Symptoms

Tell you: the symptoms of patients with kidney disease are not the same.

Treatment

Tell you: Chinese medicine can treat kidney damage and improve kidney function.

Healthty-Living

Tell you: A healthy life helps you stay away from kidney disease.

For Patients

Tell you: Kidney disease patients from different countries.

TCM

Tell you: Different characteristics of traditional Chinese medicine therapy for the health of kidney disease.

2018年4月20日星期五

Can kidney patients eat meat

Can kidney patients eat meat?
For patients with kidney disease, a large amount of protein is lost from the urine every day, which will inevitably cause a lack of protein in the body. If no protein is added, it will become increasingly scarce. The expert on treatment of nephrotic syndrome said that protein is the source of life, and the lack of protein in the body will not only cause edema, but also cause diseases and life threats. It is unscientific to say that patients with kidney disease who are circulated in society must abstain from eating meat, eggs, and scaleless fish.
Experts said that patients with nephrotic syndrome should eat more protein, especially foods rich in high-quality protein, such as milk, eggs, lean meat, chicken, fish and so on. Of course, eating more is not an unlimited amount of protein, long-term excessive intake of protein, not only useless, and will increase the burden on the kidneys, resulting in increased kidney damage.
This is divided into two situations. According to experts, one type of patient with nephrotic syndrome with normal renal function has a protein intake of 1 gram per kilogram body weight per day, plus the amount of urine lost. The other is nephrotic syndrome patients with azotemia (blood urea nitrogen, creatinine higher than normal), to properly limit the intake of protein, about 40 grams of protein ingested daily is appropriate. Should choose high-quality protein, preferred egg and dairy foods, an egg about 6 grams of protein, a bowl of milk (about 200 milliliters) contains about 6 grams of protein, 50 grams of lean meat contains about 8 grams of protein, chicken contains protein than lean Slightly more meat, and slightly less fish. In this way, the daily intake of protein in a nephrotic syndrome patient can be calculated.
At the same time, experts reminded the majority of patients with kidney synthesis, the human body needs a certain amount of heat to survive every day. Patients with nephrotic syndrome who have azotemia eat less protein and must eat more carbohydrates (such as sucrose and glucose) to supplement. In addition, vitamin-rich fresh vegetables and fruits should be eaten.

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Can diabetics eat sweet food

Can diabetics eat sweet food?
Dietary control is the basic treatment for all people with diabetes. Diet control is not only limited to the staple food but must also limit total calories. However, people with diabetes are not able to eat sweet foods, but they are mainly determined by the calories of food.
Diabetics should strictly limit the intake of sugar, brown sugar, honey, jams, various desserts, chocolates, sugary drinks, and sweet juices, because most of these foods contain more glucose and sucrose, which have higher caloric content and are absorbed. Will significantly increase blood sugar. For example, in the summer, some diabetic patients may suffer from diabetic ketoacidosis or hyperosmolar coma and may be life-threatening because they eat a lot of cola or ice cream because of thirst.
However, patients with diabetes can eat a small amount of fruit. The principle is to use food for fruit. For example, it is possible to reduce half of the staple foods (25 grams of raw rice or 60-70 grams of rice) and eat a certain amount of fruit each day: fresh dates 1, 2 ha, 2 bananas 2, 2 red halves, 2 halves of persimmon, 2 fresh lychees. Two and a half, three apples, two kiwifruits, two peaches, three and a half, two pears, four pineapple two, two oranges, two grapes, two cherry, two cherry, two apricots, two melons, and two strawberries. Watermelon 7 two. Most of these fruits contain fructose, which has a higher sweetness than sucrose, but it absorbs slower than glucose, and the effect of raising blood sugar is also very slow. At the same time, it can supplement dietary fiber and vitamins, which is a useful supplement for diet control.
There are a lot of "sugar-free foods" on the market today, mostly foods with added sweeteners. Common sweeteners on the market are divided into two categories, hot calorie-containing sweeteners and calorie-free sweeteners. The calorie-containing sweeteners include fructose as mentioned above, and xylitol and sorbitol. These sweeteners all contain calories, but the absorption is relatively slow and has little effect on blood sugar. Calorie-free sweeteners include artificial compounds such as saccharin and aspartame, which do not contain calories and do not raise blood sugar. However, some compounds are known to have carcinogenic effects, so it is not recommended to consume large amounts of artificially synthesized sweets. Flavor agent. In addition, diabetics must pay attention before eating “sugar-free food”: the heat contained in starch and oil in food can also increase blood sugar, so don’t think it is “sugar-free” and you can just eat it. .
One thing that diabetics should also note is that most nuts are high in calories, such as peanuts, melon seeds, walnuts, almonds, etc. They contain about 40-50 grams of fat per 100 grams, which increases blood sugar after eating. , so it must be strictly controlled.
In short, it is recommended that diabetics establish the concept of food calories and try to choose foods with good taste and low calories, which is beneficial to the overall control of diabetes.


