2018年1月24日星期三

About kidney edema, the doctor may not tell you these things

The severity of nephrotic edema has been overlooked by many people, the doctor said so
Edema is one of the common clinical manifestations of nephropathy, many patients are due to the sudden appearance of edema, only to find themselves had kidney disease.

Regarding edema, a nephropathy doctor may not take the initiative to tell you these things.
Edema is actually very serious
Because some nephrotic edema early, coupled with doctors on urinary protein and serum creatinine showed particular concern, resulting in some patients with kidney disease, less attention to edema.
In fact, edema is very serious!
In the early stages of edema, there may only be edema on the eyelids and lower extremities. It seems worth noting that in addition to affecting the appearance and mobility, it is worth noting.
However, with the increase of edema, especially in other organs and parts of the water, the situation is different.
Especially pleural effusion, often can cause heart failure, and ascites can also cause a lot of visceral damage, these are nephropathy complications more serious.
So, once edema occurs in patients with kidney disease, doctors usually give priority to edema problems.
What is the priority to solve edema?
Some patients said that edema is not caused by a large number of leak protein Well, giving priority to solve the edema, is the priority treatment of urinary protein Bai!
Not
If it is a large number of leaky protein-induced edema, the need to do is to raise plasma albumin.
Because with the reduction of plasma albumin, blood vessels in the blood ran outside the blood vessels, leading to diuretics, "water can be discharged," simple control of urinary protein, the problem of edema and not much help.
And, the rapid control of urinary protein need hormones, but hormones may lead to water and sodium retention, swelling of the patient swollen, is not conducive to swelling.
If it is caused by electrolyte imbalance edema, you can use diuretics.
But also depends on whether you need potassium or potassium row.
Edema can completely solve it?
Since the edema is so serious, there are very clear reasons, then the problem of edema can be completely solved it?
can.
But the solution is not only the clinical treatment, but also the active cooperation of daily life.
One of the important ways to deal with edema is to use the light diet and high-quality low-protein diet that doctors are not tired of stressing.
In the development of nephrosis before uremia, due to the presence of urine, edema problem is relatively easy to solve.
To uremia, urine output dropped below 400 ml per day, may need to use dialysis to drain.

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