Four Things will Make Your Kidney Disease Relapse

The arrival of June, means that officially entered the summer, many people in the summer will do "4 things." But these four things, for patients with nephropathy, it is likely to lead to recurrence of the disease, look at a few:

One, seafood, barbecue and beer

One to the summer streets are barbecue stalls, eat a lot of people really. Which seafood and mutton are high-protein foods, a lot of food will lead to excessive production of uric acid and urea nitrogen and other metabolic wastes, coupled with seafood and beer with food caused a large number of uric acid accumulation, if already suffering from kidney disease Will be due to uric acid deposition lead to gout recurrence, further aggravate the harm to the kidneys.

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Second, excessive eating cool food

Summer is the body yang relatively strong, because the temperature is too high, we will choose to eat cool food to cool, such as Liangpi, noodles, ice cream and so on. But for patients with kidney disease, the kidneys have been damaged, in the diet need to avoid ingestion of irritating food. Excessive Tan Liang will not only damage the kidney yang, is not conducive to the recovery of the disease, and even lead to increased.

Third, perspiration and more do not love to drink water

Summer sweat more, if the lack of water, will lead to reduced urination, so that a large number of excess waste in the kidney can not be excluded, it is not conducive to the recovery of kidney disease patients. In addition to edema and other symptoms must be limited to the water in the summer, or according to the doctor's advice to drink plenty of water, to promote the discharge of blood endotoxin.

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Four, strenuous exercise at night

Summer hot weather, many patients will choose to go out at night shade, watching others in the dance, boxing, shuttlecock, walking, they could not help but try. For dancing, shuttlecock such a violent exercise, in fact, not suitable for patients with kidney disease, will increase the burden on the kidneys, serious and even lead to recurrence of the disease. Suggest that patients can choose to practice boxing, walking these mild exercise, both to get effective exercise, but also conducive to the recovery of the disease.
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Why are more and more young people getting uremia?

In the past few decades, we have heard most of the uremic patients, are some middle-aged or old age. Because kidney disease is a chronic disease, most patients are from light to little by little development. This may take ten years or even decades.

But you have not found that the past few years more and more young people suffering from kidney disease, and in a very short period of time on the development of renal failure, uremia.

Now young people living pressure, young on the back of the car loans, mortgages, credit loans, and some even have to raise two children, work and life of the double pressure they can not breathe. So that they had to work hard, trying to make money, under pressure, rushed to a variety of entertainment.

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So come down, the money earned, while the body also collapsed, which is too, or lost?

Some people may be born physically extraordinary, tossing to the old before the disease. But most of us, the speed of money to run the speed of not catch the disease hot pursuit.

So, recommend young people:

1. stay up late overnight, even overtime also try not to more than 12 points.

2. Do not hold back urine, which may lead to urinary tract infection. This type of infection once recurrent, can lead to chronic pyelonephritis, chronic pyelonephritis is also one of the causes of renal failure.

3. Do not eat too salty, too oil. Most people's kidney disease is unknowingly "eat" out, to minimize the burden of business entertainment on the kidneys.

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Is physical examination of some people's patent?

Many people in the early kidney disease when they simply can not detect, but those who are the most common weakness, nausea, low back pain, urine bubble, nocturia increased these seemingly insignificant little problems, in fact, silently and powerful tips You: your kidneys may be a problem, hurry to check it!

At present our society, is still only the so-called "upper class" have physical habits, such as civil servants, middle class or rich.

But ordinary people and their comparison, the difference is not money, but health awareness. Check the urine of conventional money, even ordinary people half a day wages are not, but it may make you spend tens of thousands, hundreds of thousands, but no one to do, until you feel uncomfortable, many are kidney failure

Renal transplantation will recur

70% of uremia is developed by glomerulonephritis. And almost all glomerular nephritis developed into uremia, after renal transplantation may recur.

Spend so much money for the kidney, how will relapse?

Because the root of the kidney, not in the kidney.

For example, the normal kidneys, transplanted to the patient's body, the normal kidneys will get kidney disease.

In turn, the "kidney" transplanted to the normal body, the kidneys will be restored to health.

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Visible, the root cause of kidney disease in your body, but not in the kidney. Nephropathy is a blood disease involving immunization, it is related to the whole body, a kidney disease patients only transplant kidney, then, is still kidney disease patients.

Is kidney transplant recurrence serious?

Do the kidney transplant patients do not have to worry too much, relapse is not surgery to do white, but let you back from the uremic period to the nephritis period.

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In other words, will go again [nephritis → kidney failure → uremia] this road.
Who is easy to relapse after transplantation?

Focal segmental glomerulosclerosis (FSGS), the possibility of recurrence is relatively high, about 50% .And, 40% to 50% of patients with recurrent grafts will be lost; so these patients are generally not recommended for kidney transplantation.

