5 perseverances that will keep you from uremia for life

Is there any nephropathy that is destined to have uremia? &nbsp. The answer is: yes! In common chronic kidney disease, these two kinds of kidney diseases are destined to develop into uremia, that is, polycystic kidney disease and hereditary nephritis (male), but the time to progress to uremia is longer or shorter. The final outcome must be uremia. As for other kidney diseases, as long as our kidney disease friends do “never give up”, in the end, they can completely avoid uremia, which can also be said to be “destined”. Conversely, no matter what kind of kidney disease is likely to get uremia, that is, patients with kidney disease are not “doomed” not to be uremic, and only those patients with kidney disease who have “worked and persisted” may laugh to the end. The last winner. 1. “Regular medication” requires “effort and perseverance”&nbsp.&nbsp.&nbsp.Whether it is kidney disease without any symptoms and signs found through physical examination, or nephropathy found after edema or gross hematuria, you must go to the regular hospital for treatment Further examination to confirm the diagnosis and active treatment. You can’t just “work hard” at the beginning, and you should use the medicine regularly and on time. But after a long time, they cannot “persist”, or think that there is no need to “struggle and persist” anymore. Such patients with kidney disease are destined to easily get uremia. 2. “Periodic inspection” requires “effort and persistence”&nbsp.&nbsp.&nbsp. After regular medication treatment, patients with kidney disease who have recovered, relieved, improved or stable must continue to “effort and persistence”, regular inspection and on time Referral. You cannot go to the hospital for examination or see a doctor for various reasons or excuses. Kidney disease is different from other diseases. It cannot be expected to solve all problems in one hospitalization or two or three outpatient visits. Follow-up periodic inspections and follow-up visits are essential. Nephropathy patients who cannot do regular inspections are destined to get uremia easily. 3. “Diet management” requires “effort and perseverance”. If the patient finds that he has kidney disease at the age of 30 and wants to live to 85, then he will have to eat about 60,000 meals, that is (85-30 years old) ×365 days ×3 meals = 60225 times (ton). Perhaps the vast majority of kidney disease friends can achieve short-term diet management, such as low-salt, light and high-quality low-protein diets, etc., they can “work and persevere” for weeks, months or years, but always feel that there is no need for long-term ” “Efforts and persistence”, or not at all. in fact. More than 60,000 meals seem to be unable to work hard and persevere, but once used to it, it is not difficult. If you cannot achieve long-term and scientific diet management, you are destined to get uremia easily. 4. “Lifestyle” requires “effort and perseverance” A free lifestyle is a taboo for patients with kidney disease, and a healthy lifestyle is the key to avoiding aggravation and progression of kidney disease. Healthy lifestyles include regular work and rest schedules, moderate physical exercise, perseverance, staying up late, quitting smoking and alcohol, and restraining sex. These healthy lifestyles not only require our kidney friends to work hard, but also persevere for a long time. Those nephropathy patients who have long-term poor lifestyles are destined to easily get uremia. 5. “Keep mentality” requires “effort and perseverance”. Maintaining a good mentality is also what our kidney patients need to pay attention to. After having kidney disease, we cannot be blindly optimistic or overly pessimistic. We must maintain a normal state of mind. To outsiders, few people can see that you have kidney disease. In the same way, one cannot always regard oneself as a patient. Speaking of patients, more than half of the 7 billion people on our planet suffer from various diseases of different severity. The average life expectancy of our Chinese people is still not close to 80 years old. Therefore, our kidney disease friends need not be afraid of it while attaching importance to it. People with kidney disease who live in fear all day or don’t care at all are destined to get uremia easily. &nbsp.&nbsp.&nbsp. After all, nephropathy destined to be uremic will definitely exist, but not destined to not be uremic. If our kidney patients cannot “never give up”, how can any kidney disease be destined not to have uremia? It all depends on the “effort and persistence” of our kidney disease friends.

“Uremic lung”, a complication of uremia, will be explained to you by a nephrologist

Hello everyone, I am a nephrologist, concerned about lung health, nephrology is in action. Some friends may have questions. Isn’t uremia not a kidney problem? Does it have any bad influence on the “lung”? Indeed, it’s not that I’m here today, and we call it uremic lung edema. Although it sounds unfamiliar to me, the clinical incidence can reach 50%-80%. It is chronic Pulmonary complications in patients with renal failure progressing to the uremic stage. As the dialysis technology becomes more mature, the survival rate and survival time of uremic patients are greatly prolonged, so this complication is getting more and more attention. Today I will come to do a science explanation for everyone on “Uremic Lung Health”. Why does uremia cause lung disease? I think it can be explained in the clinic with monism, just like the heart-kidney syndrome and liver-kidney syndrome. ● From the heart: I believe friends who have read my popular science articles should be clear, I’m talking about uremia, Chronic renal failure will repeatedly emphasize the need to actively prevent complications such as renal hypertension, renal anemia, excessive capacity load, malnutrition, and toxin accumulation. Today I want to tell you that this is not groundless. All of the above factors may cause heart failure such as heart failure, pericarditis, myocarditis, cardiomyopathy, and calcification of the heart. These heart disease changes can increase the pressure of the left atrium of the heart, so that the capillary pressure of the lungs increases, and then there is pulmonary edema. In the long run, the compliance of the lungs decreases, and the pressure of the blood vessels and small airways of the lungs increases. Changes in lung function and structure. ●Explained from the blood: a number of studies have confirmed that after entering the stage 3 of chronic kidney disease (a total of 5 stages, the last stage is uremia), the human body will gradually begin to develop renal anemia, and the consequences of anemia are caused by The alveolar capillary blood flow is reduced, which affects the diffusion function of the lung. This is one of them; like malnutrition, hypoproteinemia (a complication of chronic renal failure) will make our body’s plasma colloid osmotic pressure drop, thus Causes pulmonary edema, which is the second; if it is a diabetic nephropathy patient, the high blood sugar state in the body will cause the crystal osmotic pressure of our human plasma to increase, causing body fluids to enter the blood vessels from the cells, resulting in further increase in blood pressure and cardiac output Blood volume drops, causing heart failure and pulmonary edema, which is the third. ● From the perspective of disease: uremic patients are prone to azotemia. In this case, it will lead to toxic hyperemia and increased permeability of pulmonary capillaries, causing a large amount of fluid in the pulmonary blood vessels to penetrate into the lung tissue, causing lung Lesions. Interpretation of common clinical manifestations of alveolar uremic lung ● The most common is cough and sputum, the incidence rate is greater than 50%, followed by dyspnea, the incidence rate is about 30%-50%. In particular, the shortness of breath will be more obvious when lying on the ground. The degree of severity varies, and some patients may also show “hemoptysis”, but most of them will be accompanied by unilateral or bilateral pleural effusion, which is the common pleural effusion. Too. Note that the nature of its effusion is mostly “slurry cellulose exudation”. ●In imaging, the most typical chest radiograph of the uremic lung is “butterfly wing-like or bat-like exudation of the bilateral lungs”, which means that it is centered on our hilum, forming a butterfly or Bat-like shadow, as shown below. We can roughly divide its imaging characteristics into 5 stages, namely alveolar pulmonary edema, pulmonary congestion, interstitial pulmonary edema, pulmonary interstitial fibrosis, and cardiac enlargement. Uremic lung, prominent ooze in the image, uremic lung, prominent uremic lung in the image, significant ooze in the image ●But from personal experience, clinically still with alveolar edema and heart The expansion period is more common, because these two types of heart failure will occur, but this is a significant difference from ordinary lung infection. If the dialysis and dehydration can be fully clinically, this butterfly or bat-like exudation can quickly disappear. Therefore, it is essential to ensure the sufficiency of dialysis and increase ultrafiltration, which is also the core treatment plan for this complication. How should uremic patients respond to the “lung” complication? This is the point I want to talk about. The above theory may sound a bit tedious, but I think I have to say it again, because only if the principle understands the doctor’s explanation and the adjusted treatment plan can you better cooperate, this can also Improve patient compliance. ●I believe that the experienced kidney friends should know that the uremic patients

How is uremia formed?

