Renal failure

-

Pathogeny
1. Acute renal failure
Usually due to insufficient renal blood supply ( such as trauma or burns ) , the kidney is impaired by some factors , or damaged by poison , which results in the occurrence of acute renal failure .
2. Chronic renal failure
Because of the long-term kidney disease , with the development of time and disease , the decline of renal function leads to the occurrence of renal failure .
Symptoms
1. Oliguria stage
In the most critical stage , the internal environment is seriously disordered . The patient may have oliguria and no urine , low specific gravity urine , high urine sodium , hematuria , proteinuria , tubular urine and so on . Severe patients may suffer from water intoxication , hyperkalemia , metabolic acidosis , and the risk of nitrogen and blood stasis and the patient’s life . The duration of this period lasts a few days to a few weeks , and the longer the prognosis , the worse the prognosis .
2. Polyuria stage
The urine volume gradually increased after oliguria , and reached the polyuria stage when the daily urine volume was more than 500ml . Since then , the urine volume multiplied daily , the maximum daily urine volume of 3000~6000ml , and even more than 10000ml . In the polyuria stage , the initial urine volume increased , but the renal clearance rate was still low , and the accumulation of metabolites in the body was still present . After 4~5 days , serum urea nitrogen and creatinine decreased gradually with the increase of urine volume , and the symptoms of uremia improved accordingly .
3. Convalescence
The urine volume gradually returned to normal , and the renal function recovered gradually after 3~12 months , most of the patients recovered to normal level , only a few patients became chronic renal failure .
Treatment
1. Etiological treatment
The cause of renal failure , such as insufficient blood supply or loss of blood , the patient will be given the loss of body fluids and water ; If there is infection , further treatment should be done for infection .
2. Renal function
Because the kidney has lot its function , doctors will temporarily used dialysis treatment to assist in eliminating toxins and wastes in the body ; Patients with acute renal failure do not receive adequate treatment or are unable to control them , if the disease develops from acute to chronic renal failure , it may be uremia and must be dialysis for life .
3. Diet
Diet control , for patients with renal failure , because of renal damage , after eating into the body , the toxins and wastes produced by the food can not be excreted normally , therefore , the diet must pay special attention to avoid causing the burden of the body .
4. Renal transplantation

Some patients with end-stage renal failure need long-term dialysis treatment , renal transplantation can lead to better quality of life in patients with appropriate conditions . Kidney transplantation is the best way to treat renal failure at present , because the kidney transplanted into the patient can almost completely replace the failing renal function , let  the patient live a normal life .

评论

发表评论

此博客中的热门博文

Can gout patient eat Chinese chives?Why is that?

-
图片
Can gout patient eat Chinese chives?Why is that? Leek is a common food in life, and the blood is very good. Leeks are good for human health, but some people in life are not fit to eat leeks.The diet of gout patients needs special attention, a lot of food cannot touch, should notice control purine content, that gout can eat leek? Chive is a very good vegetable, and good for your health.Dietary respect have a lot of gout patients should pay attention to, but Chinese chives can  still eat, leek moderate condition in patients with gout will not have any effect, must eat eat Chinese chives, gout patients can eat walnut meat Fried leeks, would be a simple variety, purine content is low, and the leek is warm sex food, so patients with gout can be just the right amount of eat the leek. The benefits of leek are very high, and the right amount of chives is very good for gout.Although the gout patient says the food should pay attention to a lot of things, but the food still should be diver...
阅读全文

Urine protein

-
图片
Urine protein is the protein examined by the urine, which becomes muddy after the heat through acidize. 24 hours urine protein range is lower than or equal to 0.15g with normal people and by routine test, the urine protein is examined to be feminine. If the urine proteins are examined to be lower than 150ml/day, which means there is urine protein. It shows that the urine proteins are obviously increase in human bodies. It belongs to abnormal urine proteins. If the urine protein keeps positive, it often represents the lesion of urine proteins, thus clinic can decide the level of kidney damage and the effects of the kidney treatments according to the number of the positive of urine proteins. Therefore, the abnormal urine proteins occur. It must be controlled effectively and eliminated to prevent the worsen of the state of illness. If the glomerulus and kidney tubules are leted, such as the period of nephritis, kidney diseases and high blood pressure, which occult kidney arterioscler...
阅读全文

The doctor admits: The special “curing” of uremia reminds everyone not to give up!

-
图片
There are often patients in the background to leave me a message: Doctor, I am currently creatinine XXX, how many times have been dialysis, I still have the possibility of recovery? Such a problem, if answered from a professional clinical point of view, the result is often a probable event: a few percent of patients can get better, and a few percent of patients show specific phenomena... various uncertainties The result will follow. The implication is that even if the two people are close together, the outcome may be very different. How to judge whether there is treatment value in the condition? As long as the renal ECT shows glomerular filtration rate greater than 10, it shows that there is therapeutic value. If the patient has progressed to uremia, the kidney function is expected to return to normal levels, which is basically impossible to do. After all, the disease itself cannot be compared with those with creatinine of 200 or more. The purpose of treatment at this time is ...
阅读全文