Tuesday, September 24, 2013

horseshoe kidney,how much do you know about it

Horseshoe kidney structural abnormalities of the kidney disease , the majority of patients with horseshoe kidney clear understanding that some life to the effect that it also makes horseshoe kidney disease has been increasing , leading to some complications. Therefore, understanding horseshoe kidney , horseshoe kidney understand the majority of the relevant considerations in patients with horseshoe kidney has a very important role.
Etiology and pathology
Both sides of the upper pole of the kidney or lower pole blending synthetic horseshoe kidney . Horseshoe kidney occurs in the early embryo , the embryo is in the umbilical artery on both sides of the kidney is tightly squeezed between the fusion results.
Clinical
Most patients due to nerve plexus, blood circulation or ureter oppressed and hair symptoms. There are upper abdomen, umbilical or lower back pain, chronic constipation, and urinary symptoms , such as chronic nephritis, pyelonephritis , hydronephrosis and calculi.
Imaging Findings
1 , KUB and angiography: According to bilateral renal shadow near the spine and lows , the long axis parallel to the upper pole or lower pole tilted outwards inwards close to suspect horseshoe kidney , sometimes visible connecting the lower pole renal isthmus contours. Urography can confirm the diagnosis , the most obvious signs is the next destination point calyx centerline axis upper calyceal renal pelvis inward outward bottom inverted " eight " shape, ureter closer to the midline .
2, B Chao: clearly shows two lower pole renal connected across the inferior vena cava and the aorta ahead.
3, CT: can directly display the two lower pole renal fusion unit that crossed the aortic isthmus in front , and because the kidney malrotation , renal calyces located in front of the ureter crossed the isthmus on both sides of the front down. However, the general location of horseshoe kidney lower lower position can be scanned to confirm the diagnosis .
4, MR and radionuclide is also available from most shows two coronal lower pole renal fusion .
Horseshoe kidney complications
1 , horseshoe kidney may be due to repeated infections and poor urine flow and kidney stones .
2 , horseshoe kidney can cause urinary obstruction , urinary obstruction can cause hydronephrosis, uremia bilateral obstruction may occur .
Horseshoe kidney treatment
Because horseshoe kidney is a congenital kidney abnormalities , so horseshoe kidney treatment should be symptomatic treatment . It is important to use traditional Chinese medicine to increase the amount of blood flow , increasing the body's micro- circulation and prevent urinary obstruction . As the traditional Chinese medicine oral irritation of the gastrointestinal tract , is not conducive to traditional Chinese medicine absorption , penetration of Micro-Chinese Medicine recommended treatment .

Thursday, September 5, 2013

what diet should people with pupura nephritis pay attention to


For people with allergic purpura nephritis,a scientific diet can not only delay the progression of nephritis, and for recovery from disease certainly helps. On one hand it is to prevent further allergies, on the other hand it can protect the kidneys and reduce kidney damage. Specific principles are as follows:

Purpura nephritis patients should first stop then or use may cause food allergies, such as milk, fish, shrimp, crab, mutton.

The different choice of foods should be based on the type of people's physical condition. people with cold physique should use in migraine cold food, such as lotus root, water chestnuts, shepherd's purse, pear, lotus seeds, fungus, lotus leaf , thistle, etc.

If the deficiency is not photographed, should use spleen and kidney, nourishing tonic products, such as meat, skim milk powder, red dates, lotus seeds, etc.

In the clinical treatment of autoimmune kidney disease on (lupus nephritis, nephritis, IGA nephropathy) have a significant effect. The therapy causes kidney disease from the start, quickly clear away cause hypersensitivity immune complexes, repair damaged kidney cells, to correct disorders of the immune system environment in which immune cells dynamic equilibrium state.

Wednesday, September 4, 2013

can IgA nephropathy be cured



Iga nephropathy patients can be cured? We want to treat this disease in many aspects to consider, not with a terms. To understand the etiology of disease, disease stage of development, and then do further identified, in order to determine whether it can be cured.
IgA nephropathy is a mucosal immune deficiency diseases, mainly in the upper respiratory tract infections, gastrointestinal infections, urinary tract infections occurring after, had gross hematuria or more persistent microscopic hematuria, glomerular damage with or without urinary protein. iga iga nephropathy is composed mainly of immune complex deposition resulting from abnormal intrinsic renal cell injury. Renal ischemia and hypoxia, intrinsic renal cell damage and destruction of red blood cells can not be blocked, proteinuria leakage. Early iga nephropathy no standardized restorative treatment, the treatment is relatively good rate is also small, gradual loss of kidney function, the disease will soon progressed to renal insufficiency, uremia. iga nephropathy fundamental - for renal intrinsic cells reversed restorative treatment, while improving the state of renal ischemia and hypoxia.
IgA nephropathy, after years of unremitting efforts and explore, Xi'an Tongji Hospital experts to develop the natural immune balance therapy iga nephropathy, but will help to improve heart function, correction of anemia and blood pressure control, integration with existing kidney disease treatment techniques, forming a iga nephropathy treatment of a stereo system, about 10% -30% of patients with acute nephritis, balanced natural immune system therapy protect and restore renal function. Promote intrinsic renal cell repair and regeneration, early nephropathy reparative therapy is the best way, you can add some trace elements rich in vegetables, grains, fruits, seafood, etc. to be added, more extensive treatment of iga nephropathy prospects.

could diabetic nephropathy be cured


Diabetic nephropathy (DN) is a common clinical and multiple complications of diabetes . In other words , diabetic nephropathy is one of the most serious complications of diabetes , but also the main reason for ESRD . Therefore , patients with diabetes to be highly vigilant diabetic nephropathy, from the outset, to enhance self-care and self-protection , especially from the diet to proceed, reduce kidney stress. If you have already lead to diabetic nephropathy , we must take effective treatment measures , and that diabetic nephropathy in the end can be cured?
Diabetic nephropathy can be cured? Accept the system as long as the early diabetic nephropathy treatment, and follow doctor's orders , and adhere to a reasonable diet to restore objects with the treatment , it can get a good efficacy .
Face treatment of diabetic nephropathy , Xi'an Tongji Hospital kidney specialist team , after 20 years of scientific research , and constantly improve and enhance the "natural immune balance therapy system" outstanding contributions to the treatment of diabetic nephropathy , the formation of a scientific , advanced and sophisticated treatment system.
Diabetic nephropathy can be cured? "Natural immune balance therapy system " for the treatment of diabetic nephropathy , can achieve the desired effect of treating the symptoms , the clinical treatment has four effects:
First, the traditional classical side healer : Shenfukang , kidney Tecom , kidney BaoKang , etc. healer Shenshuaikang capsule treatment in clinical practice to get a good effect. Shenfukang series is based on the classic recipe , based on the theory of immune balance , breaking the traditional material with conventional treatment , screening with a strong main biologically active animals and dozens of kinds of valuable therapeutic substance in the treatment of materials , clever compatibility, carefully group side , the use of modern biotechnology to extract refined series of new therapeutic effects matter , according to the pathological features of diabetic nephropathy in the control of blood sugar while protecting renal function.
Second, the compound liquid : Balancing environment for the body to correct immune disorders , blood circulation, regulate the flow of blood to remove immune complexes and toxins, to clarify the source copy effect. Combined with physical therapy in the treatment of substance West , according to the case in particular for regular treatments and research programs developed and achieved good clinical efficacy.
Third, the ion superconducting partial activation treatment and intracapsular injection : direct lesions , intensive treatment , avoid physical side effects of hormone therapy and renal systemic treatment area barter minimal role of the state.
Fourth, the healer bath fumigation treatments : topical treatment for the prevention of diabetes complications substance bath has a positive effect .
Five , colon to treat things - intestinal dialysis therapy: for patients with impaired renal function , through the intestinal detoxification, has a unique effect .
In addition to the treatment of diabetic nephropathy , the Tongji Hospital of Xi'an kidney specialists recommend that patients should do the following four points:
First, the active and effective control of blood glucose : can play a preventive role in progression of diabetic nephropathy .
Second, the blood pressure lowering treatment : patients with diabetes have high blood pressure and kidney disease benefits , while urea nitrogen and serum creatinine should be monitored , as appropriate, with the treatment thereof.
Third, low-protein diet: moderately low protein diet of diabetic nephropathy , both non- clinical or clinical stage of the patient, can make the urine protein decreased.
Four other Note: In the course of treatment of diabetic nephropathy , to prevent hypoglycemia ; prevent calcium , phosphorus , potassium, sodium metabolism ; restrict the use of contrast agents , the treatment of renal toxicity barter and salt intake .

