Hematuria, edema, back pain, urination, frequent urination, etc. are common symptoms of kidney disease. But does not explain the symptoms of kidney illness. If the above symptoms plus abnormal urine (proteinuria, hematuria, urinary tube, white blood cells in urine) or renal dysfunction, in order to be considered for kidney disease.
1 hematuria,
Of gross hematuria and microscopic hematuria. Blood or urine hematuria water or wash the meat with blood clots.
True and false hematuria hematuria:
Microscopic hematuria: centrifugal slag RBC ≥ 3 个 / HPF; calculate Fahrenheit or beef dish package count RBC ≥ 8000 个 / ml; excretion rate per hour or RBC> 100,000; or Addis' count RBC> 50 万 个 / 12h, Any of the above are true hematuria. Hematuria is true kidney, ureter, bladder, urethra and prostate lesions, but to exclude false hematuria.
False hematuria:
① like urine hematuria, not hematuria, such as paroxysmal nocturnal hemoglobinuria patients sauce or brown urine; certain foods (such as sugar beet, tomato leaf, pigments) can make the urine was red; certain drugs (Lee Fuping, Dilantin, phenothiazines, etc.) also allows the urine was red, but no check urine for the purpose of identification of RBC.
② transient hematuria, such as pollen, caused by chemicals or drugs, after strenuous exercise, viral infections (such as colds, etc.) can also occur, and only 1 to 2 times a check urine RBC ≥ 3 个 / HPF, several negative review, usually without significance.
③ forged hematuria, someone intentionally fake blood mixed with urine hematuria, remain excluded method is to observe the specimen.
④ pollution hematuria: Women's menstrual period pollution caused by the urine urine specimens. The above pseudo hematuria were not kidney disease. Only true hematuria before considering kidney disease.
2 edema
In addition to glomerular disease see edema, but also found in cardiac, hepatic, endocrine, malnutrition, edema.
Mind edema history of heart disease should have evidence of heart failure was significantly swollen and afternoon or evening, the next morning to alleviate the purpose of identification.
Have a history of liver hepatic edema, abnormal liver function, ascites, edema after extended limbs.
Endocrine edema common in women, have the disease, edema, no significant changes in the endocrine 24 hours, and by the non-significant depression.
Malnutrition, edema, malnutrition, weight loss and other manifestations due, and low serum albumin.
Identification of key points: whether the urine proteinuria.
Multiple renal edema caused by glomerular disease or other diseases caused by glomerular damage, loose tissue edema in place mainly to the eyelids and lower extremities obvious, and staggering the morning, afternoon or evening to reduce, accompanied by proteinuria, hematuria or granular casts. If edema patient urine is normal, basically ruled out kidney disease.
3 lumbago
In addition to the visible kidney disease, also visible muscle strain, lumbar three transverse process syndrome, lumbar disc herniation, lumbar osteoarthritis and gynecological diseases. Visible kidney stones kidney disease, obstructive nephropathy, a huge pelvis effusion, pyelonephritis, acute and chronic glomerulonephritis, renal vein thrombosis, nephrotic syndrome, renal cell carcinoma and renal inflammation around, but back pain caused by kidney disease should the following characteristics:
① tenderness in the spinal column and ribs or rib waist or upper ureter tenderness tenderness tenderness; ② significantly abnormal urine; ③ B-kidney, renal venography (IVP) had positive findings, further feasible CT. If these three points no tenderness tenderness, normal urine, further investigation of renal B-, IVP without exception, basically ruled out kidney disease.
4 Multi urine
Refers to the 24 hours urine over 2500ml, caused by a variety of reasons, non-nephrogenic diabetes insipidus, hyperglycemia diuretic, primary aldehyde steroids histiocytosis, primary hyperparathyroidism, psychological factors, heart failure recovery and so on. Chronic renal interstitial nephritis, acute tubular necrosis recovery, hypokalemic nephropathy, renal arteriosclerosis, kidney disease, such as calcium, renal and more conventional multi-pee or abnormal calcium or amino acid levels increased for the purpose of identification.
2014年6月13日星期五
Look at the skin to determine diabetic nephropathy
Skin is very important for everyone, it is the body and the external environment of isolation layer of our body plays a protective role. Changchun city hospital endocrine director Dou Anxiang tell you some discomfort when the skin symptoms, should be alert to the possibility of diabetes.
Dou Anxiang director, said some of the symptoms of diabetic nephropathy have skin manifestations, such as skin erythema, which resembles a burn of blisters, which contains a transparent slurry bubble around no flush. Most of these erythema long finger, toe, hand, foot and the back or bottom edge can form single or multiple appear within a few weeks to heal, but it will again appear.
Some patients with diabetes occurs systemic or local dry skin scaling, itchy; Youyi vaginal itching is more common in female patients. Pus may appear in the occipital head neck prickly kind of inflammation, tenderness, and may develop into boils or cellulitis. After pus discharge can heal, but after a while will relapse. Patients with diabetes often occurs for no reason, sweating, and more common in the upper limbs or trunk, and some patients even sweating phenomenon occurs.
Poor peripheral circulation in patients with diabetes, prone to foot pain, dry and easy to crack, prone to ulcers, purulent, necrosis, and difficult to heal.
Patients with diabetes also easy flexor side in the limbs, buttocks, neck, knee, etc. The skin flocks of yellow-orange burst small nodules or papules around to flush and itching feeling. So to remind you that when the occurrence of symptoms of the skin, especially after a dermatologist for treatment, while still recurrent, should be alert to the possibility of diabetes.
Dou Anxiang director, said some of the symptoms of diabetic nephropathy have skin manifestations, such as skin erythema, which resembles a burn of blisters, which contains a transparent slurry bubble around no flush. Most of these erythema long finger, toe, hand, foot and the back or bottom edge can form single or multiple appear within a few weeks to heal, but it will again appear.
Some patients with diabetes occurs systemic or local dry skin scaling, itchy; Youyi vaginal itching is more common in female patients. Pus may appear in the occipital head neck prickly kind of inflammation, tenderness, and may develop into boils or cellulitis. After pus discharge can heal, but after a while will relapse. Patients with diabetes often occurs for no reason, sweating, and more common in the upper limbs or trunk, and some patients even sweating phenomenon occurs.
Poor peripheral circulation in patients with diabetes, prone to foot pain, dry and easy to crack, prone to ulcers, purulent, necrosis, and difficult to heal.
Patients with diabetes also easy flexor side in the limbs, buttocks, neck, knee, etc. The skin flocks of yellow-orange burst small nodules or papules around to flush and itching feeling. So to remind you that when the occurrence of symptoms of the skin, especially after a dermatologist for treatment, while still recurrent, should be alert to the possibility of diabetes.
How to diagnose diabetic nephropathy
Diabetic nephropathy is a serious complication of diabetes. Mainly renal vascular disease, microvascular and macrovascular involving former glomerular sclerosis, which cause renal artery, renal arteriosclerosis.
For patients already diagnosed with diabetes, you should pay close attention, especially urinary protein albumin in urine, renal function and blood pressure, as the course of the gradual emergence of microalbuminuria, proteinuria, renal dysfunction ensemble, the diagnosis of diabetic nephropathy is not difficulties. History of diabetes for several years with persistent microalbuminuria (UAE often in the 20 ~ 200 μg / min or 30 ~ 300 mg / d room), which should be suspected "of early diabetic nephropathy"; If history is longer, urinary protein, Even massive proteinuria and nephrotic syndrome, which should be considered "clinical diabetic nephropathy" diagnosis. Difficult cases of renal biopsy should be performed to check if there is no significant glomerular cell proliferation, and diffuse mesangial matrix and GBM extensively widened thickening (early to rely on electron microscopic examination confirmed), especially when nodules appear Kimmelstiel-Wilson, diagnosis can be established.
The clinical diagnosis of diabetic nephropathy:
(1) For early diabetes or diabetes and kidney disease also found that the diagnosis requires a combination of damage to other organ systems, such as diabetes, diabetic retinopathy and peripheral neuropathy, kidney damage, but the performance can be ruled out due to other causes, as well as diabetes Some features, such as hematuria rare kidney disease, kidney failure, although entering the period but no significant reduction in urinary protein excretion, renal volume increase or decrease the degree of renal function is not parallel (renal amyloidosis should be differentiated) for renal biopsy if necessary biopsy.
(2) In the course of diabetes sudden renal dysfunction, renal function should first rule out other causes of loss, especially for the early stage of diabetes, proteinuria <lg/24h person. When diabetes is often not accurately reflect serum creatinine in patients with renal function, mainly due to reduction of malnutrition and muscle mass so that creatinine generation decline, causing increased serum creatinine and GFR decline is not parallel; while ketone bodies will enable increased creatinine measurements. When DN kidney failure, can be caused by many clinical manifestations of uremia, may also be caused by other complications of diabetes, should be carefully identified. Such as diabetic autonomic neuropathy can cause a range of performance, gastroparesis cause nausea, vomiting; sensory peripheral neuropathy caused limb abnormalities; orthostatic hypotension.
(3) primary glomerular disease often some characteristic changes, a number of significant pathology hematuria; hypertensive renal arteriosclerosis mainly involving people efferent arterioles, and often have retinal arteriosclerosis and left ventricular hypertrophy Heart. Renal amyloidosis and light chain deposition nephropathy in mesangial area, although visible tuberous sclerosis, but Congo red stain was negative, and there are other characteristic features; addition, primary glomerular disease may be associated with diabetes and hypertension coexist in the pathogenesis without contact.
For patients already diagnosed with diabetes, you should pay close attention, especially urinary protein albumin in urine, renal function and blood pressure, as the course of the gradual emergence of microalbuminuria, proteinuria, renal dysfunction ensemble, the diagnosis of diabetic nephropathy is not difficulties. History of diabetes for several years with persistent microalbuminuria (UAE often in the 20 ~ 200 μg / min or 30 ~ 300 mg / d room), which should be suspected "of early diabetic nephropathy"; If history is longer, urinary protein, Even massive proteinuria and nephrotic syndrome, which should be considered "clinical diabetic nephropathy" diagnosis. Difficult cases of renal biopsy should be performed to check if there is no significant glomerular cell proliferation, and diffuse mesangial matrix and GBM extensively widened thickening (early to rely on electron microscopic examination confirmed), especially when nodules appear Kimmelstiel-Wilson, diagnosis can be established.
The clinical diagnosis of diabetic nephropathy:
(1) For early diabetes or diabetes and kidney disease also found that the diagnosis requires a combination of damage to other organ systems, such as diabetes, diabetic retinopathy and peripheral neuropathy, kidney damage, but the performance can be ruled out due to other causes, as well as diabetes Some features, such as hematuria rare kidney disease, kidney failure, although entering the period but no significant reduction in urinary protein excretion, renal volume increase or decrease the degree of renal function is not parallel (renal amyloidosis should be differentiated) for renal biopsy if necessary biopsy.
