Search
Close this search box.

治疗方式

透析前教育计划的常见问题

预约

1. 如何申请、更改或取消与NKF辅导员、身为义工的肾脏病病人或洗肾中心的预约?

请电邮至 startright@nkfs.org 或致电 6506 2187 寻求帮助。

治疗

1. 从我开始洗肾前到洗肾期间的各个环节,我的肾脏科医生会如何参与其中?

您可以咨询您目前就诊医院的肾脏科医生。

当您加入NKF之后,我们的肾脏科医生会每个月在洗肾中心为您进行复查。如有需要,管理您洗肾疗程的护理人员也会向该洗肾中心的驻诊肾脏科医生咨询。

 

 

2. 我被诊断患上肾衰竭。有哪些治疗方式,而哪一个是适合我的?

肾衰竭有四种治疗方式:血液透析、腹膜透析、肾脏移植或保守治疗。

血液透析 优点 缺点
血液透析是通过洗肾机来清除血液中的毒素、多余的盐分和水分的血液净化过程。血液会通过由手术搭建的瘘管从体内被引流出来,再经由附接到洗肾机的人工肾脏进行过滤。 • 受过培训的护士会在洗肾中心进行各方面的治疗,如扎针

• 与其他病人共同建立一个支援网络,互相扶持
• 病人需要每周去洗肾中心三次,每次四小时

• 洗肾中心的隐私性一般,因为有其他病人同时间在进行洗肾

• 治疗期间不允许亲人/朋友来访

• 每次洗肾需要将两支针插入瘘管,这可能会导致疼痛或不适感。血块或堵塞等问题也可能会出现,这些需要去医院治疗
腹膜透析 优点 缺点
腹膜透析是一种无需插针、自我管理的居家治疗方式。通过手术在腹腔内植入一条永久性导管,再经由导管将透析液注入腹腔内,以清除血液中的毒素和多余的水分。 • 病人可以在家中舒适地进行治疗,不需要前往洗肾中心。

• 有更多时间和自由进行其他日常活动

• 能够更好地保护剩余的肾功能

• 通常情况下,在水分和饮食的方面限制较少

• 无需插针治疗 如果需要,可以保留血管,以便将来建立血液透析所需的血管通路。
• 每天必须进行治疗

• 导管可能会影响外观

• 请勿游泳,不允许游泳以免受感染

• 由于透析液中含有葡萄糖(糖),有可能导致体重增加

• 糖尿病患者 需要更密切地检测和控制血糖 • 家中要有足够的储存空间,用于存放医疗用品和腹膜透析液。 • 导管内有受感染的风险
肾脏移植 优点 缺点
肾脏移植是指从捐赠者体中取出一颗肾脏并将它植入病人体内的一项手术。病人获得的新肾脏可以来自活体捐赠者或已逝世的人,亦称已故捐赠者。

我们建议病人在开始洗肾前考虑进行活体肾脏移植。
• 与洗肾相比,生活质量得到改善

• 能有更正常的工作和家庭生活

• 无需遵守洗肾期间必要的水分和饮食限制

• 无需进行长时间的洗肾治疗
• 与其他重大的外科手术一样,该手术存在着风险。我们会告知您相关风险和益处,• 从而帮助您做出一个明智的决定。

• 需要定期监测、跟进。需要终身服用抗排斥药物,以防止您的身体对移植的肾脏产生排斥。

• 移植后受感染的风险更高,因为免疫系统受到抑制
保守治疗 优点 缺点
保守治疗是一种无需洗肾或肾脏移植的治疗方法。它是使用药物来控制症状,并在管理肾衰竭的同时,改善患者及其家人的生活质量。

该治疗方式能应对有关身体、社会心理和精神方面的关切问题。它侧重于病人的舒适度、
• 与洗肾病人相比,可以把更多时间留给亲人,也有更多自由去进行日常活动

• 无需插针或进行手术

• 消除洗肾可能带来的感染风险

• 如果病人没有感到身体不适,还可以出游

• 病人可以获得就诊医院的多学科医疗团队所给予的支援
• 治疗的重点是症状管理和社会心理支持。它的目的不是为了治愈肾脏疾病或延长您的生命。

• 病人需要到医院定期就诊

• 可能需要额外的药物来缓解病人的身体和/或心理方面的症状。
3. 如果我选择血液透析(HD)治疗,我可以立刻开始治疗吗?