Sunday, September 1, 2013

what hyperuricemia nephroapthy will bring you

Long-term consequences of hyperuricemia mainly gouty arthritis and kidney damage. Kidney damage after joint disease. Joints often obvious symptoms, and kidney disease is insidious , gout repeated more than 10 years the performance side has kidney damage . Acute hyperuricemia nephropathy mainly acute renal failure .
1 , chronic hyperuricemia nephropathy was acute gouty arthritis , aggravated at night . Often due to mental stress, fatigue, feast, alcoholism and infection -induced . Minor trauma such as surgery can also be induced . Metatarsophalangeal joints in the affected joint as much, followed by the ankle , hand, wrist , knee , etc. Especially in the first metatarsophalangeal joint is most common. Joint pain began to appear after a few hours hypersensitivity and significant redness, swelling, heat, pain . Shoulder, hip and other large joints less involved , but once involved often exudate . Progress with the disease , the deposition of urate in the joints gradually increased after the onset of frequent joint hypertrophy , fibrosis , with joint deformity, stiffness resulting in limited mobility .
Hyperuricemia change nephrotic urine mainly mild proteinuria and a small amount of red blood cells in urine . The early changes in renal function is concentrated function decline , and then gradually affecting glomerular filtration rate . When there is high blood pressure , atherosclerosis , diabetes, renal cysts and amyloid lesions exist, renal failure may occur , but also the fate of gouty nephropathy . Foreign reports gout and hypertension was 40%, the domestic is 63,1 % . Because 25% to 35 % of primary hypertension associated with hyperuricemia, so Hyperuricemia is a risk factor for cardiovascular disease . Hyperuricemia is often accompanied by high blood pressure , obesity and other risk factors of atherosclerosis prone to cause coronary heart disease, may also be urate crystal deposition in the arterial wall and intimal injury related .
2 , acute renal hyperuricemia
Leukemia, lymphoma and other myeloproliferative disorders and malignant tumors are widely disseminated , especially when treated with radiotherapy and chemotherapy, when a large number of hyperuricemia to renal excretion of uric acid , the uric acid crystals in the renal tubules , collecting ducts and renal pelvis abrupt deposition , causing tubular intraluminal pressure increased glomerular capsule pressure increased , resulting in a sharp decline in glomerular filtration rate . The clinical features of early excretion of uric acid increased , how -shaped crystals in urine , hematuria , and a small amount of proteinuria. Lesions progress oliguria and anuria, may be associated with low back pain , nausea , vomiting and lethargy uremia . Hyperuricemia acute uric acid nephropathy and uric acid were significantly increased . Reports in the literature of serum uric acid > 1189μmol / L (20mg/dl) accounted for 60% ; while only 14% of primary gout ; 20% of patients 24h urinary uric acid excretion > 19,48 μmol / L, while only 6 primary gout % .
3 , urate stones 10% to 25% of gout patients have kidney stones , often 200 times higher than the normal population . 1000mg daily uric acid excretion by approximately 20% with stone disease, such as when the discharge 1100mg half stones . Similarly urate stones and hyperuricemia , uric acid 1,37 μmol / L, then 50% of kidney stones. There are a number of diseases not associated with hyperuricemia and excess uric acid excretion , but because of less urine , urine can occur with high uric acid stones . As for ileostomy diarrhea , prostate disease in elderly patients , because of difficulties in urinating and drinking reduced , causing less urine , pH is low, uric acid stones may also occur.
Urate stones in the urinary tract symptoms are local irritation , urinary obstruction and secondary infection. These symptoms are due to stone size , shape , location and presence or absence of infection varies . Urate stones were round or oval , smooth or slightly rough, yellowish brown , solid texture . Renal colic tips obstruction. Few patients have bilateral renal colic ( ie kidney - kidney reflex ) , hematuria after the event , the row of stone . Manifestations of dysuria, urinary flow interrupt and even sudden anuria ( calculus anuria ) . Small stones are available from the urine. Approximately 80% of patients with gout not urate stones . Pure uric acid stones are translucent , usually can not be developed. But more than 2cm in diameter may be calcium oxalate and calcium phosphate stones and other mixed stones , and can be developed. Upper urinary tract calculi make huge renal pelvis deformation.

Thursday, August 29, 2013

Why you have Urate stones


10% ~ 25% gout patients have kidney stone, which is about 200 times higher than normal people. Uric acid eduction 1000 mg a day about 20% have stone, such as discharge 1100 mg nearly half of the stones. Urate stones and high uric acid hematic disease, blood uric acid 1, 37 mu mol/L, 50% had kidney stones. There are some diseases are associated with high blood uric acid and urine uric acid eduction too much, but because of the less amount of urine, urine acid high uric acid calculi can still occur. Such as make the ileum colostomy diarrhea, prostate disease in elderly patients, because of dysuria and less water, less urine output, low pH, uric acid calculi can also occur.
Urate stones mainly have the symptoms of urinary tract local irritation, urine flow obstruction and secondary infection. These symptoms because of the size, shape, site of the stones and presence of infection. Urate stones more assumes the circular or oval, surface smooth or slightly rough, yellowish-brown, quality of a material is solid. With renal colic suggests obstruction. A few patients with bilateral renal colic (i.e., kidney - kidney reflex), hematuria, platoon stone after activity. Performance with dysuria, urinary flow interruption and sudden anuresis (stone in urinary closed). Small stones from the eduction in urine. About 80% patients with gout calculi not uric acid salt. Pure uric acid calculi is pervious to light, usually can't development. But more than 2 cm diameter for calcium oxalate and calcium phosphate mixed stones, generally can be developed. Upper tract huge can make the pelvic calyces deformation.

Saturday, August 24, 2013

relationship between hypertension and diabetes


Diabetes and hypertension are inextricably linked, they are each other "curse", reinforce each other, which is mainly manifested in the following aspects:
① diabetes incidence of hypertension, diabetes, hypertension incidence is much higher than normal blood pressure. Many people are first found high blood pressure, diabetes, and then found that some of diabetic patients found to have high blood pressure at the same time, the first few patients have diabetes, the recurrence of high blood pressure. As in the detection of diabetes gradually increased blood pressure after a few years, you should be careful to check kidney function.
② high blood sugar more insulin to stimulate insulin secretion, resulting in hyperinsulinemia. Excessive insulin not only promotes renal tubular sodium reabsorption, causing sodium retention, but also stimulate the sympathetic nervous excitement, and thus make vasoconstriction, increased peripheral resistance, elevated blood pressure naturally.
③ occurrence and development of diabetic nephropathy can cause and aggravate high blood pressure in people with diabetes, and to target organs such as the heart, blood vessels, eyes, nervous system diseases increased.
④ Some antihypertensive drugs can affect diabetes control, as well as aggravate high blood sugar, such as loss of potassium-sparing diuretics, β-blockers.

Tuesday, August 20, 2013

why nephrotic syndrome patients have different symptoms


1 proteinuria: When the glomerular filtration membrane molecules barriers and charge barrier (especially the charge barrier) is damaged, the glomerular filtration membrane on plasma proteins (right mainly to albumin) permeability increase, resulting in increased urine protein content, when more than distal convoluted tubule back absorption, the formation of massive proteinuria.
2 changes in plasma protein: a large loss of albumin in the urine, and promote compensatory albumin synthesis in the liver. When the liver albumin synthesis increases sufficient to overcome the lost, then there hypoalbuminemia, in addition, because of gastrointestinal mucosal edema resulting loss diet, protein intake, malabsorption or lost is hypoalbuminemia causes.
3 edema: hypoalbuminemia the plasma colloid osmotic pressure, water from the intravascular space into the tissue and is the main reason for edema.
4 hyperlipidemia: high cholesterol and (or) hypertriglyceridemia, serum LDL, VLDL, and lipoprotein (a) concentrations increased, often coexist with hypoalbuminemia. The pathogenesis of hepatic synthesis of lipoproteins and lipoprotein increased decomposition of weakening.

how to take 24-hours urine

As an essential indicator of changes in condition, urine output is a direct reflection of some diseases (such as kidney disease, heart failure, all kinds of edema). 24 hours urine test results are so important that physical test like creatinine clearance, proteinuria, endocrine and metabolic conditions and other relevant checks, should stay 24 hours urine. Whether to stay a good 24 hours urine, will directly affect the accuracy of test results. Therefore, 24-hour urine specimens were collected to grasp two points.
Discard the first urinary bladder emptying in patients wake up first (the urinary bladder emptying remember voiding time, such as 6:15), stay in the urine of the morning's first urine Urine was previously generated, should do not abandon, start time, the discharged urine is 24 hours all stored in a container.
The last time the urine leaving the next morning to be the last time urination accurate, it must be the first time yesterday, urinating at the same time (eg 6:15), this should be excreted in urine specimens rather than abandonment, if the next morning voiding time may be more than a predetermined time, can be the first to drink a glass of water, so that time is just a urine; specified time if the patient needs for the first 20 minutes to urinate, must adhere to it, so just completed within the specified time urination.
Number of how many each urination is not important, important is the patient is discharged within 24 hours during the middle of every drop of urine, urinating Do not rinse the container, because the water dilution can affect test results. If in this patient within 24 hours to a bowel movement, you should urinate, do not miss the small amount of urine to be collected, and then a bowel movement, try not mixed with feces in the urine.

Thursday, August 15, 2013

could people with kidney disease eat Tofu

Tofu high nutritional value, however, no matter how good things are not everyone Safe, only according to their proper diet in order to achieve the proper nutritional value, and in some special cases, tofu is not too much to eat.
Tofu and tofu products high protein content than soybeans, and tofu protein is a complete protein, containing not only the eight essential amino acids, and the ratio is close to human needs, nutritional potency is higher. Tofu also contains fat, carbohydrates, vitamins and minerals. TCM theory holds that tofu sweet and cool, Rupi, stomach, large intestine, with Qi and in the Health and body fluid, detoxification effect, can be used to treat red eyes, diabetes, sulfur solution, shochu and other drugs.
Tofu cause dyspeptic symptoms, the patient also has a certain impact.
Tofu contains extremely rich in protein, an excessive consumption not only hinder the body's absorption of iron, and easily lead to protein indigestion diarrhea bloating symptoms.
Tofu induced renal dysfunction:
Under normal circumstances, eat into the body of the plant proteins through metabolic changes, and finally into nitrogenous waste excreted by the kidneys. Old people, the kidneys excrete waste reduced capacity, at this time if not diet, eat a lot of tofu, excessive intake of vegetable protein, is bound to make nitrogenous waste produced in the body increases, the burden on the kidneys, so that further decline of renal function, is not conducive to good health.
Tofu hazardous nephrotic syndrome do? By introducing you to some understanding, and any food intake are appropriate in order to achieve a better role, tofu is good, we should not eat every day, a food and do not overdose. Elderly and kidney disease, iron deficiency anemia, gout, arteriosclerosis but also to control consumption. Develop good lifestyle in order to better have a healthy body.