IgA nephropathy, renal transplant recurrence rate is very high. 80% of the transplanted kidney, into the recipient after the body will suffer from IgA nephropathy.

Crescentic nephritis, such patients is best to wait until the cycle of antibody down to undetectable, and then transplanted to reduce recurrence;

Lupus nephritis, transplant recurrence rate as high as 35%. It is noteworthy that patients with lupus ulcers prone to venous or arterial thrombosis, surgery should pay attention to check part of the prothrombin time, anticardiolipin antibodies and lupus anticoagulant;

Purpura nephritis, up to 75% of patients have relapse. Recurrence of high population, mainly in the 8 to 18 months before transplantation is still sick patients.

Active multiple myeloma with bone marrow infiltration, whole blood cell reduction in patients, prone to infection and bacteremia, such patients after the risk of recurrence after transplantation as high as 70%.

Reduce recurrence rate

Since the recurrence rate of kidney transplantation is so high, then we need to find ways to reduce the recurrence rate. There are two ways:

1. Use high-dose cyclosporine A;

2. do plasma exchange.

This can remove class I anti-HLA antibodies, successfully reduce the recurrence, both can be used at the same time.

Hemodialysis patients, how to protect the fistula

Internal fistula is the arteries and veins in the subcutaneous coincidence, so that arterial blood into the vein, popular said to be prepared for long-term dialysis.

Some patients, especially female patients with vascular fine, easy to fistula failure. You can consider preoperative ball exercise and other blood vessels or artificial blood vessels, autologous vascular graft. General fistula can be used after two months, but the new fistula tube wall thin and brittle, pay attention to protection.

Tips for internal fistula care:

1. prevent bleeding after dialysis.

Because of the use of blood flow anticoagulant dialysis, so in the dialysis process and after the end of dialysis just after the fistula site bleeding. So after each dialysis should pay attention to vertical puncture puncture point and puncture point of the lower edge of the blood vessels. Dialysis the next day to remove the protection of eye drops disinfection gauze, so that the needle dry. Should try to avoid the day after dialysis bath, bath should pay attention not to wet eye drops. When the gauze soaked, contaminated, blood exudation, the application of disinfectant re-sterilization pinhole, and replace the new gauze.

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2.Daily life avoids oppression

Do not wear heavy stuff on a wrist with fistula.

Do not keep your hand under your head.

● watch as far as possible not worn on the fistula wrist.
Do not beat the fistula or place heavy objects on the fistula.

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3. Do not measure blood pressure with fistula arm.

Fistula side of the arm movement, so that blood vessels developed.
As far as possible, change the puncture site.

4. Avoid other warm, cold stimuli


fistula infection can lead to embolism, and if the infection is serious, but also cause sepsis. Pay attention to personal hygiene, fistula arm to be fully washed, disinfected. Such as rash, rash, etc., should be treated as soon as possible. Do not scratch the fistula arm.

How To Prevent Diabetic Nephropathy

Why would diabetes get?

Our body of organs - the pancreas can secrete insulin, lower blood sugar. If the insulin secretion of the pancreas is reduced or lost, it will suffer from diabetes.

Diabetes medicine classification

① type I diabetes - rare, mostly children, are autoimmune diseases, the cause of the immune system is wrong to the normal islet cells as "enemies."

② type 2 diabetes - more common, mostly adults, caused by genetic factors and lifestyle. Unhealthy lifestyles include high calorie diet, lack of exercise, work stress, etc., of which the main high-calorie diet.

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Prevention of Diabetes

A healthy diet

Cereals, such as oatmeal, buckwheat noodles, oatmeal, cornmeal, purple yam and other rich in vitamin B, a variety of trace elements and food fibers to low sugar, low starch food or coarse grains and vegetables and other staple food.
Beans and soy products, beans foods rich in protein, inorganic salts and vitamins, and soybean oil containing unsaturated fatty acids, can reduce serum cholesterol and triglycerides. Bitter gourd, mulberry leaves, onions, mushrooms, grapefruit, pumpkin can lower blood sugar, diabetes is the best food, such as long-term consumption, then reduce blood sugar and prevent complications will be better.

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2. increase physical activity

Exercise is also important for the prevention of diabetes, adhere to 30 minutes of moderate intensity of exercise every day, more than 5 times a week. Exercise to walk, jogging and other aerobic exercise, interspersed with some muscle training, can help improve blood sugar regulation.

3. Control weight and waist circumference

Obesity, especially waist and abdomen fat, is the production of insulin resistance, leading to a major risk factor for diabetes. We should pay attention to eating balance, the weight and waist control in the normal range.