After many people have kidney disease, they become uremia indistinctly. It is even unclear when the kidney started to be “injured”. Uremia is not a single-onset disease, it is the end stage of the development of chronic kidney disease, that is, the state of kidney failure. So where does chronic kidney disease come from? Chronic kidney disease is mainly divided into two categories, one is primary kidney disease, and the other is secondary kidney disease. 1. Primary nephropathy Primary nephropathy refers to a disease that originates inside the kidney, such as glomerulitis, pyelonephritis, occult nephritis, and kidney stones. If it does not recover after more than 3 months, and the relevant examination indicators are always abnormal, or the effective glomerular filtration rate is less than 60%, it can be regarded as “chronic kidney disease”. 2. Secondary kidney disease is caused by other diseases. The secondary kidney disease, such as high blood pressure, is like pressing a mountain on the kidney. It is likely to cause excessive blood vessel pressure, protein leakage, and structural effects on the filter. The destruction eventually leads to hardening of the kidneys. Another example is diabetic nephropathy, which has become the second leading cause of uremia. Excess blood sugar will produce a large amount of glycosylation end products, which are deposited in the kidneys, block the renal tubules and blood vessels, cause various inflammatory reactions or microvascular lesions, and eventually “stretch” the glomeruli. In addition, gout, lupus erythematosus, and hyperlipidemia are all high-risk factors. If it cannot be cured or contained effectively, it can easily develop into uremia.

What are the wrong eating habits of uremia patients? The doctor summarized 6 points of experience and shared with you

Speaking of uremia, many people think it is a very terrible disease. In fact, with the development of medical technology, the treatment of uremia has made great progress. As long as the dialysis and other treatments are standardized, it can be as good as normal people. Good quality of life. But at the same time, it should be noted that uremia means that the function of the kidney has been seriously damaged, and as the kidney’s excretory function is weakened, the body’s toxins may increase. Therefore, patients with uremia should pay attention to dietary conditioning while receiving drugs and dialysis treatment. So which dietary habits of uremia patients are not conducive to physical recovery? What eating habits are bad for people with uremia? The most essential problem of uremia is poor kidney function, that is to say, the filtration ability has been reduced to a certain extent, and the excessive potassium and protein in the body may have a higher risk of retention, resulting in increased inventory. If you do not pay attention to your diet, it may lead to a critical situation of electrolyte disorders such as hyperkalemia! Taking hyperkalemia as an example, cells cannot be excited, which can lead to cardiac arrest! (1) High-salt diet For patients with uremia, experts recommend that the daily sodium intake should not exceed 3g. A high-salt diet is actually a risk factor for many diseases. The sodium salt in the body is mainly excreted by the kidneys. Excessive intake will increase the burden on the kidneys, and the more salt, the more water will be consumed. At the same time, the edema will also increase. In addition to table salt, there are some foods with hidden salt, such as some seasonings, preserved foods, snacks and biscuits. (2) High protein diet uremia is recommended for low protein diets, to be precise, a high-quality protein diet with a reduced total amount. On the one hand, protein is the main body for the supply of essential amino acids, on the other hand, excessive intake will lead to azotemia and increase the burden on the kidneys. Therefore, on the basis of ensuring the supply of human nutrition, we must choose high-quality animal protein that contains a lot of essential amino acids, such as eggs, milk, and lean meat. (3) High phosphorus diet The phosphorus we ingest is mainly excreted through the kidneys. In patients with uremia, weakened excretory function leads to an increase in blood phosphorus, resulting in secondary hyperparathyroidism, vascular calcification and other complications. Therefore, the diet of uremic patients should limit the intake of phosphorus. Eat less dairy products, egg yolks, shrimps, animal offal, nuts and other high-phosphorus foods. (4) High potassium diet Hyperkalemia is a common complication of uremia, and many may be asymptomatic at first, sudden arrhythmia or even death. Therefore, you should eat less high-potassium foods, such as kelp, seaweed, potatoes, dried fruits, nuts and seeds. After soaking green vegetables, soak them in boiling water to reduce potassium in food. (5) High purine diet Because uric acid is also excreted by the kidneys, uremia patients may also have hyperuricemia, so eat high purine food in the diet to avoid blood uric acid from rising too fast. For example, offal, beer, mushrooms, etc. (6) People who love carambola with bad kidneys should not eat carambola. If patients with kidney disease consume too much carambola, the neurotoxins contained in them may cause limb weakness, numbness of hands and feet, confusion and other symptoms in patients with nephropathy. At the same time, carambola has high potassium content. Patients with renal failure, even if they only eat one carambola, will have different levels of toxic reactions, leading to rapid development of the disease into uremia and even death. In conclusion, for uremic patients, a scientific and reasonable diet is very important. In addition to the foods mentioned above, kidney friends should also pay attention to avoid eating spicy cold food because spicy cold and other irritating In addition to irritating the gastrointestinal tract and damaging the gastric mucosa, food will also increase the viscosity of the blood and increase the burden on the kidneys. References: Guanghui, Xu Yaning, Lei Gui’e. Dietary taboos and food therapy for patients with nephropathy[J]. Hubei Journal of Traditional Chinese Medicine, 2001,23(4):55-55. , Thank you for the picture author, if you find any violation of your copyright, please contact me, I will delete it.)

Diabetes, high blood pressure, and kidney disease can all develop into uremia! Final weekly hemodialysis

Uremic disease is not the name of a disease. Uremic disease is a group of syndromes in which various kidney diseases progress to the terminal stage. Simply put chronic renal failure to the end stage is what everyone says is uremia. If it is only a problem of kidney failure itself, long-term dialysis can replace the kidney, it can also survive for a long time, but when it progresses to the uremic stage, not only will kidney problems occur, but various systemic diseases will appear in the body, which is a group of syndromes that will eventually cause disease Heavier and died. First, the cause of uremia is the end stage of chronic renal failure is uremia, then the cause of chronic renal failure is the cause of uremia, the main causes are primary glomerulonephritis, chronic pyelonephritis, hypertensive renal arteriosclerosis, Diabetic nephropathy, secondary glomerulonephritis, tubulointerstitial disease, inherited kidney disease, drug poisoning, etc. Second, the classification of chronic renal failure The traditional classification of chronic renal failure, the fourth stage, which is the end stage, which is the uremic stage. When the glomerular filtration rate in the compensated renal function period is 1/2, the blood urea nitrogen and creatinine do not increase, the metabolic balance in the body does not appear, and no symptoms appear. The blood creatinine is between 133 and 177 μmol/L. The glomerular filtration rate in the renal insufficiency stage is below 50% of the normal value, and the blood creatinine level rises above 177 μmol/L. It may have symptoms such as fatigue, loss of appetite, nocturia and mild anemia. During renal failure, the creatinine clearance rate drops below 20ml/min, creatinine rises above 442μmol/L, anemia occurs, blood phosphorus level rises, blood calcium decreases, metabolic acidosis, water and electrolyte disorders, etc. The end-stage creatinine clearance rate of uremia is below 10ml/min, creatinine rises above 707μmol/L, acidosis is obvious, and various system symptoms appear, resulting in coma. Of course, according to the glomerular filtration rate, the American Kidney Disease Foundation now divides chronic renal failure into five stages: stage 1: glomerular filtration rate stage 902: glomerular filtration rate stage 60-893: glomerular filtration rate Ball filtration rate 30-594: glomerular filtration rate 15-295 stage: glomerular filtration rate <15 Most of the current use of this stage. 3. Symptoms of uremia Because uremia is a group of syndromes, it may affect many organs, so many symptoms will also appear. Systemic conditions: loss of appetite, vomiting, weakness, deep breathing, edema, ascites, pleural effusion, fatigue, anorexia, inattention, decreased body temperature, bleeding tendency, etc.; cardiovascular complicated with hypertension, angina pectoris, myocardial infarction, heart failure, Arrhythmia, etc.; Pulmonary edema of the respiratory tract or pleural effusion, pleurisy; Anorexia of the digestive tract, nausea, vomiting, or diarrhea; Light blood pressure system, moderate anemia, with bleeding tendency, such as subcutaneous or mucosal bleeding points, ecchymosis, gastrointestinal bleeding , Cerebral hemorrhage, etc. Nervous system reaction is indifferent, delirium, convulsions, hallucinations, coma, mental abnormalities, muscle tremors, spasms, nausea, vomiting, headache, convulsions; bone salt dissolution of the skeletal system, rib fractures, osteoporosis, etc. Fourth, how to treat uremia. Urinary replacement therapy is needed during the uremic phase, which is called dialysis. Many people with renal insufficiency have reached the dialysis stage and are reluctant to undergo dialysis, worrying about the side effects of dialysis; when the uremic stage, the kidneys should be damaged by more than 90%, if you have been procrastinating without taking dialysis treatment, then Toxins remain in the body and cause irreversible damage to the organs of the body to varying degrees, such as the heart, digestive system, bones, blood system, etc. Uremic disease is a disease that cannot be cured by medical treatment, and delay can only lead to aggravation of the disease. Therefore, patients with uremia have reached the stage of dialysis, and dialysis treatment as soon as possible. Statistics show that the average survival time of patients is about 5-8 years. Of course, there are not a few patients who have survived clinically for more than 10-20 years. Kidney transplantation is the most reasonable and effective treatment method for uremic patients, but due to the lack of donors, kidney transplantation cannot play its due therapeutic role. There are only more than 5000 cases of kidney transplantation in the country every year, and about every 150 waiting patients, only 1 person may get the chance of kidney transplantation...&nbsp.&nbsp.

