Delaying medical treatment for 1 day to attend a wedding, 54-year-old woman in Ho Chi Minh City is in critical condition

Báo Gia đình và Xã hộiBáo Gia đình và Xã hội28/03/2024


Patient NTH (54 years old, residing in Cu Chi district, Ho Chi Minh City) has a history of end-stage chronic renal failure with hypertension, type 2 diabetes, dyslipidemia, and is currently receiving dialysis treatment 3 times/week.

According to the appointment, on March 20, she was scheduled for dialysis, but because she was busy attending a wedding, she postponed the dialysis to the next day. During the party, the patient was so happy that she did not follow the diet for people with chronic kidney failure.

Trì hoãn điều trị bệnh 1 ngày để ăn cưới, người phụ nữ 54 tuổi ở TP HCM nguy kịch - Ảnh 2.

The patient received dialysis and his health was stable.

As a result, a few minutes after returning home, Ms. H. experienced serious complications and had to be hospitalized that night with difficulty breathing, headaches, and abdominal distension. At the Emergency Department, doctors recorded that the patient had suffered a cardiac arrest, and her Glasgow Coma Scale score was at 6 points.

The doctors consulted, placed an endotracheal tube, performed cardiopulmonary resuscitation, used high doses of vasopressors and specialized medications, and filtered the patient's blood to remove toxins. After 4 hours, the patient's health gradually improved. She opened her eyes, understood medical orders, breathed smoothly, and had stable blood pressure, so she was taken off the ventilator and continued her regular dialysis treatment.

What should people on dialysis follow?

Master, Doctor Vu Le Anh, Head of the Department of Nephrology, recommends that patients with end-stage chronic kidney disease need to adhere to dialysis on time and on schedule. If they skip dialysis, patients are at risk of fluid overload leading to high blood pressure, vomiting, fatigue; excess water causing pulmonary edema; hyperkalemia affecting heart rate, cardiac arrest...

Patients need to follow a low-salt diet, limit foods and drinks high in potassium. Take medication as prescribed and control underlying medical conditions well.

Chronic kidney disease is a disease that often progresses silently and without symptoms. Therefore, it is important to detect the disease early. The three high-risk groups are people with diabetes, people with high blood pressure, and people with a family history of kidney disease. They need to have annual health screenings for early detection and timely treatment.

How to prevent kidney failure

Trì hoãn điều trị bệnh 1 ngày để ăn cưới, người phụ nữ 54 tuổi ở TP HCM nguy kịch - Ảnh 3.

Illustration

Establish a healthy lifestyle

We need to exercise daily to maintain weight and improve health. In addition, you need to regularly monitor and maintain blood pressure at an acceptable level. At the same time, control the amount of uric acid, glucose and cholesterol in the blood. In particular, you should not use alcoholic beverages such as wine, beer and stimulants.

Build a reasonable diet

Reduce the amount of salt, protein and fat you take in your daily meals. At the same time, you should also add foods of natural origin such as vegetables, tubers and fruits that are good for your health.

Drink enough water

Dehydration reduces blood flow to the kidneys, which can impair kidney function. Therefore, drinking enough water is one of the good habits for the kidneys in particular and the body in general that is always encouraged by doctors.

Regular health check-up

Have a regular health check-up every 6 months or as soon as you detect signs of kidney failure to get appropriate and timely treatment.



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