2018年1月24日星期三

Three things you need to know about uremia

Uremia, known as "undead cancer," not only afflicts patients but also places a heavy burden on the family.
What is even more worrying is that many people misunderstand the existence of uremia, resulting in even greater damage.
About uremia, at least the following three things, you must know!

kidney disease
First, uremia can not be cured
No matter which "famous doctor" told you what sounds "tall" treatment, you have to know that uremia is incurable.
As an end stage of nephropathy, once diagnosed with a uremic phase (note that it is diagnosed, and not just serum creatinine exceeds 707 μmol / L as there is acute progression), it means that more than 90% of the kidney cells have been Completely necrosis, the remaining 10% have also been in a state of exhaustion, can not provide adequate blood purification capacity, so we need to use the machine to help.
Those who have died of renal cells, can not be resurrected, any means known to date can not be done, all under the banner of "resurrected kidney cells" therapy, are exaggerated.
That uremia period without treatment?
of course not! In fact, the treatment of uremia is like treating a cold.
When we treat a cold, most of the time it does not target the cold virus, but is relieving the symptoms of cough, fever and runny nose. That is to say, the effect of "cure" is achieved by alleviating the symptoms. In fact, the cold virus is the body itself Eliminated, that is to say the flu is self-improvement.
Treatment of uremia is the same, but for the relief of symptoms of hypertension, heart failure, anemia, bone disease, electrolyte imbalance and so on, and did not do any rescue work for renal cells.
Therefore, the treatment of renal disease uremia, just to make patients feel more comfortable, is to improve the patient's survival experience.
kidney disease
Second, dialysis is a technical activity
Hemodialysis is the most important treatment of uremia at present, and even in most hospitals are treated as the only treatment.
Many people think that dialysis is very simple, not lying on the bed, hanging on dialysis fluid, dialysis machine, dialysis chant.
In fact -
Nephrosis to uremia, residual renal cells have been very small, blood purification has been unable to complete the work, so the need for machinery to help.
The problem, however, is that while a dialysis machine helps to purify the blood, it also depletes the remaining kidney cells and accelerates their death.
This fact, like hormone therapy, long-term use of hormones, make the body mistaken for the body's normal hormone levels, leading to their ability to secrete hormones, the formation of hormone-dependent.
Dialysis will also form a dialysis dependent, it is because of long-term dialysis, the residual renal cells can not work properly, and gradually lost their ability to work.
Therefore, the duration and frequency of dialysis are very important. In the same illness, some patients did not deteriorate after a few years of dialysis. However, some people did not deteriorate after a few years of dialysis. All kinds of complications have come a long way and are very painful.
Therefore, dialysis is a technical activity.
kidney disease
Third, kidney is not the ultimate means
Kidney transplantation has almost become the greatest hope of patients with kidney disease.
Uremia and how? How about kidney cells leaving less than 10%? I changed the kidney, all start again, not OK?
Unfortunately, it is not ...
It takes a long time to develop nephrosis to uremia, and those who arrive in the uremic period in only 35 years only cause acute progression for some reasons, causing the serum creatinine to rapidly increase to 707 μmol / L More nothing, no matter urine volume, renal volume or endogenous creatinine clearance, are relatively good, simply can not be considered uremia.
The true uremic phase is not just excessive serum creatinine, but also anuria (less than 100ml of urine per day), atrophy of the kidneys and a significant drop of endogenous creatinine clearance, all of which lead to one thing: blood contamination.
Long-term blood serious pollution, the cardiovascular system and other organs have long been deeply affected, so those who really enter the uremic patients with kidney disease, urinary protein and occult blood has long been not a problem, but those heart failure, hypertension, Anemia and other issues really need to be resolved.
Kidney can make these problems be solved?
Does not.
Even if the kidney is successfully replaced, the blood can not be purified immediately, so dialysis is also needed. Impaired organs and cardiovascular problems can not be recovered. Therefore, various complications still exist.
So, kidney completely useless?
Nor is it
In fact, as long as the timing of kidney replacement earlier, before the system, organs have not been severely damaged before decisive replacement of the kidney, on the line.
Those who survive more than ten years after kidney transplantation, two decades of cases, are the case.
Unfortunately, the vast majority of patients with kidney disease as the ultimate means of renal transplantation, less than the last moment, do not change the kidney, missed the best time, even if the operation is successful, the new kidneys in such a harsh in vivo environment will be very Quickly destroyed, re-emergence of renal failure ... ...
Therefore, kidney transplantation is not impossible, but we must pay attention to the timing.

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