(2) In the course of diabetes sudden renal dysfunction, renal function should first rule out other causes of loss, especially for the early stage of diabetes, proteinuria <lg/24h person. When diabetes is often not accurately reflect serum creatinine in patients with renal function, mainly due to reduction of malnutrition and muscle mass so that creatinine generation decline, causing increased serum creatinine and GFR decline is not parallel; while ketone bodies will enable increased creatinine measurements. When DN kidney failure, can be caused by many clinical manifestations of uremia, may also be caused by other complications of diabetes, should be carefully identified. Such as diabetic autonomic neuropathy can cause a range of performance, gastroparesis cause nausea, vomiting; sensory peripheral neuropathy caused limb abnormalities; orthostatic hypotension.
(3) primary glomerular disease often some characteristic changes, a number of significant pathology hematuria; hypertensive renal arteriosclerosis mainly involving people efferent arterioles, and often have retinal arteriosclerosis and left ventricular hypertrophy Heart. Renal amyloidosis and light chain deposition nephropathy in mesangial area, although visible tuberous sclerosis, but Congo red stain was negative, and there are other characteristic features; addition, primary glomerular disease may be associated with diabetes and hypertension coexist in the pathogenesis without contact.
IGA nephropathy for treatment and care methods
Just something to do, and kidney disease relationship, it is not small problems, such as IGA nephropathy. With the improvement of living standards, working pressure increases, coupled with the effects of bad habits, the incidence of IGA nephropathy leading to higher and higher, then after suffering from the disease, what method to treat it? Here to listen to introduce experts.
1, clearance of immune complexes, adjust the body is the key. Clearance of immune complexes as possible to prevent continued deposition of immune complexes. In the meantime, try to make the patient's body from troubled upper respiratory tract infections and other factors.
2, the general treatment: the traditional view that the iga nephropathy currently, there is no fundamental treatment is still in remission of symptoms, and treatment experience treatment phase, mainly based on the patient's condition, treatment hematuria and proteinuria, control of the disease.
3, drug treatment: drug therapy treatments when most of the disease, clinically for patients with IgA nephropathy, is mainly used immunosuppressive agents, and hormones control the disease.
4, dialysis and kidney transplant: Dialysis and kidney transplantation, is iga nephropathy in patients with advanced methods of treating diseases take, dialysis and kidney transplant patients, the pain is also great, not patients with physical, economic conditions are not not pass Such a means of maintaining life.
care iga nephropathy as follows:
1, carbohydrate and fat intake, generally do not add restrictions. To ensure an adequate supply of heat. Hyperkalemia in patients with sustained oliguria, to avoid high potassium content of foods, such as fruits and a variety of fruit juice. Ensure rich in vitamin A, B vitamins, vitamin C food supply, mainly fresh vegetables, fruits should try to eat more.
2, patients with edema and hypertension syndrome, should be in accordance with conditions were used salt, sodium salt-less food. Salt refers to the daily intake of less than 3 grams of salt, salt is the daily diet without added salt, not eating foods containing salt, low sodium food, is the daily dietary sodium content, the maximum not more than 1000 mg, in addition to salt, high sodium foods should be controlled.
3, light diet, do not eat spicy. Oily, dry and hot products. Eat less fried. Frying of food. Xin dry to prevent flare up, forcing the blood folly. Quit alcohol, Section intercourse. Carefully rest, avoid strenuous exercise rabbit, excessive fatigue. Less ill. Be gradual and appropriate exercise.
4, for repeated illness, duration of suffering a lingering, to give spiritual comfort, life help. Encourage tree confidence, and guide the patient to actively heal. Tubing avoid styled, in order to avoid loss of government mistreatment, actually worsened symptoms. Education must be a long-term cure in patients with chronic diseases to overcome impatience, fear emotions.
About IGA nephropathy treatment and care, small series to introduce you here, hope can help to you, oh, kidney disease experts advise, IGA nephropathy hazard for us certainly not small, so when we are suffering from this disease , to be treated seriously, and do care for this disease. I wish you a speedy recovery.
1, clearance of immune complexes, adjust the body is the key. Clearance of immune complexes as possible to prevent continued deposition of immune complexes. In the meantime, try to make the patient's body from troubled upper respiratory tract infections and other factors.
2, the general treatment: the traditional view that the iga nephropathy currently, there is no fundamental treatment is still in remission of symptoms, and treatment experience treatment phase, mainly based on the patient's condition, treatment hematuria and proteinuria, control of the disease.
3, drug treatment: drug therapy treatments when most of the disease, clinically for patients with IgA nephropathy, is mainly used immunosuppressive agents, and hormones control the disease.
4, dialysis and kidney transplant: Dialysis and kidney transplantation, is iga nephropathy in patients with advanced methods of treating diseases take, dialysis and kidney transplant patients, the pain is also great, not patients with physical, economic conditions are not not pass Such a means of maintaining life.
care iga nephropathy as follows:
1, carbohydrate and fat intake, generally do not add restrictions. To ensure an adequate supply of heat. Hyperkalemia in patients with sustained oliguria, to avoid high potassium content of foods, such as fruits and a variety of fruit juice. Ensure rich in vitamin A, B vitamins, vitamin C food supply, mainly fresh vegetables, fruits should try to eat more.
2, patients with edema and hypertension syndrome, should be in accordance with conditions were used salt, sodium salt-less food. Salt refers to the daily intake of less than 3 grams of salt, salt is the daily diet without added salt, not eating foods containing salt, low sodium food, is the daily dietary sodium content, the maximum not more than 1000 mg, in addition to salt, high sodium foods should be controlled.
3, light diet, do not eat spicy. Oily, dry and hot products. Eat less fried. Frying of food. Xin dry to prevent flare up, forcing the blood folly. Quit alcohol, Section intercourse. Carefully rest, avoid strenuous exercise rabbit, excessive fatigue. Less ill. Be gradual and appropriate exercise.
4, for repeated illness, duration of suffering a lingering, to give spiritual comfort, life help. Encourage tree confidence, and guide the patient to actively heal. Tubing avoid styled, in order to avoid loss of government mistreatment, actually worsened symptoms. Education must be a long-term cure in patients with chronic diseases to overcome impatience, fear emotions.
About IGA nephropathy treatment and care, small series to introduce you here, hope can help to you, oh, kidney disease experts advise, IGA nephropathy hazard for us certainly not small, so when we are suffering from this disease , to be treated seriously, and do care for this disease. I wish you a speedy recovery.
IgA nephropathy Care What precautions
Literally it seems, we know that chronic nephritis and kidney should be a relationship! You're right, you must also ask, chronic nephritis friend what to major in the diet?
Chronic nephritis, kidney damage generally lighter, only proteinuria, occult and other symptoms, treatment of this stage is relatively easy. Chronic nephritis generally use western medicine, proteinuria, occult easy to get in but the time control, but also easy to develop late in the cold, under recurrent infection, the disease is constantly repeated in anemia, severe high blood pressure, nausea, vomiting, etc. symptoms, and eventually developed into uremia.
Chronic nephritis is a chronic disease, in order to immediately and completely cured, it almost did not this is possible. To this end, all of the rehabilitation treatment at the same time is precious. So below chronic nephritis can not tell you what foods to eat, and I hope to patients with some help.
Limit salt
Edema and blood volume relationship, sodium great. Per 1 g of salt can be brought into the water, nephritis patients, such as eating too much salt is about 110 ml, and urinary function and damage, often aggravate symptoms of edema, blood volume increases, resulting in heart failure, chronic glomerulonephritis and therefore must be limited salt, to give low-salt diet. Daily salt intake should be controlled at 2-4 grams or less, to prevent edema and blood volume increases, the occurrence of accidents.
High limit foods high in purine and nitrogen
In order to reduce the burden on the kidneys, should be limited to stimulate kidney cells foods such as spinach, celery, radishes, beans, soy products, sardines and chicken broth, soup, broth, etc.. Because these foods are high in purine and nitrogen high, renal dysfunction, its metabolites can not be discharged, have a negative impact on renal function.
Hanged strong spices
Strong spices such as pepper, mustard, coffee guts, peppers and other adverse renal function, should not eat. MSG due after more food will thirst, while limiting the amount of water, it should be less MSG.
Limiting plant proteins
Protein intake should be considered in renal function circumstances. Control of protein intake can also achieve the purpose of phosphorus, generally 0.6 g / kg body weight per day, half of which is high-quality protein (animal protein rich in essential amino acids), such as eggs, lean meat, milk and so on.
Chronic nephritis, kidney damage generally lighter, only proteinuria, occult and other symptoms, treatment of this stage is relatively easy. Chronic nephritis generally use western medicine, proteinuria, occult easy to get in but the time control, but also easy to develop late in the cold, under recurrent infection, the disease is constantly repeated in anemia, severe high blood pressure, nausea, vomiting, etc. symptoms, and eventually developed into uremia.
Chronic nephritis is a chronic disease, in order to immediately and completely cured, it almost did not this is possible. To this end, all of the rehabilitation treatment at the same time is precious. So below chronic nephritis can not tell you what foods to eat, and I hope to patients with some help.
Limit salt
Edema and blood volume relationship, sodium great. Per 1 g of salt can be brought into the water, nephritis patients, such as eating too much salt is about 110 ml, and urinary function and damage, often aggravate symptoms of edema, blood volume increases, resulting in heart failure, chronic glomerulonephritis and therefore must be limited salt, to give low-salt diet. Daily salt intake should be controlled at 2-4 grams or less, to prevent edema and blood volume increases, the occurrence of accidents.
High limit foods high in purine and nitrogen
In order to reduce the burden on the kidneys, should be limited to stimulate kidney cells foods such as spinach, celery, radishes, beans, soy products, sardines and chicken broth, soup, broth, etc.. Because these foods are high in purine and nitrogen high, renal dysfunction, its metabolites can not be discharged, have a negative impact on renal function.
Hanged strong spices
Strong spices such as pepper, mustard, coffee guts, peppers and other adverse renal function, should not eat. MSG due after more food will thirst, while limiting the amount of water, it should be less MSG.
Limiting plant proteins
Protein intake should be considered in renal function circumstances. Control of protein intake can also achieve the purpose of phosphorus, generally 0.6 g / kg body weight per day, half of which is high-quality protein (animal protein rich in essential amino acids), such as eggs, lean meat, milk and so on.
IgA nephropathy how proper diet?
IgA nephropathy is a high incidence of the disease, in addition to timely scientific healing, the daily diet is also another dose of medicine to heal IgA nephropathy, IgA nephropathy diet should pay attention to what?