What factors can induce uremia?

Uremic disease (also known as end-stage renal disease) is a common outcome of chronic kidney disease, but not all chronic kidney disease develops into uremia. So, what factors can induce uremia? Five major factors that induce uremia: One is nephropathy. Nephropathy is the main cause of uremia. Early kidney disease often accelerates the development of the disease due to patients’ lack of attention to lifestyle habits, especially bad habits such as staying up late, working hard, and overeating. It is more likely to cause uremia. Factor 2: Hypertension Uremia is a common complication of hypertension. 50% of patients with hypertension may be converted to uremia. Hypertensive patients should actively cooperate with treatment to control blood pressure and improve their condition. Factor three: urinary infections Urinary infections have a certain relationship with uremia, whether men or women may induce uremia. In my country, chronic pyelonephritis is the second factor of uremia, accounting for 21.2%. Married women are more prone to urinary sensation, and the risk of uremia is greater. Factor 4: Diabetes Diabetic nephropathy is the most common complication of diabetes, and diabetic nephropathy patients have uremia, especially in patients with low glucose tolerance, and there is a high probability of inducing uremia. Factor 5: Toxic and side effects of drugs Related statistics show that nearly 30% of patients with kidney failure have toxic and side effects due to long-term use of analgesic cold medicines, resulting in problems with kidney function and finally causing uremia. Once uremia occurs, the “toxicity” is systemic. A complication of the skin during the uremic phase, hyperphosphatemia, means that the phosphorus content in the body exceeds the standard and cannot be excreted through urine. Some toxins want to be excreted through sweat. If there is too much phosphorus content, it will cause skin itching. The skin will also have other lesions in early summer, such as melanoma, plaques, and purulent infections. Three channels for the body to excrete toxins, urine, sweat, and feces. When the main passage of urine is blocked, sweat and feces will bear more responsibilities. With the extension of the course of the disease, the gastrointestinal reaction will become more and more obvious. The shortness of breath may just be loss of appetite, nausea, vomiting. The accumulation of sex toxins can gradually stimulate the gastrointestinal mucosa to cause cellulose inflammation, and it is also possible to form ulcers and bleeding. Patients in the uremia stage will have anemia symptoms more or less. At this time, uremic patients can only fight erythropoietin to help the body hematopoiesis. Nervous system damage usually manifests as early headache, fatigue, irritability, and severe insomnia. In the later stages, symptoms such as consciousness disturbance and coma will appear. In patients with nephropathy in the uremic stage, the cardiovascular system becomes extremely vulnerable and dangerous. The symptoms of the disease on this system are mainly heart failure and arrhythmia. Although this usually occurs in the middle and late stages, it will threaten the life safety of patients with kidney disease. Once detected, except for lifelong dialysis, there is only a kidney change. In fact, uremia has a precursor, which is the result of the combined effect of poor life and eating habits. Four kinds of foods are accelerators of “uremia”: the first kind: salty foods such as pickles, salt can be said to be an essential condiment in life, if the normal intake of salt is good for the body. However, people’s dietary tastes are generally high, resulting in salt far exceeding the normal daily recommended amount. This results in eating too salty, which increases the burden on the kidneys. In addition, excessive intake of sodium will cause the electrolyte imbalance in the body, and the body’s water is not easily discharged, further increasing the burden on the kidneys. The second type: foods with high phosphorus content. Phosphorus in the human body needs to be discharged through glomerular filtration. Long-term consumption of foods with high phosphorus content will inevitably increase the burden on the kidneys, reduce kidney filtration function, and damage the kidneys over time. Therefore, aquatic products, animal livers, egg yolks and dried fruits need to pay attention to control intake. The third type: carambola carambola has a neurotoxin, also called carambola toxin, which can cause damage to brain and kidney functions. For healthy people, eating carambola has no threat and can be excreted from the body smoothly. If you are a kidney patient or have a history of kidney disease, it is best not to eat carambola, in order to prevent aggravating kidney disease, or lead to kidney disease recurrence, poisoning and life-threatening. Fourth: Lamb Mutton is a high-purine food, which is likely to cause elevated uric acid levels. At the same time, lamb also contains a lot of animal fat, which is not easy to digest into the body and increase liver metabolism. At the same time, it will promote renal arteriosclerosis, atrophy and degeneration of the kidneys, and cause arteriosclerotic nephropathy.

