2014年8月30日星期六

Routine care of patients with renal insufficiency

Patients with chronic renal insufficiency should first 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.
   Secondly, we must observe certain changes in the body: such as edema, hypertension, fever, fatigue, loss of appetite, anemia, and observe the changes in the urine, the amount of urine, if there is more than discomfort, you should do blood and urine analysis, urine culture and count, kidney function test, and even kidney biopsy done and kidney imaging studies, in order to clear kidney disease etiology, pathology to determine renal function, treatment and prognosis for kidney disease provide evidence.
   Treatment of kidney disease, treatment is divided into general and special treatment. In general treatment, should pay attention to rest, how to rest, as the condition may be. Depending on the type of disease, the severity take appropriate diet. Infection control, remove the primary tumor, the treatment of the primary disease, adjusting the water and electrolyte balance, and enhance the body's resistance to disease and so on.

Cause mild renal insufficiency

To know how to prevent uremia renal insufficiency, we must first early detection of the disease and renal dysfunction treatment. Patients with renal insufficiency should first strengthen self-care, exercise, enhance disease resistance, the timely treatment of respiratory tract infections, clear foci, treatment of the primary disease, diabetes, systemic lupus erythematosus, hypertension, etc., but also to prevent drug for kidney damage.

Acute nephritis, chronic nephritis, hypertensive nephropathy, diabetic nephropathy, iga nephropathy and other primary or secondary renal disease without proper treatment if the later development will cause mild renal insufficiency.

Symptoms of mild renal insufficiency:
Mild renal insufficiency is not without symptoms, generally have the following: If the blood pressure; headache, dizziness, lack; loss of appetite. Distal extremities cold; nocturia; anemia occurs. Ccr decreased renal B-show: the renal cortex showed diffuse enhancement (or diffuse lesions), cortical thickness thinning (or uneven surface), renal volume began to shrink and so on.

Mild renal insufficiency developed to process severe renal insufficiency, is the decline in renal function, renal fibrosis gradually hardening process. Its essence is glomeruli, renal tubular and renal interstitial fibrosis continue to occur and hardening. As long as measures are in place to block fibrosis, benign clinical cure sick patient survival is entirely possible.

Due to mild renal insufficiency stage renal exacerbated inflammatory response, and the function of cell phenotypic cause extracellular matrix deposition, glomerular sclerosis and tubular degeneration and atrophy. Micro-Chinese Medicine hand at this time of various pathogenic inflammatory mediators, induced renal toxicity factor inactivation, prompting cell reversal inherent in the phenotypic transformation to healthy tissue to block the source of the disease. On the other hand, through the dilation of blood vessels, improve microcirculation, thus correcting severe symptoms caused by the gradual return to normal metabolism, correct high blood pressure, anemia, and Micro-Chinese Medicine also offers a variety of nutrients to repair, inhibit micro-thrombosis at the same time, give full play to its powerful anticoagulant effect.

Symptoms of renal dysfunction

   Renal insufficiency is a chronic disease, such as the many chronic diseases, the sooner the better detected earlier treatment. And you want to find themselves very early renal insufficiency should know what the symptoms of renal insufficiency. So that we can promptly identify problems kidneys. And earlier were healed. Well, then we look at what the symptoms of renal dysfunction and performance of it.

1, skin manifestations of skin dull, dry, scaling;
2, hematopoietic system performance is uremic patients must anemia symptoms. In addition to anemia, easy bleeding there, such as ecchymosis, epistaxis, gingival bleeding, black stools, etc.;
3, the performance of the cardiovascular system are often high blood pressure, high blood pressure causes long-term expansion of left ventricular hypertrophy, myocardial damage, heart failure, retention of toxic substances can cause myocardial damage, occurred uremic pericarditis;
4, respiratory system performance acidosis breathing deep and long. Metabolites retention can cause uremic bronchitis, pneumonia, pleurisy, and a corresponding clinical signs and symptoms;
5, gastrointestinal symptoms of uremia performance is the oldest and most frequently occurring. Early in anorexia, abdominal discomfort chief complaint, nausea later, vomiting, diarrhea, glossitis, mouth odor of urine and oral mucosal ulceration, and even gastrointestinal bleeding, etc.;
6, mental, neurological manifestations listlessness, fatigue, dizziness, headache, memory loss, insomnia, may have limbs tingling, burning and hand-foot skin itching, itching unbearable even lower limbs, shall always moving, not ending, etc. can occur late lethargy, irritability, delirium, muscle twitching or trembling, convulsions, coma.
Dialysis can reduce the toxins in a short time
Positive start dialysis analyzed, because dialysis can in a short time, the body of creatinine and protein content down, you can prolong the lives of patients, dialysis excessive accumulation of blood toxins and excess water can be cleared out of the body, and added a base period to correct acidosis, electrolyte imbalance adjustment, replacing renal excretory function.

