2014年12月19日星期五

Treatment of patients with nephrotic syndrome that some common sense

Nephrotic syndrome is a great cause for the treatment of life adversely affect disease patients after regular hospital was diagnosed indeed suffering from this disease, it is necessary to conduct timely and relevant scientific treatment. First, you need to understand the treatment of patients with nephrotic syndrome, common sense, targeting long-term treatment, adherence to treatment, and in everyday life, to do with the treatment for proper health care.
1. First, the patient should have an objective understanding of the disease.
Learn nephrotic syndrome is a longer course of kidney disease, in the course of treatment to maintain an optimistic attitude, confidence, stick with the fight against the disease. Nephrotic syndrome, long course, hard to be cured, and easily repeated, doctors and patients have confidence, adherence to treatment, it is expected to announce more.
2, in the course of a patient's medication to avoid incorrect treatment, so as to ensure that does not happen that affect the treatment of dangerous situations.
Medication on time. Not at liberty to reduce the dosage or withdrawal, especially hormones and blood pressure in patients taking the drug, its sudden withdrawal would have serious consequences, sometimes even life-threatening.
3. Establish a diet is conducive to the rehabilitation of patients with nephrotic syndrome should be in the daily attention, which is very important to ensure a smooth recovery.
In terms of diet, nephrotic syndrome patients should control sodium intake. As both hypertensive patients have overt edema daily sodium intake of no more than 3g, there is one, is to strictly control the amount of moisture, the formula: the day before the total intake = 24 hours urine 1+ 500ml, then that is the day you water intake.

These are the three patients that some basic knowledge about the treatment of patients with nephrotic syndrome. During treatment, willpower and perseverance is essential, not only to adhere to treatment, but also to adhere to proper diet, but quantities of edible salt and water. Only common sense at the same time do more than three treatment of nephrotic syndrome, nephrotic syndrome will be able in the shortest possible duration of treatment, can be recovered.

Edema in patients with nephrotic syndrome, what issues need attention

Kidney damage, edema phenomenon is relatively normal, once nephrotic syndrome edema, so be sure to pay attention to water daily, and we know that for nephrotic syndrome patients daily drinking water, under normal circumstances there is no limit, but when nephropathy syndrome patients with severe edema, be sure to control the amount of drinking water, experts Shijiazhuang kidney disease hospial specific about the treatment of nephrotic syndrome common sense.
As we all know, severe edema patients generally do not feel thirsty, so much of its water, but should be avoided due to excessive water intake and cause exacerbations, according to the individual circumstances of the patient's condition and its actual daily drinking water should be strictly controlled . Severe edema, urine output and less patients will have water restrictions; patients with acute renal failure should be strictly limited to water, without the need not to intravenous fluids, in order to reduce the amount of water, and even traditional Chinese medicine decoction should be restricted.
Because in this case, as a 25-kilogram (about 7 to 8 years old) child, into the body of water per day (including drink, intravenous infusion, etc.) is not more than 400 ml of urine plus the day, and a bowl of traditional Chinese medicine takes up more than half of this limit, limiting the amount of fluid required to fill the other. Do not think oliguria is not enough water, but with the water approach to diuretic.

Edema in patients with nephrotic syndrome, what issues need attention, introduce a few nephrotic syndrome Shijiazhuang kidney disease hospital treatment expert knowledge, we want to help, great harm nephrotic syndrome, the patient must be taken seriously friend once edema seek immediate medical attention, take effective measures to prevent aggravation of the disease.

