1月採血結果

PTHがドヒャ〜！

2014/1/6

透析条件

FB150Pβ　透析時間６時間 QB150 

項目	透析前	透析後
総蛋白	6.6	6.8
アルブミン	3.1
尿酸	6.2	1.4
尿素窒素	43.5	7.9
クレアチニン	7.18	1.75
Na	143	139
Cl	107	100
K	4.2	3.2
Ca	8.9	8.9
IP	3.6	1.4
CRP	0.74
Mg	2.3	1.9
WBC	35
RBC	282
Hb	9.3
Ht	28.8
補正Ca(Alb)	9.8
PTHーインタクト	5

spＫｔ/Ｖ=2.08 eＫｔ/Ｖ=1.9 ｸﾘｱｽﾍﾟｰｽ率=80.2％ 

尿素除去率81.8％ nＰＣＲ=0.74g/kg/day ％ＣＧＲ=67％

ＧＮＲＩ=79 塩分摂取量8g/day 体重増加率3.7％

http://www11.ocn.ne.jp/~hdtool/99_blank001.html CKD計算ツール

Evernote から送信 栄養状態が更に悪くなってきた。 もともとアルブミンなど低かったがこれ以上悪くなると、 大変だ。 医師の診断 ６時間の透析で十分に毒素は引けているが、その分ALBなどの栄養素も引けている。蛋白質をたくさん取るように。　蛋白質を摂取するとリンの値も上昇するだろうが、それは気にする事無い。上げて引く。BUNもどんどん上げて引く。これが今の透析界の考え方です。 PTHが低すぎる。  PTHが５って？ どういうこと？ 今までも４０〜６０くらいで低値だったが低すぎないか？ 大体PTHというものがどういうものか、複雑で分からない。 Ca,IP,活性型VD,こういったものに関係するホルモン、その程度だ。 PTH（副甲状腺ホルモンとは？）　←こちらが分かりやすいです。 骨は一定の状態ではなく、常に破骨細胞によって古い細胞が壊されCaが血液中に溶かされて、血液中のCaが上昇、次に壊された骨細胞が再生され新しい細胞に生まれ変わる。 そういったサイクルを繰り返している。 これを骨回転といい、これを調整しているのがPTHやカルシトニン、活性型ビタミンDである。 透析患者は腎臓の機能がなくなっているのでカルシウム、リン、のコントロールが非常に難しい。活性型ビタミンD剤やリンの抑制などで厳密にコントロールする必要がある。 PTHよりカルシウム、カルシウムよりリンがより重要とされている。 PTHは低すぎても低回転骨となり異所性石灰化などの合併症がある。 医師は食事がとれないのが要因という。 リン値が透析前でも3.6、透析後では1.4、これでは低すぎる。 カルシウムまで下がってきたら大変だ。 骨付きカルビでもしゃぶるか？  にほんブログ村 のりさんの透析人生 こんにちは。このブログを応援してくれる君は 上の人工透析バナーをクリックしてね！ ランキング表がでてくるよ。 のりさんの透析もよろしくお願いします。

最後に愛は勝つ！

Even if it is forward, and the banzai that there is wife and child though it was written for the article is more desperate for treatment to be able to receive good dialysis.

I think that there is it. .
I surely think that the person that there is wife and child will live long well.
Of course though I think that there is exception Nakata.
It is power of the love it thinks that after all it is power of the love of the wife, and to want to protect child and wife as a man.
It is the best if I have the first understanding person be be a disease to a wife.
When it is a parent, the consultation that stepped is not readily possible.
Does thought not to want to make a bet of worry appear earlier?


I wrote the story that stayed at the room of the newly-married dialysis patient in old days.
The story that I had the newly-married couple lay in the double bed and spread futon on the side, and lay down.
It is talked about the couple soon first though it was at a good old story and hospital.
I pretend to have slept naturally.

According to the story that I heard with an ear as Dumbo, it is said that a wife wants a child.
I hear the efficient story that it was possible for a child if dialyzed now in dialysis start several years.
But there are few wishes if a man begins dialysis in the those days.
I whisper that a wife wants it by all means.
A child hopes that no use meets in-vitro fertilization or an adopted child.
I say that I will go to the hospital together.