Uremia is mostly dragged out. When 6 lights on the body are red, be careful

Many people have heard of uremia. It is medically called advanced chronic kidney failure, which is caused by chronic kidney disease. When there is a problem with kidney function, other organs of the body can also cause various complications. Therefore, when there are abnormal changes in the kidney, it is necessary to be alert whether it is an early signal of uremia, and early detection and early treatment. Uremia is mostly dragged out. When 6 lights on the body are red, be careful. Early signals of uremia 1. Nervous system symptoms are destroyed by renal function, causing accumulation of toxic substances to cause cell changes and peripheral neuropathy. The sensory nerves are impaired, and glove sock-like sensory disturbances, numbness, and disappearance of reflexes appear on the ends of the limbs such as fingers and toes. There are also symptoms of drowsiness, anxiety, self-talk, muscle unconscious jitter, headache, dizziness, memory In the case of decline, severe cases even convulsions and coma due to increased intracranial pressure. 2. Digestive system symptoms Changes in osmotic pressure in the body can lead to increased intracranial pressure, accompanied by nausea, vomiting, or diarrhea. Too much urea is broken down into ammonia in the intestine and mouth, causing a odor of urine in the breath. In addition, the incidence of oral ulcers and gastrointestinal bleeding is higher. 3. Skin performance In patients with advanced uremia, a large amount of toxin accumulates on the skin surface, resulting in dull, dry skin, increased dander, and peeling. Excessive urea is excreted from the sweat glands, causing uremic dermatitis, itching of the skin, local skin immunity is reduced, and it is easy to cause skin inflammation. 4. Respiratory symptoms When the lung secretes too much fluid in the body, the permeability of the lung capillaries increases, causing pulmonary edema, which can lead to shortness of breath and shortness of breath in the exacerbation; uremia leads to slower breathing rate and deep breathing in acidosis Big. 5. Symptoms of cardiovascular system in the late stage of uremia can cause hypertension, hyperkalemia, accumulation of toxic substances and excessive urea stimulation can cause myocardial damage, arrhythmia and eventually lead to heart failure. Studies have shown that patients with advanced uremia who have secondary cardiovascular disease are 15-20 times more likely than normal people. Cardiovascular disease has become one of the most serious complications of uremia and the highest mortality rate. When the coagulation system is affected, subcutaneous bleeding develops and purpura appears. Renal function is destroyed, erythropoietin is reduced, causing anemia. 5. Skeletal problems In the late stage of uremic disease, renal bone diseases are generally accompanied, including bone softening, osteoporosis, and poor bone formation. The calcium content of the dialysate is high. If such patients usually have additional calcium or vitamin supplements D, may cause the parathyroid gland in the blood to be too low, resulting in the lack of osteogenic factors and poor bone formation. 6. Symptoms of endocrine system: Abnormal renal function, which can easily cause endocrine disorders, abnormal menstruation, increased blood lipids, hyperparathyroidism and other symptoms. It is difficult to cure in the late stage of uremic disease, and the cost of medical treatment is high. Many people are discouraged. How long can they live in the late stage has become a major concern for patients with advanced uremia. The most important thing about the life span of uremia patients depends on some indicators. For example, whether the kidney can still produce urine, and it can indicate that the kidney has a certain function. If this part of the kidney function can be protected, the life span can be relatively extended. Complications are an important cause of uremic death. Actively treating dialysis, reducing the adverse effects of uremia on other organs of the body, and reducing the occurrence of complications are also important factors for the survival of uremia patients.

Shi Shurong: What tips will allergic purpura give you when encountering “lesions”?

Shi Shurong Studio WeChat xyk261 Most allergic purpura is still in the chronic stage when it is found, and it is also a critical time for treatment. In the early stage, as long as the patient is actively treated with medication, the condition can be controlled, and even the drug can eventually be stopped to return to normal status.   However, if the patient is not properly treated, or active treatment still cannot stop the development of the disease, allergic purpura may be diseased, renal failure, etc.   Therefore, when patients have the following clinical manifestations, they should be alert to the possibility of uremia and should see a doctor in time:    1. Urine routinely appears proteinuria or hematuria.   2. Lower extremity edema, relapse.   3. Nausea, vomiting, fatigue, anorexia, weight loss, muscle cramps, itching or changes in mental state. Various clinical manifestations of uremia are related to metabolic disorders caused by the disease.   4. Fatigue caused by anemia, decreased urine output.  In case it really enters a very serious stage, what should patients with allergic purpura do?  Although patients with allergic purpura belong to abnormal blood diseases, they must be actively treated, seize the critical initial stage, standardize diagnosis and treatment, and avoid the development of allergic purpura to accelerate the chance of disease.

6 key points are not paid attention to

Kidney disease is a disease that makes patients feel very painful. Although this disease is not difficult to treat, the chance of recurrence after treatment is quite large. Repeated attacks will make most kidney patients feel helpless and anxious. We know that kidney disease is directly related to uremia. If the kidney disease recurs repeatedly, the kidney function will also be reduced accordingly, and it is likely to develop into uremia after a long time. In fact, the reason why kidney disease is prone to relapse is mainly caused by the patient’s lack of corresponding care in life. Kidney disease is not far away from uremia, and 6 key points are not taken seriously. So what kind of daily care should focus on recurrence of kidney disease? A regular diet is what we must do every day. Healthy people need a regular diet to maintain their health. Besides, they already have kidney disease, so they should pay special attention to the three meals at ordinary times. Overeating and excessive dieting are not allowed, nor can large fish and meat and wild food be consumed. In terms of diet, the principle of low salt and low protein diet must be achieved. Kidney disease is not far away from uremia. There are many patients with kidney disease who usually like to make supplements indiscriminately. They often eat some health supplements to supplement protein. In fact, excessive supplementation will cause certain damage to kidney function. Ingesting too many supplements will increase the burden on the kidneys, but will cause kidney disease. ‘S condition is more serious. There are many families who have family medicines, and these medicines are bought at pharmacies by themselves. They are not used under the guidance of doctors. Many patients with kidney disease look for medicines when they are sick, especially when they have a cold. Take the same type of medicine together, so the random use of medicine can easily lead to more serious illness and relapse. The active substances contained in beverages such as strong tea and coffee will cause blood pressure to rise, which is not conducive to the stability of kidney disease, so it is best for patients with kidney disease to drink these beverages in peacetime. Overnight foods are prone to chemical reactions and will form harmful substances, which will increase the burden on the liver and kidneys. Eating too many insulated foods will cause the decline of kidney function, and it is likely to enter the uremia period in advance. In order to ensure adequate sleep time, reduce the intensity of work as much as possible, especially in the case of uremic symptoms, timely treatment, and bed rest. Nephropathy patients must maintain a good state of mind, do not be too pessimistic and negative, because modern medical science has been quite developed, even if it has reached the uremia period, it can be treated by kidney transplantation or dialysis, and it can completely restore normal life and Work, and it will be better in the future, so patients must establish confidence in treatment and maintain an optimistic attitude. Reminder: Repeated episodes of kidney disease are indeed a matter of concern to patients. Repeated episodes are likely to develop into uremia, which will be more difficult to treat, and it will require a lot of treatment costs and treatment time. . Because of this, patients with kidney disease must pay attention to the treatment and daily care of relapsed kidney disease. At this time, hurry up treatment and maintain correct daily care to cooperate with treatment, you can reduce the risk of developing uremia.

Can patients with uremia and kidney failure have children? Can you think about your child?

It is the common wish of every couple to have children, but the occurrence of disease makes them have to retreat. Nowadays, many families have no children because of the disease, and uremic patients are one of them. When it comes to uremia, many patients will feel fear, because when they mention uremia, they often think of death as an incurable disease. Many young patients are also worried: can they have children after they have uremia? Let’s take a look at this problem together. Usually, female uremia nephropathy affects sexual function and fertility, therefore, the ability to fertility during pregnancy will be reduced, even if pregnant, it is easy to miscarriage or premature delivery. Under normal circumstances, uremic nephropathy is not recommended for fertility. After dialysis, more than 99% of female patients will lose fertility, because for uremic nephropathy, due to the accumulation of toxins in the body, its metabolic function is already very good Weakness, if combined with the burden of a fetus, is equivalent to doubling the risk of the original complication of uremia, and hypertension, anemia, cerebrovascular accidents and other hazards may occur at any time. For uremia nephropathy, it is not recommended to have children, because uremia is different from other conditions. If more serious complications occur during pregnancy, it will be life-threatening for uremia patients and children, so uremia Patients with illness need to be cautious! Be cautious! Be cautious! Say important things three times.