For the introduction of three nephrotic syndrome in the medical side

For nephrotic syndrome, the introduction of Chinese medicine is quite detailed, depending on the cause of the disease since, nephrotic syndrome is divided into a wind-heat dampness type, spleen and kidney qi deficiency type water stop nephrotic syndrome, the most common of which three types, then the traditional Chinese medicine, the principle of the right medicine, for this is how the three types of nephrotic syndrome symptomatic treatment na? Here are three experts for nephrotic syndrome in the medical side of introduction.
1. Wind-heat dampness type: This onset usually characterized by swelling and pain in the throat, scanty dark urine, clinical features, each due to exogenous wind-heat dampness caused by craniofacial limb edema and even worse, red tongue, yellow or greasy, pulse a few moisten.
Expelling: heat and dampness swelling.
Can be served: Alice Ling detoxification pills, Radix granules, small temperature pill, nephrotic syndrome four flavor tablets.
2. Spleen water stop type: nephrotic syndrome If this is the onset of type, then there will be a variety of complex clinical symptoms, common in looking minimalist, fatigue, weakness, edema lighter, but protracted course, and visible poor appetite, nausea, loose stools, tongue, teeth marks talk about fat, white fur, slippery pulse.
Expelling: Spleen water, gas lines.
Optional: SHENLINGBAISHU pill Kai spleen pill, nephrotic syndrome, and so any kind of comfort and Weiling pill the same service.
3. kidney Deficiency: This disease characteristics of patients prone to symptoms of fatigue, in addition to the evil wind chills every reason to feel cold evil caused by eyelid edema, added that the limbs and body are swollen, limb sour heavy cough asthma no sweat, urination, pale tongue, white, floating and weak pulse.
Expelling: Expel wind and cold diuresis.
Can be served: Tongxuanlifei pills, five leather balls, Wuling balls.

Shijiazhuang kidney disease hospital experts for the "three for nephrotic syndrome in the medical side," the introduction, namely for wind-heat dampness type, spleen and kidney qi deficiency type water stop nephropathy these three causes of nephrotic syndrome caused syndrome introduction of targeted therapies and medication programs. Taking medicine for treatment for drug side effects in patients with nephrotic syndrome, patients also hope to consider.

What are the side effects of diabetic nephropathy

Urine from diabetic nephropathy is transformed from the patient's body will bring very big side effects and treatment of complex, very difficult to cure. So we must make the patient during diabetes-related conditioning work, prevention of diabetic nephropathy exhibit, its body causing fewer side effects. So for patients with diabetic nephropathy have any side effects? Here by my website belongs kidney hospital doctor as we explain in detail.
Shijiazhuang Kidney Disease Hospital
1. glomerular sclerosis: the patient, the more special for kidney disease, "glomerulosclerosis" There are tens of thousands of kidney glomerular filtration is in charge of urine. If the patient's glomerular sclerosis phenomenon occurs, no waste from the drain, eventually resulting in "high creatinine uremia." Kidney disease experts point out that this chronic complications for patients with renal urinary system and relatively high incidence of serious complications, so pay special attention. While others, such as renal tubules, renal papillary inflammation, its incidence is lower.
2. Bladder weakness: Bladder weakness is perhaps troubled patient problems, usually during a prolonged illness, especially the poor condition of the control patients, because of local nerve disorders, making the control of the bladder muscle contraction efficacy failure. Bladder weakness, often making a clean urine can not be ruled out, while reserving produce urine, bacteria are easy to breed in stored urine left in the bladder that cause cystitis.
Π diabetes kidney disease often exhibit pruritus, some diabetic nephropathy can be systemic or local people dry skin scaling, itchy happen. Female patients more common vaginal itching again. Diabetic nephropathy often exhibit skin erythema, blisters burns like a very, very thin wall, which contains a transparent slurry bubble around without flush. Erythema usually long fingers, toes, hands and feet of the back or bottom edge, can be presented to show single or multiple, can be recovered in a few weeks, but will repeatedly demonstrated.
Π diabetes nephropathy also often exhibit abnormal sweating, sweating often occur for no reason, and more common in the upper limbs or trunk, and some patients even sweating phenomenon occurred. Diabetic nephropathy often exhibit folliculitis neck, neck pillow can exhibit pus prickly kind of inflammation, there is a sense of tenderness, and the development of boils or cellulitis. After the pus discharge can recover, but not long after will repeatedly.

These are the side effects associated with diabetic nephropathy explain, for diabetic nephropathy patients concerned, seize the time to go to regular hospital treatment is quite necessary. Hebei nephropathy hospital adhere to the medical quality management as the center, to improve the conditioning of medical services based on rules, pay close attention to the technical quality of construction, strengthen ideological and political and medical ethics, etiquette strengthen education, improve the overall quality of workers and construction of the hospital culture. Hebei nephropathy network will own goals as: building a first-class quality, first-class service, first-class environment, first-class modern hospital management. Hebei nephropathy network will be good reputation, professional skills, and excellent service for the majority of patients with kidney disease services.

