Factors affecting the prognosis of chronic renal failure

The prognosis of chronic renal failure is generally not good, such as poor control is easy to develop to uremia, affect the prognosis of renal failure factors are? Renal failure refers to the renal function of some or all of the loss of pathological status.

Chronic renal failure is a common clinical syndrome, it occurs in a variety of chronic renal parenchymal disease on the basis of slow renal dysfunction and renal failure. According to the International Kidney Disease Association statistics, the incidence of chronic kidney disease 2 ‰ - 3 ‰, uremia incidence rate of 100/100 million -150 / million, and the number of patients was increasing year by year trend.

According to the planning of renal damage you are lonely, renal dysfunction can be divided into four.

Chronic renal failure is a progressive development of the disease, with irreversible, poor prognosis. In a variety of comorbidities, the combined prognosis of hypertension is the worst; various aggravating factors, such as infection, heart failure, dehydration, or improper treatment, can lead to deterioration of renal function, but if the rapid correction of factors, , The patient has a relatively stable time. Here are the five factors that affect the prognosis of chronic renal failure.

First, urinary tract obstruction is also a common prognostic factors, and often and urinary tract infection coexist;

Second, the primary kidney disease itself is closely related to the prognosis of chronic renal failure;

Third, a variety of causes of renal insufficiency, such as severe vomiting, diarrhea caused by shock, low blood pressure, long-term excessive use of diuretics and so on;

Fourth, all kinds of infections are the most common factors affecting the prognosis of chronic renal failure, of which the respiratory and urinary tract infections are the most common;

5, the use of nephrotoxic drugs.

Traditional Chinese medicine treatment of chronic renal failure have a good effect, Chinese medicine to Tongxin active, blood circulation, turbid poisoning as a way to clear the kidneys, activate the kidney function for the purpose.


Recommended: to eat chronic kidney failure rehabilitation soup, to promote and improve the necrosis of the kidneys have been microcirculation, accelerate the metabolism of kidney metabolism, so that the effective ingredients in the drug to play a role in repair damaged kidney glomerular, enhanced glomerular reabsorption, Restore the normal physiological function of the kidney, so that blood creatinine, urea nitrogen dropped to normal.

 If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Phone Number: 008615132830921

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Prevention of lupus nephritis

Lupus erythematosus is an autoimmune disease caused by a problem with the autoimmune system, and the disease that is present in this disorder is very difficult for the treatment of such diseases, so for us, Do the prevention of lupus erythematosus nephritis?

(1) attention to physical factors
Systemic lupus erythematosus close relatives of the incidence rate of up to 5% to 12%, the same egg incidence of up to 69%, lupus patients relatives of other autoimmune diseases such as rheumatism, dermatomyositis, scleroderma, dryness and psoriasis and other morbidity Also high, black and Asian descendants are higher than those of Caucasians, all of which suggest that lupus is affected by genetic factors. And female multiple, patients with low levels of testosterone, then the endocrine factors, especially estrogen in patients with lupus in vivo and the incidence of lupus nephritis. Therefore, for the basis of autoimmune disease in patients with lupus erythematosus, including relatives of autoimmune disease, should be highly vigilant, once sick should think of their own immune disease, once suffering from autoimmune diseases, should be actively treated, To prevent lupus nephritis caused by kidney damage.

(2) pay attention to drug toxicity
Lupus erythematosus-related drugs are hydralazine, procaine amide, isoniazid, methyldopa, cloprazine and quinidine, especially before the two are common. May be related to the drug in the hydrazine, amine, mercapto groups. Therefore, patients with lupus erythematosus-based lupus erythematosus should pay attention to the toxicity of these drugs to patients with lupus erythematosus.

(3) to avoid sun exposure
Ultraviolet radiation aggravated lupus nephritis is more common. Because the UV can make DNA into thymine dimer, and the antigenic enhancement, to promote systemic lupus erythematosus occurred. Therefore, patients with lupus nephritis in their daily lives should be avoided in the strong sunlight for a long time exposure to reduce the excessive UV radiation caused by renal damage.
(4) active treatment of viral infection

Viral infection may be related to the occurrence of systemic lupus erythematosus. Therefore, we should actively treat a variety of viral infections. Especially for upper respiratory tract infection such a "minor illness", must not be taken lightly. Because the "wind for the long illness", many serious illness is the cold and the beginning of the disease and thus harm the crowd.

Your time is precious and so is your kidney health.

 If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Phone Number: 008615132830921

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Dialysis patients need to supplement nutrition

Periodic hemodialysis or peritoneal dialysis patients daily nutrient requirements should be based on dialysis the number of times, time and condition changes. Daily heat can be 126 ~ 146 kJ (30 ~ 35 kcal) / kg body weight supply. Such as lack of heat, and then add 70% glucose solution. Should be as much as possible to encourage patients to eat mouth, such as enteral nutrition can not meet the needs, may be appropriate to use intravenous nutrition. In the course of dialysis treatment can lose a lot of amino acids, vitamins and glucose, should pay attention to add. Summed up the following points:

(1) timely replenishment of protein: If the patient 3 times a week for hemodialysis, the daily minimum requirement of food protein per kilogram of body weight of 1.0 grams, which is rich in essential amino acids should account for 50% of high quality protein.

