2017年3月27日星期一

How to Manage Proteinuria In Kidney Disease

After the summary found that different patients with chronic kidney disease, the outcome of a huge difference. The difference between the patients is regular.
Some patients diagnosed, until the end of life did not occur kidney failure; some confirmed, a few months time on the rapid progress of uremia.

Even uremic patients, the outcome of the disease is not the same, some uremic patients through transplantation or dialysis can live for decades, some did not die two years.

With a disease, why different ending? Because those longevity patients, tend to have these five common ground.

Then we come to see, the outcome of better patients, who are they?


Found early, attention to early patients

We divided the chronic kidney disease into 5:

Glomerular filtration rate in 90ml / min (below the omitted units) or more, called chronic kidney disease;

Two is the glomerular filtration rate in 89 ~ 60;

Three glomerular filtration rate is 59 ~ 30;

Four glomerular filtration rate is 29 to 15;

Glomerular filtration is less than 15 for chronic kidney disease.


The sooner the diagnosis, the more left to the doctor left, the relative prognosis of patients is better.

If found, renal function is still in the 1-2 period, is relatively early. 4 only to find, is relatively late, and many people have been found when 5, and 5 also known as end-stage renal failure (uremia).
2

Type is relatively better
In a variety of nephropathy, acute nephritis, amyloidosis nephropathy, membranoproliferative glomerulonephritis, a large number of proteinuria in diabetic nephropathy, has increased creatinine polycystic kidney disease, continuous relief of focal segmental renal small Sclerosis, these types of disease, usually more difficult to stabilize renal function.
In the middle of IgA nephropathy, purpuric nephritis, lupus nephritis, individual differences are relatively large, not only with the discovery sooner or later, but also with the patient's proteinuria, blood pressure and other indicators of the degree of control, if the indicators continued poor control, persistent proteinuria greater than 1g, high blood pressure is more prone to disease progression.

And minor lesions, membranous nephropathy, long-term prognosis is relatively better.

Know how to maintain, know how to meet the doctor's patients
A discovery of the early, the type of disease is also good patients through the continuous "for", can "die" their own; a late discovery, the type of patients who have not so good can be through active treatment, with a good doctor, usually good maintenance, but laugh At last!

Chronic kidney disease is a long way to fight, starting line does not mean everything. We see too many patients clinically starting line, but because of all kinds of ignorance did not laugh at the end.

After the illness of the common sense, it is necessary to slowly learn. Know how to maintain, but also know how to cooperate with the doctor's patients, is the last patient to laugh!

State of mind optimistic, peaceful patients

Mentality of the adjustment throughout the chronic disease has always been. Good mood, is the cure of medicine, mentality optimistic, positive people, the prognosis is better. Although the process is hard, but the results are a lot of good.

Treat chronic diseases, not a good attitude, not a strong heart is not enough. The condition has not how their own, psychological fear and anxiety have been first down their own, and this also talk about what treatment? Holding a very fear of the psychological is very easy to illness to vote for medical treatment, to take medicine.


The most important point: regular follow-up of patients

Some patients always kidney disease such as chronic diseases, when the acute illness to see, a large number of edema when the protein, the requirements must immediately immediately eliminate; no hurry, the whole year is not to review, it is absolutely not work!

Some people are anxious to wait for the Rockets to see experts, but no matter how much to see the top experts, can not hold the "quick fix, the indicators will no longer control the" mentality. To cure kidney disease, it may take several months, it may be a few years time, which should be prepared in advance to prepare.

This treats a disease that requires long-term management. The condition is in an acute state, need 1 month or so time to follow once; stable condition to 3 months or so followed; very stable to 3 to 6 months follow-up once.

As a doctor, should be responsible for the patient's disease, but also according to the condition of regular or irregular follow-up. Through follow-up can understand the patient's condition changes or development, in order to timely targeted prevention and control guidance.

Leave A Message

Name:
Email:
Phone:
Country:
Message:
 

online doctor