Sunday, August 11, 2013

membranous nephropathy and the treatment

Membranous nephropathy is also called membranous glomerulonephritis. It is mainly due to a lot of immune complex under the epithelial cells of kidney was deposited, and form a layer of film, he wrapped glomerular wound up, and cause kidney intrinsic function in cell pathological changes, so called membranous nephropathy.
Membranous nephropathy is equivalent to the human body from head to foot with clinker bag wrapped, caused by hypoxia can't breathe, cause of death, glomerular, glomerular due to ischemia, hypoxia and cell apoptosis, in turn, appear lesions, renal function decline.
Membranous nephropathy patients usually appear edema, proteinuria, symptoms can be diagnosed with nephrotic syndrome after renal biopsy or membranous nephropathy. Must be completely effective in the treatment of membranous nephropathy, avoid repetition, the first thing to timely removal of kidney inflammation and degradation of immune complex deposition in the kidney, to avoid further injury of the glomerular epithelial cells, repair the kidney tissue, improve the structure of the kidneys, and the recovery of renal function, achieve the goal of treatment.
What are the main methods in the treatment of membranous nephropathy?
1, diuresis,
If the patient appears the phenomenon of edema, can according to the illness, the reasonable use of diuretics, relieve the symptoms of patients to relieve the patient's condition.
2, lipid-lowering therapy
Hyperlipidemia has a great impact on the body, is likely to prompt glomerular sclerosis, increase the incidence of complications of heart head blood-vessel, it will also affect the change of the quantity of lipoprotein, therefore lipid-lowering therapy is very important.
3, anticoagulant
Patients with the disease of high coagulation state, with the changes of blood coagulation, fibrinolytic factors, blood concentration multiple factors, such as strong if diuretic and a large quantity of long-term use of corticosteroids can increase the tendency of a kind of disease, more for these patients can use preventive anticoagulant drugs.
4, reduce proteinuria
To reduce the proteinuria in the phenomena of the body, patients can use protein drugs, at the same time must pay attention to diet, reasonable control of the intake of protein, reduce the burden of the kidney.

Saturday, August 10, 2013

does swelling eyes and back pain means kidney disease



Many times, we often have unexplained phenomenon like back pain and swollen eyes, many patients will think of kidney disease? We all know back pain and swollen eyes are symptoms of kidney disease, however, does they two mean kidney disease all? In order to let everyone know more about this, here I will explain this for everyone.
1. Swollen eyes may be a sign of heart failure, which is common to the elderly. In addition, if it is sudden onset of acute bilateral eyelid swelling, itching, and accompanied by cough, itchy throat, chest tightness, people should be alert to the possibility of drug allergy and emergency treatment as soon as possible.
2. Does swelling eyes and back pain means kidney disease? Yes, it may be chronic nephritis. Glomerular filtration rate decreased, resulting in increased body fluid, causing swelling of the eyelids. Nephritis caused by swollen eyelids at the same time, will be accompanied by lower extremity edema, anemia. At this point, should go to hospital for kidney function tests, diagnose illnesses.
3. Hypothyroidism. But while hypothyroid patients will be accompanied by facial swelling leg swelling, and fatigue, cold symptoms. At this point you can check for thyroid function and thyroid ultrasound examination to make sure the diagnosis.

Thursday, August 8, 2013

could people with chronic nephritis eat chili



Kidney disease patients: I heard that there are many considerations during the illness, I do not know what to eat kidney disease should not eat. So I want to ask if chronic nephritis patients can not eat chili, what should chronic nephritis diet pay attention to.
Normal people can eat some chili. Because it contains a variety of vitamins, which can promote people's appetite, improve digestion. But after eating chili will stimulate taste receptors, so that the blood pressure. And nephritis patient's own blood pressure is high, If you eat chili, very easy to make it worse. So patients should not eat chili, advise patients to eat light foods, but not eat spicy foods.
Chronic nephritis in the diet should be noted that in many places, patients should use less fatty foods, as long as you can meet human needs. To eat purine foods high in nitrogen, because kidney failure, it can not be excluded metabolites in vitro; eat less salt, too much salt will increase the symptoms of edema; according to their own situation to be ingested protein content, in order to reduce the burden on the kidneys; less use of spicy food, avoid stimulating the kidneys and other organs worse.
Science diet can relieve symptoms during treatment has a great advantage, but not cure the disease. So the discovery of symptoms of chronic renal failure, or to choose a regular treatment.

How to prevent worsening of chronic nephritis



In our daily life, chronic nephritis is a common kidney disease, it is the harm to the patient can not be ignored, once treatment is delayed, the condition will deteriorate further. So, how should prevent worsening of chronic nephritis?
1. Keep a reasonable diet.
Everyday life, many foods will exacerbate the burden on the kidneys, which occurred in the deterioration of the kidneys, watermelon is a kind of food, so patients should be avoided if possible.
2. Avoid over fatigue.
Everyday overwork causes the body fatigue, immune dysfunction and kidney burden is too heavy, it will inadvertently violated by external virus, which spread the infection to kidney disease progression. Serious condition and should be accompanied by edema in patients with bed rest, in order to facilitate reducing heart failure, hypertensive encephalopathy and other serious complications, but also can increase the diuretic, which can avoid the disease progression.
3. Prevent infection.
Whether the bacteria from their own infection, infection or from external factors, can lead to deterioration of the disease, causing serious damage to the kidneys. Patients should be vigilant, stay away from the source of infection, such as paint, air pollution, etc., to maintain a healthy lifestyle, avoiding the occurrence of colds and tonsillitis.

Tuesday, August 6, 2013

why people have kidney cysts



kidney cysts in the kidneys are cystic masses affecting unilateral or bilateral kidneys and they will obstruct the normal circulations and damage the kidney tissues and functions. B ultrasound is the best test for diagnosing and re-examination of kidney cysts because B ultrasound is very simple and will not cause further damages to the kidneys.
It remains unclear weather the cause of kidney cysts is congenital or acquired. On one hand, its original might be like that of PKD (a common hereditary disease characterized by numerous cysts in the kidneys), only they vary in degree. On the other hand, animal tests have shown that the tubular obstruction and ischemia can cause simple kidney cyst and this means that it might be caused by acquired factors.
With the continuous growth and enlargement of the cysts, the kidney parenchyma can be damaged and if the ureter is oppressed, it can cause hydronephrosis and infections. Acquired kidney cysts are also common among those that have been undergoing long term dialysis.
Anyway, weather the cause is congenital or not, there are many factors in our daily life that can induce kidney cysts and worsen its conditions, we need to know these risk factors so as to have effective preventions.
1. Infections. Infections will easily cause endocrine disorder and create internal environment that are favorable for cystic gene mutation and growth of the cysts. And infections in any part of the body will entre into the kidneys through blood circulation. In case of cyst infection, it can worsen the clinical symptoms, promote the cystic growth and aggravate impairments of kidney functions.
2. Toxins. The accumulation of toxins in the body can damage many organs and systems which might be life-threatening. Toxins are also major reason of gene mutation and congenital dysplasia. The common toxins include pesticide, chemicals, radiation and pollutions, etc. It needs to be noted that some medicines and drugs have kidney toxicity and improper intake can cause irreversible kidney damages.
Besides infections and toxins, other factors such as improper diets, over-tiredness and negative emotions all do harms to the cysts and should be avoided. Proper diets and healthy lifestyles can help slow down the growth rate of the cysts and control the illness conditions.

how to treat Henoch Schonlein Purpura Nephritis



Henoch Schonlein Purpura Nephritis should be treated with different schedules according to patients’ ages, clinical presentations, and the levels of kidney damage.
Positively control immune inflammatory response; restrain glomerular mesentery proliferative lesion; prevent and delay the forming of chronic renal fibrosis lesion.
Overall prognosis is good in most patients, and the prognosis is better in children than adults. The prognosis is almost perfect for patients with single hematuria. And the prognosis for patients with different levels of proteinuria [(<1g/24h,>1g/24h) and Nephrotic Syndrome] is related to renal ingravescence. The prognosis for patients with Acute Nephritis Syndrome is bad. Most of them will develop End-stage Renal Disease (ESRD)
1.Some cases do not receive treatment because of the high spontaneous recovery rate, especially for mild cases.
2.Before occurring to rash, pay attention whether patients touched the suspected food and foreign matter causing allergy. Avoid to touching again.
3.Patients with PN should be given the different treatments according to ages, clinical presentations and levels of kidney damage.
4 For the patients with severe clinical symptoms or diffuse pathological lesions, and crescent formation, they should use hormone together with immunosuppressive drugs to control the disease development as soon as possible.
5. For the patients having taken hormone, they should decrease the dosage and times under the doctor’s guidance. Never stop the drugs casually.
Purpura Nephritis Risk Factors
The following risk factors increase the Purpura nephritis incidences:
- Your Race. White and Asian children are more often to develop Purpura nephritis than black children are.
- Your Gender. Boys are more likely to develop the disease then girls.
- Your Age. The disease is more common in children and young adults, with the majority of cases happening in young children between 4 and 6 years of age.
- Infection. Infection or some bacterial or viral illness increases the Purpura Nephritis Incidence.
- Season. Purpura Nephritis happens rarely in summer and mainly in other 3 seasons.