2018年4月18日星期三

What is the current lack of treatment for renal failure

Renal failure: A turning point in the treatment of kidney disease. See if you ruled right.
problem:
1. How high is creatinine raised?
2. What is the current lack of treatment for renal failure?
The severity of renal failure
The current standard of judgment is the value of serum creatinine. Many patients already know that an increase in serum creatinine means a decrease in renal function.
However, there is no clear understanding of the seriousness of the increase in serum creatinine.
In many people's opinion, since blood creatinine is more than 707μmoI/L before entering uremic stage, dialysis is needed (diabetic nephropathy patients have more than 500μmoI/L creatinine), so many people subconsciously increase serum creatinine. The degree is divided:
120-300: As soon as the serum creatinine rises, it is still very early from dialysis. Don't worry too much, or use the previous treatment plan.
300-500: The serum creatinine is already quite high. Be cautious about it. You haven't started dialysis yet. You should treat it well. You should add urinary toxin and other drugs to reduce creatinine. Even some patients start peritoneal dialysis or colon dialysis;
500-700: It's already this level, waiting for dialysis;
700 or more: dialysis.
This idea is wrong!
The meaning of elevated serum creatinine
Creatinine is a product of muscle metabolism and is excreted by glomerular filtration. When there is a problem with the kidneys, creatinine cannot be properly filtered and eliminated from the body, it will return to the blood, causing increased serum creatinine.
If the kidney is damaged, will the serum creatinine rise?
Will not.
Because the kidney has a strong compensatory function, minor kidney damage does not lead to elevated serum creatinine.
Unless kidney damage reaches more than 70%!
In other words, an increase in serum creatinine, even just above the normal value, means that only one-third of renal function is left.
The correct treatment of renal failure
The current drawback of conventional treatment is that it is too conservative.
For the treatment of chronic renal failure, mainly for the control of heart failure, hypertension, digestive system and other symptoms, is the real "sickness" treatment. For the continuous decline of renal function and the continuous increase of creatinine and other substances, there is no way, the default is to wait for dialysis.
At present, many hospitals and experts have come to the conclusion that the treatment of chronic renal failure should be more positive.
More aggressive treatment refers to Chinese medicine treatment.
Chinese medicine treatment does not restore kidney cells that have been necrotic, but it can enhance the viability of the remaining kidney cells and restore part of the renal function from the side. This can delay the rate of decline in renal function, so that patients later into the uremia period.
Enhancing the vitality of the remaining renal cells requires a variety of Chinese medicines such as oral administration, rubbing, fumigation, supervising moxibustion, and soaking. The main principle is to improve the microcirculation of the kidneys and resolve residual renal cell defects through the concept of “Tongfu Huayu”. The problem of hypoxia can increase their vitality.
In addition, the concept of "holistic treatment" in Chinese medicine has made it possible to treat other kidney diseases while also taking care of other systems, especially the cardiovascular system, which has greatly increased the survival rate of patients with kidney disease.
Therefore, in the course of the treatment of chronic renal failure, we should not blindly “wait” for dialysis. Instead, we should add Chinese medicine conditioning treatment based on the treatment of “disease” in western medicine to truly delay the progression of the disease and make the patient better. Living condition.

