Why Kidney Disease Patients Is Low Blood Pressure During Dialysis

Low blood pressure is common to see during dialysis. In some conditions, if patient do not stop dialysis that it will threaten patients’ life. So it is bad to come across when patients are on dialysis.

There are main two reasons to cause low blood pressure during dialysis. It includes: Blood volume and Blood vessel.

1. Blood volume:

A :dry weight does not adjust for a long time, it should be adjusted every month, dry weight is too low.

B:Ultrafiltration is too much or too fast, that is to say, dehydration is too much or faster.

C: fluid turnover is slow inside and outside of the blood vessels. If patients’ nutrients conditions is not well that the water in blood vessels is not enough, which will also cause low blood pressure.

2. blood vessels:

A: take medicine to reduce high blood pressure before dialysis.

B: taking diet during dialysis.

C: Dialysate temperature is too high

Above all are some of the reasons to cause patients are low blood pressure during dialysis. So how can we solve all the problems?

The best way for dialysis patients to avoid low blood pressure that is to reduce the times of dialysis or avoid dialysis. How can we achieve that?

Alternative treatments are the popular treatments in dialysis patients. It can relieve all the complications that dialysis can not do, such as swelling, nausea, vomiting, fatigue, poor appetite, protein in urine, blood in urine, etc. Especially, it has no side effects that i can supply the nutrients and oxygen to diseased cells and tissues for improving kidney function.

The alternative treatments are Micro-Chinese Medicine Osmotherapy, Medicated bath, Foot bath, Immunotherapy, Acupuncture, Moxibustion, etc.

If you want to get some treatment or diet suggestions for kidney problem,you can feel to contact me by E-mail renal-disease@hotmail.com,or Phone number /  WhatsApp / Viber: 008615132830921.

What is the role of traditional Chinese medicine in the treatment of nephropathy

Kidney disease has become a serious threat to people's health of the disease, and even seriously affect people's daily lives. So the treatment of kidney disease is one of the most concerned about the problem, then the role of traditional Chinese medicine treatment of nephropathy what? Nephrology experts tell you:
- Toxin-Removing Treatment
First, improve the role of renal functionIt has been reported that blood circulation can improve the blood circulation of the kidney, reduce the hypercoagulable state, promote the absorption of fibrous tissue, it may make some of the renal units to get different degrees of repair, there are reports of Cordyceps sinensis does improve the role of renal function The

- Four 'One' Therapy from Chinese Medicines

Second, the role of immune regulationIt is reported that Chinese medicine in the tonic medicine, blood and antidote antidote can increase the reticuloendothelial phagocytosis, and some traditional Chinese medicine on the immune function of a two-way regulation, Chinese medicine Qufeng Sheng dampness drugs have anti-allergic effect, especially Tripterygium On glomerulonephritis have a significant therapeutic effect, according to the study confirmed that the drug can inhibit the formation of immune complexes, reduce glomerular inflammatory changes.

- Micro-Chinese Medicine
 
Third, the role of excretion of metabolic wasteSuch as rhubarb can promote the excretion of urea nitrogen and creatinine, which play a role in reducing azotemia. >>>> What are the conservative treatments for diabetic nephropathy
- Immunotherapy

Fourth, diuretic effectChinese medicine diuretic drugs have a certain diuretic effect, such as Polyporus, Poria, Alisma, plantain grass, money grass, Lobelia, etc., Chinese medicine diuretics with warm kidney medicine can improve diuretic effect, reported by the study, Can improve renal blood flow, improve renal filtration rate, and diuretic drugs can reduce the reabsorption of renal tubules, so the combination of both can improve the diuretic effect.
- Blood Pullotion Therapy

Five, renal toxicityIndividual Chinese medicine has a nephrotoxic effect, if reported with wood through 60g, fried Dayton clothing, causing acute renal failure, but the amount of no significant toxic effects, Tripterygium also has renal toxicity, mainly caused by tubular necrosis, it is only clinically Can use Tripterygium preparation, such as Tripterygium wilfordii polyglycoside, in addition, there are reports of anti-health, raw blackwood, centipede and other overdose also use renal toxicity.


Kidney disease is one of the human health killers,no matter what is the causes, kidney disease has affected the normal life of patients gradually.In order to let everyone have a healthy body,I hope our medical group can do our best to help the kidney disease patients all over the world. If you want to get some treatment or diet suggestions for kidney problem, you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp / Phone:008613633219293.