Monday, August 5, 2013

what Chinese traditional medicine to eat many will be injured kidney



What are easy to cause kidney damage of traditional Chinese medicine? Not eating Chinese medicine, including the part of traditional Chinese medicine (TCM) has an element of kidney damage, eat Chinese traditional medicine should not be careless. So, kidney damage of what Chinese traditional medicine?
Traditional Chinese medicine (TCM) of renal toxicity is how to produce
1. Chinese herbal medicine is renal toxicity of Chinese herbal medicine contains toxin component directly or indirectly to renal tubular damage and necrosis. As also contain aristolochic acid, can make the part of renal tubular epithelial cell swelling, fall off, renal interstitial infiltration of inflammatory cells, renal small vessel wall ischemia.
2. Chinese herbal medicine allergic reaction caused by the body's special reaction condition, certain herbs can be used as an allergy, inside the body in the province, so as to cause local acute allergic interstitial nephritis.
3. Drug overdose or long-term daily use of the drug accumulation cause kidney damage part of Chinese herbal medicine by taking, will result in serious renal damage.
4. Pan-fried method improper parts have a special decoction of Chinese herbal medicine time request, must be strictly implemented. Such as monkshood, tripterygium wilfordii to long Fried, with less side effects, decoction time while mountain bean root with extended decoction time side effects of reinforcement; With aluminum POTS, POTS and other improper tisanes appliance, also can increase the toxicity.
Common kidney damage of TCM are these:
The first is a pass customs also according to the medicinal properties of it's heat diuretic, its toxins can cause renal tubular necrotic lesions, so take for a long time can cause uremia.
The second is the aristolochia, aristolochia itself is cancer, but its toxicity is very big, it contain aristolochic acid, aristolochic acid also can damage the kidneys and glomeruli.
The third is the tripterygium wilfordii, tripterygium wilfordii main treatment of rheumatism, but toxicity is very big, can cause acute glomerular lesions, even cause hematuria, oliguria, no urine.
The fourth is crotonic, crotonic diarrhea, but if more diarrhea will result in water loss, can cause uremia, acute renal failure, so don't put the croton as a laxative.
The five tastes medicine is euphorbia kansui, euphorbia kansui in the aspect of traditional Chinese medicine (TCM) is recorded in the water, but water can also cause acute renal failure in the future.
The six LiuWei medicine is powder, prevention against itself is treatment of rheumatism, joint pain, but it also has a lot of damage to the kidneys, it can cause the necrosis of glomerulus, lead to hemoglobinuria, finally caused the oliguria, no urine.
The seventh herbs is kusnezoff monkshood root, kusnezoff monkshood itself is also a treatment of joint pain, it not only has the effect of analgesia, and the effect of anesthesia, but kusnezoff monkshood is poisonous medicine, it can cause the acute necrosis of glomerulus, blood proteinuria and renal insufficiency.
These seven herbs as far as possible need not. In addition, had better use less arsenic class of drugs, like realgar, cinnabar, alum, although these drugs for external use only, but also as far as possible don't use too much, they have damage to kidney function

why diabetes nephropathy patients have more nocturia


Why diabetes nephropathy patients nocturia more? Impairment of renal function in diabetic patients, diabetic nephropathy patients with nocturia more is a very common phenomenon, especially in elderly patients with diabetes mellitus and diabetic patients for more than a decade. This is all decreased renal tubular function.
Among them, the water back to absorb the main in the distal renal tubules, when distal renal tubular damage, patients with urine concentration function decline, and low osmotic pressure, the low proportion of urine.
Diabetic nephropathy patients nocturia more, then, what should be check. Diabetes patients with nocturia more than 12 hours can check urine osmotic pressure and urine specific gravity water bans, glycosuria, urine volume (the ratio of day and night) CCr. As curative effect judgment standard, in addition to the 12 hour urine osmotic pressure and urine specific gravity, water, renal tubular marker protein such as urine creatinine clearance a1 - b2 - MG MG, urine and urine NAG can be reference.
The mechanisms of diabetic renal tubular damage and metabolic disorders such as diabetes, blood state of high permeability, high adhesion, microvascular injury, and high glomerular filtration, high perfusion state, etc, all can make abnormal renal tubular structure, the structure of the anomaly is bound to lead to kidney damage. Renal tubular's main function is to absorb glomerular filtration of liquid electrolyte, protein and most of the water, adjust the pH of urine, diluted and concentrated urine, etc.

onset signals of diabetic nephropathy in children



Nowadays, the number of diabetic nephropathy in children is more and more, what exactly is this reason? Because genetic, or because parents on children's dietary problems? Why the number of children with diabetic nephropathy will increase? How do we to prevent children with diabetic nephropathy? If children with early diabetic nephropathy will have what kind of symptom? Facing this a series of questions, and now it's time to do one by one to answer.
In general, the symptoms of diabetic nephropathy in children is more typical. Once the disease, its precursor is very clear, almost 100% of the children will appear more drink more urine, and increased nocturia and thirsty at night love drinking water phenomenon. Eating is also more common in children with symptoms, appetite increase level can vary, some slightly increased than before, they have multiplied the even some children eating. But some children may lack of feed more symptoms, mainly for thin and weak.
Therefore, diabetic nephropathy in children is far different. Its pathogenesis is due to the damage to islet beta cells, reduce insulin secretion in children with. When more than 90% of the damage to islet beta cells, just can appear clinical symptoms of diabetic nephropathy. Generally it rapid onset, the symptoms of diabetic nephropathy tend to pop up. Due to the onset nasty, parents can often recall specific symptoms start time.
Diabetic nephropathy of type I diabetes kidney disease in children, the incidence of islet beta cell damage is more serious, therefore, must immediately after diagnosis to insulin therapy in order to maintain life. Insulin therapy is the basic measures, treatment of diabetic nephropathy in children and should last a lifetime. Children's aid in the treatment of diabetic nephropathy but also include psychotherapy, diet therapy, exercise therapy and spirit in three aspects. Experts want to emphasize here is that children of diabetic nephropathy treatment is comprehensive, the above four kinds of therapy should be complementary to each other, only in this way can get ideal therapeutic effect

Wednesday, July 31, 2013

how renal failure is caused




First, renal failure caused by many reasons. Generally includes three aspects:
1, drugs: nephrotoxicity drugs used improperly long-term damage to the kidneys and renal failure after accumulation reaches a certain degree. Such as painkillers, painkillers containing phenacetin, long-term taking damage the kidneys, causing chronic interstitial nephritis, which in turn develop into renal failure; In addition, such as gentamicin drug use undeserved can also cause kidney failure.
2, misdiagnosis: due to renal failure symptoms similar to other system diseases, therefore easy to misdiagnosis, during the process of diagnosis delay treatment, so as to make the continuous deterioration of kidney disease, increased damage to the kidney, resulting in the chronic renal failure. Patients with symptoms of anemia, for example, from the point of view because of the lack of kidney disease common sense, according to anemia, on mild symptoms such as fatigue, fatigue, high blood pressure, night urination much and ignore as well as the economic conditions restrictions delayed illness; From the aspects of the doctor said, satisfied with symptom diagnosis, ignoring the accompanied by complications, and to do related inspection is lead to misdiagnosis, delay treatment, resulting in chronic renal failure.
 3 and symptoms due to renal failure is caused by a variety of chronic kidney disease (CKD) development to late kidney function loss of some or all of the pathological state, so like may cause chronic renal failure of some chronic diseases including primary glomerular nephritis, diabetic nephropathy, hypertensive nephropathy, renal interstitial tubular kidney disease, such as polycystic kidney disease is the cause of renal failure.
Second, from the perspective of disease, kidney failure caused by the reasons generally have:
1. Congenital kidney disease, most common to polycystic kidney disease (CKD), the expert points out, this is a kind of hereditary disease, divided into two kinds of explicit and implicit, generally about are dominant, often in the middle before onset;
2. The lesions caused by kidney itself, usually this kind of renal failure happens, in addition to a few people who can recover, most patients are unable to heal, and will continue to deteriorate, silk ball like kidney nephritis, renal silk ball like the inside of the so-called a filter, filter function is useful and good things to stay, not good such as urine and eliminate toxins, when the filter problems, kidney function will not be able to function properly, so it caused the renal failure, how to renal failure caused by clear now;
3 of the cause caused by other diseases and renal failure, is currently the highest percentage of diabetes, lupus, or other red class gout and other diseases, can cause chronic renal failure.
Three, acute renal failure caused by the reasons are as follows:
The first kind is the kidney itself lesions caused by renal failure;
The second is renal failure caused by other organs lesions, such as heart disease, cirrhosis of the liver, or lung hypoxia, there are may cause renal failure

Tuesday, July 30, 2013

what are the self treatment in the patients with kidney disease life



Kidney patients self treatment in life what are many kidney patients want to know is this thing, because we all know that kidney disease is very common in life, for diseases such as kidney disease, in addition to conventional drug treatment, is actually need kidney patients pay attention to all sorts of things in our daily life, the only reasonable care condition, and was able to successfully get rid of kidney disease.
About self therapy in kidney disease patients life what are the problems, kidney disease expert at the following details for us, I hope you attach importance to it:
One, avoid infection: this is a kidney disease itself is an important method of treatment, patients with infections can be seen everywhere in life, such as colds, cough, sore throat, have loose bowels, and these are infection, infection can obviously aggravate, therefore, will try to avoid, but if cold or infection, is good with Chinese herbal preparations, such as compound indigowoad leaf mixture, cold granule, ShuangHuangLian oral liquid, etc., antibiotics can take luo erythromycin, cephalothin, etc., 4 if heavier, please timely to hospital for treatment.
Second, rest, avoid overworked, tired can make kidney disease resistance to further reduce, so patients should actively avoid overworked yourself, this is very important, because overworked (include labor, demanding and lowe) can reduce the body immunity, aggravating illness, so need to have a rest, but also no need to stay in bed, can be in the general activity and light manual, with not feeling tired.
Five, timely review: patients in the treatment process to ensure that their own review work, less kidney disease tend to symptoms, signs, don't feel alone to judge the condition of light and heavy, improvement, deterioration, or whether the recovery, or whether the relapse, only after the corresponding inspection carries on the comprehensive analysis, can accurately judge, so it is necessary to regularly or not regularly review, in order to avoid in imperceptible in gradually progression, lead to serious consequences.
Above is the "what" self therapy in kidney disease patients life related introduction, kidney disease patients in the usual life itself some important methods of treatment, to prevent kidney disease have very good effect, repeatedly so kidney disease patients at the time of treatment to play their own initiative, achieve the timely and effective treatment.