A, IgA nephropathy protein diet Note: the incidence of acute glomerulonephritis 3 days to 6 days, glomerular filtration rate, it will happen a transient azotemia, and therefore should pay attention to protein diet, eating high quality protein foods election such as milk, eggs, lean meat, fish and so on.
Second, low salt low sodium diet: patients with edema and hypertension should use low-salt, no salt or low-sodium diet. Low-salt diet ordinary day with less than 3 grams of salt or soy sauce 10 ml to 15 ml, IgA nephropathy salt diet where more attention should avoid eating foods such as pickles, pickles, salted egg, egg, bacon, seafood, salty complexion, noodles, etc. should be prevented. Salt-free diet is cooking, add salt and soy sauce.
Third, pay attention to high potassium foods: When displaying oliguria, no urine or blood potassium decreased, should pay attention to potassium rich vegetables and fruits, such as bean sprouts, leeks, garlic, celery, cauliflower, toon, spinach, bamboo shoots, bamboo shoots, Lily, dry dates, fresh mushrooms, seaweed, mustard, Sichuan preserved vegetables, bamboo shoots, mushrooms, apricots, lotus root, sorghum, corn, lentils, tomato, gourd, bitter gourd, etc.
Fourth, pay attention to the amount of fluid: the daily urine output should be controlled in accordance with the amount of fluid. IgA nephropathy dietary supplement is to pay attention to ordinary supplement day before discharge of urine, the more fluid intake 500 ml to 1000 ml.
Condition for their patients to identify the etiology of IgA nephropathy, promptly go to a regular hospital for treatment, and to pay attention to develop good eating habits, which is conducive to treatment and recovery.
A, IgA nephropathy protein diet Note: the incidence of acute glomerulonephritis 3 days to 6 days, glomerular filtration rate, it will happen a transient azotemia, and therefore should pay attention to protein diet, eating high quality protein foods election such as milk, eggs, lean meat, fish and so on.
Second, low salt low sodium diet: patients with edema and hypertension should use low-salt, no salt or low-sodium diet. Low-salt diet ordinary day with less than 3 grams of salt or soy sauce 10 ml to 15 ml, IgA nephropathy salt diet where more attention should avoid eating foods such as pickles, pickles, salted egg, egg, bacon, seafood, salty complexion, noodles, etc. should be prevented. Salt-free diet is cooking, add salt and soy sauce.
Third, pay attention to high potassium foods: When displaying oliguria, no urine or blood potassium decreased, should pay attention to potassium rich vegetables and fruits, such as bean sprouts, leeks, garlic, celery, cauliflower, toon, spinach, bamboo shoots, bamboo shoots, Lily, dry dates, fresh mushrooms, seaweed, mustard, Sichuan preserved vegetables, bamboo shoots, mushrooms, apricots, lotus root, sorghum, corn, lentils, tomato, gourd, bitter gourd, etc.
Fourth, pay attention to the amount of fluid: the daily urine output should be controlled in accordance with the amount of fluid. IgA nephropathy dietary supplement is to pay attention to ordinary supplement day before discharge of urine, the more fluid intake 500 ml to 1000 ml.
Condition for their patients to identify the etiology of IgA nephropathy, promptly go to a regular hospital for treatment, and to pay attention to develop good eating habits, which is conducive to treatment and recovery.
2014年6月11日星期三
Patients should eat and not eat IgA nephropathy
For patients with IgA promote low lipoprotein diet, limiting food intake of phosphorus excess dietary protein; due to this disease is often accompanied by pharyngitis and tonsillitis, so the diet should be light, spicy, thick and greasy forbidden goods, and avoid alcohol. Common herbs are:
Shepherd's purse porridge: fresh shepherd's purse 250g (or dry shepherd's purse 90g, wild shepherd's purse better), washed and cut over, with rice 100g, porridge eating, cure hematuria.
Black Beans Congee: black beans, Yiyiren, lotus seeds. Jujube meat (with skin), each 50g, rice 200g, add water, porridge eating, can cure high proteinuria, hypoalbuminemia.
Loofah drink: old loofah paragraph 1, the loofah wash boil water, cool drink when informality. There are cooling bleeding effect, rule hematuria.
Cordyceps chicken soup: Cordyceps 10g, Wuji 1, 10 quail eggs, stewed eat, 1-2 times a week. The party Yiqibushen, righting, Jiufu physical health, enhance disease resistance, reducing the chance of infection, symptoms and reduce the number of IgA hematuria attacks.
Gorgon flour porridge: Gorgon commonly known as "beheaded meters" Gorgon powder 30g, walnut meat 15g, jujube 10 to go nuclear. First Gorgon powder into a paste with cold water, stir into the boiling water, then add the walnut meat, boiled meat paste jujube porridge, daily consumption. There are solid of kidney function, proteinuria and kidney of governance, hematuria.
These foods are described above for iga nephropathy patients healthy advantageous if long stick, certainly for recovery of the disease can play a positive role. Each method has its scientific, but does not mean that every patient can be in strict accordance with IgA party food, in order to improve its efficiency, you can ask our expert advice before you choose to cure the side, more reasonable under the guidance of experts applicable, play better results.
Patients best not to eat the kinds of food:
Egg: contains lead poisoning.
Tofu: hydrogen sulfide, damaged organs.
MSG: glutamate, heating zoom of glutamic acid, carcinogenic.
Instant noodles: Needless to say, preservatives.
Sunflower seeds: unsaturated fatty acids affect liver function, and easy to get fat.
Spinach: Do not eat more than 40 years old, containing oxalic acid, and zinc binding, and calcium-binding, leading to calcium deficiency.
Liver: a pound contains 400 grams of cholesterol, the highest of all the internal organs inside.
Roast beef and mutton: Piper containing benzene and carcinogenic.
Pickles, sauerkraut: nitrite-containing amines, carcinogenic.
Fritters: alum aluminum, kidney damage, affecting brain cells, leading to dementia.
IgA nephropathy is a chronic disease, kidney disease saying "two-thirds rule, seven support", in everyday life, in addition to the normal structure of the treatment must pay attention to their own diet and nutrition, two-pronged approach so that you can better and faster back to health.
Shepherd's purse porridge: fresh shepherd's purse 250g (or dry shepherd's purse 90g, wild shepherd's purse better), washed and cut over, with rice 100g, porridge eating, cure hematuria.
Black Beans Congee: black beans, Yiyiren, lotus seeds. Jujube meat (with skin), each 50g, rice 200g, add water, porridge eating, can cure high proteinuria, hypoalbuminemia.
Loofah drink: old loofah paragraph 1, the loofah wash boil water, cool drink when informality. There are cooling bleeding effect, rule hematuria.
Cordyceps chicken soup: Cordyceps 10g, Wuji 1, 10 quail eggs, stewed eat, 1-2 times a week. The party Yiqibushen, righting, Jiufu physical health, enhance disease resistance, reducing the chance of infection, symptoms and reduce the number of IgA hematuria attacks.
Gorgon flour porridge: Gorgon commonly known as "beheaded meters" Gorgon powder 30g, walnut meat 15g, jujube 10 to go nuclear. First Gorgon powder into a paste with cold water, stir into the boiling water, then add the walnut meat, boiled meat paste jujube porridge, daily consumption. There are solid of kidney function, proteinuria and kidney of governance, hematuria.
These foods are described above for iga nephropathy patients healthy advantageous if long stick, certainly for recovery of the disease can play a positive role. Each method has its scientific, but does not mean that every patient can be in strict accordance with IgA party food, in order to improve its efficiency, you can ask our expert advice before you choose to cure the side, more reasonable under the guidance of experts applicable, play better results.
Patients best not to eat the kinds of food:
Egg: contains lead poisoning.
Tofu: hydrogen sulfide, damaged organs.
MSG: glutamate, heating zoom of glutamic acid, carcinogenic.
Instant noodles: Needless to say, preservatives.
Sunflower seeds: unsaturated fatty acids affect liver function, and easy to get fat.
Spinach: Do not eat more than 40 years old, containing oxalic acid, and zinc binding, and calcium-binding, leading to calcium deficiency.
Liver: a pound contains 400 grams of cholesterol, the highest of all the internal organs inside.
Roast beef and mutton: Piper containing benzene and carcinogenic.
Pickles, sauerkraut: nitrite-containing amines, carcinogenic.
Fritters: alum aluminum, kidney damage, affecting brain cells, leading to dementia.
IgA nephropathy is a chronic disease, kidney disease saying "two-thirds rule, seven support", in everyday life, in addition to the normal structure of the treatment must pay attention to their own diet and nutrition, two-pronged approach so that you can better and faster back to health.
Occult nephritis is a severe kidney disease do
Occult nephritis is an asymptomatic nephritis, because there is no obvious clinical discomfort is named, then this asymptomatic nephritis symptoms are severe it will be, the following Xiaobian to learn along with them the next.
Occult nephritis is a severe kidney disease do? Occult nephritis is an asymptomatic nephritis, because there is no obvious clinical discomfort named. For this reason, in the clinical treatment is the best time, but also a critical stage, if you can actively improve treatment fundamentally fix in place, usually can be cured, blocking disease progression.
The main reason is that the incidence of occult nephritis inflammation after infection with the human factor, it will make a lot of blood to form immune complexes precipitate in the glomerular capillary loops and mesangial areas, mainly in the early mesangial cell proliferation dominated the late accompanied by an increase in the matrix, kidney ischemia and hypoxia in the state, resulting in immune-mediated glomerular injury in mesangial cells, to the detriment of the normal function of glomerular mesangial cells, vascular hair, resulting in mesangial Cells original physiological barrier function is impaired.
Occult nephritis serious? From the above analysis, the occult nephritis induced cell damage due to intrinsic kidney, kidney fibrosis. Our hospital for treatment of the disease, the adoption of the Micro-Chinese Medicine penetration therapy kidney disease have a unique insight, pure Chinese characteristics systemic immune function after the swap, repair glomerular basement membrane, the active ingredients of drugs into the patient through acupuncture penetration and diffusion kidney, in order to pass kidney meridians, promoting blood circulation, detoxification Jiangzhuo as a method to clear the kidneys, activate kidney function for the purpose. Promote and improve the already shrinking necrosis of renal microcirculation, accelerate metabolism and kidney disease, the active ingredient in the drug fully play its role, repair damaged glomeruli, enhanced glomerular re-learn, to restore normal physiological function of the kidneys, so as to achieve treatment effect.
Occult nephritis is a severe kidney disease do? Occult nephritis disease is generally more difficult to find, if not promptly treated there will be serious consequences, and will lead to the phenomenon of some complications. Patients must understand its causes and symptoms, treatment should be done as soon as possible to discover.