I thought while hearing this story.
うわ ..., めちゃ, story Jean of adult. Must you think such a thing to be marry?
Worked, but can live happily, and, speaking of me of that time, double each day every day;, no, cannot live long that much anyway, and only rank thinks.

The man of six differences makes a deep talk with a woman to here whether it is just 5.
I bring up a child seriously and investigate the domestic future of oneself.
When there are the thing which I want to protect, a beloved thing, I want to live long a little.
Naturally even consciousness to protect one's health will be different.


I did not understand what wants to say, but it is dialysis patient you who is young who are single, longevity marriage.
I sleep whether I think, and even love changes. If there is a favorite person, I will attack it hard.
I ask the degree that I do not become to a stoker.
>> that the love wins in the << last

シャント狭窄

Venous pressure broke out, and, during today's dialysis, dialysis was not possible.
A nurse heard a sound with a stethoscope; do not "make a sound". Have another "nurse hear it; and "after all is not known". I have a "doctor write a letter of introduction, and blood vessel surgery will have a checkup tomorrow.
Are you no use unless you remake シャント?

syouwa50"1975"

I watched BS "block calendar calendar 1975" of NHK.
When say 1975; Christian era 1975.
I am time of the first grade at a high school.
One's memory and duplication were just interesting because they were same as article "1975" that they wrote the other day.

Swim first championship, a No. 1 summit of Hiroshima Carp, a Prime Minister Miki blow case, the right-to-strike strike of the Public Corporations and Government Enterprises Labor Unions Council, the social problem of motorcycle gangs, the domestic trouble of the Red Army! World-beaters of fried たい.

Because it is same Kanagawa, I remember National highway No. 134 of June, a duel in front of Kamakura Senior High School well.
Think that was the collision of a scuffle uproar between motorcycle gangs, local Spector and the black emperor of Tokyo,; but of 600 in both sides is a scuffle very much! I set fire to a car and make a fuss.
Traffic seems to have stopped National highway No. 134 of Shonan until the next day.

The Yokosuka alliance or the handbill of a clown or the meeting turned around in those days, and set and voice がかかったりまあ were prevalent in front of peacock garden in my senior high school at 11:00 in the afternoon of Saturday.
However, Road Traffic Act was revised after an interval of seven years, and the police which I supervised as a traffic violation got possible to supervise the reckless driving act itself as a danger act so far, and, after this case, the reckless driving in the group burnt down very much.

I take means of transportation of the attendance of the office worker of Kanto region and win antipathy, and National Railway Workers' Union, the right-to-strike strike of Doro were over for failure, but it will be a fact that activity as a union member burnt down by this.
On the other hand, I recaptured a friend confined in prison by a step of the super law of the Kuala Lumpur consulate occupation case Japanese Government in this year, and the Reds which I raised escaped to Asama mountain cottage case やよど cases overseas in 40's.

The left extreme left group causes consecutive company blast cases as the last resistance.
How to make time bombs named the stomach stomach clock appeared in the world and brought the damage by the Mitsubishi Heavy Industries Building blast more.
The East Asia armament front that caused this case becomes the making a roundup arrest and greeted convergence rapidly, but wakes up a great event in Yokosuka.
The case happened in the small apartment of the town where I lived in.
I let the criminal who produced bombs apologizes at night and mistakenly bomb it in one room of the apartment.
Of course the criminal died from blasting, and the apartment sent complete destruction, a lot of victims.
It is green Zhuang bomb case, but there will be little one winning through up to memory too much.
I passed peritoneum dialysis every day, and I went along in front of this apartment by taxi every night in those days.
Go along the place just before an accident in the evening; and is Zushi - ン in a few minutes about a house. I remember that I felt vibration rather than という sound.

And made a big hit suddenly at the end of the year; "swim"! Fried たい.
Open; ポンキッキ! It was prevalent among から children very much, and I began to be popular among adults as a dirge of the office worker afterwards, and it seems to have been it with a record-breaking world-beater.
This sales record is not still broken.
What I begin this song, and heard thinks that was the whole car going to the university hospital for renal transplantation inspection,; but we are fried かれていやになっちゃうよ ～. on a thing of an iron plate in every day in the text ♪ every day ♪
It was right the time when it went to the peritoneum dialysis every single day, and it became unpleasant.

1975. Was not it the transition period when the youth who spent all its time ing rivalry dried up, and it changed into a generation?
When it was the times when it was very interesting, I felt it.
。