Summer high temperature, how to deal with renal colic symptoms



Suddenly waist pain, such as knife heave, and with the reflection of groin pain, painful urination, bloody urine, nausea, vomiting and other symptoms, it is the summer high temperature and a high incidence disease, renal colic.
Renal colic love hit men in young adults
College students a few days ago in the hot sun Yang play basketball for a day, usually his body strong, the morning on the waist pain was sent to the hospital for treatment. Through inspection, so it's the end ureter appeared a lot of crystals. Similar patients, hospital emergency department the day to receive a dozen, and mostly in the form of 20 to 50 years old male youths. Owing to the high summer temperatures, people sweat or blow air conditioning, over a long period of time will loss a lot of water. If at this time to drink water less, urine concentration, can lead to human metabolites in urine concentration increased, thus forming the crystals blocking urine channel, causing renal colic.
Kidney stones patients also should drink more water
According to introducing, high temperature in summer is also the period of kidney stones, the pathogenesis and renal colic basic same. More patients characterized by sudden on one side of the waist and abdomen pain, pain when restlessness, kubla khah dripping wet, can appear even vomiting and other symptoms. He suggested that in the near future once appear, waist and abdomen pain to inspection to the hospital in time, can go to do B to exceed or filming.
Both in prevention of stones, and prevention of renal colic need drinking lots of water. To increase urine excretion of urine diluted crystal salt in the body, reduce its concentration, can effectively prevent calculous purposes, can also help you to have stone formation of dissolved, eduction. In general, the daily drinking water shall be not less than 2.5 liters, so as to ensure the daily discharge of urine in more than two liters.
Patients should eat less tomato and spinach
In addition, because tomatoes, spinach, asparagus and oxalic acid content is higher in nuts kind of food, easy to generate calcium oxalate stones, as a result, low back pain in the summer season, should also be appropriate to reduce the food intake. And another major cause for uric acid calcium stones, commonly occur in patients with high uric acid hematic disease group, the group should contact less beer in young adults, thick soup, seafood high purine diet.

Monday, July 29, 2013

nephrotic syndrome patients should pay attention to diet



Along with the rapid development of the society, people on diet and health do not pay attention to, in recent years, there are a lot of people were plagued by the disease,
Kidney disease is a kind of in the history of mankind a big disease, kidney disease treatment, must first start from the diet, slowly improving.
1, low fat diet intake: patients in the diet attention should be paid to low fat food choices, and hyperlipidemia are common for nephrotic syndrome, the blood viscous, which can cause hardening of the arteries and glomerular damage, and hardening, etc. So supplement the protein and edible oil, less greasy food, give priority to with light diet.
2, high protein diet intake: hypoalbuminemia due to nephrotic syndrome, a large number of plasma protein from the eduction in urine, to reduce human proteins in the protein malnutrition state, make liver albumin synthesis capacity increase, if can give enough protein and calories diet, patients are the daily albumin synthesis of 22.6 grams, thus can effectively mitigate the negative nitrogen balance and improve the low serum albumin leels, generally advocates patients daily protein intake should be 1 g/kg body weight, combined with the daily loss of protein in his urine.
3, relevant complementary intake of trace element: nephrotic syndrome patients, because of the glomerular basement membrane permeability increased, in addition to the loss of large amounts of protein in urine, also lost at the same time combine with proteins of some trace elements and hormones, the body of calcium, magnesium, zinc, iron and other elements of the relative lack of, so should give appropriate supplement. Can eat commonly contain rich vitamins and trace elements of vegetables, fruits, grains, etc shall be added.
4, sodium salt, and water intake: due to the highly edema must limit the intake of water daily, including intravenous fluids and water intake and water intake should be less than urine. Edema should be into a low salt diet in order to avoid aggravating oedema, is no more than 2 g salt intake daily. Patients should be disable pickled food, use less monosodium glutamate and alkali.

Sunday, July 28, 2013

real harmness of high blood uric acid



Blood uric acid is one of the most common physical examination project. Many elevated uric acid abnormal found in physical examination (high uric acid hematic disease), but did not add value because no self-conscious symptom.
Many doctors don't attach importance to high uric acid hematic disease. Because practice show that only about 10% of high uric acid hematic disease will develop into the "gout". Gout to joints happened all of a sudden severe pain as the main clinical characteristics, often involving the foot, ankle, knee, wrist, finger joints in areas such as. Pain can alleviate by oneself, but will break out repeatedly
Gout is the basic pathological basis of abnormal blood uric acid concentration increases (i.e., high uric acid hematic disease). Abnormally elevated uric acid concentration in the blood to a certain extent (> 420 umol/L, 70 mg/L), uric acid concentrations for "supersaturated" state, will form the uric acid salt crystallization, and deposition in the foot, ankle, knee, wrist, finger joints and other parts, the resulting sharp unbearable pain (analogous to wound top sa salt) in general. And once the uric acid salt precipitation, blood uric acid concentration is decreased, so the uric acid salt precipitate not continuously, after being soft tissue tolerance uric acid salt, the pain can reduce or disappear. But the cause is not in addition to, when the concentration of blood uric acid accumulation reaches "supersaturated" again, uric acid salt precipitation again, cause recurrent pain.
High uric acid hematic disease mechanism is not yet fully elucidated, except a handful of patients associated with hereditary enzyme defect, think at present, most of the patients is associated with lifestyle.
Except the gout and high uric acid hematic disease also increases the risk of diseases of the cardiovascular system
. Therefore, you must give attaches great importance to high uric acid hematic disease. In daily life, should take the following measures:
1. Avoid high purine food, mainly animal internal organs, most seafood and fish, beer, meat and so on, as far as possible choose milk, eggs, low purine food such as grain, vegetables and fruits. But must pay attention to the long-term low purine food cause protein nutrition is not enough, we should pay attention to limit the extent of the high protein food and the time, do not blindly kept under strict control. On the premise of avoiding high purine, adequate intake of protein, which means that the recipe to have a moderate amount of milk and eggs.
2. Avoid obesity, have obese people to lose weight, but avoid excessive hunger (gout).
3. Reduce the amount of fat intake and fat for energy.
4. Eat less sweet food and sugar, don't eat honey.
5. Choose alkalescent food more, such as vegetables, fruits, milk, etc., help to uric acid excretion. Promoting uric acid excretion is more effective method is to use sodium bicarbonate (baking soda or soda water).
6. Every day more than 1500 ~ 2000 ml of drinking water, can choose plain boiled water, mineral water, light tea, juice, etc., mineral water, pure water and carbonated drinks is not the best choice. An alkaline water helps to uric acid excretion.
7. Alcohol, especially beer. Tea and coffee is harmful or beneficial for uric acid excretion, at present did not form a unified understanding.
8. Appropriately increase exercise or physical activity, but avoid strenuous exercise and physical activity (gout).
9. To stop taking aspirin, because aspirin increases blood uric acid levels (must also consult a doctor

Why patients with Diabetes Mellitus have sweet taste in mouth


Having sweet taste in mouth must attract many diabetics’ concern, because this sweet taste in their mouth is maddening. Finding the cause is able to help them to get correct treatment. Here, this article will help these people explain this question in detail.
Sweet taste in mouth is one of Diabetes complication. Even though diabetics don’t eat any sugar, they may have a sweet taste. How does Diabetes Mellitus cause sweet taste in mouth? There may be several reasons.
1. High blood glucose or high blood sugar
Not controlling blood sugar effectively will make diabetics have sweet tastes in mouth, because the amount of glucose in spittle elevates as the blood sugar increases. Then they will have sweet tastes no matter what they eat. In addition, poor control of blood sugar can also make the body can’t use the sugar as a fuel source, because there is no enough insulin. Then too much sugar will build up in the body on one hand to produce sweet tastes in mouth, on the other hand to aggravate diabetics’ condition. Therefore, to make this sweet taste disappear, they need to change the dose of their insulin or get some other treatments.
2. Some medicines
Some medicines may also cause sweet tastes in mouth, because these medicines can affect the taste sense and smell sense directly. Therefore, patients with Diabetes Mellitus should also pay attention to medicine use. Make sure that consult your doctor before using or stopping any medicine.
3. The digestive system disorder
Diabetes Mellitus can also cause digestive system disorder, and then ptyalin will be produced more. High ptyalin can make the starch converted into maltose rapidly, so sweet tastes will occur in the mouth.

how to treat minimal change disease



The cause of human suffering from kidney disease is minimal change disease, according to the authoritative expert analysis, was part of the human kidney function damage and on the other hand, exhibited, authoritative experts said, for kidney disease is minimal change disease, patients should cause enough attention, timely treatment is the key, then, minimal change disease (kidney disease how to treat? Look at how authoritative experts said.
Nephropathy is minimal change disease (also known as lipid renal disease, it is one of the most common disease of the nephrotic syndrome. Adult accounts for about 15% ~ 20%. About kidney disease because the hair cause of disease is minimal change disease, characterized by loss of the glomerular capillary negatively charged due to the damaged glomerular charge barrier, so the selective proteinuria. Under normal circumstances, a little day by day the urine protein, which is about 150 mg. Serious 24 hours urine protein may be more than 40 g, a large amount of protein leakage at this time were the main clinical manifestations, and become the important factors influencing the prognosis. Therefore, on how to control proteinuria, search for etiology, reduce relapse become the main points of the treatment.
At present, about kidney disease is minimal change disease, is not no medicine can cure, traditional hormone therapy can be adopted, such as hormone therapy there are still a lot of proteinuria, immune inhibitors can also be used. But the hormone and immune inhibitor therapy has many side effects, and no matter how does not reduce its recurrence. After investigation, the recurrence of such patients accounted for about 50% of the total total incidence, recurrence of its current or a hormone dependence (refers to the need to increase the dose of hormone to maintain control proteinuria).
Minimal change disease (kidney disease, the pathological type of overall prognosis is good. New renal fibrosis diagnosis standard thinks this is minimal change disease only in the inflammatory reaction stage, the kidney fibrosis has just started, glomerular basic intact, all through effective system anti-inflammatory, anticoagulation, expanding blood vessel, degradation and other measures, can effectively prevent renal fibrosis continue to progress. While on treatment, the use of drug therapy can achieve certain curative effect, but authoritative experts recommend that patients use the security methods is more appropriate to treat kidney disease caused by various disease.