Hope that the patients will be helpful!

Chinese medicine treatment of renal insufficiency

method one:
The use of blood circulation, dampness Jiangzhuo main method, in the treatment of renal insufficiency, it can play a conditioning gas machine, through the role of venting Yangming. Danshen, Achyranthes, Motherwort down to blood stasis; Agastache rugosa, Perrin aroma of turbid, spleen wake up, to avoid drowning and stomach satisfied sluggish; the other side in the Pinellia vomiting, plantago, Passepartout, talc Can be wet and water, rhubarb Tongli, licorice to reconcile the various drugs, played a total of the effect of blood stasis. With intravenous drip compound Danshen injection or Mailuoning injection, then increase the intensity of the stasis.

Can I Avoid Dialysis After Chinese Medicine Treatments

Method Two:
The main prescriptions were Danshen, Achyranthes, Motherwort, Agastache rugosa, Pitt blue, Pinellia, Passepartout, Plantago, Talc, Rhubarb, Glycyrrhiza, Lumbago Addiction, addiction, addiction; addiction, addiction; addiction, addiction; Pueraria lobata, Rhizoma Imperatae, Rhizoma Imperatae; Rhizoctonia solani; Rhizoctonia solani, Rhizoma Imperatae Given compound Danshen injection or Mailuoning injection 20ml, add 5% glucose solution 250ml, once a day intravenous drip.

Kidney Hospital in China Use Natural Medicines to Treat Kidney Disease

Chinese medicine treatment of renal insufficiency can be cured? For the use of traditional Chinese medicine treatment of renal dysfunction, we have introduced some of the Chinese medicine selection and allocation methods, we have a lot of understanding of traditional Chinese medicine treatment of renal insufficiency, and in the Drug treatment should also be accompanied by a reasonable diet with exercise, exercise and other adjuvant therapy, there will be better results.

Prevention of kidney disease by traditional Chinese medicine

Chronic renal disease clinical manifestations of proteinuria, hematuria, edema, hypertension, renal dysfunction. Most patients with early symptoms or less symptoms, with the progress of the disease, there may be fatigue, fatigue, eyelid face edema. Lower amine edema, a large number of urine foam, nocturia increased performance. When the above symptoms, especially for many years of diabetes, hypertensive patients, should be timely or regular to the hospital.
Micro-Chinese Medicine Osmotherapy

 Specific precautions are available
1 to adjust the way of life: to quit smoking, weight control, limit salt intake. Edema should be limited when the daily limit of drinking water. Renal function damage, the proposed high-quality low-protein, high calcium and low phosphorus diet.

Immunotherapy

2 active treatment of basic disease: for primary kidney disease or autoimmune kidney disease, if necessary, should be prescribed by the use of hormones or immunosuppressive agents; secondary to diabetes, hypertension and other chronic diseases of kidney damage, first of all should actively control the original Incidence, control of blood sugar, blood pressure.
3 strict control of hypertension: sustained and effective control of hypertension, blood pressure compliance is to reverse or delay the progress of chronic kidney disease one of the main factors. Preferred are angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor antagonist (ARB) with renal protection and reduced urinary protein action.

Blood Purification

4 effectively reduce proteinuria, correct hyperlipidemia, hyperuricemia.
5 for symptomatic treatment of complications.
Chinese medicine that the kidney for the innate of this, possession of real yin and live in real yang, should be hidden and should not be vent, so kidney disease more common virtual syndrome. At present, the majority of doctors believe that the pathogenesis of chronic kidney disease and the development of the pathogenesis of the characteristics of "virtual virtual", "the virtual standard real", is the evil is the invasion of evil, diet fatigue, Leading to impaired righteousness, mainly for the lung, spleen, kidney three dirty virtual, and even five internal organs involved. Is virtual Qi blood flow run adverse, brewing water wet, hot and humid, congestion, cloud poison evil. Is virtual and evil both stalemate each other, resulting in chronic kidney disease difficult to recover.
Acupuncture           Moxibustion               Full Bath

Chinese medicine treatment of chronic kidney disease rooted in the basic principles of TCM syndrome differentiation, with acupuncture, acupuncture therapy; there are blood stasis, expelling wind through the network of Chinese medicine foot bath bath to ease the role of the disease. Through the massage, cupping topical and other auxiliary treatment.

