Chronic renal failure do not have to do hemodialysis

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--------------------------------------------------------------------------------News.dayoo.com 2005 03, 26 11:42 source: Guangzhou dailyText

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News.dayoo.com 2005 03, 26 11:42 source: Guangzhou daily

Text / reporter correspondent Wen Zhiqin Tang Yingchun

Expert guidance: Dr. Sun Shengyun, director of Department of traditional Chinese medicine, the First Affiliated Hospital of Jinan University, Guangzhou

It is universally acknowledged that kidney disease is difficult to cure. The event day before CCTV and other media on a Shandong kidney disease hospital Kengpian patients were exposed, then got sick especially renal damage, what is the right thing to do? To this end, we interviewed the First Affiliated Hospital of Jinan University, Department of traditional Chinese medicine, Dr. Sun Shengyun.

Kidney dysfunction, most can not be found physical examination

Zhang Bo in recent months is fatigue, sometimes vomiting, thought to be indigestion, find a clinic doctor prescribed drugs to help digestion is not what effect, to the hospital for a check, is found in renal failure, and has entered uremia, need dialysis treatment. How could he not understand that he had never had edema, how can there be renal failure? What was needed to "dialysis"?

Chronic renal failure is the final outcome of various chronic kidney diseases such as chronic glomerulonephritis, diabetic nephropathy, gouty nephropathy, lupus nephritis, recurrent urinary tract infection and renal damage in hypertension. In China, there are a total of one hundred thousand people into renal failure. The basic condition is the increase of serum creatinine, blood urea nitrogen, uric acid, water electrolyte disorder.

Why not Zhang soon found himself poor kidney function? The original early chronic renal failure rarely have the characteristic of clinical manifestations, and we present the examination system does not mark the deterioration of renal function indexes such as glomerular filtration rate, serum creatinine, urea nitrogen and uric acid in the range of normal physical examination, that is to say you to the hospital for a medical examination, and most can not be found in renal function the phenomenon of incomplete.

Mouth smell of urine pale face to be vigilant

Renal failure early symptoms are often general weakness, fatigue, the spirit of good, increased blood pressure, dizziness, gastrointestinal symptoms, poor appetite, nausea, vomiting and even the morning consciously in the mouth (such as smell the stench of urine). After the occurrence of a pale appearance of anemia, dizziness, palpitations, itching, limb numbness, numbness of the hands and feet, etc.. Patients with advanced renal failure can appear cardiovascular, respiratory, blood, digestive, nervous, endocrine, bone and other symptoms of the system, and there are water and electrolyte acid-base balance disorders and other symptoms. The main causes of these symptoms are due to poor renal function such as creatinine, urea nitrogen, uric acid and other uremic toxins.

If the original symptoms of patients with chronic kidney disease, the doctor is more likely to take into account the renal insufficiency. However, there is a considerable number of patients with chronic renal insufficiency without a history of kidney disease, when the weakness, fatigue, mental and physical decline and gastrointestinal symptoms, often misdiagnosed as gastrointestinal diseases. When the symptoms of weakness, pale anemia symptoms, often misdiagnosed as blood disease. There are a few patients with peripheral nerve symptoms were misdiagnosed as peripheral neuritis. Some patients with gouty arthritis as a long-term treatment of rheumatoid arthritis. Chronic renal failure as a long-term treatment of hypertension. For patients with anemia, gastrointestinal symptoms and high blood pressure, should consider whether the presence of renal failure, so as to avoid misdiagnosis missed diagnosis of early treatment opportunities.

Is not chronic renal failure can not cure patients, nor no way. That is conditional on the end-stage chronic renal failure and uremia patients are often treated by dialysis, usually known as "dialysis therapy, can prolong the life of patients. Dialysis therapy usually consists of hemodialysis and peritoneal dialysis. Can be selected according to the specific circumstances of the patient.

Chronic renal failure dialysis

Dialysis can maintain the lives of patients, and even some patients to restore labor. Patients with good economic conditions can choose renal transplantation, and successful renal transplantation can better change the state of the disease and improve the quality of life. However, whether it is "dialysis or transplantation is the need for a lot of money, ordinary people suffer some difficulties. Therefore, early detection of chronic renal failure and active treatment, delay the progress of the disease, delay the time into uremia, it is very important.

There is no specific therapy for chronic renal failure, but there are ways to slow it down. In the early and middle stage of chronic renal failure patients, conservative therapy (non dialysis therapy) is mainly used to delay the deterioration of renal function, relieve symptoms and improve the general state of patients. Combination of traditional Chinese and Western medicine therapy on the role of delaying chronic renal failure is clear, especially rhubarb, Cordyceps sinensis and Chinese medicine in the treatment of Western medicine plus vascular tension, angiotensin converting enzyme inhibitors such as the development of benazepril on delaying chronic renal failure has been recognized. Treatment can delay the progression of chronic renal failure in the early and middle stages, and delay the onset of dialysis. Some patients with chronic renal failure can be maintained for many years without further deterioration of renal function, effectively delayed the arrival of dialysis. Integrated traditional Chinese and Western medicine treatment of chronic renal failure can achieve good results. It should be noted that, for patients with chronic renal failure who have entered regular dialysis, it is almost impossible to get rid of dialysis through medication.

The First Affiliated Hospital of Jinan University Sun Shengyun said that the kidney is one of the most important organs of human life. It regulates the maintenance of the whole environment of the whole body by filtering the urine and endocrine function. Chronic renal failure dialysis and transplantation every year to spend a large amount of medical resources, early symptomatic treatment, delaying the progress of chronic renal failure is of great significance to patients.

Low protein diet

At the same time, diet therapy is also of great significance for the prevention and treatment of chronic renal failure.

That is, if there is the presence of chronic renal failure, the quality of protein to eat every day about 0.6 grams per kilogram of body weight, and try not to eat beans and soy products such as tofu, soy milk, etc.. It is necessary to calculate daily food intake according to the food composition table. And now some doctors began to develop food containing low protein, such as for kidney patients eat low protein noodles.

Due to chronic renal failure patients have high phosphorus and low calcium, and we love the Cantonese drink "old fire" because of the high phosphorus contained in the special is not suitable for patients with renal failure due to drinking, leafy vegetables contain many organic phosphorus pesticide spraying, it is best to eat before the proper soak with water.

Chronic renal failure five matters needing attention

(1) attention should be paid to the prevention of pharyngeal, lung, urinary tract infection, so as to avoid infection with chronic renal failure.

(2) to avoid the cold, fatigue, diarrhea, trauma etc.. Because every time the infection, the disease may be increased once.

(3) infection should be promptly after the use of antibiotics to control infection, prohibited the use of gentamicin, kanamycin, amphotericin B and other toxic drugs to the kidney, otherwise it will increase the accelerated deterioration of renal function.

(4) control of hypertension. Because high blood pressure can lead to deterioration of renal function to accelerate, the general blood pressure maintained at 135/85mmHg is suitable.

(5) should be actively treated to reduce the loss of protein, a large number of long-term proteinuria can contribute to deterioration of renal function.

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