Why kidney patients nausea and vomiting



Kidney disease, common symptoms are nausea and vomiting, which is caused by digestive system dysfunction. So kidney disease patients is necessary
Solution, why will appear the symptoms of nausea and vomiting. Below will introduce you to what appear nausea and vomiting.
1. the hyponatremia. Kidney disease (CKD) in serum sodium can be caused by various reasons below 130 millimoles per liter (130 meq/l), such as (1) water retention in the body or excess fluids and cause dilution hyponatremia. (2) avoid salt for a long time. (3) metabolic acidosis, extracellular sodium transferred to the cells. (4) some interstitial renal diseases, renal tubular reabsorption of sodium, sodium by urine increased. 5. Long-term inappropriate application of diuretics, etc. Hyponatremia patients can appear nausea and vomiting.
2.  nephritis, nephropathy after cyclophosphamide treatment, patients often nausea, vomiting, now is this drug caused damage to the liver function, from the medical history and detection in patients with liver function indicators, can make the right judgment. Disable cyclophosphamide, liver meritorious service is gradually restored, nausea and vomiting also disappear.
3.  the metabolic acidosis. Patients with chronic renal failure due to the acidic metabolites can't normal delivery, hence formed accumulation body acidosis. By detecting the blood pH value and blood carbon dioxide binding force to the degree to which acidosis. Patients can appear when acidosis sigh breath, nausea and vomiting.
4.  the nephrotic syndrome, due to the loss of large amounts of protein, hypoalbuminemia, patients not only body appears edema, and also appears edema, gastrointestinal tract digestive function disorder, visible clinical manifestations of nausea, vomiting and diarrhea. TCM holds that resistance in the wet muddy, gastric estrangement. Once the urine volume increased, the gastrointestinal edema eased, nausea and subsequently reduce the disease.
5.  in chronic renal failure, the urea urea enzyme in gastrointestinal bacteria decomposition of ammonia, stimulate the gastrointestinal mucosa inflammation or ulcer; Uremic toxins, especially in molecular substances affect cell metabolism, leading to cell edema; Renal impairment affect gastric secrete element of excretion and the deactivation, forming high low stomach acid gastric secrete element etc, all can lead to digestive function disorder, nausea and vomiting.
Through clinical observation, the weight of the digestive system symptoms, and the degree of renal damage and urea nitrogen values of high and low, basic is the same. Thus it can be seen that these symptoms is the most main is the treatment for kidney disease,

Thursday, July 25, 2013

stem cell to treat end stage kidney failure


Acute or chronic renal failure patients with implementation of stem cell transplantation is a kind of very effective method, because stem cells are a kind of infinite value, self-replicating, multidirectional differentiation of the primitive cells, repair damaged cell, it has the greatly strengthened repair damaged cells into the patient's body function, therefore, stem cell transplantation and strong kidney repair ability. Stem cell therapy for diabetic nephropathy?
Treated by stem cell transplantation on the one hand to repair the damaged maximum, lesions in the kidney cells, block the renal fibrosis process, reduce serum creatinine, relieve renal anemia and renal complications such as hypertension, renal edema, protein and occult blood indicators to can be significantly decreased even turn. Also can extend the dialysis time interval, and even get rid of dialysis, and regulate and control the primary disease.
Late namely uremia period of kidney failure, implementation of stem cell transplantation therapy is also feasible. Because stem cell therapy as an auxiliary means to make as much as you can get repair damaged cells, save the remaining kidney cells, renal function. Is happening at the same time also want to cooperate with other means of reverse pathological changes of cells, and prolong the interval of dialysis, improve disease and delay the process of renal failure, improve survival quality of patients. Stem cell therapy for diabetic nephropathy? Effect how?
Stem cells, however, is the most obvious curative effect on other uremia complications, such as acid-base imbalance, fluid imbalance in the metabolic and endocrine disorders, insomnia, nausea, vomiting, cardiovascular symptoms, etc. Experts reached studies and clinical trials, stem cell transplant is a safe, non-toxic side effects, and in the case of don't know the exact mechanism of disease development also can undertake treatments
Self-replicating and multi-directional differentiation potential of stem cell is a primitive cell, are the origin of the body cells, stem cells that form the original human body all kinds of tissues and organs. Under certain conditions, stem cells can differentiate into various functional cells or tissues and organs, the medical profession called "the multi-purpose cell"
Stem cell therapy is the healthy stem cells transplantation via intravenous injection to the patient or his body, in order to achieve the function of diseased cells or restore normal cells and tissues for the purpose. Stem cell therapy as to inject new vitality, fundamentally effective methods for treatment of many diseases.
Because stem cells are immature cells an undifferentiated, its cell surface antigen expression is very weak, the patient's own immune system to this kind of undifferentiated cell recognition ability is low, is unable to determine their properties, so as to avoid the cause of organ transplantation immune rejection and allergic reactions etc., make it very safe allograft transplantation of neural stem cells. Stem cell therapy for diabetic nephropathy? Effect how?
In clinical research, through plenty of clinical case studies have shown that stem cell therapy in addition to a handful of patients have a mild fever, headache, no serious adverse reaction occurred, shows that its clinical application are safe

could diabetic nephropathy patients can take birth control pills



Diabetic nephropathy is a serious kidney disease, if let the illness grew worse, may cause more severe uremia, which cause great burden for yourself and your family.
Believe that fear of pregnancy women in diabetic nephropathy patients to choose to take the pill for birth control, but don't know often taking birth control pills may make the condition of diabetic nephropathy is more serious. Here I would like to introduce you to the birth control pill in patients with diabetic nephropathy.
Non-diabetic nephropathy participants not taking oral contraceptives increased renal plasma flow "mild", by contrast, taking the oral contraceptive subjects without diabetes nephropathy renal plasma flow rate significantly increased. In addition, as might be expected, not taking oral contraceptives, degree of diabetic nephropathy in patients with renal plasma flow increases more significantly, but on the pill for diabetic nephropathy patients vasodilator response is one of the most obvious.
Some women don't want to pregnancy, often eat the pill. Little imagine, the pill can promote the deterioration of diabetic nephropathy, diabetic nephropathy of the harm of human body is constantly grow. Diabetic nephropathy of women at the same time, their blood viscosity was higher than the average person, plus the pill, can increase the blood coagulability, and makes an increased risk of cerebrovascular disease. So when women with diabetes nephropathy, best with birth control pills, but it is advisable to switch to other birth control methods.
"naturalbalance immune system" on the basis of improvement and carry forward the traditional Chinese medicine theory, combined with modern western medicine technology, based on the theory of traditional doctor of traditional Chinese medicine, with renal series original classic recipe preparations, biological gene fusion cell regeneration of the latest science and technology, modern medicine solid renal school, balance of Yin and Yang, two-way regulating the body's immune, through stimulates the body's self healing, restoration activation kidney cells regeneration, fundamentally reverse the pathological tissues, and regeneration of renal unit, the fundamental treatment for kidney disease. Eliminate proteinuria, hematuria, reduce serum creatinine, blood urea nitrogen. And pay attention to repair the immune system defects, the reconstruction of normal metabolism of the order, thus thoroughly cure kidney disease, and effectively prevent a relapse, is currently the best kidney disease treatment, and treatment of kidney disease is the most leading technology at present. The therapy is the collection of life science and the essence of traditional medicine, makes the treatment ushered in kidney disease treatment into the era of "the relapse".
Hope women you should be careful when taking birth control pills in patients with diabetic nephropathy, to avoid further deterioration of diabetic nephropathy, prevent other unnecessary loss. If friends want to learn other knowledge of diabetic nephropathy, we will help you solve it. Friends here, wish the patient back to health at an early date.

Sunday, July 21, 2013

which fruit and vegetables should diabetic nephropathy eat


Fruit and vegetable nutrition is rich, but for patients with diabetic nephropathy need careful treatment, avoid excessive intake of glucose aggravating illness, so what diabetes kidney disease should eat fruits and vegetables? "This small make up to summarize a few fruits and vegetables, reference for diabetic nephropathy patients.
1, pumpkin, regulating blood sugar of diabetic nephropathy
Pumpkin contains trigonelline, sucrose, pentosan and mannitol, a pumpkin instead of part of the staple food, the clinical visible blood sugar drop without hunger. Also somebody USES pumpkin powder 30 g/day as adjuvant treatment of diabetes, to improve the symptoms of diabetes. Reported in the literature, diabetes patients ate pumpkin is reasonably good.
2, mulberry leaf, mulberry to regulate blood sugar
We always here many reports of mulberry leaf, mulberry have auxiliary therapy effect of diabetes. It has to regulate blood sugar function for mulberry leaf total polysaccharide, but the mechanism is unknown. With mulberry leaf tea, drink for a long time with no adverse impact on condition that the conditional patients might as well try.
3, tremella to insulin have hypoglycemic activity
Is also called the white fungus, containing rich in dietary fiber, and low heat. Reported in recent years, tremella contains rich tremella polysaccharide, the insulin had significant effect on the hypoglycemic activity. Tremella polysaccharide in animal studies have shown that in the form of ligands modification affect insulin, insulin in the body of the function of time can be extended from 3 ~ 4 hours to 8 to 12 hours. In addition, white fungus of dietary fiber in delay the effect of blood sugar to rise.
4, balsam pear sugar effect is obvious
Experts research, balsam pear powder into tablets treatment of 29 cases of diabetes. The postprandial 2 after treatment. 5 hours of blood sugar and 24 hours urine sugar decreased very significantly, the total effective rate was 97.3%, 65.5% were markedly improved. Main side effects of abdominal pain, diarrhea and other gastrointestinal reflect.

watermelon and iced watermelon, kidney disease paitents


Although watermelon taste delicious, but not everyone is advisable. First of all, renal insufficiency is unfavorable feed more, lest increase burden of the kidney. Second, fruit sugar, diabetes patients should not eat more. Finally, watermelon is the product of cold, to eat many easy injury taste, so taste xu han, indigestion, it is advisable to eat less. Don't eat watermelon cold early, or can make a cold aggravating or prolong the recovery time.

