Renal Failure

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Renal failure refers to the losing of kidney function party or totally. The renal failure has two kinds, acute renal failure and chronic renal failure. A variety of diseases will be caused due to the losing of kidney excretion function in a short time, thus it is called acute renal failure. When the chronic renal failure developed to the final stage, it will cause a set of syndromes which is called acute renal failure. According to the extent of the damage, the renal failure has four stages:
1. The renal reserve function descend. And patients haven’t symptoms.
2. Kidney function is incomplete, compensated stage.
3. Decompensated period (azotemia phase), patients feels tired and weak, lose appetite and have anemia.
4. Uremia period with the symptom of uremia.
Symptoms and Signs
1. Oliguria stage The lack of urine volume will lead to hyperglycemia, water intoxication (serious edema,high blood pressure ,pulmonary or encephaledema ). Acidosis of metabolism and acute uremia. Hyperkalemia and water intoxication are the main causes of death.
2. Polyuria stage After renal tubular epithelial cell regeneration was repaired, the urine volume will increase gradually, potassium and serum sodium will reduce. The patient continuances maybe will dead of dehydration and electrolyte disturbance.
3. Convalescence stage After the period of polyuria, urine volume becomes normal serum. Bun recatinime and construction need three to six months to recover. If these symptoms can’t come to normal level, the illness will turn into chronic renal failure. Non oliguria means a little urine. But blood bun and Scr are rising day by day with toxic symptoms. Because the damage of kidney isn’t serious, so prognosis is easy.

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