I hope our medical group can do our best to help the kidney disease patients all over the world. If you want to get some treatment or diet suggestions for kidney problem, you can feel to contact me by E-mail renal-disease@hotmail.com, or WhatsApp +8613633219293.
Hope that the patients will be helpful!

Kidney disease treatment can not only focus on indicators

"Indicator drop" ≠ "disease like"
Many patients with kidney disease, the initial may not attach importance to the severity of kidney disease, often using oral hormones, Tripterygium and other drugs to control urinary protein, occult blood. The beginning of treatment is still relatively obvious, urinary protein, occult blood and several other test indicators soon improved, and some even completely disappeared. So patients think they are sick, very happy.

Four ‘One’ Therapy from Chinese Medicines

But did not take long, encountered a cold, tired and other adverse stimuli, the condition has increased. So, and began to use hormones, Tripterygium and other drugs, so repeated, the drug is eating a lot, but the urine protein, occult blood has not been controlled, but the emergence of obesity, pleural effusion, and even liver damage, femoral head necrosis And other side effects of drugs, the condition is also increasing.
Experts advise: urinary protein and occult blood, is due to renal glomerular basement membrane by a serious injury from the urine leaking out, if only that urine protein, occult blood disappeared is a good disease, is the understanding of the error. The use of some control drugs, the initial effect, but only temporary, and these drugs tend to have side effects, palliative.

Micro-Chinese Medicine

The correct treatment should be based on the fundamental treatment of the kidneys by repairing damaged glomeruli to completely eliminate urinary protein, occult symptoms.
"Limited protein" ≠ "no protein"
Protein metabolism in the body of ammonia, urea, creatinine and other nitrogen substances need to be excreted through the kidneys. If a person ingestion of too much protein, will increase the burden of liver, kidney, the human body have a negative impact. After diagnosis of kidney disease, doctors tend to recommend patients to control the intake of protein. But some patients too "follow the doctor's advice", not only "limited protein" diet, and even "protein-free" diet.

Toxin-Removing Treatment

"Once the patient was diagnosed with chronic kidney disease, began to control the protein diet, only vegetarian, do not eat meat, even the tofu are fixed, the result not only does not help kidney disease treatment, but cause malnutrition, low immunity, infection , Increased the condition. "Experts said.
Experts advise: clinical studies have shown that low-protein diet can reduce urinary protein excretion. But the protein is the body's essential nutrients, but also the human metabolism is indispensable. Chronic nephritis, nephrotic syndrome patients as long as the normal renal function, can not be vegetarian-based, should intake of some of the higher body utilization and lower renal excretion of protein requirements, and the intake of protein should take " ", To high-quality animal protein-based, such as milk, eggs, meat and so on.

Blood Pollution Therapy

In addition, soy products are prohibited to eat. This is because the soy products contain more non-essential amino acids, long-term large-scale consumption, not only can cause glomerular damage or sclerosis, proteinuria, and protein metabolism of urea nitrogen by the glomerular filtration, the inevitable increase in kidney burden, Will further damage the renal function, so that the patient's condition further deteriorated.
Kidney disease treatment can not be simply concerned about the indicators! In the treatment of kidney disease, kidney disease care is very important for the treatment of kidney disease can be divided into knowledge, life, diet. Only a comprehensive do kidney disease care, can play a very important role in kidney disease.




No matter what is the causes, kidney disease has affected the normal life of patients gradually. I hope our medical group can do our best to help the kidney disease patients all over the world. If you want to get some treatment or diet suggestions for kidney problem, you can feel to contact me by E-mail renal-disease@hotmail.com, or WhatsApp +8613633219293.  Hope that the patients will be helpful!

Integrative treatment of chronic kidney disease

Prevention and treatment of chronic kidney disease is a systematic process, the patient must be a lifelong comprehensive monitoring, guidance and treatment. This process should be accompanied by a physician under the guidance of a kidney specialist and related subjects (such as cardiovascular, nutritional, rehabilitation) physicians and primary physicians (community hospital physicians); the systematic process in which the patient and his family are involved.
What Would Be the Ways to Prolong Stage 4 CKD Patient

First, the progress of renal dysfunction:
1, early prevention: also known as "primary prevention" refers to the occurrence of chronic renal failure before the start of prevention. Including early screening of kidney disease, active control of kidney disease and possible kidney disease, to prevent the occurrence of chronic kidney disease.