Many people like to put the watermelon to refrigerate. In fact, doing so is not good, watermelon nutrition will be lost after refrigeration. Room temperature when the watermelon contains beta - carotene and lycopene is 40% and 139%, higher than iced watermelon, and these nutrient elements is have anti-cancer effect of antioxidant components. Iced watermelon is rich in nutrients, far less than under the room temperature storage of watermelon. After picking watermelon can still produce nutrients, but a sharp cooling process will slow nutrition, thus reduce nutrients. Watermelon belong to the moisture content more fruit, frozen for a long time can make the water evaporated, take nutrients. Ice of harvests may also make gastrointestinal function, gastrointestinal dysfunction diarrhea symptoms. Contains anaerobic bacteria in the refrigerator, over time, the number of anaerobic bacteria, will be more and more attached to the cut watermelon pulp, destroys the watermelon contains vitamins, minerals and other nutrients.

Saturday, July 20, 2013

 proper salt,vegetable&fruit and meat for renal insufficiency patients



1, how to limit salt intake, kidney disease patients
No matter what kind of kidney disease, as long as there is edema, you have to limit salt intake. Significant edema, while daily limit should be below 1 g, serious or even require salt-free diet. To be reduced the volume of urine protein, edema, relieve, salt can be appropriately increased, but also should be no more than 5 g a day. The purpose of low salt diet is to reduce the water and sodium retention in the body, make the edema subsided and blood pressure to drop.
1 ~ 2 grams of salt per day don't have to put in dish, because in the dish also basically tasteless, to change the way. In the morning can be sweet; Noon to 1 g of salt in dab, dip in with food to eat. Intake in this way, 1, total amount, but it does taste salty, can stimulate appetite. But note that a low salt diet, can't eat pickles, pickled vegetables, preserved szechuan pickle and salty bread, Fried dough sticks, etc, also can't eat laver, rape, spinach, fennel, celery, lily flower, radish, etc.
2 how to eat vegetables, fruit, kidney disease patients
Kidney patients, if generally normal urine output, no less urine and kidney failure, should eat more green vegetables, fruits, in order to supply adequate vitamin. As patients reduced the volume of urine, especially when less than 500 ml per day, is to selectively eat vegetables and fruit. Because potassium compared commonly rich in vegetables, fruits, less urine and kidney disease patients, the serum potassium levels are elevated.
Fruits, vegetables and cereals are foods that are rich in potassium, potassium higher fruit is watermelon, banana, pineapple, mango, jujube, cantaloupe, etc; Vegetables contain potassium high, etc. In oliguria stage kidney patients should eat less, if after the use of diuretics, potassium is low, can eat, fresh fruit juices contain rich potassium, in particular, can be used as oral potassium supplement.
Hami melon is rich in potassium, every 100 grams of meat contains about 250 milligrams of potassium. Potassium ion content is exorbitant, can contribute to heart disease, a slow heart beat (bradycardia) and ery low conduction block, such as life threatening. Renal failure, glomerular filtration rate decreased, renal tubular function decreased, the potassium metabolism disorder, not timely excess potassium eduction body outside, result in hyperkalemia. Therefore, patients with renal failure, unfavorable eat hami melon.
3, do not eat what meat renal failure patients
Renal failure patients, should limit the intake of protein. Because of its some nitrogen metabolism in the body can produce waste, and through the kidney with the urine. Kidney failure (oliguria stage), reduced the volume of urine, impact of waste discharge, the accumulation of waste are prone to uremia. Such as ham, tian chicken, chicken, pigeon, quail and finches meat meat food contain higher protein, both is unfavorable feed more.

  how to manage well salt intake for kidney patients



Nutrition society suggested that healthy adults daily salt intake of 6 g (including soy sauce and other salt in food), and the daily intake of more than 12 grams, some places even higher. And many people are hard to change heavy flavors of diet habit, taste and sensitivity will be obviously decreased with age, prefer to put more salt and soy sauce. That many people will ask, can not to put less salt or salt in the food delicious? Actually, we can adjust in the way of cooking methods, can be also obtained the health food.
1 didn't put salt, vegetables to the pot. Before food dish up cooked a small amount of soy sauce flavor or less put some salt, the salt stays on the surface of food, your tongue will feel salty. And at this point, the salt into the interior of the food, the quantity under the same salinity salt are naturally reduced.
2, more vinegar, less sugar. Acidity can reinforce saltiness, much put some vinegar feel salty too pale. Dishes with lemon juice and ketchup are also has the same effect. Acid can promote digestion, increase appetite, increase mineral absorption rate, reduce the loss of vitamins, fully staffed. Sweet will hide salt, a little salt can highlight the sweet taste of sugar, so, charged with salt, it is best to avoid eating dishes for sugar.
3, limit salt seasoning. In addition to salt and soy sauce, we still have a lot in life contain salt seasoning. Such as chicken, and monosodium glutamate the brothers with them, will be less salt. There are all kinds of sauce is salty foods, such as sweet bean sauce, bean paste, sauce, sweet chilli sauce, etc., such as mayonnaise, salt as much as 12% - 15%.
4, limit salty food. Shrimp skin ingredients, dried shrimp, mussels, pickles, ham, sausage and preserved food, ingredients contains salt, seasoning will carefully, carefully taste, and then make a decision whether to add salt.
5, the use of low-sodium seasoning. Currently on the market, low salt, seasoning is very rich. Such as low salt soy sauce, salt, sauce, salt pickles, etc are sold. Might as well how similar products, the choice of fresh taste is full-bodied, salty light flavor. Using low sodium salt, is a good way to reduce salt.
How to limit salt intake of patients with kidney disease
No matter what kind of kidney disease, as long as there is edema, you have to limit salt intake. Significant edema, while daily limit should be below 1 g, serious or even require salt-free diet. To be reduced the volume of urine protein, edema, relieve, salt can be appropriately increased, but also should be no more than 5 g a day. The purpose of low salt diet is to reduce the water and sodium retention in the body, make the edema subsided and blood pressure to drop.

Thursday, July 18, 2013

Uremia patients with anuria?


Uremia patients with anuria?
Aiming at the problem, experts said: when a kidney disease the patient from developing into uremia, chronic kidney disease of kidney function has been badly damaged, so the kidney excretion function have been falling, if there is no urine, the kidney function has basic is lost, so, uremia patients with anuria? Listen to the experts of concrete is introduced.
Patients should know uremia anuresis of two kinds of reasons, and targeted therapy.
Anuresis phenomenon: if the short-term rapidly enter the oliguria or anuria, indicated that the disease in the acute stage, there must be a cause of acute progress of etiology, should actively look for slow progress factor in urgent, decisive measures to treat and reverse the disease, restore the urine output, to ensure the safety of life, could not only restore of urine, creatinine will fall at the same time, even get rid of dialysis.
Renal fibrosis has fully into the scar formation, and has formed a scrap renal, function has completely lost and cause no urine, whole depend blood purification to sustain life. Patients with this type of application of micro Chinese medicine purpose, make sure that the important viscera function, ensure the safety of life, improve the quality of life and survival, prolong the survival period, kidney transplant well preparation for the future. This period by blood purification alone is can't completely solve all problems, but also with traditional Chinese medicine therapy.
When kidney disease the patient from developing into uremia, chronic kidney disease of kidney function has been badly damaged, so the patient can appear many serious complications, such as edema, hypertension, renal anemia, skin itching, abnormal urine will be clear at the same time, there will be no serious uremia patients of urinary symptoms. For this, the western medicine treatment, can use dialysis and renal transplantation therapy.

Causes of Insomnia (Sleeplessness) of End Stage Kidney Failure Patients


Causes of insomnia (sleeplessness) of end stage kidney failure patients:
(1) Physiological cause
End stage kidney failure patients with sleep disorder, cause insomnia, the mechanism of factors is not yet clear, excessive daytime sleep is one of the reasons. Some scholars believe that sleep apnea syndrome and urine toxin accumulation in the body, metabolic acidosis, resulting in breathing during sleep is not stable.
And long-term dialysis for End stage kidney failure patients with sleep disorder that accounts for 57% to 80%, sleep apnea syndrome and restless legs syndrome is several times the general population, incidence of persistent peritoneal dialysis patients complained of difficulty falling 74.5%, easy to wake up, wake up 68%, with 77.1% of sleep in the day. These abnormal sleep on quality of life and health have significant negative impacts, have data to show that this kind of patients with sleep disorders can lead to increased mortality.
(2) Emotion cause
Emotions cause insomnia patients have two: one is the patient of diseases is not thin, easy to appear difficult to control the anger and angry mood extreme symptoms; For insomnia patients, 2 it is lack of correct understanding, further affect sleep, appetite, such as "excessive thinking, internal lesion caused by overexertion glove", over time, insomnia, no signs of improvement, heart palpitations, dizziness, the symptom such as irritable don't light the heavy. The deterioration of the condition and further cause the patients repeatedly uneasy, worried, lived and even that, form a vicious circle. External stimuli can cause intense, repeated, mental stress and mood swings for a long period of time, the brain cortex inhibitory and excitatory process conflict, the cerebral cortex function disorder, is not conducive to sleep.
End stage kidney failure patients with widespread depression, chronic fatigue, and insomnia. Patients with End stage kidney failure, the endocrine system will be severely disrupted, and the pain, which can easily lead to insomnia patients phenomenon, at the same time, the heavier stress also increased in patients with the symptoms of insomnia. Therefore, End stage kidney failure patients should calmly in the face of, set up the confidence of conquer disease, because too much thought pressure, will only make the patient more worse and worse.