Occult nephritis is a severe kidney disease do? Occult nephritis is an asymptomatic nephritis, because there is no obvious clinical discomfort named. For this reason, in the clinical treatment is the best time, but also a critical stage, if you can actively improve treatment fundamentally fix in place, usually can be cured, blocking disease progression.
The main reason is that the incidence of occult nephritis inflammation after infection with the human factor, it will make a lot of blood to form immune complexes precipitate in the glomerular capillary loops and mesangial areas, mainly in the early mesangial cell proliferation dominated the late accompanied by an increase in the matrix, kidney ischemia and hypoxia in the state, resulting in immune-mediated glomerular injury in mesangial cells, to the detriment of the normal function of glomerular mesangial cells, vascular hair, resulting in mesangial Cells original physiological barrier function is impaired.
Occult nephritis serious? From the above analysis, the occult nephritis induced cell damage due to intrinsic kidney, kidney fibrosis. Our hospital for treatment of the disease, the adoption of the Micro-Chinese Medicine penetration therapy kidney disease have a unique insight, pure Chinese characteristics systemic immune function after the swap, repair glomerular basement membrane, the active ingredients of drugs into the patient through acupuncture penetration and diffusion kidney, in order to pass kidney meridians, promoting blood circulation, detoxification Jiangzhuo as a method to clear the kidneys, activate kidney function for the purpose. Promote and improve the already shrinking necrosis of renal microcirculation, accelerate metabolism and kidney disease, the active ingredient in the drug fully play its role, repair damaged glomeruli, enhanced glomerular re-learn, to restore normal physiological function of the kidneys, so as to achieve treatment effect.
Occult nephritis is a severe kidney disease do? Occult nephritis disease is generally more difficult to find, if not promptly treated there will be serious consequences, and will lead to the phenomenon of some complications. Patients must understand its causes and symptoms, treatment should be done as soon as possible to discover.
Common symptoms of kidney disease in children which
Common symptoms of kidney disease in children have? The main reason is due to children with nephrotic children's immune system problems caused by this time, if not controlled, it can lead to complications, pediatric kidney, then we must actively to treat, let's take a look at children with kidney disease What are the common symptoms.
Common symptoms of kidney disease in children which
1, hypoalbuminemia
Due to a large number of patients with proteinuria, resulting in the loss of a plasma protein, reduced plasma total protein, albumin and globulin ratio inversion, a significant reduction in albumin levels.
2, the degree of edema
Edema is the most obvious symptom in patients with nephrotic syndrome, began more common in the face, and then gradually throughout the limbs and trunk, mainly for systemic edema. The most obvious place edema of the face, legs and scrotum, or more seriously, there is liquid oozing.
3, the external manifestations
Due to a large number of missing protein, protein malnutrition in children may occur, such as brown hair, follicular keratosis, dry skin. Also associated with malnutrition, anemia, children sleep, lack of exercise, growth retardation, poor immunity.
4, proteinuria
Proteinuria is a major manifestation of the common symptoms of kidney disease in children, due to the change in glomerular permeability, resulting in a large number of infiltration from the blood plasma proteins, forming proteinuria. Urine contains a large number of patients because of the protein, generally foamy urine.
The above is to introduce the "common symptoms of kidney disease in children what." I hope parents and friends can be more concerned about the children, after all, we are so hard to be able to give their children a good life, if the child is sick, and then regret it later.
Common symptoms of kidney disease in children which
1, hypoalbuminemia
Due to a large number of patients with proteinuria, resulting in the loss of a plasma protein, reduced plasma total protein, albumin and globulin ratio inversion, a significant reduction in albumin levels.
2, the degree of edema
Edema is the most obvious symptom in patients with nephrotic syndrome, began more common in the face, and then gradually throughout the limbs and trunk, mainly for systemic edema. The most obvious place edema of the face, legs and scrotum, or more seriously, there is liquid oozing.
3, the external manifestations
Due to a large number of missing protein, protein malnutrition in children may occur, such as brown hair, follicular keratosis, dry skin. Also associated with malnutrition, anemia, children sleep, lack of exercise, growth retardation, poor immunity.
4, proteinuria
Proteinuria is a major manifestation of the common symptoms of kidney disease in children, due to the change in glomerular permeability, resulting in a large number of infiltration from the blood plasma proteins, forming proteinuria. Urine contains a large number of patients because of the protein, generally foamy urine.
The above is to introduce the "common symptoms of kidney disease in children what." I hope parents and friends can be more concerned about the children, after all, we are so hard to be able to give their children a good life, if the child is sick, and then regret it later.
2014年6月9日星期一
Recurrent kidney stones look Thyroid
Broken stones and long, low back pain unbearable. 30-year-old Liu recurrent kidney stones in recent years, much troubled, recently went to the hospital only to find out the root cause of a detailed examination - hyperparathyroidism, need medication.
Had kidney stones, most people tend to think of the urinary system, in fact, due to hyperparathyroidism in patients with kidney stones caused by a minority. Is one of the parathyroid glands of the body, in front of the neck, next to the thyroid, parathyroid hormone secretion main role is. Human parathyroid hormone can regulate calcium and phosphorus balance, so the bones of calcium into the bloodstream. If hyperparathyroidism, can cause hypercalcemia, once the recovery is beyond the ability of the kidney, a lot of calcium goes into the urine, deposition in the kidney stone formation. If these patients solely on the basis of the urinary system diseases, is a palliative. Due to the high concentration of calcium in the blood of kidney stones provides a lot of "raw material", stones are endless row. Therefore, if repeated kidney stones, or no obvious incentive multiple urinary stones, you need to check the level of parathyroid hormone and serum calcium concentrations.
In addition to hyperparathyroidism, there are many diseases can cause kidney stones. Gout of blood, urine uric acid increased, easy to form uric acid stones; fractures, bone tuberculosis patients bedridden or plaster, or spinal cord injury, paralysis patient, can lead to bone demineralization, it increases urinary calcium, but also easy to induce stones. In addition, urinary tract congenital malformations, pyelonephritis, cystitis, urinary tract infections and other diseases can also cause stones. If adult overdose vitamin D, may also induce kidney stones.
Had kidney stones, most people tend to think of the urinary system, in fact, due to hyperparathyroidism in patients with kidney stones caused by a minority. Is one of the parathyroid glands of the body, in front of the neck, next to the thyroid, parathyroid hormone secretion main role is. Human parathyroid hormone can regulate calcium and phosphorus balance, so the bones of calcium into the bloodstream. If hyperparathyroidism, can cause hypercalcemia, once the recovery is beyond the ability of the kidney, a lot of calcium goes into the urine, deposition in the kidney stone formation. If these patients solely on the basis of the urinary system diseases, is a palliative. Due to the high concentration of calcium in the blood of kidney stones provides a lot of "raw material", stones are endless row. Therefore, if repeated kidney stones, or no obvious incentive multiple urinary stones, you need to check the level of parathyroid hormone and serum calcium concentrations.
In addition to hyperparathyroidism, there are many diseases can cause kidney stones. Gout of blood, urine uric acid increased, easy to form uric acid stones; fractures, bone tuberculosis patients bedridden or plaster, or spinal cord injury, paralysis patient, can lead to bone demineralization, it increases urinary calcium, but also easy to induce stones. In addition, urinary tract congenital malformations, pyelonephritis, cystitis, urinary tract infections and other diseases can also cause stones. If adult overdose vitamin D, may also induce kidney stones.
Symptomatic treatment of kidney stones four diet therapy
We all know that many causes of kidney stones, hereditary factors, metabolic factors, infectious factors, environmental factors, dietary factors, anatomical factors, drug factors, and so on. Its pathogenesis is very complex. We can understand the components of urine, a brief formation of kidney stones. The main effect of voiding the discharge of wastes generated by metabolism. People discharged approximately 1500ml urine a day, took about 30 grams -50 grams of waste. These wastes include: urea, uric acid, creatinine, various acidic substances (hydrogen ions, lactic acid, glucuronic acid, β-hydroxybutyric acid, oxalic acid, citric acid, etc.), various salts (calcium, phosphorus, magnesium, potassium, sodium, ammonium, chloride, etc.). Higher concentrations of these substances in the urine, but the human kidney can maintain the balance of these substances, excreted in a dissolved state. If the urine is too small, then the solubility of these substances in smaller calcium oxalate, calcium phosphate, uric acid, magnesium ammonium phosphate and other substances will form crystals - is tiny stones. Typically people will be discharged unknowingly these tiny stones. Reasons for the formation of these stones is to change some of the ingredients of the urine, breaking the balance of urine, first forming tiny stones, pathogenic factors in the long-term effects, crystallinity continue to grow and eventually develop into a clinically meaningful kidney stones.
But most parents are worried that their children grow up faster because of inadequate calcium intake, resulting in rickets, bald, etc., not only regularly eat calcium, drink calcium oral solution, in order to promote calcium absorption, and even overdose cod liver oil, which could prompt kidney stone formation, in addition to diseases, nutritional problems, excessive calcium and taking cod liver oil may also cause kidney stones in infants.
Red bean porridge assisted treatment of kidney stones
Take rice, red bean 50 grams, 2 grams powdered Gallus gallus. Rice, red bean porridge with water, mix flour Gallus gallus cooked, add the amount of sugar. Taken twice daily.
Oujie melon soup assisted treatment of kidney stones
Acceptance Oujie 500 grams, 1,000 grams of melon, slices, add water soup taking one day served.
Rock sugar walnut assisted treatment of kidney stones
Take 120 grams of crystal sugar, fragrant fried walnuts 120 grams of research to fine, each serving 60 grams a day for four times, water delivery, may soften the stones.
Walnut sugar cakes can be assisted treatment of kidney stones
Walnut 120 grams, 120 grams of crystal sugar. The sugar dissolves dipped walnut meat, fried crisp with fragrant, packed in sealed containers, each eating 30 to 60 grams, 3 to 4 times a day. Jade is also commercially available walnut regimens above. This product Warming lung and kidney, laxative, for no urinary tract obstruction like a mung bean or soy (soy) large stones, has prompted its exclusion role for the structure of loose stones to help break down after their discharge.
But most parents are worried that their children grow up faster because of inadequate calcium intake, resulting in rickets, bald, etc., not only regularly eat calcium, drink calcium oral solution, in order to promote calcium absorption, and even overdose cod liver oil, which could prompt kidney stone formation, in addition to diseases, nutritional problems, excessive calcium and taking cod liver oil may also cause kidney stones in infants.
Red bean porridge assisted treatment of kidney stones
Take rice, red bean 50 grams, 2 grams powdered Gallus gallus. Rice, red bean porridge with water, mix flour Gallus gallus cooked, add the amount of sugar. Taken twice daily.