Meanwhile, the dialysis treatment of uremia, quick, can in the shortest time the patient out of danger range. Dialysis is a therapy to clear the body of toxins quickly and directly, excessive accumulation of toxins in the human body when it will endanger the safety of life, by dialysis uremic patients can eliminate toxins, the body environment to maintain a basic balance, so that the patient's life will get maintained.
However, dialysis dependence will increase the difficulty and cost of treatment of uremia
Dialysis there are also disadvantages, its drawback is also the formation of long-term dialysis dialysis-dependent, so that the patient can not do without dialysis. Uremia and dialysis treatment increases the difficulty and cost of dialysis will increase and serious complications.
Equivalent to an artificial kidney dialysis, to help the patient's kidneys excrete the toxins out of the body, would not achieve the fundamental role of treatment, can lead to imbalances (Human extreme discomfort), damage strength, damage to red blood cells, increasing anemia, increased renal atrophy, dialysis over time, will lead to a patient little or no urine.

2014年8月29日星期五

What benefit patients with lupus nephritis diet conditioning

What diet in patients with lupus nephritis conditioning benefits? For nephritis patients, diet conditioning is very important, reasonable diet can help treat the disease, but if the patient is eating certain foods make the disease worse. So, what are taboos nephritis patients eating it?

1, nephritis patients should not eat chili

This type of food like chili and a variety of spicy condiments contain irritating ingredients (such as onions, ginger, garlic, curry, mustard, pepper), and a variety of spices and more vegetables containing volatile oils (such as chives, fennel, celery, radishes, etc.), in human metabolic process, its spicy ingredients often excreted through the kidneys, and these spicy ingredients on the renal parenchyma cells have different levels of stimulation, serious affect kidney function.

2, nephritis patients should not popular Coke

Most people think, nutrient-rich bananas, sweet and delicious, everyone can eat, nothing taboo. However, suffering from acute nephritis, chronic nephritis and renal dysfunction who could not eat bananas, because bananas contain more sodium, and nephritis edema, hypertension must restrict the intake of sodium. If nephritis patients often eat bananas, it means a lot of sodium intake, resulting in kidney burden, edema, hypertension and other symptoms will also increase. In addition, indigestion and diarrhea after eating will also bring the patient sicker.

What benefit patients with lupus nephritis diet conditioning

3, nephritis patients should not eat eggs

Nephritis patients should not eat eggs. Due to the onset of renal function during and metabolism were significantly decreased, decreased urine output, the body of toxins and some can not all be excreted. At this point if we eat eggs, egg products is bound to increase metabolism - urea, so there will be more urea accumulate in the body, so that sicker. Therefore, when disease progression in patients with nephritis taboo eggs, in a stable phase can eat more.

4, nephritis patients should not eat egg

Egg (egg) not tasted salty, but it is not low sodium content, nephritis patients need low-salt diet, and occasionally eat a little also not be affected much. Such a long time to eat, it will increase the amount of sodium in the body, loss of low-salt diet, is not conducive to physical rehabilitation. Therefore, nephritis patients should not eat egg.

2014年8月28日星期四

Chronic nephritis eat melon benefits tonic swelling

Chronic nephritis eat melon What are the benefits? Melon soup, suitable for hot bored, edema, Hyperactivity cough and other diseases, can play a role in heat diuretic, generally melon, rice is made, so you can treat chronic nephritis have a very important role. Any chronic illness that we are not ignored, if you have chronic nephritis, then we should pay attention to the diet, we must not allow the deterioration of chronic nephritis, so as to help improve our health.

First, melon bean soup

Winter bean soup, hot weather there is heat diuretic effect, generally applicable to block urination wet summer caused the patient to eat, which can be used melon, green beans, soup, ginger, scallion made ​​for chronic nephritis treatment has a very important role.

Practice: melon, green beans, soup, ginger, scallion, salt. Wash the aluminum pan will stir, pour boiling soup, fishing net foam; ginger wash pot to release the film break, go to the root wash onions rolled into a knot wok, green beans washing clean, remove the float on water Yuba, and then into the pot simmer; melon, peeled, to the flesh, washed, cut into the pot, but not rotten stew cooked soft, add a little salt and serve immediately.

Second, the winter melon soup spinach

Melon spinach soup with tonic swelling, weight loss fitness effect for women during pregnancy edema generally can use melon, spinach, lamb, ginger, onion is made for regulating the body's secretion of patients with chronic nephritis has many relationship.

Practice: melon, spinach, lamb, ginger, onions and the amount. First melon, peeled, flesh, cut into squares, spinach choose a good wash, cut into 4 cm long segments, sliced ​​lamb, sliced ​​ginger, green onions and cut into sections; then set fire to the frying pan, filling pan , invested green onion, sheep meat and stir-fry, then add onion, ginger, spinach, melon pieces, toss, add soup, boil for about 10 minutes, add salt, soy sauce, monosodium glutamate, and finally into the wet starch juice mix well and serve.