2, to strengthen follow-up: regular follow-up and control of chronic kidney disease are closely related to the progress of patients with planned treatment and guidance can help patients reduce or avoid certain incentives to promote renal failure, such as drug damage, dehydration The amount of blood deficiency caused by cold, excessive fatigue, urinary obstruction, infection, bleeding, etc., or can be detected and corrected early.
Featured Chinese Treatment for Diabetic Kidney Disease

3, the active treatment of primary kidney disease. Proteinuria is the most common clinical manifestation of glomerular disease, a large number of persistent proteinuria poor prognosis, and urine protein or less control of patients, the prognosis is good. Proteinuria has become an independent risk factor for the prognosis of chronic kidney disease.
4, the possible involvement of kidney disease active control, especially hypertension, diabetes, metabolic syndrome. Control of renal or essential hypertension can prevent glomerular sclerosis. Control of hypertension (or diabetic nephropathy) can be applied to small doses of angiotensin converting enzyme inhibitors (Lotensin), can reduce the pressure within the glomerulus, which can ease the state of high filtration.
Polycystic Kidney Disease: How Can I Get Micro-Chinese Medicine Osmotherapy

 5, lower blood lipids, correct lipid metabolism disorders: First, the intake of fat should be appropriate, while appropriate physical activity and appropriate calorie intake should also pay attention to, if necessary, can also use hypolipidemic drugs.
6, anticoagulation and improve microcirculation: anti-platelet drugs or blood circulation to delay the process of renal failure beneficial.
Second, reduce cardiovascular complications and other complications (such as: malnutrition, anemia, high blood pressure, bone disease, etc.). If necessary, for renal replacement therapy, that is, kidney.

At What Creatinine Level Dialysis Is Needed

The purpose of treatment is ultimately to improve the survival rate, quality of life and social life rate of return. The integration of prevention and treatment of chronic kidney disease is not only the use of certain new drugs, new inspection methods, but also the kidney doctor's medical philosophy, changes in work patterns, and the patient's understanding of their own diseases.

 No matter what is the causes, kidney disease has affected the normal life of patients gradually. I hope our medical group can do our best to help the kidney disease patients all over the world. If you want to get some treatment or diet suggestions for kidney problem, you can feel to contact me by e-mail renal-disease@hotmail.com, or WhatsApp +8613633219293.  Hope that the patients will be helpful!

Chinese medicine treatment of kidney disease

Kidney disease is a serious harm to human health of the urinary system diseases, easy to recurrent, persistent refractory. Especially when the development of kidney disease to renal failure, the system of various diseases, such as diabetes, high blood pressure, heart disease, liver disease and hematopoietic function decline, then treatment is even more difficult.Speaking of kidney disease, many people may not agree, not knowing once evolved into renal failure - uremia, it is no less harmful to humans than some cancer. Kidney damage can occur in any age price, common with acute nephritis, chronic nephritis, urinary tract infection.






Can You Send the Chinese Medicine To Me For My Kidney Failure

The face of kidney disease devil, today, at home and abroad for the understanding of kidney disease and medical treatment is still the lack of the ideal method, such as dialysis can only maintain life, and produce dependency and dialysis syndrome, kidney transplantation success rate is low, and exclusion But also difficult to solve, hormone therapy side effects are obvious, and easy to relapse plus dialysis and kidney transplantation costs are often difficult to make many patients difficult to bear ... ...For the patient reference: hormone side effects of drugs: 1, the body fat; 2, can cause osteoporosis, causing necrosis of the femoral head; 3, the body's resistance decreased, elevated blood sugar, corticosteroid syndrome, gastrointestinal ulcers, electrolyte disorders and many more.


Natural Treatment for End Stage Renal Failure in China

Hormones and immunosuppressive agents have a certain impact on sexual function. Long time, high doses of prednisone and other corticosteroids can increase the degree of sexual dysfunction. Almost all of the immune agents can make testicular atrophy, ovarian damage, resulting in decreased or disappeared spermatogenic function, sexual desire disappeared, impotence.