Oujie melon soup assisted treatment of kidney stones
Acceptance Oujie 500 grams, 1,000 grams of melon, slices, add water soup taking one day served.
Rock sugar walnut assisted treatment of kidney stones
Take 120 grams of crystal sugar, fragrant fried walnuts 120 grams of research to fine, each serving 60 grams a day for four times, water delivery, may soften the stones.
Walnut sugar cakes can be assisted treatment of kidney stones
Walnut 120 grams, 120 grams of crystal sugar. The sugar dissolves dipped walnut meat, fried crisp with fragrant, packed in sealed containers, each eating 30 to 60 grams, 3 to 4 times a day. Jade is also commercially available walnut regimens above. This product Warming lung and kidney, laxative, for no urinary tract obstruction like a mung bean or soy (soy) large stones, has prompted its exclusion role for the structure of loose stones to help break down after their discharge.
2014年6月8日星期日
Note: Do not let kidney stones provoke uremia
Many patients believe that the body has a small stone does not matter much, this understanding is very wrong. Harm the kidneys stones mainly urinary tract obstruction, and direct damage to the urinary tract mucosa, resulting in renal dysfunction. When concurrent infections develop into pyelonephritis or renal empyema, the kidneys quickly damaged. Advanced uremia bilateral kidney stones can occur.
The main symptom is pain, kidney stones and hematuria, pain may be dull or severe cramps. These symptoms depends mainly on stone size, location, extent and cause of obstruction without infection. Minority without obstruction or mild obstruction without infection stones, asymptomatic, and even lead to renal damage has still no feeling. In doing occasional "B" ultrasound, abdominal X-ray or CT examination revealed only.
The main symptoms are pain and kidney stones, hematuria very small number of patients without symptoms of long-term
(A) Pain: Most patients with low back pain or abdominal pain more than larger stones dull or ipsilateral lumbar pain is often aggravated after the event; smaller stones to cause muscle spasms and cramps often occur this sudden colic severe pain such as knife-like down the abdomen and inner thighs, genitals patients with radiation and sometimes pale, cold sweats, nausea and vomiting severe cases, weak pulse and rapid drop in blood pressure often paroxysmal attacks of pain and other symptoms may be due to an action or sudden pain termination or relieve left lumbar abdominal pain.
(B) hematuria: As gross hematuria hematuria or microscopic hematuria severity and extent of damage to the kidney and ureter stones direct mucosal injury often occurs after severe pain related.
(C) pyuria: kidney and ureteral stones concurrent infection pus in the urine appear clinically high fever back pain.
(D) Other: stone obstruction can cause hydronephrosis patients with renal insufficiency and some still had gastrointestinal symptoms of anemia and so on.
The main symptom is pain, kidney stones and hematuria, pain may be dull or severe cramps. These symptoms depends mainly on stone size, location, extent and cause of obstruction without infection. Minority without obstruction or mild obstruction without infection stones, asymptomatic, and even lead to renal damage has still no feeling. In doing occasional "B" ultrasound, abdominal X-ray or CT examination revealed only.
The main symptoms are pain and kidney stones, hematuria very small number of patients without symptoms of long-term
(A) Pain: Most patients with low back pain or abdominal pain more than larger stones dull or ipsilateral lumbar pain is often aggravated after the event; smaller stones to cause muscle spasms and cramps often occur this sudden colic severe pain such as knife-like down the abdomen and inner thighs, genitals patients with radiation and sometimes pale, cold sweats, nausea and vomiting severe cases, weak pulse and rapid drop in blood pressure often paroxysmal attacks of pain and other symptoms may be due to an action or sudden pain termination or relieve left lumbar abdominal pain.
(B) hematuria: As gross hematuria hematuria or microscopic hematuria severity and extent of damage to the kidney and ureter stones direct mucosal injury often occurs after severe pain related.
(C) pyuria: kidney and ureteral stones concurrent infection pus in the urine appear clinically high fever back pain.
(D) Other: stone obstruction can cause hydronephrosis patients with renal insufficiency and some still had gastrointestinal symptoms of anemia and so on.
2014年6月6日星期五
Acute glomerulonephritis, and chronic glomerulonephritis difference
The clinical features of longer duration, there can be asymptomatic phase for some time, was slowly progressive course of the disease. Urinalysis with varying degrees of proteinuria, erythrocyte sediment microscopy can be seen, most patients have varying degrees of hypertension and renal dysfunction. Clinical manifestations of chronic nephritis is similar, but the pathological type and lesions of varying severity. According to most of the major glomerular lesions, divided into mesangial proliferative glomerulonephritis, membranous nephropathy, focal segmental glomerular sclerosis, mesangial capillary glomerulonephritis, proliferative glomerulosclerosis.
Most patients with chronic nephritis cause is unclear. After the delayed healing of acute streptococcal glomerulonephritis, duration of more than 1 year can be transferred to chronic nephritis. But most are not persistent from chronic nephritis from acute nephritis, generally due to the long-term effects and long-term immune mechanisms of renal hemodynamic changes, renal vascular changes, mesangial functional changes caused.
Previously generally believed that if acute glomerulonephritis proteinuria and microscopic hematuria continued for more than 6 months to 1 year already transferred to chronic renal biopsy and clinical data in recent years found that urinary abnormalities after acute nephritis and renal biopsy activity performance In 2 to 3 years of follow-up gradually disappear. So not a single time for the community to determine the distinction between acute or chronic glomerulonephritis. According to follow-up data found that the clinical manifestations of acute glomerulonephritis disappearance still have residual kidney disease, renal fibrosis, but sometimes, and sometimes urine routine examination still found in protein and red blood cells, and kidney biopsy found the diffuse inflammatory lesions have disappeared, only residual focal lesions, called "There defect healing." Some patients with follow-up time increases, the biopsy found there is a growing trend in glomerular fibrosis. In case of the above situation should continue to follow-up observation, attention to the possibility of whether the development of chronic glomerulonephritis.
Patients with acute exacerbation of chronic nephritis is also a tendency, in every case the disease is relatively stable, due to the sudden malignant respiratory infection or other stimuli, (3 to 5 days or even 1 to 2 days) disease abrupt deterioration in the short term, when patients proteinuria, or hematuria, tube increases. Worsening edema and hypertension, and renal function. After appropriate treatment, the condition can be alleviated, largely restored to its original level, and may therefore lead to disease progression into uremia.
Chronic glomerulonephritis with recurrent kidney stumped numerous experts, but also make a lot of patients with chronic nephritis upsetting. Treatment must first understand the disease, the cause of recurrent chronic glomerulonephritis lot, mainly from the following aspects analysis.
First, with its own type of chronic glomerulonephritis related pathology, such as certain types of pathology itself is irreversible, such as focal segmental glomerular sclerosis;
Secondly, and medication is reasonable or not, in particular in the rational use of hormones and cytotoxic drugs, antihypertensive drugs is important. Nephrotoxic drugs misuse, misuse is up aminoglycosides such as gentamicin, if the result in deterioration of renal function, causing uremia.
Third, some of the efficacy of the drug itself is not sure, such as dipyridamole and so reduce the role of protein in the urine, they often repeated ever after withdrawal. Patients often do not follow the doctor's advice, even stopping the drug itself increase or decrease, resulting in a rebound phenomenon.
Fourth, chronic glomerulonephritis immune function is low, particularly associated with anemia and hypoproteinemia who own constitution and resistance are low, intolerance fatigue, susceptibility to infection, once the life and work without the law, that is due to upper respiratory tract infections, especially infections, fatigue and other factors induced increase, or even manifestations of acute exacerbation of chronic nephritis, or cause deterioration of renal function.
Fifth, physical activity is a need to consume physical activity, and fatigue is leading to recurrent chronic glomerulonephritis, causing an important incentive for renal dysfunction or acute exacerbation of chronic nephritis. Thus, the first rehabilitation of chronic nephritis should prevent recurrent disease.
Most patients with chronic nephritis cause is unclear. After the delayed healing of acute streptococcal glomerulonephritis, duration of more than 1 year can be transferred to chronic nephritis. But most are not persistent from chronic nephritis from acute nephritis, generally due to the long-term effects and long-term immune mechanisms of renal hemodynamic changes, renal vascular changes, mesangial functional changes caused.
Previously generally believed that if acute glomerulonephritis proteinuria and microscopic hematuria continued for more than 6 months to 1 year already transferred to chronic renal biopsy and clinical data in recent years found that urinary abnormalities after acute nephritis and renal biopsy activity performance In 2 to 3 years of follow-up gradually disappear. So not a single time for the community to determine the distinction between acute or chronic glomerulonephritis. According to follow-up data found that the clinical manifestations of acute glomerulonephritis disappearance still have residual kidney disease, renal fibrosis, but sometimes, and sometimes urine routine examination still found in protein and red blood cells, and kidney biopsy found the diffuse inflammatory lesions have disappeared, only residual focal lesions, called "There defect healing." Some patients with follow-up time increases, the biopsy found there is a growing trend in glomerular fibrosis. In case of the above situation should continue to follow-up observation, attention to the possibility of whether the development of chronic glomerulonephritis.
Patients with acute exacerbation of chronic nephritis is also a tendency, in every case the disease is relatively stable, due to the sudden malignant respiratory infection or other stimuli, (3 to 5 days or even 1 to 2 days) disease abrupt deterioration in the short term, when patients proteinuria, or hematuria, tube increases. Worsening edema and hypertension, and renal function. After appropriate treatment, the condition can be alleviated, largely restored to its original level, and may therefore lead to disease progression into uremia.
Chronic glomerulonephritis with recurrent kidney stumped numerous experts, but also make a lot of patients with chronic nephritis upsetting. Treatment must first understand the disease, the cause of recurrent chronic glomerulonephritis lot, mainly from the following aspects analysis.
First, with its own type of chronic glomerulonephritis related pathology, such as certain types of pathology itself is irreversible, such as focal segmental glomerular sclerosis;
Secondly, and medication is reasonable or not, in particular in the rational use of hormones and cytotoxic drugs, antihypertensive drugs is important. Nephrotoxic drugs misuse, misuse is up aminoglycosides such as gentamicin, if the result in deterioration of renal function, causing uremia.
Third, some of the efficacy of the drug itself is not sure, such as dipyridamole and so reduce the role of protein in the urine, they often repeated ever after withdrawal. Patients often do not follow the doctor's advice, even stopping the drug itself increase or decrease, resulting in a rebound phenomenon.
Fourth, chronic glomerulonephritis immune function is low, particularly associated with anemia and hypoproteinemia who own constitution and resistance are low, intolerance fatigue, susceptibility to infection, once the life and work without the law, that is due to upper respiratory tract infections, especially infections, fatigue and other factors induced increase, or even manifestations of acute exacerbation of chronic nephritis, or cause deterioration of renal function.