Nephritis patients can eat it without salt soy sauce

Nephritis patients' daily dietary needs extra attention, keep in mind the need to quit food, must not affect the treatment due to greedy greedy recovery. Many patients can be eaten without salt soy sauce usually puzzled, I bring you the following explanation of experts.

Nephritis patients daily diet is very important, reasonable diet can play glomerular reduce patient load, slowing the process of patients with renal failure. Some nephritis patients often choose to eat salt-free soy sauce, salt substitutes, but not all nephritis patients can eat without salt soy sauce.

Because nephritis patients should control salt intake, so some patients will choose a salt-free soy sauce, salt-free soy sauce is a medicinal potassium chloride, ammonium chloride instead of sodium, salt-free solid state fermentation brewing methods which potassium instead of sodium, normal renal function, urine output and a lot of patients with high blood potassium is not edible. However, if poor renal function, urine and less time, it should be used with caution. This is because potassium is excreted with the urine, if less urine, potassium excretion less, then eat salt-free soy sauce, hyperkalemia may occur, may endanger the heart, or even suppress heart beat and accidents.

Nephritis patients daily urine output during 1000 ml or more, do not control the intake of potassium can be eaten without salt soy sauce; If urine output in 1000 ml or less or hyperkalemia, you should not eat salt-free soy sauce, and should fresh elections hypokalemia recipes.

So nephritis patients do not because that says no salt soy sauce on guard. If you want to select salt-free soy sauce nephritis patients, we must be clear what type they are part of, whether it is fit for human consumption the kind of salt-free soy sauce nephritis patients.

2014年8月23日星期六

Between chronic renal interstitial nephritis need to make the protein it?

Chronic renal interstitial nephritis among the most basic symptoms of urinary protein loss, so a lot of urinary protein loss often causes patients and their families will always be doubts in the urine of patients or need a large loss of urine protein supplement protein? Here experts you analyze, chronic nephritis or not to make protein?
One of the clinical features of patients with chronic nephritis is the loss of urine protein, urine protein test was positive, if urine protein test can accurately measure the amount of protein in the patients lost in the urine per day. Especially in patients with nephrotic syndrome, due to the loss of large amounts of protein in the urine, often induce hypoalbuminemia and severe edema. In this case, patients often turn to Sibu, that eating a lot of protein-rich foods, in order to supplement the loss of protein in the urine.
Another diet conditioning methods on the contrary, to be called "lost protein, avoid protein", that is, when a large number of patients with proteinuria, not only can not eat high-protein foods, but also the opposite, strict control intake of high protein food.
Large number of clinical practice has proved that the use of "lost protein, avoid protein" diet conditioning methods for the control of urinary protein loss had a significant effect, therefore, this diet conditioning methods for the clinical treatment of chronic kidney disease has a positive meaning. Animal experiments indicate that the relevant report and abroad: low protein diet can help reduce urinary protein loss in experimental animals.
The same is protein loss in the urine, why make up proteins and methods of using the bogey proteins have two different results? We know that when the blood flow through the kidney glomerular basement membrane filtration of waste generated by the human metabolism The formation of the original urine, blood protein macromolecules, under normal circumstances is not by glomerular basement membrane into the urine. Chronic nephritis, an increase in the gap on the glomerular basement membrane permeability increase, only to be formed proteinuria macromolecular protein leakage into the urine through the basement membrane. When eating a lot of protein-rich foods, free protein concentration in the blood increase, leakage through the glomerular basement membrane protein increases in unit time, increasing waste generated by human metabolism, thereby increasing the burden on the kidneys, increasing the protein from urine the loss. Meanwhile, proteinuria is a sign of impaired renal function, and a large number of proteins in vivo metabolism of the product difficult to discharge, can cause severe renal failure; Conversely, reducing the intake of high protein foods, reduce the concentration of free protein in the blood , per unit time flowing through the glomerular proteins also decreases metabolic wastes, which reduces the burden on the kidneys, the urinary protein also will be reduced.
Chronic kidney disease kidney like a drain at the end of the kettle, add water method is used not solve the problem, much Tim, much leakage. The correct way is to first pot of water drained, the pot bottom welding tight, water will not leak again add up. Similarly, low-protein diet can effectively reduce the burden on the kidneys, and create conditions for the treatment of chronic kidney disease, the treatment effect will be better and faster.
These are chronic nephritis patients should not make up proteins, I believe we should understand it, chronic nephritis patients should pay attention to in their daily lives up early to do regular hospital treatment, and pay more attention to the diet, learn more about the disease-related knowledge Experts wish you good health.