(2) to ensure that the heat supply: hemodialysis treatment of patients with daily heat supply should be 126 to 146 kilograms per kilogram of body weight (30 to 35 kcal), peritoneal dialysis treatment of patients per kilogram of body weight 146-188 kJ (35 ~ 45 Kcal).

(3) appropriate amount of potassium and sodium supplementation: hemodialysis potassium intake according to the serum potassium content, urine volume, dialysis fluid potassium excretion and the patient's condition may be. General daily intake of 2 030 mg. If diabetic patients with renal disease hemodialysis treatment, it is necessary to carefully control the potassium intake. Peritoneal dialysis patients with potassium intake should be controlled at 2 925 mg to 3 500 mg, the diet principle is high protein and appropriate potassium limit. Hemodialysis, the food limit of potassium in the 1500 mg ~ 2000 mg, while the need to control the amount of liquid to prevent high blood pressure, pulmonary edema and congestive heart failure. In the oliguria should pay attention to limit potassium. Peritoneal dialysis treatment, the sodium salt intake of 2000 mg to 3 000 mg, such as in the dialysis solution to control the sodium content, is more beneficial to the treatment.

(4) moderate intake of carbohydrates and fat: dialysis increased protein supply, sugar and fat requirements are relatively reduced, is conducive to lower blood lipids.

(5) add enough vitamin: dialysis blood water-soluble vitamins seriously lost, it must be added B vitamins, such as vitamin B1, vitamin B2, vitamin B6 and so on. Vegetables, fruits can be edible, but must be combined with the number of disease identified. Salt, fruit juice and high potassium vegetables, fruits and so on according to the disease limit. Should not choose dry beans and their products, nuts and other non-essential amino acid content of food. Animal fats and spicy food, such as pepper, mustard, pepper, coffee, etc. should not eat.

Your time is precious and so is your kidney health.

If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Phone Number: 008615132830921

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Peritoneal dialysis

Peritoneum is a serous membrane close to the abdominal wall and abdominal viscera (stomach, intestine, liver, etc.). It is a colorless, smooth film. The human body's peritoneum is a dialysis function of biological semipermeable membrane, not only a good penetration and diffusion, as well as absorption and secretion function.

Peritoneum is a serous membrane close to the abdominal wall and abdominal viscera (stomach, intestine, liver, etc.). It is a colorless, smooth film. The human body's peritoneum is a dialysis function of biological semipermeable membrane, not only a good penetration and diffusion, as well as absorption and secretion function. Adult peritoneal area of ​​about 2.0 ~ 2.2 ㎡, compared with the two sides of the kidney glomerular filtration of the total area (about 1.5 square meters) and the general hemodialysis area (0.8 ~ 1.0 ㎡) is large.

Diarrhea through a certain concentration of electrolyte and glucose dialysis solution into the abdominal cavity, according to the principle of membrane balance, plasma small molecules, such as the concentration of dialysis fluid than those who will diffuse into the dialysate, and dialysis Liquid concentration of the material, you can from the dialysate into the tissue fluid and plasma. If the osmotic pressure of the dialysate is higher than that of the plasma, too much water in the plasma penetrates into the dialysate. Abdominal infiltration, through repeated intraperitoneal filling and release of dialysate, can make the body metabolites get clear, water and electrolyte balance to achieve the purpose of treatment.

Indications for peritoneal dialysis
(1) acute renal failure: the majority of scholars believe that do not wait until the occurrence of acute renal failure complications, was forced to dialysis, but should establish acute renal failure in 2 to 3 days will be early dialysis, this can be prevented Some dangerous complications occur.

(2) chronic renal failure: a variety of causes of chronic renal failure, when the patient endogenous creatinine clearance rate ≤ 10ml / min, can be used peritoneal dialysis, generally first use of continuous ambulatory peritoneal dialysis (CAPD) , And advocate early start.

(3) water, electrolyte imbalance: clinical complex water, electrolyte imbalance, such as hyperkalemia, hypercalcemia, hypermagnesemia, severe hypernatremia, refractory heart failure, acute myocardial infarction Acute pulmonary edema, severe waterosis, hyperuricemia and so on.

(4) other: such as acute hemorrhagic or necrotizing pancreatitis, hyperthyroidism, hepatic coma, hyperbilirubinemia, complete obstructive jaundice preoperative preparation, can be peritoneal dialysis.

 If you still have any doubts, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Phone Number: 008615132830921

our doctor will reply you  with professional suggestion.