Fifth, physical activity is a need to consume physical activity, and fatigue is leading to recurrent chronic glomerulonephritis, causing an important incentive for renal dysfunction or acute exacerbation of chronic nephritis. Thus, the first rehabilitation of chronic nephritis should prevent recurrent disease.
How chronic glomerulonephritis sport?
Correct choice of sport is very important. Ease of movement should be carried out under the guidance of a physician, to walking, tai chi, slow cycling, doing radio gymnastics teaching to ease the less energy-consuming sport dominated for long-distance running, ball games large amount of exercise should be avoided .
1 swimming
Patients with swim-based, you can participate in swimming exercise. Swimming speed by slowly, breathe freely. 1 times a day, every 20-30 minutes.
2. Walking or jogging
Do proper preparations before jogging, or from not excessive to jogging. Patients with chronic glomerulonephritis exercise can start walking.
3 aerobics
Hold light objects (1-2.5 kg) do aerobics, each doing 1-2 sets, do 2-3 times a day. Also do chest exercises, according to their physical strength, from less to more, and gradually increase the weight and number.
4 Taijiquan
Better fit physique workout patients with chronic glomerulonephritis. Each can exercise 20-30 minutes, 1-2 times a day. To increase the amount of exercise, while boxing may be the focus of sinking some larger range of motion.
Chronic glomerular nephritis patients should not be in the sport after satiation carried out at least two hours after a meal then. Better in the outdoors, fresh air and helps the metabolism, but in case of sudden changes in temperature and fog, high winds, snow, etc., should be changed indoors. Regularly to the hospital to check blood pressure, blood urea nitrogen and creatinine, if not increased, then the appropriate amount of exercise, or should reduce the amount of exercise.
1 swimming
Patients with swim-based, you can participate in swimming exercise. Swimming speed by slowly, breathe freely. 1 times a day, every 20-30 minutes.
2. Walking or jogging
Do proper preparations before jogging, or from not excessive to jogging. Patients with chronic glomerulonephritis exercise can start walking.
3 aerobics
Hold light objects (1-2.5 kg) do aerobics, each doing 1-2 sets, do 2-3 times a day. Also do chest exercises, according to their physical strength, from less to more, and gradually increase the weight and number.
4 Taijiquan
Better fit physique workout patients with chronic glomerulonephritis. Each can exercise 20-30 minutes, 1-2 times a day. To increase the amount of exercise, while boxing may be the focus of sinking some larger range of motion.
Chronic glomerular nephritis patients should not be in the sport after satiation carried out at least two hours after a meal then. Better in the outdoors, fresh air and helps the metabolism, but in case of sudden changes in temperature and fog, high winds, snow, etc., should be changed indoors. Regularly to the hospital to check blood pressure, blood urea nitrogen and creatinine, if not increased, then the appropriate amount of exercise, or should reduce the amount of exercise.
Experience of treatment of glomerulonephritis
Chronic glomerulonephritis (referred to as chronic nephritis), a variety of pathological types of primary glomerular disease is a common consequence of the course through the vast majority of primary glomerular disease will develop from persistent chronic nephritis , only minimal change nephrotic syndrome of primary disease, rarely develop to chronic nephritis.
The disease is characterized by a relatively long period before the disease asymptomatic urinary abnormalities, such as proteinuria and (or) hematuria, then slowly hypertension, edema and (or) azotemia, often quite a long time process, gradually kept nephron destruction, and finally lead to chronic renal failure.
Many people mistakenly believe that acute nephritis and chronic nephritis are two stages of the same disease, chronic nephritis is evolved from acute nephritis, like delayed healing of acute hepatitis to chronic hepatitis, like, in fact, this is a misunderstanding. We should first be clear that chronic nephritis and acute nephritis are two different diseases. Their pathology, clinical presentation, treatment and prognosis all have different characteristics. Some people think that chronic nephritis may have 15% to 20% of acute nephritis evolved. But the vast majority of chronic nephritis is not evolved from acute nephritis, chronic nephritis onset that is, which is determined by the patient's type of glomerular pathology decision. Pathological changes of acute nephritis glomerular capillary proliferation; pathological changes of chronic nephritis there mesangial proliferative glomerulonephritis, membranous nephropathy, mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis other.
Patients suffering from symptoms of chronic nephritis have great differences, someone with this kind of performance-based, someone Youyi Another performance-based. But early on, probably only showed increased urinary protein, mildly abnormal urinary sediment, mild hypertension and (or) edema, or even a slight azotemia. To the late, can be expressed as chronic renal failure, from early to late, it is possible to experience decades. Chronic nephritis is usually expressed as the number of cases of the following: ① general clinical manifestations of chronic nephritis: moderate persistent proteinuria and (or) abnormal urinary sediment. Mild edema and (or) mild hypertension, some patients may have mild azotemia; Some chronic nephritis can always no edema, but most patients with hypertension will happen sooner or later, can be mild or severe. ② a small number of patients in the clinical manifestations of the underlying common type on, but for the outstanding performance in hypertension, diastolic blood pressure (low pressure) is often moderate elevated, over time patients can occur Hypertensive heart and brain vascular disease, the type often misdiagnosed as essential hypertension. ③ acute exacerbation of chronic nephritis: acute, non-specific infection after a few days, proteinuria and abnormal urinary sediment aggravation, deterioration of renal function over a period of time in the future, often automatically reduced, restored to its original condition. Much like the performance of acute nephritis, should pay attention to identification.
The method is not particularly effective in the treatment of chronic glomerulonephritis, only symptomatic treatment. Hormones, cytotoxic drugs, nonsteroidal anti-inflammatory drugs, anticoagulant therapy, has not yet been clearly established whether the effect. For hypertensive vascular converting enzyme inhibitors were available. On the occurrence of respiratory tract infections, urinary tract infections and other infections should be given appropriate treatment, limiting the intake of protein and phosphorus when azotemia, can slow down the speed of progression of the disease. Try not to use drugs damage the kidneys, such as aminoglycoside antibiotics, amphotericin B and so on. Diuretics used only when there is an obvious hypertension and edema. Edema and hypertension control should be based on the situation, adjust salt intake; strict sodium restriction is not necessary, and may be dangerous. Congestive heart failure, or when there is no apparent hypoalbuminemia, chronic glomerulonephritis rarely severe edema disease will occur until late. Generally do not need to limit potassium intake.
For chronic nephritis can try traditional Chinese medicine. According to many scholars reports and our experience, Integrative better therapeutic effect.
Chronic nephritis prognosis is good or bad can not be generalized, it is with the clinical manifestations and pathological changes are closely related. Such as membrane proliferative glomerulonephritis poor prognosis, most chronic renal failure in a few years, and finally died of uremia. Focal segmental glomerulonephritis prognosis is poor, between the renal tubular atrophy and interstitial fibrosis or poor prognosis. High blood pressure over 170/110 mm Hg, the prognosis is poor. Elevated serum creatinine have been patient, the prognosis is poor.
The disease is characterized by a relatively long period before the disease asymptomatic urinary abnormalities, such as proteinuria and (or) hematuria, then slowly hypertension, edema and (or) azotemia, often quite a long time process, gradually kept nephron destruction, and finally lead to chronic renal failure.
Many people mistakenly believe that acute nephritis and chronic nephritis are two stages of the same disease, chronic nephritis is evolved from acute nephritis, like delayed healing of acute hepatitis to chronic hepatitis, like, in fact, this is a misunderstanding. We should first be clear that chronic nephritis and acute nephritis are two different diseases. Their pathology, clinical presentation, treatment and prognosis all have different characteristics. Some people think that chronic nephritis may have 15% to 20% of acute nephritis evolved. But the vast majority of chronic nephritis is not evolved from acute nephritis, chronic nephritis onset that is, which is determined by the patient's type of glomerular pathology decision. Pathological changes of acute nephritis glomerular capillary proliferation; pathological changes of chronic nephritis there mesangial proliferative glomerulonephritis, membranous nephropathy, mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis other.
Patients suffering from symptoms of chronic nephritis have great differences, someone with this kind of performance-based, someone Youyi Another performance-based. But early on, probably only showed increased urinary protein, mildly abnormal urinary sediment, mild hypertension and (or) edema, or even a slight azotemia. To the late, can be expressed as chronic renal failure, from early to late, it is possible to experience decades. Chronic nephritis is usually expressed as the number of cases of the following: ① general clinical manifestations of chronic nephritis: moderate persistent proteinuria and (or) abnormal urinary sediment. Mild edema and (or) mild hypertension, some patients may have mild azotemia; Some chronic nephritis can always no edema, but most patients with hypertension will happen sooner or later, can be mild or severe. ② a small number of patients in the clinical manifestations of the underlying common type on, but for the outstanding performance in hypertension, diastolic blood pressure (low pressure) is often moderate elevated, over time patients can occur Hypertensive heart and brain vascular disease, the type often misdiagnosed as essential hypertension. ③ acute exacerbation of chronic nephritis: acute, non-specific infection after a few days, proteinuria and abnormal urinary sediment aggravation, deterioration of renal function over a period of time in the future, often automatically reduced, restored to its original condition. Much like the performance of acute nephritis, should pay attention to identification.
The method is not particularly effective in the treatment of chronic glomerulonephritis, only symptomatic treatment. Hormones, cytotoxic drugs, nonsteroidal anti-inflammatory drugs, anticoagulant therapy, has not yet been clearly established whether the effect. For hypertensive vascular converting enzyme inhibitors were available. On the occurrence of respiratory tract infections, urinary tract infections and other infections should be given appropriate treatment, limiting the intake of protein and phosphorus when azotemia, can slow down the speed of progression of the disease. Try not to use drugs damage the kidneys, such as aminoglycoside antibiotics, amphotericin B and so on. Diuretics used only when there is an obvious hypertension and edema. Edema and hypertension control should be based on the situation, adjust salt intake; strict sodium restriction is not necessary, and may be dangerous. Congestive heart failure, or when there is no apparent hypoalbuminemia, chronic glomerulonephritis rarely severe edema disease will occur until late. Generally do not need to limit potassium intake.
For chronic nephritis can try traditional Chinese medicine. According to many scholars reports and our experience, Integrative better therapeutic effect.
Chronic nephritis prognosis is good or bad can not be generalized, it is with the clinical manifestations and pathological changes are closely related. Such as membrane proliferative glomerulonephritis poor prognosis, most chronic renal failure in a few years, and finally died of uremia. Focal segmental glomerulonephritis prognosis is poor, between the renal tubular atrophy and interstitial fibrosis or poor prognosis. High blood pressure over 170/110 mm Hg, the prognosis is poor. Elevated serum creatinine have been patient, the prognosis is poor.