Is creatinine a hundred, is there a problem with the kidneys? Nephrologist gives Dingxin pills

Hello everyone, I am a nephrologist. Regarding the problem of creatinine, I can tell you that for a value of more than 100 creatinine, it is actually within the normal range in our hospital, because in our hospital, it will only prompt an increase if it is greater than 133umol/l, and In fact, the standard value of different detection methods for creatinine is also different. Today I will talk about my views on creatinine and uremia related issues. Why are the reference values ​​of creatinine different in different hospitals? ● First talk about the source of human creatinine. In fact, the sources of our blood creatinine mainly include two kinds of endogenous and exogenous. Endogenous creatinine is a product of creatine metabolism in the body, which is mainly related to muscle volume and muscle activity. However, exogenous creatinine is mainly derived from the skeletal muscle of food animals in the diet. It is the “meat dish, lean meat” we eat. ●You come to the laboratory with a tube of blood. How did the staff of the laboratory measure your creatinine value? Currently, there are two main clinical creatinine detection methods, namely alkaline picric acid method and enzymatic method. For example, the alkaline picric acid method has a characteristic of poor specificity, such as acetone, pyruvic acid, folic acid, ascorbic acid, glucose, acetoacetic acid, cephalosporin, etc. in the blood can be colored in this reaction, so it is called “Non-creatinine chromogen”. ●Note that due to these limitations, the application of this determination method has been gradually reduced or even eliminated, and the application of enzymatic analysis is more and more widely used due to its high specificity and can be automatically analyzed, although the cost is relatively high. Higher, but still popular, so this explains to me why sometimes the reference values ​​detected by different hospitals are different. How long does it take for creatinine to reach uremia? ●In fact, I think this is a pseudo-proposition. Due to the different detection methods, some hospitals are actually the upper limit of the normal value, but our hospital is 133umol/l is the upper limit of the normal value, so if you put a hundred The creatinine value of Lingji is put in the reference value of our hospital, it is completely normal. What is the reason for uremia? In addition, even if the reference value elsewhere is more than one hundred, it should not be too tight if it is slightly higher. As I said earlier, creatinine is not necessarily accurate because it is subject to fluctuations in creatinine levels in the body and renal tubules. The excretion of creatinine is related to the extrarenal excretion of creatinine and muscle volume. So if it is a single result, I suggest to check again after a few days or find another hospital for a test. ●Let me make a hypothesis, that is to say, the creatinine result of more than one hundred is indeed reexamined many times, and it is an elevated and abnormal result. For this mildly elevated situation, as a nephrologist , I want to say that we need to pay attention, but it is still far from uremia, what should I do, I have the following suggestions: ① Finding the cause of the increase in creatinine is the key, because if creatinine is indeed a pathological increase , That mostly suggests kidney damage, the following is to find out the internal cause of kidney damage, such as nephritis? Nephrotic syndrome? Primary kidney disease? Secondary kidney disease? Hereditary kidney disease? Infection-related kidney disease? Tumor-associated kidney disease? …….and many more. ②There are too many specific inspections and tests to be done, and they need to be selected according to the specific situation, so I will not repeat them one by one here. If they are basically good, it is naturally the best and only need to be reviewed regularly. That’s it. If it is found that it is caused by a primary disease, it is to treat the primary disease, thereby delaying the progress of renal function, which is actually delaying the further rise of creatinine, such as the control of blood pressure by hypertension and the control of blood sugar by diabetes. Wait. ● Let’s talk briefly about uremia. If creatinine must be measured, then creatinine needs to be >707umol/l. What’s more, after the age is old, the kidney function is slowly decreasing. Like the elderly in our department, the creatinine also slightly increased, but this is purely normal. The creatinine value does not fluctuate significantly after several years of review. What about uremia? So don’t be afraid of not being far from uremia as soon as you see elevated creatinine. This is a wrong concept. Comprehensive summary So for this question of “creatinine”, I am actually more of a guide, don’t hold on to a laboratory indicator. Let me give you an example. Some patients with IgA nephropathy and nephrotic syndrome have normal creatinine.

What exactly is uremia? In-depth analysis

When it comes to uremia, many people will not feel unfamiliar. In recent years, whether it is a short chat between parents or a traditional authoritative newspaper and news media, there will be questions about “Xu is suffering from uremia and his parents/wife donate kidneys”. Kind of article. But the editor asked everyone a question: What exactly is uremia? Who can answer me? I am afraid that few people can answer me, and few people can correctly say the cause and prevention of uremia. Today, I will reveal the past life and life of uremia for everyone. I will take you to understand uremia: Is uremic really a mysterious, word-of-mouth urine of some aunt gods? Is it poisoning yourself? Haha, the answer is of course No, uremia is actually a disease without urine. Once a person suffers from uremia, the frequency and volume of urine will decrease, and finally there will be no urine at all. This sounds good, and is not used to go back to the toilet, but the question is where is the water we drink? What is uremia? In-depth explanation is smart! This is the key to the problem. The most terrible part of uremia is that it completely cuts off the “road” of the body to eliminate toxins from the body. Humans eliminate excess toxins and wastes in the body through urination, sweating, defecation and other methods. Urination is one of the most important “roads”. Here the editor wants to do one thing for everyone. When we eat and drink water, the nutrients and water taken from the water and food will enter the blood. When blood flows through our body continuously, when it passes through the kidneys, excess water, toxins, wastes and other substances that are toxic and harmful to the human body are filtered out through the kidneys. These substances are eventually eliminated from the body through urine to maintain normal body health. Once a person is unable to urinate normally, or there is no urine at all, okay pro. There are a hundred ways to tell the truth at this time, so you can’t survive but you can’t: you must drink water when you are alive, and you need to urinate to drink the water to remove excess water from the body. If there is no urine/no urine, the water will be discharged stay home. The water that cannot be drained out will stay in your body, and the excess water in your body will cause problems such as edema. What exactly is uremia? In-depth explanation of edema is not just to make a certain part of your body swell so easily, excessive edema will lead to excessive capacity load, and it is easy to cause major diseases such as hypertension, left heart dysfunction, and cerebral edema. There are also those who need to eliminate toxins and waste from the body through urine, these things are not a joke. Once these things accumulate in the human body for a long time, they will follow the blood flow to various parts of the human body, causing continuous poisoning and damage to various organs of the human body. When the values ​​of these toxins and wastes reach a certain level, they will even directly threaten human life! In this way, uremia can’t be taken lightly. It can already affect urine alone. So how is uremia caused by patients? What kind of disease is it? Uremia is not a disease, but a clinical syndrome common to all kidney diseases to the late stage, when chronic renal failure enters the end stage Syndrome composed of a series of clinical manifestations. At this stage, the human kidney has basically lost all its functions, and toxins, waste, and excess water in the human body cannot be normally eliminated. What exactly is uremia? An in-depth explanation means that if a person has kidney disease, such as nephrotic syndrome, nephritis, etc., no effective method is used to treat kidney disease, or the treatment effect is not ideal. His kidneys will gradually lose their functions. After a few years, ten years or even decades, they will completely lose all their functions-uremia! It is worth noting that uremia is not a disease that travels alone. Once appeared, there were “shadows” of kidney disease behind. It’s just that most of the time, because kidney disease itself is “dumb disease”, it is not noticed by us. Speaking of which, everyone should have an intuitive understanding of the past life and harm of uremia. How to do it specifically is that the benevolent sees the benevolent and the wise sees the wisdom. I don’t want to say extra words, what to do to keep my body healthy, I believe everyone knows it, but it’s just not doing it.

After a successful kidney transplant, the function may also be lost due to complications. Why should we wait hard for the kidney?

