase dialysis treatment of itching.
Adjunctive drug therapy. Plus cardia is currently considered to be a safe drug for patients with chronic kidney disease from stage 3 to uremia, can significantly improve the skin itching in patients. Small doses began to use. The possible adverse effects are vertigo, drowsiness, etc. For those who are intolerant of gabapentin, PreBahrain may be used. For a small number of patients who are allergic to dialyzer itching. It is necessary to communicate with medical staff in advance to do a good job of prevention.