How renal dysfunction medication
Renal insufficiency, the use of antibiotics to select the general principles are:
① infection, should test the choice of antibiotics based on culture and sensitivity;
② no obvious signs of infection were not given antibiotics;
③ Select non-toxic or less toxic to the kidneys and not because of drug accumulation and cause serious damage to other organs of antibiotics.
On the adjustment of the dose should note the following:
Antibiotics (1) should not be applied: Vanguard ADM positive, tetracycline, vancomycin, neomycin.
(2) the basic need to adjust the doses of antibiotics: erythromycin, doxycycline and rifampin.
(3) the need to reduce the dose of antibiotics: amino sugar type antibiotics, tobramycin, neomycin, polymyxin, and Pioneer.
(4) The need for appropriate dose adjustment antibiotics: lincomycin, penicillin family. Chloramphenicol, amphotericin B and so on. Typically reduced to a normal amount of from about 1/2 to 1/3.
① infection, should test the choice of antibiotics based on culture and sensitivity;
② no obvious signs of infection were not given antibiotics;
③ Select non-toxic or less toxic to the kidneys and not because of drug accumulation and cause serious damage to other organs of antibiotics.
On the adjustment of the dose should note the following:
Antibiotics (1) should not be applied: Vanguard ADM positive, tetracycline, vancomycin, neomycin.
(2) the basic need to adjust the doses of antibiotics: erythromycin, doxycycline and rifampin.
(3) the need to reduce the dose of antibiotics: amino sugar type antibiotics, tobramycin, neomycin, polymyxin, and Pioneer.
(4) The need for appropriate dose adjustment antibiotics: lincomycin, penicillin family. Chloramphenicol, amphotericin B and so on. Typically reduced to a normal amount of from about 1/2 to 1/3.
How grading renal insufficiency
Specific classification of renal dysfunction
Renal insufficiency can be classified according to the level of creatinine four.
A decompensated renal insufficiency: glomerular filtration rate (GFR) of 50 ml to 80 ml / min (creatinine clearance commonly used to represent GFR), serum creatinine (Scr) was 133 ~ 177umol / L.
2 decompensated renal insufficiency: GFR 50 ml to 20 ml / min, Scr to 177 ~ 442umol / L.
3 renal failure:. GFR of 20 ml to 10 ml / min, Scr to 442 ~ 707umol / L.
4 uremia or end-stage renal failure: GFR <10 ml / min, Scr> 707umol / L.
Renal insufficiency daily health
First, patients with chronic renal insufficiency should strengthen self-care, exercise, enhance disease resistance, and timely treatment of upper respiratory tract infections, clear foci, treatment of the primary disease, diabetes, systemic lupus erythematosus, hypertension, etc., but also to prevent drugs kidney damage.
To observe some changes in the body: such as edema, hypertension, fever, fatigue, loss of appetite, anemia, urinary and observe changes in the amount of urine, if there is more than discomfort, you should do blood and urine analysis, Urine culture and counts, kidney function test, and even do kidney biopsy and renal imaging studies, in order to clarify the cause of kidney disease, renal pathology judgment, for the treatment and prognosis of kidney disease provide the basis .
Renal insufficiency can be classified according to the level of creatinine four.
A decompensated renal insufficiency: glomerular filtration rate (GFR) of 50 ml to 80 ml / min (creatinine clearance commonly used to represent GFR), serum creatinine (Scr) was 133 ~ 177umol / L.
2 decompensated renal insufficiency: GFR 50 ml to 20 ml / min, Scr to 177 ~ 442umol / L.
3 renal failure:. GFR of 20 ml to 10 ml / min, Scr to 442 ~ 707umol / L.
4 uremia or end-stage renal failure: GFR <10 ml / min, Scr> 707umol / L.
Renal insufficiency daily health
First, patients with chronic renal insufficiency should strengthen self-care, exercise, enhance disease resistance, and timely treatment of upper respiratory tract infections, clear foci, treatment of the primary disease, diabetes, systemic lupus erythematosus, hypertension, etc., but also to prevent drugs kidney damage.
To observe some changes in the body: such as edema, hypertension, fever, fatigue, loss of appetite, anemia, urinary and observe changes in the amount of urine, if there is more than discomfort, you should do blood and urine analysis, Urine culture and counts, kidney function test, and even do kidney biopsy and renal imaging studies, in order to clarify the cause of kidney disease, renal pathology judgment, for the treatment and prognosis of kidney disease provide the basis .
Renal insufficiency is how?
Renal dysfunction is caused by a variety of reasons, glomerular severely damaged, the body panics after clinical syndrome group in the excretion of metabolic waste and regulate water and electrolyte, acid-base balance and so on.
Renal insufficiency can be divided into the following four:
A renal functional reserve decompensation. Because compensatory renal reserve capacity is large, and therefore the clinical renal function despite the loss, but its excretion of metabolites and regulate water and electrolyte balance may still meet the normal needs, not on clinical symptoms, renal function tests are normal range or slightly higher occasional phenomenon.
Two, renal insufficiency period. Glomerular damage has been more that 60% -75%, there are certain obstacles, creatinine, urea nitrogen can be high or above normal kidneys excrete metabolic waste. Patients can anemia, fatigue, weakness, weight loss, mental focus and so easy. But often overlooked, if dehydration, infection, bleeding and other circumstances, then quickly obvious symptoms.
Three, renal failure. Renal function has been quite serious damage, 75% -95%, you can not maintain a stable internal environment of the body, the patient fatigue, weakness, difficulty in concentrating and other symptoms intensified, anemia significantly, nocturia, serum creatinine, blood urea nitrogen increased significantly, and often acidosis. This period is also called azotemia.
Four, uremia, or end-stage renal insufficiency. This period has exceeded 95% of glomerular damage, with severe clinical symptoms such as severe nausea, vomiting, oliguria, edema, malignant hypertension, severe anemia, itchy skin, mouth, etc. urine smell of urine.
Renal insufficiency daily health
First, patients with chronic renal insufficiency should strengthen self-care, exercise, enhance disease resistance, and timely treatment of upper respiratory tract infections, clear foci, treatment of the primary disease, diabetes, systemic lupus erythematosus, hypertension, etc., but also to prevent drugs kidney damage.
To observe some changes in the body: such as edema, hypertension, fever, fatigue, loss of appetite, anemia, urinary and observe changes in the amount of urine, if there is more than discomfort, you should do blood and urine analysis, Urine culture and counts, kidney function test, and even do kidney biopsy and renal imaging studies, in order to clarify the cause of kidney disease, renal pathology judgment, for the treatment and prognosis of kidney disease provide the basis .
Renal insufficiency can be divided into the following four:
A renal functional reserve decompensation. Because compensatory renal reserve capacity is large, and therefore the clinical renal function despite the loss, but its excretion of metabolites and regulate water and electrolyte balance may still meet the normal needs, not on clinical symptoms, renal function tests are normal range or slightly higher occasional phenomenon.
Two, renal insufficiency period. Glomerular damage has been more that 60% -75%, there are certain obstacles, creatinine, urea nitrogen can be high or above normal kidneys excrete metabolic waste. Patients can anemia, fatigue, weakness, weight loss, mental focus and so easy. But often overlooked, if dehydration, infection, bleeding and other circumstances, then quickly obvious symptoms.
Three, renal failure. Renal function has been quite serious damage, 75% -95%, you can not maintain a stable internal environment of the body, the patient fatigue, weakness, difficulty in concentrating and other symptoms intensified, anemia significantly, nocturia, serum creatinine, blood urea nitrogen increased significantly, and often acidosis. This period is also called azotemia.
Four, uremia, or end-stage renal insufficiency. This period has exceeded 95% of glomerular damage, with severe clinical symptoms such as severe nausea, vomiting, oliguria, edema, malignant hypertension, severe anemia, itchy skin, mouth, etc. urine smell of urine.
Renal insufficiency daily health
First, patients with chronic renal insufficiency should strengthen self-care, exercise, enhance disease resistance, and timely treatment of upper respiratory tract infections, clear foci, treatment of the primary disease, diabetes, systemic lupus erythematosus, hypertension, etc., but also to prevent drugs kidney damage.
To observe some changes in the body: such as edema, hypertension, fever, fatigue, loss of appetite, anemia, urinary and observe changes in the amount of urine, if there is more than discomfort, you should do blood and urine analysis, Urine culture and counts, kidney function test, and even do kidney biopsy and renal imaging studies, in order to clarify the cause of kidney disease, renal pathology judgment, for the treatment and prognosis of kidney disease provide the basis .
2014年6月5日星期四
Secret: Vitamin C does not cause kidney stones
Kidney stone prevention: eight glasses of water every day to prevent kidney stones
Balz Frei , Harvard University Professor School of Public Health , said: "Vitamin C is also known as ascorbic acid, is an important antioxidant in the human body , but also the necessary reactants collagen synthesis , neurotransmitter , carnitine and other substances ."
Scientific research has shown that vitamin C intake of less than 2,000 mg dose is safe every day. For those of large doses of vitamin C may cause adverse reactions, including oxalate kidney stone formation and increased uric acid concentration, excess iron absorption, decreased vitamin B12 levels, etc. , after carrying out a detailed verification , and did not find enough evidence . Vitamin C side effects, mainly gastrointestinal after large doses , there 's discomfort.
Vitamin C helps iron absorption , so that adequate vitamin C can reduce the prevalence of anemia , adding large doses of vitamin C (200 mg daily to 500 mg or more ) can prevent colds.
Polycystic kidney disease patients how Science Diet
1 , polycystic kidney disease diet should pay attention to alcoholic beverages , alcoholic beverages , especially wine , speaking for polycystic kidney disease patients should quit, polycystic kidney disease diet on alcohol and kidney irritant for gifted important. It stimulates the activity of polycystin accelerate cyst growth .
2 , fermented foods, fermented foods are talking about here is mainly bacteria becomes fermented foods, such as polycystic kidney disease diet fermented bean curd , rotten eggs category. Avoid eating such a growth rate would be beneficial cyst .
3 , high-protein food, every kind of kidney disease , should be a low -protein diet , polycystic kidney disease diet to avoid nitrogen metabolites in vivo synthesis , reduce renal excretion of force . Polycystic kidney disease diet such as soy , tofu , and other soy products .
4 , offal food , animal entrails made of cooked food is not suitable for patients with polycystic kidney disease , polycystic kidney disease diet especially liver, China sent a message saying , what to eat, make up what is , in fact, not the case, polycystic kidney disease in the process of slaughtering animals eating a lot of toxins left in the liver, kidney , especially the liver , liver function is detoxification, many animals are left behind metabolic toxins in the gut , if patients taking these substances increase the burden on the kidneys invisible , worse .