Hello everyone, I am a nephrologist. My daily job is to solve problems related to various types of kidney disease. Uremia is a major disease in the Department of Nephrology, so I am still familiar with the diagnosis and treatment of uremia Yes, I believe that many people have such doubts. Renal transplantation cannot guarantee 100% success in uremia. Even if the transplantation is successful, it can’t be managed for a lifetime. It still costs so much. Why are there so many people? Choose to transplant? Let me talk about my views below. Introduction to the treatment of uremia ● When it comes to the disease of uremia, I believe that many people are not unfamiliar, because there are many people who liken it to “undead cancer”. To put it plainly, uremia refers to the kidney The function has been completely lost, but life is active, and we must constantly eat and drink Lhasa. It is really not possible for the body’s metabolism to lack a kidney, so if you want to continue to live, uremia patients must choose renal replacement therapy. In today’s world, there is nothing more than three types: kidney transplantation, hemodialysis, and peritoneal dialysis. ● My Q&A and articles on hemodialysis and peritoneal dialysis have been introduced in detail many times. Here I want to tell you that compared with these three alternatives, kidney transplantation is the best alternative, which is also It is recognized by the industry, but the gap between ideal and reality is always so large, because of the cost problem, the problem of kidney source (about the situation of kidney source in China, I once wrote in my original article “The Road to Organ Transplant: Since 15 years, the death row has been officially suspended. Organ is one of the major changes in society”, which is explained in detail, and interested parties can click to read), so kidney transplantation can only be a treatment method for a small number of uremic patients, and more people can only choose hemodialysis helplessly Or peritoneal dialysis. Data introduction of survival rate after successful kidney transplantation ● Everyone needs to understand a concept. Successful kidney transplantation does not mean that there is no problem after transplantation and can manage for a lifetime. This way of understanding is wrong. In the industry, there are no problems three years after transplantation. , We can say that you have successfully transplanted. With the development of science and technology, the advancement of medical technology, the improvement of surgical techniques, the application of tissue matching, the improvement of related immunosuppressive drugs, the advancement of organ preservation technology, the survival rate of kidney transplantation is increasing, and in terms of transplantation, The level of transplantation in China has reached the forefront of the world. ●The author consulted the relevant data. According to the report of the United Organ Sharing Network, as of the end of 2008, a total of 84,318 kidney transplants have been performed in 521 transplant centers around the world. The longest survival record is 44 years of kidney transplantation from living relatives and kidneys from cadavers. After 37 years of transplantation, according to the relevant follow-up survey published in China, 3 cases of cadaveric kidney transplantation have survived for more than 31 years. The current 1-year survival rate of kidney transplantation is more than 90%, the survival period of cadaveric kidney transplantation hemisphere is 10.9 years, and the living kidney transplantation hemisphere The survival period is 17.9 years, so as the subject said, it is indeed rare to be able to manage for a lifetime, but I think that different kidney replacement treatments, kidney transplantation are significantly better than hemodialysis and peritoneal dialysis. Kidney transplantation rarely manages for a lifetime, why are there so many people transplanted? Indeed, after kidney transplantation, the survival rate of the transplanted kidney may not be managed for a lifetime, and eventually dialysis may still be required, but I can understand the pros and cons of these three alternative methods. ●Hemodialysis ① This is currently the most commonly used dialysis method. According to a large number of research comparisons, a uremic patient must reach more than 12 hours of dialysis time per week to ensure a certain dialysis sufficiency, so the patient must be on Wednesday After four hours of dialysis each time, and going back and forth to the hospital for such a long time, I may ask, one month and two months may feel okay, one year and two years, ten years and twenty years, the time is longer, if the anxiety is pessimistic, it may be Think, what’s the point of this? Living is for dialysis, dialysis is for life, let alone the quality of life decline, not many accompany you, and not many friends, loneliness will always be with you. ② Secondly, dialysis is not a panacea, there will still be complications such as renal anemia, renal bone disease, low calcium and high phosphorus, osteoporosis, renal hypertension, secondary hyperparathyroidism, etc. With the extension of dialysis time, more and more food will be taken. People who have not experienced it may be difficult to experience it, but those who have experienced it will definitely be able to feel that they will feel sick and disgusted when they take medicine for many years. Physically

Daily diet and nutrition of chronic renal insufficiency can help to recover from the disease? Nutritionist informs

Chronic renal insufficiency, also known as chronic renal failure, generally refers to chronic progressive renal parenchymal damage caused by various reasons, causing the kidneys to atrophy significantly and unable to maintain their basic functions. Clinical manifestations include retention of metabolites, water, electrolytes, and acids Alkalium imbalance, the systemic involvement of the whole body is the main clinical syndrome, also known as uremia. The main clinical changes of most kidney diseases include dysfunction of excretion, retention of nitrogen metabolites, imbalance of water and electrolyte metabolism, and disorder of acid-base balance. The clinical manifestations of chronic renal insufficiency are mainly uremia symptoms, most of which are caused by accumulation of non-protein nitrogen in the blood, and to renal failure, acidosis and uremia can occur at the end stage. Chronic renal insufficiency can generally be controlled by the use of diet to control the occurrence of azotemia, and a reasonable diet can prevent the development of the disease, which is conducive to timely further medical measures to alleviate the disease progression. Patients with chronic renal insufficiency still need to add enough protein to renew and repair the compensatory function of the kidney. However, such patients cannot normally excrete protein metabolites from urine, so the principle of the diet is to give a high-quality low-protein diet as much as possible on the premise of supplying sufficient calories, to properly prevent the development of uremia, and ensure the intake of adequate vitamins and Appropriate amount of inorganic salt. First, low-protein, low-salt diets are generally adopted for patients with chronic renal insufficiency. In patients with chronic renal insufficiency, if the urea exceeds the standard, it is necessary to limit protein intake according to the severity of the disease. For patients with chronic renal insufficiency, if urea exceeds the standard diet, try to use milk, eggs, fish, poultry, lean meat, etc. as the main source of protein, control the intake of vegetable protein, eat less rice, flour staple food, especially beans containing non-essential Amino acids are more and should be strictly restricted. Second, kidney patients can eat more sugar to supplement the necessary calories. Kidney patients can eat more sugar, which is a low-protein diet and an expedient measure to prevent the deterioration of the disease. Once the disease permits, the dietary protein should be increased to restore the normal diet as soon as possible. Third, kidney disease generally requires the restriction of salt, but if hyponatremia occurs, salt can be temporarily unrestricted, and if necessary, you should drink some saline to supplement. If kidney disease has obvious edema, high blood pressure and heart failure, the amount of salt should be limited according to the condition, within 2 grams per day, and if necessary, a salt-free diet. Kidney disease should not eat potassium-rich foods if blood potassium is high. When kidney disease has uremia, low blood calcium and high blood phosphorus appear, it is not suitable to drink milk with high phosphorus content. At the same time also pay attention to supplement calcium, iron and vitamin D, C, B and so on.

Daily diet and nutrition of chronic renal insufficiency can help to recover from the disease? Nutritionist informs

Chronic renal insufficiency, also known as chronic renal failure, generally refers to chronic progressive renal parenchymal damage caused by various reasons, causing the kidneys to atrophy significantly and unable to maintain their basic functions. Clinical manifestations include retention of metabolites, water, electrolytes, and acids Alkalium imbalance, the systemic involvement of the whole body is the main clinical syndrome, also known as uremia. The main clinical changes of most kidney diseases include dysfunction of excretion, retention of nitrogen metabolites, imbalance of water and electrolyte metabolism, and disorder of acid-base balance. The clinical manifestations of chronic renal insufficiency are mainly uremia symptoms, most of which are caused by accumulation of non-protein nitrogen in the blood, and to renal failure, acidosis and uremia can occur at the end stage. Chronic renal insufficiency can generally be controlled by the use of diet to control the occurrence of azotemia, and a reasonable diet can prevent the development of the disease, which is conducive to timely further medical measures to alleviate the disease progression. Patients with chronic renal insufficiency still need to add enough protein to renew and repair the compensatory function of the kidney. However, such patients cannot normally excrete protein metabolites from urine, so the principle of the diet is to give a high-quality low-protein diet as much as possible on the premise of supplying sufficient calories, to properly prevent the development of uremia, and ensure the intake of adequate vitamins and Appropriate amount of inorganic salt. First, low-protein, low-salt diets are generally adopted for patients with chronic renal insufficiency. In patients with chronic renal insufficiency, if the urea exceeds the standard, it is necessary to limit protein intake according to the severity of the disease. For patients with chronic renal insufficiency, if urea exceeds the standard diet, try to use milk, eggs, fish, poultry, lean meat, etc. as the main source of protein, control the intake of vegetable protein, eat less rice, flour staple food, especially beans containing non-essential Amino acids are more and should be strictly restricted. Second, kidney patients can eat more sugar to supplement the necessary calories. Kidney patients can eat more sugar, which is a low-protein diet and an expedient measure to prevent the deterioration of the disease. Once the disease permits, the dietary protein should be increased to restore the normal diet as soon as possible. Third, kidney disease generally requires the restriction of salt, but if hyponatremia occurs, salt can be temporarily unrestricted, and if necessary, you should drink some saline to supplement. If kidney disease has obvious edema, high blood pressure and heart failure, the amount of salt should be limited according to the condition, within 2 grams per day, and if necessary, a salt-free diet. Kidney disease should not eat potassium-rich foods if blood potassium is high. When kidney disease has uremia, low blood calcium and high blood phosphorus appear, it is not suitable to drink milk with high phosphorus content. At the same time also pay attention to supplement calcium, iron and vitamin D, C, B and so on.