Polycystic Kidney Disease: How Can I Get Micro-Chinese Medicine Osmotherapy

The treatment of kidney disease, the current general, Chinese medicine should be better than Western medicine. Because Western medicine on a variety of nephritis, nephropathy, nephrotic syndrome treatment, the use of hormone therapy, but the hormone cover the disease is strong, side effects, and easy to relapse. Chinese medicine is not the same, on the one hand the effect is obvious, not easy to relapse, on the other hand, no pain, non-toxic side effects, low cost, so that the current treatment of kidney disease, compared with some developed medical technology. In short: although the kidney disease refractory, but not incurable. As long as the key to grasp the treatment, medication is reasonable, will achieve the desired effect.

Micro-Chinese Medicine Osmotherapy

Induced nephritis causes

Nephritis refers to the kidneys appear non-suppurative inflammatory response, suffering from nephritis, patients usually have oliguria, hematuria, hypertension and renal failure and other symptoms. There are many types of kidney disease,  

Chronic Kidney Disease,      FSGS,     IgA Nephropathy,   

Diabetic Nephropathy,       Kidney Failure,     Kidney Cyst, 

Glomerulonephritis,         Nephrotic Syndrome,  

Hypertensive Nephropathy,      Polycystic Kidney Disease, 

Renal Parenchymal Disease

Nephritis on the body of great harm, so to be timely detection and treatment. What are the causes of nephritis caused by it?1, family history. Part of the nephritis patients have a family history, the family also have nephritis, therefore, home with relatives suffering from nephritis, need to be vigilant, the best regular to the hospital for examination.2, diabetes. Diabetes can also cause nephritis, diabetes can cause complications - diabetic nephropathy, early symptoms of diabetic nephropathy with proteinuria, edema, high blood pressure, etc., late there will be renal damage.3, digestive system lesions. Some patients suffering from long-term gastrointestinal diseases, nausea, vomiting, the investigation, found suffering from nephritis. So if the appetite is not good, taste disorders, nausea and vomiting, extreme thirst and other symptoms, to be more vigilant, timely examination to rule out kidney dysfunction.What causes the cause of nephritis nephritis what is caused by how the nephritis is caused4, high blood pressure. Hypertension and kidney disease is a vicious circle, high blood pressure can cause nephritis, and nephritis will lead to high blood pressure. Hypertension does not get timely, correct treatment, will damage the kidney blood vessels, causing kidney damage, or even kidney failure. At this point, the kidney can not work properly, blood pressure on the basis of the original will be higher.5, lupus erythematosus Lupus erythematosus nephritis is also a kind of nephritis, indicating that lupus erythematosus can cause nephritis. Because the kidney is the most common organ of lupus erythematosus, the production of a large number of autoantibodies in the blood is the causative element of systemic lupus erythematosus. When the rash after the sun, or repeated oral ulcers, severe hair loss, can not use anti-inflammatory, anti-viral treatment of fever, but also take into account the possibility of lupus nephritis.6, other diseases. When the skin appeared allergic purpura-like rash, pay attention to check the urine. A person infected with hepatitis B virus, whether hepatitis B virus carriers or sick, if there is hematuria, proteinuria, should pay attention to check whether the suffering from hepatitis B virus-associated glomerulonephritis. Overweight or obese people are likely to suffer from obesity-related glomerulopathy.

Understanding Kidney Disease Treatment

Your time is precious and so is your kidney health. 

That's why Our Kidney Disease Clinic is offering various services online.

Nephritis treatment

 

First, the treatment of edema

Mild nephritis patients without treatment, limited salt and rest can disappear. Significant edema patients, available drug treatment, the general discontinuous application is better than continuous application.