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What can't be ignored in the treatment of lupus nephritis

Nephrologists: Never to be ignored in the treatment of lupus nephritis
problem:
1. What are the difficulties in the treatment of lupus nephritis?
2. What can't be ignored in the treatment of lupus nephritis?
Correct understanding of lupus nephritis
Lupus nephritis is one of the organ damages caused by systemic lupus erythematosus. Although the cause of lupus erythematosus is not yet clear, it will produce a large number of autoantibodies, form immune complexes, and cause damage to the kidneys.
It should be noted that lupus erythematosus causes damage to multiple systems such as the skin, nervous system, cardiovascular system, respiratory system, and digestive system. Therefore, it is necessary to take into consideration the overall situation during the treatment of lupus nephritis.
There is a saying that lupus erythematosus damage to multiple systems is very similar to that of uremia. Therefore, lupus nephritis is also called "uremia that is not uremia."
Types of lupus nephritis
Lupus nephritis does not have a uniform classification. The WHO classification is currently used. Lupus kidney is divided into six types:
1 mild lesion type
There was no injury or only minor injury to the kidneys. Kidney puncture showed a small deposition of immune complexes and almost no renal symptoms.
Treatment: This type is mainly for the treatment of lupus erythematosus, if properly controlled, can avoid the development of kidney damage.
2 mesangial proliferation
In the glomerular mesangial area, there is damage, mainly mesangial proliferation caused by the deposition of immune complexes. The clinical manifestations are mild hematuria and proteinuria.
Treatment: Urinary protein will further destroy the renal filtration barrier and need to be eliminated in time.
3 Focal segment proliferation
There is segmental glomerular lesions. In addition to hematuria and proteinuria, hypertension may occur in clinical manifestations. A small percentage of patients experience mild renal impairment (decrease in endogenous creatinine clearance). Some patients may show Nephrotic syndrome.
Treatment: The elimination of urine protein has become the focus of treatment, especially in patients with nephrotic syndrome. In addition, it is more important to clear immune complexes.
4 diffuse proliferation type
More than half of patients with lupus nephritis belong to this type. Almost all glomeruli have been damaged, and there is also severe tubulointerstitial damage. Proliferation in capillaries, thickening of capillary walls, formation of crescents, etc. occur, and glomerulosclerosis occurs in some patients. The clinical manifestations are severe hematuria, proteinuria, hypertension, nephrotic syndrome, etc., and most patients have renal insufficiency.
Treatment: In addition to the elimination of symptomatic treatment such as urinary protein, hematuria, and hypertension, plasma exchange is usually used to prevent further deterioration of the condition.
5 membranous nephropathy
Diaphragmatic spasm and diffuse thickening of the basement membrane is the main pathological changes of this type of clinical manifestations of nephrotic syndrome.
Treatment: Similar to membranous nephropathy, in the elimination of urine protein, but also use traditional Chinese medicine to clean immune complexes.
6 glomerular sclerosis
Deposition of immune complexes causes renal cell ischemia and hypoxia, causing glomerular massive sclerosis, and a dramatic decline in renal function. The clinical manifestations are mainly renal failure-related symptoms.
Treatment: Maintaining residual renal function and improving renal microcirculation can improve the quality of life of patients.
Please note: The above types can exist at the same time, and some types can be converted to each other.
Treatment of lupus nephritis can not be ignored
1 Systemic lupus erythematosus (SLE) is a multi-system impaired systemic disease. It is important not to focus on kidney damage during treatment.
2 Lupus nephritis is a more serious form of systemic lupus erythematosus damage, so treatment can not be easily interrupted.
3 Elimination of urinary protein is only a means to avoid further damage to the renal filtration barrier. The focus of the treatment of lupus erythematosus nephritis lies in the clearance of immune complexes.