Daily diet and nutrition of chronic renal insufficiency can help to recover from the disease? Nutritionist informs

Chronic renal insufficiency, also known as chronic renal failure, generally refers to chronic progressive renal parenchymal damage caused by various reasons, causing the kidneys to atrophy significantly and unable to maintain their basic functions. Clinical manifestations include retention of metabolites, water, electrolytes, and acids Alkalium imbalance, the systemic involvement of the whole body is the main clinical syndrome, also known as uremia. The main clinical changes of most kidney diseases include dysfunction of excretion, retention of nitrogen metabolites, imbalance of water and electrolyte metabolism, and disorder of acid-base balance. The clinical manifestations of chronic renal insufficiency are mainly uremia symptoms, most of which are caused by accumulation of non-protein nitrogen in the blood, and to renal failure, acidosis and uremia can occur at the end stage. Chronic renal insufficiency can generally be controlled by the use of diet to control the occurrence of azotemia, and a reasonable diet can prevent the development of the disease, which is conducive to timely further medical measures to alleviate the disease progression. Patients with chronic renal insufficiency still need to add enough protein to renew and repair the compensatory function of the kidney. However, such patients cannot normally excrete protein metabolites from urine, so the principle of the diet is to give a high-quality low-protein diet as much as possible on the premise of supplying sufficient calories, to properly prevent the development of uremia, and ensure the intake of adequate vitamins and Appropriate amount of inorganic salt. First, low-protein, low-salt diets are generally adopted for patients with chronic renal insufficiency. In patients with chronic renal insufficiency, if the urea exceeds the standard, it is necessary to limit protein intake according to the severity of the disease. For patients with chronic renal insufficiency, if urea exceeds the standard diet, try to use milk, eggs, fish, poultry, lean meat, etc. as the main source of protein, control the intake of vegetable protein, eat less rice, flour staple food, especially beans containing non-essential Amino acids are more and should be strictly restricted. Second, kidney patients can eat more sugar to supplement the necessary calories. Kidney patients can eat more sugar, which is a low-protein diet and an expedient measure to prevent the deterioration of the disease. Once the disease permits, the dietary protein should be increased to restore the normal diet as soon as possible. Third, kidney disease generally requires the restriction of salt, but if hyponatremia occurs, salt can be temporarily unrestricted, and if necessary, you should drink some saline to supplement. If kidney disease has obvious edema, high blood pressure and heart failure, the amount of salt should be limited according to the condition, within 2 grams per day, and if necessary, a salt-free diet. Kidney disease should not eat potassium-rich foods if blood potassium is high. When kidney disease has uremia, low blood calcium and high blood phosphorus appear, it is not suitable to drink milk with high phosphorus content. At the same time also pay attention to supplement calcium, iron and vitamin D, C, B and so on.

Uremia is a loss of more than 90% of kidney function. One of the following symptoms appears, go check

Chronic renal failure late (uremia) occurs on the basis of various chronic kidney diseases. After several months or years, there is a decline in kidney function, resulting in the metabolism of uremic toxins and water in the body that cannot pass through the kidney to urine Toxic form caused by excretion from the body. Uremia is a series of complex syndromes caused by the disorder of the body’s environment after the loss of renal function by more than 90% (at this time, the remaining renal function is less than 10%), not an independent disease, generally known as uremia syndrome . In the uremia period, in addition to the further aggravation of water electrolyte and acid-base balance disorders, anemia, bleeding tendency, high blood pressure and other symptoms, there may be clinical manifestations caused by dysfunction of multiple organ systems and substance metabolism disorders. (1) Symptoms of the digestive system: Patients may suffer from loss of appetite or indigestion, and anorexia, nausea, vomiting, and diarrhea may occur when the condition becomes worse. These symptoms are related to increased inflammation of the gastrointestinal mucosa and superficial small ulcers caused by increased ammonia content in the body. In severe cases, it can cause gastrointestinal bleeding. (2) Symptoms of the cardiovascular system: Patients may suffer from myocardial damage, arrhythmia, heart failure due to the effects of hypertension, hyperkalemia, acidosis, sodium and water retention, anemia, and toxic substances. Infective pericarditis, pain in the precordial area, doctors often hear pericardial friction sounds during examination. Cardiovascular complications are often the cause of death. (3) Neurological symptoms: Neurological symptoms are the main symptoms of uremia. Early manifestations of dizziness, headache, fatigue, comprehension and memory loss, irritability, muscle tremors, convulsions may occur when the condition worsens, and finally develops indifferent expression, lethargy and coma. The main reason is the toxic effect of metabolic harmful substances on the nervous system. (4) Respiratory symptoms: acidosis caused by uremia can make patients breathe deeper and slower. The patient’s exhaled breath smelled like urine. Severe patients may develop pulmonary edema, pleurisy, or pulmonary calcification. (5) Skin symptoms: Itchy skin is a common symptom. The patient’s skin is dry and desquamated and is yellowish brown or even dark brown. White crystals are visible at the opening of the sweat glands of the skin, called urea cream. Slight bruises on exposed skin can cause petechiae. Modern medical practice has proved that suffering from uremia is not terrible. As long as appropriate treatment measures are taken at the corresponding stage of the development of uremia, its impact on the quality of life and life span of patients has been limited. What is terrible is that the patients and their families are arbitrarily ignorant of the disease such as uremia. When renal failure, after using diet therapy and integrated Chinese and Western medicine therapy, still can not relieve the symptoms, it means that the condition has entered the uremia stage, and kidney replacement therapy is needed. After suffering from uremia, you must go to a regular comprehensive kidney disease Hospital visits should not be biased by the words “prescription” or “package treatment”, otherwise it will not only cost you money, but also delay the treatment. If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan

Of these symptoms that are often overlooked, a few are typical symptoms of uremia