在洗肾病人开始接受血液透析治疗之前,他/她需要进行一个日间手术来搭建一个动静脉(AV)瘘管/人工合成植入型的搭桥瘘管,将自身的静脉直接连接到动脉。这有助于增加血液循环和血管中的血流压力,以促进血液透析。


瘘管通常搭建在前臂的部位,手术后需要6-12周的成熟时间才可以使用。

然而,瘘管未能成熟的病人可能需要进行额外的手术。如果他们需要立刻开始洗肾治疗,颈部必须插入一根临时导管,以便快速连接到血管。建议选择血液透析的病人尽早咨询医生或护士,以提前计划治疗方案。

 

4. 如果我选择腹膜透析(PD)治疗,我可以立刻开始治疗吗?

我们会在您的腹部插入一根永久性的导管(当天手术),2-3 周后即可使用。手术中会在您的腹部插入一根永久性的导管(日间手术),2-3 周后即可使用。在需要紧急治疗的情况下,有时也会提前使用导管进行腹膜透析。

腹膜透析护士将进行家访,以确保您的生活环境干净整洁,适合在家进行腹膜透析。您的医疗团队也会对您与您的家庭成员/看护者进行3-5天的培训,指导你们如何自行进行腹膜透析,以及做好腹膜透析导管的护理工作。

腹膜透析护士将进行家访,以确保您的生活环境干净整洁,适合在家进行腹膜透析。您还将接受3-5天的培训,您的医疗保健团队与您的家庭成员/看护者会一起学习如何自行进行腹膜透析,并把腹膜透析导管保持在最好的状态。

5. 我能采取什么措施预防慢性肾脏病?如果我有肾脏疾病,是否意味着我的家庭成员也有患慢性肾脏病的风险?

慢性肾脏病是随着时间的推移,肾功能逐渐退化直至完全丧失的一种慢性疾病。它通常到后期才会出现明显的症状。

通过健康的饮食和生活方式,以及优化慢性疾病的控制,特别是糖尿病和高血压,可以帮助避免患上肾脏疾病。

由于一家人的生活习惯是相似的,如果您的一级亲属(即父母、子女和兄弟姐妹)患有肾脏病,您在一生中患上此疾病的风险会增加。

定期进行健康检查也很重要,这样才能及早发现任何风险或症状,并更好地管理任何既存状况。

6. 我被诊断患上肾衰竭。如果我拒绝洗肾,会有什么后果?

洗肾治疗着重于缓解症状和管理肾衰竭的并发症,例如液体潴留引起的肿胀、毒素积累引起的皮肤瘙痒、贫血引起的疲劳、高钾和磷酸盐水平。

如果不进行洗肾治疗,毒素会累积在体内。根据毒素累积的速度和剩余的肾功能下降的速度,您可能只能存活几天到几周之间的时间。

7. 中药可以帮助改善我的肾功能吗?

现时并没有任何有利证据证明中药可以改善肾功能。肾衰竭是不可逆转的。

不要服用来源可疑的传统药物或保健品,因为它们可能引起严重的健康问题。如果您有肾脏疾病,请避免服用消炎止痛药,如双氯芬酸(扶他林)、萘普生(Synflex)、依托考昔(安痛易),因为这些药物可能会让您现有的肾功能退化。

在服用任何药物或补充剂之前,请咨询您的肾脏科医生。

经济和护理咨询服务

1. 我的家人晕倒了,准备在医院开始洗肾治疗,我现在应该怎么办?

请告知医院的医生或护士,您想向医疗社工寻求帮助。

肾脏科协调员和治疗团队会给病人/家属提供咨询服务,确保他们能及时得知有关各种治疗方案的利与弊。这样一来,病人能尽早选择适当的治疗。

医疗社工会把需要经济援助的病人转介给NKF。

2. 如果我没有能力支付昂贵的洗肾治疗费用,我可以在哪里寻求帮助?

如果您面临经济困难,请电邮至startright@nkfs.org或致电6506 2187。

我们的医疗社工会讨论,并针对各种支援方案向您提出建议,例如可获得的保险福利和承保范围。他们也可能进行财务评估,以确定您有资格获得的补贴

慢性肾脏病(CKD)病人的健康饮食和健身指南

1.我被诊断患上慢性肾脏病。我需要限制我的饮食吗?