5 , polycystic kidney disease diet of coffee , chocolate and non- edible
Polycystic kidney disease patients should eat , eat food
1 , high fruits and vegetables containing vitamin .
2 , iron-rich fruits and vegetables , such as carrots .
3 , to accommodate fossils vegetable foods, such as black fungus and so on.
4 , a diuretic effect of food . ( Carrot , melon )
Polycystic kidney disease patients how diet science ?
Above for polycystic kidney disease patients detailing what foods to eat what food can not eat , you see if you notice it in everyday life ? Want patients to their health requirements of their diet strictly
How to treat acute renal failure
With 5 % sodium bicarbonate solution to correct metabolic acidosis , hyperkalemia is to correct first aid measures . In the glucose solution内加普through intravenous insulin , promoting glycogen synthesis of potassium into cells . Application of 10% calcium gluconate 10 ~ 20ml intravenous potassium may antagonize the toxic effects on the myocardium and correct hypocalcemia.
The most effective measures to rescue acute renal failure is the use of dialysis therapy, including peritoneal dialysis ; hemodialysis ; simple ultrafiltration and ( or ) sequential ultrafiltration ; continuous arteriovenous hemofiltration and continuous arteriovenous hemofiltration and dialysis ; blood perfusion ; plasma exchange ; adsorption hemodialysis.
The above dialysis indications and contraindications have their pros and cons . Selected according to the specific circumstances. Hemodialysis and peritoneal dialysis -based, easy to peritoneal dialysis , security, economic , easy to carry in the primary hospital .
Polyuria attention to prevent dehydration, but not more than the amount of fluid , otherwise polyuria prolongation. Polyuria period, with particular attention to electrolyte imbalance, particularly hypokalemia. After more than a week in urine of renal function gradually recovered , dietary protein intake can be increased gradually , help the body recover renal cell repair and regeneration .
Recovery , no special treatment to avoid the use of nephrotoxic drugs , surgery and recovery period to avoid injury, pregnant women should be prohibited , every 1 to 2 months after treatment renal function.
2014年6月1日星期日
Prevention and stealth nephritis nephritis
Children with acute nephritis , also called pediatric acute glomerulonephritis, streptococcal infection is more common in later, especially after hemolytic streptococcal infection , also called acute hemolytic streptococcal glomerulonephritis . The typical clinical manifestations of acute onset, may have fever , fatigue, weakness , loss of appetite and other general symptoms, nephritis symptoms mainly edema, hematuria , and hypertension. When edema disease manifested as early morning double eyelid edema, later to be developed edema of the lower limbs or throughout the body ; approximately 30% to 50 % of children with gross hematuria , urine was dark brown or cigarette butts in water samples , but also showed the water to wash the meat samples . Atypical manifestations are the following :
An asymptomatic child nephritis urine changes, but no edema , clinical symptoms gross hematuria, hypertension , and many more to be found when urine tests.
2 symptoms of renal nephritis with edema and ( or ) the onset of hypertension , urinary changes were transient mild or slight changes , even urine is normal.
3 nephritis, nephrotic syndrome child severe edema , urine protein more, showed kidney performance. Acute nephritis is self- limiting disease , the prognosis is good , 95% of children can fully recover without relapse after recovery. Only a few in the acute phase of severe kidney damage , kidney failure, longer duration , before the development of chronic nephritis and chronic renal failure.
Prevention of kidney disease in children
1 . Children with acute nephritis patients should actively prevent and treat infections , as respiratory infections, tonsillitis , angina , scarlet fever , purulent skin diseases , avoid cold stimulation and humid environment, increase physical fitness, improve disease resistance.
2 . Patients with medication allergic purpura nephritis be careful, as there are those who are allergic to certain drugs , inappropriate use of these drugs , food allergies should avoid eating such foods again , get rid of the body of parasites , prevention and treatment of various infections diseases.
3 . The key is to prevent hepatitis B nephritis in children vaccinated with hepatitis B vaccine.
4 children with renal failure :
( 1 ) active prevention and treatment of the primary disease , such as acute nephritis , chronic nephritis, nephrotic syndrome , urinary tract infections, urinary tract obstruction and dehydration, dehydration, shock ;
( 2 ) to disable or caution drugs for kidney damage .
Nephritis nephritis What harm patients
What are the symptoms of kidney disease , chronic nephritis affects the body's skeletal system is the body's skeletal deformities produced . Long-term chronic nephritis caused by bone tissue generally make people decalcification, cramps , osteoporosis , bone pain and other clinical manifestations .
2 , pyelonephritis on human hearts , lungs will cause inevitable damage
What are the symptoms of kidney disease , chronic nephritis on the heart, lungs will have varying degrees of edema and renal hypertension long-term effects on the heart can cause heart failure and pulmonary edema , so often occur in patients with chronic chest tightness , shortness of breath , unable to walk , not flat lying phenomenon.
3 , pyelonephritis harmful to human digestive system causing inevitable damage
What are the symptoms of kidney disease , chronic nephritis patients often have nausea , vomiting , abdominal pain , diarrhea , bloody diarrhea and other symptoms , mainly due to the accumulation of urea into the body digestive system digestive tract by intestinal bacterial urease role in the formation of ammonia , may stimulation of the gastrointestinal mucosa caused by inflammation of cellulose , and even the formation of ulcers and bleeding.
4 , pyelonephritis harmful to human hematopoietic system damage caused by inevitable
What are the symptoms of kidney disease , when the hematopoietic system erythropoietin hormone naturally produced insufficient uremia . Plus a variety of toxins suppression of bone marrow function , and can lead to anemia appears. Uremic patients also often reduce platelet dysfunction and platelets , leading to bleeding gums , nose bleeding and gastrointestinal bleeding.
Nephritis patients Mistakes
Myth # 2 : nephritis is incurable chronic disease. In fact, not only can cure nephritis , and most can be cured or can be controlled. Good or bad depends largely on the efficacy of treatment is timely, reasonable , and with the patient's own conditioning related ( such as diet , rest ) . People produce this incorrect view , first, because the onset of nephritis itself is hidden , can not easily be detected early , when a large number of kidney tissue damage, loss of function when going for treatment, when compared to late ; Second, some patients after treatment after the relief of symptoms , their feel good that the disease has been cured, ignoring the treatment and follow-up period of consolidation , when feeling unwell to go for treatment, the nature of the disease has changed the nature of the occurrence . Therefore, every patient regardless of kidney disease , should be regularly reviewed to monitor the development of the disease .
Patients with kidney stones diet Taboo
One should eat foods
Eat more foods containing potassium and vitamin A-rich foods such as bananas, broccoli, apricot fruit, melons, pumpkins and other food.
Drink plenty of water in the urine salts can speed up the metabolism, so drink a day for at least 2500-3000 ml of water, watermelon is a natural diuretic, but remember not to eat with other food.
Second, avoid eating foods
Eat light, canned and processed foods as much as possible to reduce consumption, reduce sodium intake.
Reduce oxalate intake; reduce animal protein intake that meat; through these to reduce the chances of stone formation.
How children with acute nephritis obtained
What was the acute nephritis
Kidney belong urinary system, not only acute nephritis and respiratory infections , but also with sore skin , eczema related. For example, relatively easy to get baby diapers poisoning caused by herpes , the virus via the blood circulation through the skin and then into the kidneys , easily lead to acute nephritis. According to hospital statistics that clinical , pediatric patients Urology , was more acute nephritis .
Acute nephritis should be treated early , the treatment time is generally less than 1 to 3 months. More than half failed to treat good , can be transformed into chronic nephritis , treatment is very difficult. There will be a large number of patients with chronic nephritis, proteinuria , hematuria , edema and other phenomena, not the last row of urine , into uremia , leading to kidney failure , can be life threatening .
3 to 8 -year-old preschool children in contact with the outside world is gradually increased, also increased exposure to infectious diseases . If you do not clean diet without restraint, can easily lead to disease. So , the children talk about hygiene, wash hands before meals and after not eating finger. Here, I teach some parents to protect their children healthy way . The first is to curb child eating finger method is to give the child a little chili rubbed a finger , over time , he knew fingers are spicy , they will not lick it. Then , after the child skin infections, can give a child wearing a thin glove and then sleep , so that the child will not feel the itch and scratch the skin . Eating unhealthy , unsanitary living or skin ulceration are apt to cause acute nephritis.
Performance of acute nephritis
There are some early symptoms of acute nephritis , such as colds , fever , cough , chills , nasal congestion, stomach swelling , diarrhea, urinary urgency . There are skin ulcers, such as erysipelas , eczema, sore and other skin diseases, but also the early symptoms of this disease .
Principles of Chinese medicine treatment of kidney stones
Dialectical point of Chinese medicine treatment of kidney stones is damp .
Treatment: qi diuretic , kidney meridians, specimens wen .
The main symptoms of kidney stones that is often mixed with sand and gravel in the urine , painful urination ; suddenly interrupted or when urinating ; or back pain to severe diffuse abdominal perineal direction ; distress or urethral pain , blood in the urine . Kidney is not sufficient , gasification disadvantage is the main internal factors of the formation of stones , and the stone formation , blood stasis is turning into a major contradiction , the stones resistance, do not stay , will inevitably lead to blood block , bladder gasification undeclared even worse pathological mechanism , so air- stasis is a major pathological mechanism of kidney stones. Therefore , the treatment of kidney stones to both, both gas line diuretic Tonglin row of stone , but also open up the meridians , Stasis hot , pass block.
Remove blood can pass notes to strengthen the role of stone or fossil . Nano-medicine with blood stasis , dilation of blood vessels , which acts directly on the lesions , dilatation of the renal artery , making the blood flow into the glomerulus , increased urine, facilitates the stones washed down to the bladder . Meanwhile improve ureteral spasm , pain relief .
Patients with kidney stones , at the time of colic episodes , like the performance of heat Accumulation of the most prominent. At this time, due to heat silt knot, stones blocked , affecting blood running , kidney and bladder dysfunction of gas , they can not want to exhaust , air- consequent stasis, shall rise up , must not drop down , contact obstruction barrier, so twisted occur pain symptoms. This colic attack, is an objective reflection of the struggle between right from wrong , but also a sign of the body moving stones , therefore , timely capitalize on the trend , the use of heat and dampness, qi and blood circulation , tonglin fossil drug therapy, to address the situation right from wrong stalemate , effective recovery of the body of gas feature, you can often serve to stone by the " static " to " move" , to get the effect of accelerating row of stone .
Kidney experts advise : The above method of treatment is usually the treatment of the law , but there are a few patients , often due to large stones , urinary tract obstruction or blockage is hot and humid , anti aggravated because Tom Lee blockage .
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