Second, bed rest
Acute nephritis bed rest is very important. Edema subsided, blood pressure decreased, abnormal urine after the reduction, the patient can carry out moderate walking, and gradually increase the number of mild activities, but do not suddenly increase the amount of activity.
Third, anti-infective treatment
In the acute phase of nephritis patients in the case of infected lesions to give enough anti-infective treatment, no infection, the general to not properly.
Fourth, the treatment of hypertension and heart failure
If there is high blood pressure in patients with nephritis need conventional treatment of hypertension. Heart failure in patients with nephritis is due to acute nephritis patients with high blood volume problems, its treatment focus is on the removal of water, sodium retention flow, reduce blood volume above.
Five, diet and moisture

The amount of water intake to urine, edema, the degree of hypertension and whether the heart failure to determine the comprehensive, in the acute phase of the nephritis patients to limit the water is appropriate, but not too much. Salt intake in the case of significant edema and high blood pressure, can be limited to 2g / d or so. Protein intake, depending on the target limit, the protein need to high-quality protein is better, such as eggs, dairy, lean meat and so on. Generally advocated into the low-protein, high-sugar diet continued to diuretic start, until the symptoms of nephritis patients after the basic relief can be restored to conventional diet
Six, Chinese medicine treatment
Chinese medicine on nephritis no obvious repeatable efficacy, and some Chinese medicine with renal toxicity, may lead to delay and increase the condition.

Chinese medicine treatment of kidney disease

Chinese medicine bath commonly known as skin dialysis, sweating detoxification, diuresis itching has a certain effect. Mainly for severe edema, the general treatment is not obvious; refractory hypertension, conventional antihypertensive ineffective; uremic patients with severe skin itching

Acupoint external application is a method of external disease treatment, the Chinese medicine into the fine, the reference to the osmotic agent in a specific acupuncture points, through the meridians and acupuncture points to stimulate the regulation of human function, improve kidney failure symptoms, delay renal function deterioration process

Chinese medicine treatment of kidney disease characteristics

Kidney in traditional Chinese medicine is very important, that is congenital of this, with Yuan Yin (kidney yin), Yuan Yang (kidney yang), possession of fine, Division II Yin, and the bladder each other. And Western medicine is not the same thing about the kidney, Western medicine kidney is an anatomical concept, located in the abdominal cavity on both sides of the spine-like organs, Chinese medicine is more emphasis on the function of the kidney, such as kidney water, that is, in charge of the body's water metabolism, by the role of kidney yang, lung, spleen, bladder and other water metabolism play a leading role. The Western medicine is mainly manifested in the discharge of urine and a variety of metabolites (including creatinine, urea nitrogen), regulate water, electrolyte, acid and alkali balance, and the role of hormone secretion. It can be seen that the theory of kidney water in traditional Chinese medicine contains the function of western medicine kidney involvement in aqueous metabolism. As the Chinese medicine, Western medicine theory is different in the diagnosis and treatment of the two are different. Western medicine is usually based on the patient's clinical characteristics, physical and chemical diagnosis of a diagnosis of a disease, once diagnosed, the treatment principles and methods, the drug is basically the same, and Chinese medicine is based on the specific patient's performance, come to a "card" The disease is different, a Western medicine, Chinese medicine can have multiple cards, different evidence, treatment is different, that is, "different disease"; different diseases, can also have the same card, that is, "different disease Tongzhi" , The same evidence, the basic law, prescription is consistent, reflecting its "common", and because of each patient physical factors, mental state and age, sex, and even eating habits, different prescription medication has changed The flexibility to reflect the specific patient medication "personality". In general, the basic characteristics of traditional Chinese medicine treatment of nephropathy is syndrome differentiation.

Nephropathy professor said: medicine is not as good as diet. Tang Dynasty drug king Sun Simiao said, "Where to treat, first to diet, both food unhealed, after the drug Seoul." Medicine and food homologous, any food with the same drug, with acid, bitter, sweet, Xin, salty flavors, and cold, hot, warm, cool four gas. Different kidney disease, according to the characteristics of the disease and the patient's physique, you can use food treatment. Such as acute nephritis, available steamed crucian carp, eat meat soup, with qi and spleen, diuretic swelling effect. In addition, food and proprietary Chinese medicine "kidney will Ning" series combination, the effect is better. Such as chronic nephritis, can be used in the doctor prescribed "kidney will Ning" series at the same time, appropriate to eat Astragalus stewed hen, have the temperature, spleen diuretic effect. Another point, kidney patients pay attention to "taboos", such as nephrotic syndrome, diet should be light, avoid salty, avoid spicy, seafood and spirits, to control the thickening of the cream beam.

In short: dialectical treatment, attention to diet and integrated traditional Chinese and Western medicine combined comprehensive control of efficacy, is our hospital kidney disease and Professor Zhao Peng, the basic characteristics of treatment of kidney disease.