2012年8月5日星期日

Treatment of renal cysts and The attention of patients with polycystic kidney


Treatment of renal cysts

Renal cysts are more common in adults over the age of 50, usually no obvious symptoms or symptoms of late. Early neither pain, hematuria, and urine tests are also no exception. Majority in the larger tumor when found. Touch the smooth cystic mass in the abdomen, can be used in strong light irradiation, children or patients with a thin abdominal wall, the cyst can be opaque.

The treatment of renal cysts:

Medical effects of the treatment of renal cysts. For small renal cysts, the symptoms do not need to do any treatment, but should be regularly reviewed to observe the cyst continues to increase. Those who are asymptomatic should be regular urine tests, including urine, urine culture, a kidney function tests every six months to one year, including the endogenous creatinine clearance rate. Since infection is an important cause of the deterioration of the disease, urinary tract trauma examination is not very necessary, do not. The role of renal cyst puncture is not only susceptible to infection, easy to relapse, but also by the observation can not delay the occurrence of renal damage. Surgical excision of the cyst is not an easy task, because the cysts of the kidney surface can be cut off, but cut off buried deep in the kidneys of the cyst is quite difficult. Larger tumor and may be malignant, surgical exploration, if confirmed as benign cysts, renal surface of the cyst walls, continuous suture of the edge of the gut and renal residual wall coated with iodine. Side of the extensive destruction of renal parenchyma, the contralateral normal renal function, feasible nephrectomy. Bilateral polycystic kidney disease, you need to transplant a healthy kidney, and then cut off the two polycystic kidney disease. Medical advances so far, this may be the best method of treatment of severe renal cysts.

The attention of patients with polycystic kidney


Pay attention to salty Class eat (including pickled), spicy class do not eat (including pepper, wine, shrimp, crabs, etc.), do not eat contaminated (including the rotten leftovers ), grilled eat, and renal insufficiency or the occurrence of uremia should also pay attention to the beans and their products do not eat, limit animal protein foods, greasy foods.

Second, the intake of water: a variety of kidney disease due to different causes and different duration of treatment is not the same. Mild renal failure, due to the decline of renal concentration function, metabolites need more water can be excreted from the kidneys, kidney disease, such as edema, heart failure, hypertension, should not be blind to water restrictions. To remind those with chronic renal failure patients, do not think renal failure have strict restrictions on water, if too much water restrictions back and easy to increase the deterioration of renal function.

Salt intake: the control of salt, according to the patient's condition and degree of renal function for adjustment, not all of the chronic renal failure patients should strictly limit salt.

Rest, avoid strenuous physical activity and abdominal trauma, kidney enlargement is more obvious when it is appropriate suspenders instead of belts in order to avoid cyst rupture; generally six months later (including blood pressure, urine, kidney function, and B-); avoid all nephrotoxic drugs; relatives (parents, siblings and children) for the B-ultrasound.

, Speaking of nutrition in patients with renal cysts Yishi containing high quality protein foods, pay attention to the high fiber, high cellulose food supplement and low-fat, sugar diet.

Not eclipse, whole grains, lean meat, fresh vegetables and fruits, cattle, sheep, pigs, eggs, milk, fish, etc. edible.