Maintain healthy BMI (18.5 ~ 24 kg / m2), control waist circumference, female <85 cm, male <90 cm.

BMI calculation method is: weight (kg) divided by the height (m) of the square.

4. Periodic inspection


Every half a year to a year, the need for regular physical examination, physical examination need to check the fasting venous blood glucose, conditional 75 g glucose load test (OGTT), early detection of pre-diabetes, early detection, early treatment, some diabetes , If handled properly, is likely to reverse.

What To Do For Hematuria

Under normal circumstances, if you find the naked eye hematuria, and blood clots or other associated with the case of obvious pain, mostly renal causes caused by hematuria, such as stones, bladder or other diseases of the ureter, etc. , You can look at urology or nephrology examination urine routine and kidney color Doppler ultrasound.

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If it is urine routine examination found to have occult blood or red blood cells, the so-called "microscopic hematuria", then the doctor will usually tell you need to check the shape of urine red blood cells to determine the cause of the initial. Commonly used examination items are: 1 urine erythrocyte deformity rate check 2 urine erythrocyte morphological examination 3 urine sediment 4 urine three cups.

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Urine red blood cell morphology generally have three kinds of situations:

1 deformed red blood cells (also known as pleomorphic, abnormal red blood cells, etc.) or erythrocyte malformation rate of more than 75% or spine red blood cells greater than 5%, red blood cells in this case mostly renal leakage (renal filtration barrier damage, Red blood cells from the damaged filter film extrusion, morphological disorders), mainly nephritis and so on;

2 normal red blood cells (also known as homogeneous red blood cells), in this case mostly caused by renal extracorporeal hemorrhage, mainly ureter, bladder and other diseases like urinary tract inflammation, cystitis and so on;

3 mixed type, the above two forms are, then need to analyze other medical history to determine the cause. However, the classification of the above red blood cell morphology may be affected by many factors, can not simply determine the cause, need to further check the diagnosis of kidney disease specialist.

What To Do For Proteinuria

Clinical, often encountered in the physical examination found urine urine test positive urine, at a loss, everywhere for medical treatment, resulting in a lot of psychological pressure.

Under normal circumstances, the urine test protein positive, often a disease signal, may be accompanied by blood biochemistry and ultrasound and other aspects of the abnormal examination, the need for timely medical treatment, identify the reasons for symptomatic treatment. But not all of the proteinuria is caused by the disease.

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Healthy people in special circumstances can also appear urine protein positive, medical often this proteinuria called functional proteinuria, in the clinical following several types

One, reversible or transient proteinuria

Refers to the temporary onset of proteinuria. More common in young people, in the strenuous exercise, high temperature, cold, mental stress and other factors, renal vasospasm or congestion, resulting in glomerular filtration membrane permeability and make a large number of protein "slip through the net." Pregnant women with a slight increase in urine protein, which increases the body and kidney flow, increased glomerular filtration rate, generally not more than 24 hours. After the inducement, the proteinuria will disappear.

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Second, posture or upright proteinuria

Is only in the upright position or take the spine posterior pose position, urinary protein excretion increased, while the supine position of normal urine protein. But also according to whether the standing urine protein is often divided into temporary (or intermittent) and fixed two, the former refers to the upright position when the urine protein is not necessarily increased every time, the latter refers to the vertical position of urinary protein Are more than normal. Alright proteinuria is more common, more common in young people, 30 years old rare. Among the asymptomatic proteinuria found in the population census. Which accounted for 70% to 80% of temporary, fixed 15% to 20%.

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Third, persistent benign proteinuria

Refers to the blood Shen, blood chemistry, renal ultrasound and renal histology are normal range, generally no other symptoms. In the census, this can account for 5% to 10% of patients with asymptomatic proteinuria. Clinical diagnosis of persistent proteinuria clinically "benign" should be very careful, because some glomerular diseases or their early can only show persistent proteinuria (such as mesangial proliferative glomerulonephritis, membranous nephropathy, renal sclerosis, diabetes Kidney disease, etc.), often need to strengthen follow-up and further examination.

Fourth, pathological proteinuria

When the glomerular, renal tubular disease, such as the stage of nephritis, nephropathy and hypertension in renal arteriosclerosis, can occur pathological proteinuria; a variety of bacterial infections, such as pyelonephritis, kidney tuberculosis, sepsis, etc. There may be pathogenic proteinuria; non-infectious diseases such as kidney stones, polycystic kidney disease, renal amyloidosis and shock, severe muscle injury, fever, jaundice, hyperthyroidism, hemolytic anemia and leukemia, Sexual proteinuria its causes, mechanisms and clinical findings, are related to kidney disease.

Therefore, the discovery of proteinuria, should be a professional doctor with history, signs, comprehensive analysis and then do the diagnosis.