如果病人患有慢性肾脏病,培养正确的饮食习惯是很重要的。目标是保护现有的肾脏功能,并延缓慢性肾脏病发展至第五阶段(亦称肾衰竭)的速度。

点击此处了解更多关于慢性肾脏病病人的正确饮食方式。

2. 如果我被诊断患上慢性肾脏病或肾衰 竭,我还可以继续运动吗?

可以。如果您的身体状况良好,我们鼓励慢性肾脏病和肾衰竭病人继续运动。

定期的运动有助于您保持肌肉力量和耐力,也能让您在日常活动中有能力保持独立。

点击此处了解更多有关适合您的运动类型。

其他

1.在洗肾期间我可以继续工作吗?

我们提供各种洗肾治疗方案,您可以按照您的工作时间来选择合适的方案。

如果您的雇主要求您担任全职工作,那么您可以选择在洗肾中心进行夜间血液透析或在家自己进行自动腹膜透析;两者都可以在您睡觉时进行。

error: Content is protected !!
K-Buddy
wpChatIcon
滚动至顶部

FAQ

General Enquiries

As there are limited car park lots available at NKF Centre visitors may need to park at the nearby HDB car parks in the vicinity.

NKF HQ Mondays –Thursdays
Fridays
PH / Weekends
8.30am –6.00pm
8.30am –5.00pm
Closed
Dialysis Centres Mondays –Saturdays
Sundays
PH
7.00am –11.00pm
Closed
7.00am –11.00pm

We are open on most public holidays except for the 1st day of Chinese New Year.

NKF does not provide ad hoc dialysis treatment. Our patients are on long-term dialysis treatment. You may wish to check with private dialysis centres for ad hoc dialysis treatments.

NKF does not have an outpatient clinic and hence, we are unable to arrange an appointment for members of the public. You may wish to contact a hospital of your choice for outpatient service.

Currently, NKF does not provide health report interpretation service. You may consult your General Practitioner who will be able to assist you.

Someone with kidney failure may not experience any signs and symptoms until it is too late. It is best to do a routine health screening to understand your health status better and detect any abnormalities as early as possible so that you can delay and manage the disease progression.

To know about the signs and symptoms please click here to learn more.

Decreased urination Swollen hands and ankles Sleep disturbances
Blood in the urine (tea-coloured or fresh blood) Puffiness around the eyes High blood pressure
Nausea and vomiting Itching Loss of appetite

All dialysis centres operate on 3 dialysis shifts –morning, noon and evening.

Morning Noon Evening
7.00am –12.00pm 12.00pm – 6.00pm 6.00pm –11.00pm
Timing of your dialysis schedule may vary for each dialysis centres.
Schedules
Monday, Wednesday and Friday (1,3,5) OR Tuesday, Thursday and Saturday (2,4,6)

Admissions

Our Admissions Counsellor will contact you once your application is finalised. They will be in contact with you soon.

From the day we receive the application form, it will take approximately 3 working days to a week for us to get back to you if you have submitted all completed supporting documents together with your application form to us. Generally, the whole process will take 6 months for the approval.

The overall application review process will take approximately 6 months before the applicant can start the first dialysis treatment. However, if the applicant is able to provide all completed supporting documents and if there is a slot available at the dialysis centre with a right match to the time slot, the waiting time could be shorter.

Currently, we do not have status checking service online. NKF Admissions Counsellor will be in contact with the applicants regarding the status.

You may pick it up from the NKF main office at 81 Kim Keat Road, Singapore 328836 or call us at 6506 2187 to have the forms sent to you.

Means Test is used to determine the amount of subsidies each person needing care is eligible for. Persons from lower income households will be granted higher subsidies under the means test framework.

Means Test subsidies calculation is based in accordance to MOH guidelines.

Our NKF Admissions Counsellor in-charge will contact you in regards to your means test status.

The Medical Social Workers at your hospital will be able to advise you on the different type of subsidies based on your financial situation.

Kidney Live Donor Support Fund

For information on kidney donation in Singapore, you may wish to contact the National Organ Transplant Unit at Tel: 6321 4390 or email organ.transplant@notu.com.sg.

