2017年7月10日星期一

How to protect the kidneys in patients with chronic renal failure

Most patients with chronic renal failure also left some renal function, protect the residual renal function can reduce the patient's dialysis frequency, more conducive to maintaining the body's water and electrolyte balance and reduce the occurrence of heart failure.

 (1) active treatment of primary disease

Different degrees of kidney disease, residual renal function decreased slightly different degrees. Diabetic nephropathy early to actively strengthen the insulin treatment, can slow down the residual renal function. Lupus nephritis, hormone therapy through the treatment of renal function may also have recovery, and even a long time out of dialysis reports. Purple Nephritis should be actively looking for allergens, to prevent re-sensitization increase kidney damage.

 (2) strict control of high blood pressure

Hypertension is a factor to promote the progress of kidney disease, especially dialysis patients, prone to water retention and lipid metabolism disorders, which is caused by increased blood pressure and renal arteriosclerosis risk factors, the blood pressure control in the normal to prevent Glomeruli cause further damage.

 (3) to prevent hemodialysis in low blood pressure

In the dialysis to remove water should not be too much, generally 5-7% of body weight is appropriate to prevent the emergence of hypotension. Because of insufficient blood volume, can make the kidney further ischemia, increase kidney damage. So the patient dialysis interval is required to control the drinking water.

 (4) removal of renal obstruction factors

Older men should pay attention to the treatment of prostatic hypertrophy, kidney and ureteral stones should be removed as soon as possible stones.

(5) to avoid injury kidney drugs and poison

Many drugs and poisons have kidney damage. Such as aminoglycoside antibiotics, rifampicin in anti-tuberculosis drugs, anti-tumor drugs doxorubicin, fluorouracil, high-dose antipyretic analgesics such as: cold pass, speed, contrast agent, mannitol, Chinese medicine Guanmutong and wide defense has been. Toxic fish in the fish, heavy metals such as mercury.

(6) to avoid high protein diet, high purine diet

High protein diet has the effect of increasing kidney burden. Renal failure non-dialysis should be low-protein diet is appropriate But the dialysis of patients due to small molecular nutrients will be filtered through the membrane loss, it is not recommended low-protein diet, should be under the guidance of a physician to give appropriate higher protein diet to prevent malnutrition.

The high purine diet can cause uric acid to increase, causing uric acid to block renal tubules. Such foods are: animal offal, seafood, eggs, fish skin, beer, soybeans, seaweed, mushrooms, spinach and so on.

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