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2018年4月15日星期日

What is your type of kidney disease that you should focus on

What is your type of kidney disease that you should focus on?
These three points make diabetic nephropathy become the most terrible type of nephropathy. According to the pathological type, nephropathy can be divided into dozens of subtle lesions that are easier to treat, and focal segmental sclerosis that makes people headaches.
Among the many pathological types, the most feared is the diabetic nephropathy, due to the following three aspects.
First, the concealment is very good
The hidden nature of diabetic nephropathy is very good, second only to occult nephritis. Considering the consequences of the two are not in proportion, the concealment of diabetic nephropathy is very terrible.
We know that diabetic nephropathy is broadly divided into five stages. The first three stages have only the symptoms of urinary protein. Even the second stage of urine protein turns to be intermittent on the third stage, and people think that the condition has improved!
Until the kidney function has been seriously damaged, that is, the serum creatinine began to rise, there will be more obvious symptoms such as elevated blood pressure, most patients with diabetic nephropathy is also diagnosed at this stage.
The problem is that the third phase of development has already missed the best time for treatment!
Second, the destruction is particularly large
The destructiveness of diabetic nephropathy is mainly reflected in the effect on the blood circulation of the kidney.
We know that diabetes is prone to blood viscosity and high blood pressure, which is particularly fatal for kidneys that are themselves two capillaries.
Why can patients with other pathological types of nephropathy be dialyzed when serum creatinine exceeds 700 μmol/L, and patients with diabetic nephropathy need dialysis as long as serum creatinine reaches 500 μmol/L?
It is because the damage to the kidneys is so strong that the damage to kidney function is much faster than other pathological types.
For this reason, diabetic nephropathy is the most recent pathological type of uremia.
Third, the treatment is particularly difficult
If it is said that concealment is strong and destructive is not enough to make people collapse, how difficult is it to treat?
The difficulty in the treatment of diabetic nephropathy lies in two aspects: one is to control three highs, and the other is to prevent the continuous death of renal cells.
There is no need to say more about controlling the three highs, mainly high blood sugar and high blood pressure. There are various medicines to choose from. The key is to prevent the continued death of kidney cells.
The reason for the continuous death of renal cells is the blood flow environment of the kidneys, which is the hypoxia-ischemia of kidney cells caused by vascular obstruction. Whether Chinese or Western medicine practitioners are trying to improve the microcirculation of the kidneys, they have been working hard, but there are currently no effective results. .
Therefore, the treatment of "sickness" is still the focus of treatment of diabetic nephropathy. In addition to drugs controlling blood sugar and blood pressure, the solution to renal failure is still dialysis.
How to do?
Diabetic nephropathy is so terrible. What should we do?
First, regular medical examination
This is the second most important thing.
For those who suffer from diabetes, at least two physical examinations are required every year. Only urine can be checked. Once urine protein is present, it is necessary to seek medical advice promptly and kill diabetic nephropathy in the cradle.
Second, active sugar control
The importance is second only to the first one.
The damage caused by blood sugar instability is not just diabetic kidney disease, but also eye, foot, heart and so on. Therefore, active sugar control is very important, not only to maintain the patient's own physical and mental health, but also reduce the family's burden.
Article 3, with treatment
Once diagnosed with diabetic nephropathy, treatment is very important. Compared with other pathological types, diabetic nephropathy needs stricter compliance with doctor's orders, especially in terms of medication. No matter whether it is reduction or withdrawal, it cannot be determined without authorization.
Article 4, cheerful mood
This is the most important thing!
Cheerful and happy emotions are critical to the improvement of cardiovascular conditions. We can find out in our daily lives. Therefore, even if it is very difficult, you must think of ways to make yourself more relaxed and happy. This may allow you to save a lot of medical expenses, and you can let the treatment effect be better than you expected.
More questions about the treatment of diabetic nephropathy, you can long press the two-dimensional code, we discuss together.