Hematuria detection ,Renal insufficiency-related symptoms



Hematuria detection


In general, hematuria caused by internal diseases, because the majority of kidney disease caused by the combination of patients with edema, hypertension and renal dysfunction, or both hematuria and proteinuria, urinary tube, you can get the clinical diagnosis . Surgical diseases caused hematuria majority need to do a special check to be confirmed.
Hematuria detection methods:
A, B-ultrasound. Has been widely used for clinical purposes to determine kidney size, shape, location and diagnosis of renal cystic space-occupying lesions are of great value. Filling the bladder to do this check after the diagnosis of bladder and prostate disease.
Second, the cystoscopy. Clinically suspected to have bladder diseases such as inflammation, tuberculosis, tumors, can not be diagnosed by the general inspection, do the cystoscopy, and clear the lesion, the scope and nature and desirability of the biopsy.
, CT and MRI. Kidney tumors, cysts, and vascular lesions, the general inspection not satisfied to do this check.
Fourth, the renal biopsy. Hematuria due to renal parenchymal disease have been identified, to further clarify the pathological diagnosis, you need to do renal biopsy, which have important significance in guiding the treatment and prognosis.
Five radionuclides. Radionuclide gamma-ray characteristics determined by in vitro dynamic renal blood flow, secretion and excretion, showing the kidney and ureter, the bladder shape and lesions.
Renal insufficiency-related symptoms
Renal dysfunction is a common kidney disease, renal insufficiency-related symptoms is described below
A performance of the gastrointestinal tract is the earliest and most frequently in the uremic symptoms. The chief complaint of anorexia, abdominal discomfort in the early, after the nausea, vomiting, diarrhea, glossitis, mouth of the urine odor and oral mucosal ulceration, and even gastrointestinal bleeding.
Second, the spirit, the spirit of the nervous system malaise, fatigue, dizziness, headache, memory loss, insomnia, limbs numb, hand, foot and burning pain and skin itching, or lower extremity itching unbearable, to be constantly on the move, not of repose, late, there may be lethargy, irritability, delirium, muscle fibrillation, and even convulsions, seizures, coma.
Third, the cardiovascular system performance often have high blood pressure and expand the long-term hypertension causes left ventricular hypertrophy, myocardial damage, heart failure, retention of toxic substances can cause myocardial damage, the occurrence of uremic pericarditis.
Four, the performance of the hematopoietic system anemia uremic patients must have symptoms. In addition to anemia are still susceptible to bleeding such as ecchymosis, epistaxis, gingival bleeding, black stools and so on.
Respiratory performance acidosis breathing deep and long. Retention of metabolites that can cause of uremic bronchitis, pneumonia, pleurisy, and appropriate clinical signs and symptoms.
6, skin manifestations of dull skin, dry desquamation.
, Metabolic acidosis.
Dehydration or edema.
Nine and electrolyte balance disorders. Hyponatremia and sodium retention, hypocalcemia and hyperphosphatemia.
10 patients with metabolic disorders and more significant hypoproteinemia and weight loss, in addition to uremic patients often have hyperlipidemia.

Creatinine high because ,Urine protein is



Creatinine high because


Creatinine is high a lot of reasons, may be the physiological rational cause, but if the creatinine is pathological, we should pay special attention to whether or not to suffer from kidney disease.
Creatinine high because of the pathological changes due to the kidney by a violation of various etiologies of renal intrinsic cells, stimulate kidney fibroblasts into myofibroblasts, the kidneys into the device quality of the injury period (ie, renal injury period) at this time due to kidney damage, the function of the excretion of waste has decreased, causing the aggregation of creatinine and other toxins in the body, which appears within the blood creatinine, urea nitrogen, creatinine decreased in the urine, kidney filtration rate decline at the same time patients will have hypertension, a high degree of swelling of the body other symptoms. Serum creatinine normal standards :44-133umol / L, when serum creatinine of more than 133umol / L, mean renal injury, began to fibrosis and into the renal insufficiency, renal failure stage. If not promptly treated the phenomenon of creatinine is too high, while allowing to it, will be developed into uremia, threatening the lives of patients. Therefore, once the high creatinine must accept the correct and effective treatment as soon as possible.
Urine protein is
Many patients in the hospital for a check when the laboratory on the written urinary protein qualitative test positive, we all wonder, do not know how this is going on, why this happens, the protein in the urine in the kidney out what the problem it?
The experts tell us that the urine protein is detected by urine acidification heating after turbidity. Normal daily urinary excretion of protein is generally 40-80 mg up to 150 mg, known as physiological proteinuria. Less conventional laboratory testing was negative, more than 150 mg / day, that is, belonging to the abnormal proteinuria. Urine protein animate rational pathologic. Body in strenuous exercise, heavy physical labor, emotional, cold, overheating and stress urinary protein excretion can be increased, said a transient proteinuria, can be restored to normal in a few hours or a few days later. Protein in the urine of pathological renal dysfunction, such as cystitis, urinary tract infections, nephritis, pyelonephritis, diabetes and nephritis. Review urine protein is recommended. Only to find out the cause, in order to symptomatic treatment.

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