NKF’s Kidney Live Donor Support Fund covers annual health screenings and medical follow-ups; one-time reimbursement for loss of 2 months actual income of $8,500, whichever is lower: reimbursement of hospitalisation and surgical insurance premiums (capped at MediShield Life premiums); pre-transplant screening and evaluation costs for up to 2 potential donors per kidney recipient; and insurance coverage for Group Living. Policy based on sum insured of $200,000.

For more information and eligibility, please click here. 

Donation & Volunteering

You can make the donation through different platforms:

  1. For online donation: please visit https://nkfs.org/support-us/donation-programmes/
  2. Or you may like to issue a cheque made payable to “The National Kidney Foundation” or “NKF” and mail it to us at 81 Kim Keat Road, Singapore 328836.
  3. Alternatively, you may contact us at 1800-KIDNEYS (5436397) or email us at lifedrops@nkfs.org to send you the donation form.
  4. Road Singapore 328836.

Thank you for your generosity. The cheque should be issued to “The National Kidney Foundation” or “NKF”.

Thank you for bequeathing your CPF contributions to NKF. You can fill up the CPF nomination form which can be downloaded from the CPF website. NKF’s UEN is 200104750M.

Thank you for your generosity. You may like to visit the Ministry of Law’s website where you can find a list of lawyers based in Singapore. Please visit https://eservices.mlaw.gov.sg/lsra/search-lawyer-or-law-firm/

Our UEN/ Company Registration No. / GST Registration No. is 200104750M.

Please send us an email at lifedrops@nkfs.org or call us at 1800-KIDNEYS (5436397) and we will assist you accordingly.

You may email your new mailing address to lifedrops@nkfs.org , Please include your full name, contact number, old mailing address and UEN or NRIC/FIN (last 3 digits)

You may email us at lifedrops@nkfs.org to get the donation form. Please fill up your new GIRO/credit card number, donation amount and sign the form. Thereafter, post the GIRO form back to NKF for processing.

For credit card, you may wish to scan the form and send it to NKF via either of these options:

Email – lifedrops@nkfs.org

Fax – 6253 0417

Mail – 81 Kim Keat Road, Singapore 328836

Please email us at lifedrops@nkfs.org with your full name, UEN/NRIC/FIN and mailing address.

Please email us at lifedrops@nkfs.org to have the termination form sent to you. Please fill it up and send it back to us for processing and auditing purposes.

All outright cash donations to NKF are entitled to tax deduction because NKF is a registered charity with an IPC (Institutions of Public Character) status. We are able to issue tax deductible receipts for qualifying donations to our donors.

You are entitled to a tax deduction of 2.5 times the value of your donation in the preceding year.

You may sign up via our website at https://onlinereg.nkfs.org/vms/volunteerapplicationform.aspx.

If you do not have access to the internet, please call us at 1800-KIDNEYS (5436397) to have the application form sent to you. Please fill it up and send it back to us at 81 Kim Keat Road Singapore 328836.

Once we receive your application, our colleague from the Donor and Volunteer Management Department will contact you for a phone interview. After which, you will be invited to attend our volunteer orientation. This is to allow you to have a better understanding of the volunteering activities.

The minimum age is 13 years old. For volunteers who are below the age of 21, you will need to get parental consent. You may download the consent form here.

We strongly encourage our volunteers to commit at least a year so that we can better support our patients. Our programmes and activities are flexible, you can choose your volunteering schedule according to your interest and availability.

You may volunteer with us basing on your availability. We will send a weekly email to our volunteers indicating the up-coming volunteering opportunities. You can then match your availability to the activity schedule.

We have an array of volunteering activities to suit your interest and availability. To learn more about the volunteering activities we offer, please visit https://nkfs.org/support-us/volunteer-programmes/.

Anyone and everyone can join us as a volunteer. All applicants will be required to undergo a mandatory orientation session where you will gain insights into the Foundation’s cause, kidney disease as well as learn more about the volunteering activities we offer. Regular trainings are also conducted for all volunteers so that they can better perform their role.

Most definitely! We welcome schools, companies and community groups to volunteer with us as part of their Values In Action and Corporate Social Responsibility activities. Please get in touch with us on your interest by sending an email to volunteer@nkfs.org.

Can't find what you are looking for?

Notice

Thank you for visiting our website.

All authorised procurement tenders or requests for proposal by NKF are exclusively posted on our official website. You may verify the information by visiting our official website or contacting us directly at contact_us@nkfs.org.