Wednesday, July 17, 2013

Foods for Patients with High BUN Levels



BUN levels along with creatinine levels can tell how well your kidneys are functioning.High BUN levels mean reduced renal function and kidney damage.Some foods should be avoided with high BUN levels.
Urea nitrogen is the byproduct of proteins in body and is filtered out by kidneys normally.A normal range for blood urea nitrogen is generally 8 to 24mg/dL for adult men(2.86 to 8.57mmol/L) and 6 to 21mg/dL(2.14 to 7.50 mmol/L) for adult women.Because of compensatory capacity of kidneys,BUN levels do not increase untile more than half of renal function is lost.
High BUN levels indicate serious kidney damage.Therefore,the patients not only should avoid foods which can raise BUN levels,but also should eat more foods which can improve renal function.
Foods to protect and improve renal function
Fruits and vegetables
Fruits and vegetables contain antioxidants which can help neutralize free radicals and protect kidney cells.Such fruits include grapes, cranberries and blueberries; vegetables include fennel,beets,spinach,string beans and asparagus.The patients should make sure the fruits and vegetables are low in potassium.
Olive oil
Olive oil is a great source of oleic acid, an anti-inflammatory fatty acid. It can help relieve the inflammation in kidneys to slow kidney fibrosis process.
Foods to avoid with high BUN levels
Foods loaded in proteins
For Kidney Disease patients with high BUN levels, the patients are recommended to limit how much protein they eat.This is because foods high in protein can increase the production of urea nitrogen.Increased levels of urea nitrogen can make the kidneys work harder and may cause more kidney damage.
High-sodium foods
High-sodium foods should be avoided with high BUN levels.Too much sodium can cause swelling and raise blood pressure.This can damage kidneys more.
Phosphorus and potassium
Regular blood work test should be done for patients with kidney problem. If phosphorus and potassium levels are higher than normal,the patients should avoid eating foods high in phosphorus and potassium.
The above are some recommended foods and some foods to avoid with high BUN levels. As the illness condition varies from person to person, an individualized diet is needed based on your condition.

How Much Protein to Consume as A CKD Patient

 
Protein is necessary nutrient for people.However,the protein waste products can cause stress on kidneys.Therefore, CKD patients are often faced with the dilemma of having to limit protein intake. How much protein to consume as a CKD patient? What are the good sources of protein?
A general diet for CKD patients should be low in protein.However,as the kidney damage degree and overall condition vary from individual to individual, it is better to calculate how much you can consume in your case.
*CKD stage 1-2: 0.8g/kg per body weight/d
*CKD stage 3-5: 0.6g/kg per body weigh/d
For example,if you are in stage 4 CKD and weigh 65kg,you should consume 0.6*65=39g each day.
As vegetable proteins can produce more wastes, it is a wise choice to add more high-quality in your diet. So you should reduce the consumption of vegetable proteins like rice, bean products, oatmeal.High-quality proteins include milk, egg, fish, poultry product and lean meat.
Here are some examples of protein foods and how many ounces of protein they provide.
Beef steak (4 ounces)
Chicken drumstick (2 ounces)
Egg (one = 1 ounce)
Egg whites (two = 1 ounce)
Fish fillet (3 ounces)
Half chicken breast (3 ounces)
Hamburger patty (3 ounces)
Pork chop (3 ounces)
Shrimp (18 to 20 medium = 3 ounces)
Soy burger (2 to 3 ounces)
Another way to estimate protein is using your hand as a guide. The size of the palm of your hand is approximately 3 ounces. The size of your thumb is about 1 ounce.
The above is just some general suggestions on dietary protein consumption for people with CKD.

Tuesday, July 16, 2013

How to Scientifically Treat Chronic Kidney Disease



It′s a long term ordeal for both patients and their families when someone gets chronic kidney disease, therefore, scientifically loot at it and treat it is the only right way. Patients should pay attention to the following points in thoughts.
1. To be optimistic.
Don′t think too much after getting chronic kidney disease, much pressure will decrease your immunity. Keep optimistic and actively receive treatment, believe your disease could be controlled or even cured.
2. Treat chronic kidney disease seriously.
Some patients is not pessimistic, but they don′t keep doctor′s advices and medication principles in their minds. They don′t seriously treat taking medicines or review and do things according to their wills. This would lead disease which could be controlled to get worse. Therefore, chronic kidney disease patients should not be careless about their own condition.
3. Do things according to your present condition.
After getting chronic kidney disease, patients may receive limitation on activities, diet and work, and even may need others′ care on life, but all these are normal phenomena. Patients should not force themselves to do what they did before. They should do things according to their present conditions to avoid fatigue.
4. To be considerate.
Getting chronic kidney disease, you would bear big mental stress, so do your families. Do not lose temper or get angry with them, otherwise, it would make them anxious or worried. It′s also good for your recovery if you care about your families and make your family stay in a harmonious atmosphere.

How to Scientifically Treat Chronic Kidney Disease



It′s a long term ordeal for both patients and their families when someone gets chronic kidney disease, therefore, scientifically loot at it and treat it is the only right way. Patients should pay attention to the following points in thoughts.
1. To be optimistic.
Don′t think too much after getting chronic kidney disease, much pressure will decrease your immunity. Keep optimistic and actively receive treatment, believe your disease could be controlled or even cured.
2. Treat chronic kidney disease seriously.
Some patients is not pessimistic, but they don′t keep doctor′s advices and medication principles in their minds. They don′t seriously treat taking medicines or review and do things according to their wills. This would lead disease which could be controlled to get worse. Therefore, chronic kidney disease patients should not be careless about their own condition.
3. Do things according to your present condition.
After getting chronic kidney disease, patients may receive limitation on activities, diet and work, and even may need others′ care on life, but all these are normal phenomena. Patients should not force themselves to do what they did before. They should do things according to their present conditions to avoid fatigue.
4. To be considerate.
Getting chronic kidney disease, you would bear big mental stress, so do your families. Do not lose temper or get angry with them, otherwise, it would make them anxious or worried. It′s also good for your recovery if you care about your families and make your family stay in a harmonious atmosphere.

How to Prevent the Happening of Diabetic Kidney Disease



Nowadays, the prevalence of diabetes has a rising trend year by year, kidney disease and diabetes as a chronic complication of diabetes is the most main, once happened, sustained urine protein will appear, the disease is irreversible, tend to renal failure, uremia, progressive development. According to data shows, acute renal failure caused by diabetic nephropathy is 17 times higher than those without diabetes.
Although diabetic nephropathy is one of the causes of death in diabetic patients, but it is not the end of all people with diabetes. Therefore, xi 'an tongji hospital senior experts recommend: diabetic patients should be performed early in the prevention, at six to do the following, in order to avoid the occurrence of diabetic nephropathy.
A, strictly controlling blood sugar, and dry weight. Because long-term status and obesity, high blood sugar, this is the most important factor in the pathogenesis of diabetic nephropathy, also is the key to prevention of diabetic nephropathy.
Second, the choice of oral hypoglycemic. As far as possible choose little toxicity to kidney.
Third, insulin therapy. For oral control bad or for patients with renal impairment, should use insulin therapy as early as possible.
Four, combining hypertension take antihypertensive therapy.
Five, the diet. Should control the intake of salt and oil, vegetable oil for 20 ~ 30 ml, and timely supplement vitamin, folic acid, and minerals. Should limit phosphorus intake below 800 mg/day. Protein intake, early didn't limit the amount of protein in diabetic patients, and once in renal failure, falls below 60 ml or urinary protein, should limit the intake of protein, can accentuate otherwise kidney damage. When protein intake should be less than 0.8 g/kg per day, and as far as possible choose low quality protein (fish, meat, eggs), adopts the principle of limit quality diet.
Six, blood glucose and urine protein test on a regular basis, once found that the urine protein, must accept make a diagnosis and give treatment as soon as possible.

Sunday, July 14, 2013

What Factors would Influence the Prognosis of IgA Nephropathy



For patients with IgA Nephropathy, ten-year survival rate is 80% to 90%. 20 years after diagnosis, about 20% to 30% of the kidney patients would enter uremia stage, and 1% to 2% of the kidney patients would enter end-stage renal disease(ESRD).
Many kidney patients would become very scared once they spot gross hematuria, and they would enter uremia eventually. In fact, the severity and frequency of hematuria has no direct relationship with the prognosis of the IgA Nephropathy. In general, the progression of IgA Nephropathy is slow, and this disease is less likely to progress into kidney failure than other types of kidney disease.
With that being said, patients with IgA Nephropathy should take this disease seriously. So patients should visit their doctors on a regular basis, stick with the treatment and do not cut back on medications on their own.
The major factors that influence prognosis of IgA Nephropathy include:
1. the gender of the patient: female patients tend to have better prognosis than male patients.
2. the starting age: on average, the children’s prognosis is better than adults. The prognosis for patients whose starting age is above 40 years old is usually not good.
3. patients whose GFR is already low and who has already kidney damage tend to have gloomy prognosis.
4. patients with less proteinuria tend to have better prognosis.
5. patients with normal blood pressure have better prognosis than patients with high blood pressure.
6. patients with the following pathological changes tend to worse prognosis: diffuse, proliferative glomerular damage with the formation of segmental or diffuse crescent, focal and segmental glomerular hardening or tubular atrophy, hardening arteriola, the thickening of the walls, the interstitial fibrosis and the deposits of IgA and C3.