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Because you neglected the physical reminders

Why is uremia? Because you neglected the physical reminders, many patients found kidney disease, kidney disease has developed to the stage of renal failure or even uremia, so exclaimed: Kidney disease is like cancer, is it found that it is advanced?
In fact, the body has already reminded you in various ways before the kidney disease develops into uremia stage.
The common "signal" of kidney disease
The kidney is one of the body's most important organs. It is responsible for purifying the blood, maintaining water and electrolyte balance, secreting hormones, and erythropoietin.
Once the kidneys have problems, the body will remind you in some way:
1, urine
If a problem arises in the function of purifying the blood of the kidneys, proteins, red blood cells and other substances will leak into the urine to form urine protein and occult blood. These substances will cause the urine surface tension to increase, there will be a lot of foam, so if you find that there are a lot of tiny, long-lasting foam in your urine, you have to look it up.
If the kidneys maintain the effect of water balance, problems can lead to abnormal urine output. If the glomerular injury is more serious, it will affect the drainage ability of the kidneys, especially if the protein leaks too much, it will affect the colloid osmotic pressure balance, resulting in edema, so that the urine output decreases; but if the renal tubular damage is more serious, it will affect the kidney The ability to concentrate significantly increases the amount of urine, especially the amount of nocturia.
Therefore, whether there is a large amount of persistent urine foam or abnormal urine output, it should be checked as soon as possible.
2, swollen
Another common sign of the body after a kidney problem is edema in a part of the body. It should be noted that the edema caused by the kidneys should be a symmetrical concave edema.
A large amount of leaked protein, as mentioned above, can cause an imbalance in the osmotic pressure of the colloid and cause the water in the blood vessel to be forced out of the blood vessel, resulting in the appearance of edema;
Another situation is the electrolyte imbalance, especially the imbalance of sodium ion metabolism, which will lead to the imbalance of crystal osmotic pressure, which will break the liquid balance inside and outside the cell, and it will also lead to edema.
Therefore, if you find that your body (mainly eyelids, legs, feet) suddenly appears edematous and you press your finger to create a small pit, you should go to the hospital as soon as possible.
3, halo
The dizziness and nausea caused by kidney disease generally have two causes:
One is dizziness and nausea caused by renal hypertension. This is because the microcirculation of the kidneys is getting worse and worse, causing secondary hypertension. As the blood pressure rises, it will feel dizzy and nausea.
Second, dizziness and nausea caused by increased blood toxin concentration, this is due to the kidneys metabolic function is getting worse, creatinine, urea nitrogen and other harmful substances can not be normal excreted, resulting in increased blood concentrations, causing a feeling of dizziness and nausea.
Therefore, if you are baffled with dizziness and nausea, you must go to the hospital as soon as possible. Regardless of the cause, the situation has become more critical.
4, bulge
Kidney lesions such as polycystic kidneys, renal cysts, and kidney stones can cause people to feel pain at the waist, which is often mistaken for lumbar muscle strain.
It should be noted that the kidneys do not have sensory nerves and do not feel pain themselves, so "kidney pain" is only your psychological effect. However, when the volume of the kidneys is abnormally increased, the surrounding tissues are stressed and people feel "expanding".
Some people say that kidney stones are not very painful? Yes, kidney stones produce great pain, but that is because stones fall into the ureter or bladder.
How to avoid this situation?
There is no other way but to go to the hospital on a regular basis.
The early stage of the vast majority of primary nephropathy can last for several years. It is the best stage of treatment. However, there are no obvious symptoms at this stage and it is difficult to find it.
Only regular medical examinations, even once a year, can detect early kidney disease.
In fact, the vast majority of severe illnesses can be detected at an early stage, but most people do not have the habit of regular physical examination.
In contrast, most people develop the habit of regularly maintaining cars.
Maybe the car is more expensive...

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