Nephropathy depends on the treatment of three points and seven points of support. Although the incidence of kidney disease is extremely low, because early symptoms are easily overlooked, the patients who have discovered kidney disease have already reached the level of renal failure, which is often called uremia. How long can people with uremia live? Many of the initiatives are in their own hands. For example, early detection and early treatment will delay the disease. Let’s talk about the early symptoms of uremia. Poor appetite, anorexia, and nausea toxin accumulate in the body for a certain period of time, which will affect the body’s digestive system. Early patients often have poor appetite and are full without eating or eating. As the disease progresses, this symptom will become more serious, and there will be vomiting, nausea, abdominal bloating and so on. Frequent feelings of fatigue, fatigue, and headaches can cause metabolic imbalance due to the influence of cell functions. The long-term retention of harmful substances in the body can cause neuronal disease, acid-base metabolism imbalance, electrolyte disorder, and renal hypertension. These concurrent diseases often cause symptoms such as dizziness, headache, fatigue, fatigue, and memory loss. For young people, these symptoms often feel that they did not sleep well the first day, or that they were exhausted from work and stressful. I thought it would be relieved by taking a good rest, so it is particularly easy to be overlooked. If you have hypertension, dizziness, vertigo, tinnitus and high blood pressure, you must pay attention to it. Because we all know that the main function of the kidney is to excrete sodium and urinate. When kidney function is damaged, water and sodium retention occurs in the body, resulting in increased blood volume and high blood pressure. In addition, due to the kidney’s own ischemia and hypoxia, the secretion of renin is increased, which in turn causes the kidney to increase the amount of substances that increase blood pressure and decrease the amount of substances that lower blood pressure. Therefore, patients with uremia will have different degrees of hypertension in the early stage. Yellowish complexion has a close relationship with anemia. Due to the retention of toxic metabolites in patients with uremia, the red blood cells are destroyed or the life span is shortened. In addition, the number of red blood cells produced and various bleeding symptoms lead to anemia. This is less obvious, and many patients will not pay too much attention to this symptom in the short term. Although the symptom of puffiness is easy to detect, it may be ignored. Puffiness is also because the kidneys cannot remove excess water from the body, causing water to stay in the tissue gap. Early patients often showed swelling of the eyelids and swelling of the ankles after getting up, but they disappeared after rest. Severe patients present with edema of the lower leg or systemic edema. Many people think that it is because they are too tired on the first day or the sleeping posture is not right, and they don’t pay special attention to it. Of course, there are many reasons for edema, and this needs to be carefully identified by the patient. The early symptoms of uremia are very common small changes. It is difficult to find them if you do not pay attention. This is why it is late when it is found. The only way of uremia is alternative therapy, that is, we have heard of hemodialysis, peritoneal dialysis and kidney transplantation. If patients with uremia use hemodialysis to treat uremia, long-term adherence to reasonable dialysis, with the current level of technology, patients can extend their lifespan by 20 years or more. If you have kidney problems and other related issues, you can directly【Private Message】Prof.

These two indicators of kidney friends are normal, creatinine is too high, and dialysis is not necessarily required!

Creatinine is a product of muscle metabolism in the human body, and every 20g of muscle metabolism can produce 1mg of creatinine. Creatinine is mainly excreted by glomerular filtration. Blood creatinine comes from exogenous and endogenous sources. Exogenous creatinine is the product of meat food after metabolism in the body; endogenous creatinine is the product of muscle tissue metabolism in the body. When the intake of meat food is stable, there is no big change in the body’s muscle metabolism, and the production of creatinine will be relatively constant. Creatinine is the most important indicator of kidney function in patients with nephropathy! Creatinine is also a benchmark for uremia judgment! The average patient thinks that creatinine exceeds 707umoI / L, which means that uremia should be dialyzed for life. The standard habit of hemodialysis treatment for clinical uremia is determined by the plasma creatinine value reaching 707umol / L and urinary nitrogen reaching 30mmol / L or more. In addition, when the endogenous creatinine clearance rate is <10ml / min, dialysis therapy is required. However, as long as the following two indicators of the patient are normal, renal function and drainage function, even if the creatinine exceeds the standard, dialysis treatment may not be required immediately. First: urine output is in the Department of Nephrology, doctors often say to patients "there is hope in urine"! It can be seen that an important indicator of uremia is oliguria or anuria. Clinically, some patients with nephropathy have a clear urine volume of more than 2000 ml, but they blindly take "creatinine greater than 707" as the standard and believe that they have uremia, which is a bit too anxious. Normal urine output means normal kidney drainage and normal urine production, which means that renal tubular reabsorption function and glomerular filtration function have not been seriously damaged. Second: Kidney volume The judgment of kidney size has important clinical significance. The kidney shrinks or enlarges, which can indicate kidney disease. Usually kidney B-type ultrasound examination can know whether the kidney has kidney atrophy, and this examination method does not damage the patient. The normal value of renal ultrasound is: the average adult normal kidney size is about 10 ~ 12cm long; 5 ~ 6cm wide; 3 ~ 4cm thick. Kidney disease really develops into the uremic stage, which means that more than 80% of the nephrons are atrophy and necrosis, and the kidney volume will be seriously reduced. Therefore, patients with normal kidney volume despite thousands of creatinine may be caused by "temporary" reasons such as infection, hypertension, and drug damage. As long as these "temporary" causes are resolved, creatinine will naturally fall to normal levels. Note: If the long-term creatinine value is too high, exceeding 707umol / L, you must go to the hospital in time. As long as these two indicators are normal, it means that the remaining nephrons can still bear most of the human needs. At this time, blindly lowering creatinine is not the key, and the real cause of the increase in blood creatinine is eliminated to prevent future problems, and protecting the nephron is the key! Therefore, when choosing dialysis for patients with nephropathy who have high creatinine, they must pay attention to these two indicators, and communicate with doctors more, and strictly follow the doctor's instructions for treatment according to their own kidney function. Otherwise, once you start dialysis, you may never go back! If you have any related problems such as kidney disease, you can directly [Private Message] Professor Mo Feifan

How long can I live with kidney disease?

First of all, kidney disease is a latent chronic killer, and your kidneys are spoiled unconsciously. The most serious illness is uremia. Ordinary people often think that this step is a dead end, and a thick family is OK. If you change your kidneys and your family is thin, you have to wait for death. But after all, only a very small number of people have uremia, and most of the patients are other types of kidney disease, such as nephritis, nephrotic syndrome, kidney stones and so on. Even if you have uremia, you are not dead. At present, the country implements medical insurance for serious diseases of uremia, and the medical insurance is reimbursed for the most part. The cost of dialysis is not personally paid out. If you have financial conditions, you can still wait for a kidney transplant. How long can dialysis and transplant live? There are many people who have been dialyzed and transplanted for more than 30 years. Rather than calculating how long you can live without being panicked all day long, it is better to spend more time with your family, enjoy every day of your life, and travel to where you want to go. What’s more, many of our kidney patients are still a long way from the last stage. As long as you don’t work hard and work hard, you can fully cooperate with a doctor to enhance physical exercise in your lifetime, and avoid going to the late stage of uremia. In addition to believing in regular doctors, regular treatment, and not superstitious, the usual sense of self-protection is also very important. First of all, don’t take medicine casually. Health care products, no matter where you look for home remedies, do n’t try “baicao” because you are not a “Shen Nong”. Liver and kidney are the first to be injured by various medicines. Some medicines are often not clinically tested, and even doctors cannot determine whether they can be taken, so it is better to be cautious. Kidney disease is difficult to break roots, and continuous rooting does not mean that kidney function cannot be stabilized. As long as the kidney function is always sufficient, even if the root is constant, it can satisfy the normal life. Secondly, even if the condition is stable, a regular review of about 3 months is necessary. Some of our patients always want to cut off the roots because they think that the indicators will never be ignored after turning negative. This is not enough. Even if the indicators are very stable, or even all overcast, they must be reviewed regularly. Re-examination items such as urine routine, 24-hour urine protein quantification, blood pressure, renal function, blood routine, renal ultrasound, electrolytes, etc. are some of the more basic items. In addition, life planning, mentality adjustment, not too tired, do not stay up at night, usually exercise, do not eat too salty, etc., these are daily maintenance work. Finally, and most importantly, always have a sense of awe and do n’t mess around. In fact, many of us will fall into extremes just because we are too scared. Just think about it, why should you be so afraid? There are more than 100 million people with kidney disease in our country, and there is no special statistics on the number of uremia. It is estimated to be more than 1 million. Even if it is unfortunately the 1%, the doctor is not helpless, there is a strategy. Think of it this way, God doesn’t actually have a very harsh patient with kidney disease. Do your utmost perseverance, strive for the life is not poisonous and impenetrable is the king!