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.

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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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2018年4月14日星期六

Why can foot bath help kidney patients

Some patients with kidney disease will have foot bath items when they receive Chinese medicine. What role does foot bath play in the end? How does it stand in the treatment of kidney disease?
Foot bath what effect?
Foot bath has a long history in our country. As the old saying goes, "Beginning in the morning with a purse of water, and before going to bed, it is not surprising that you are 100 years old." Even if you don't understand pathology, you know that you sleep well with hot water at night before going to bed.
Su Dongpo, a famous celebrity in the Northern Song Dynasty, once wrote in his article: “The foot bath is not effective at the beginning of the exercise. However, for more than a hundred days, the utility function is incomparable. It is more effective than the medication.” Kidney experts said: “Yin Cold is all from the feet, and into the foot of the heart.
So why does foot bath work?
Because the feet of the body distribute most of the main meridians and important acupuncture points of the human body, the thermal conductivity of warm water makes it easy for the medicine to travel along the meridians and reach the entire body.
This may seem more illusion. In fact, we have experience in our daily lives: When the nose is not clear, put a cup of hot water under the nose, the steam is smoky, and the nose is quickly cleared. The truth is the same.
The application of foot bath in the treatment of kidney disease
We know that Chinese medicine is not a "kidney disease," one that is dialectical treatment, so patients with kidney disease show different syndromes before they can use different traditional Chinese medicine foot bath prescriptions.
For example, patients with "qi and yin deficiency" often show tetany, fever, thirst, fatigue, red tongue, and rapid pulse. They can use herbs such as honeysuckle, eugonania, euphorbia, and so on.
Among them, Streptococcus olivaceus and Cinnamomum variabilis are cold and active, and Shujin active can improve the immunity of patients with kidney disease; Zeeran Huoxuetongjing, benefit water swelling, can enhance blood circulation and eliminate edema.
For example, patients with "Kidney and kidney yin deficiency" often show weakness in the waist and knees, five upset fevers, dizziness and tinnitus, irritability in insomnia, little red tongue coating, and a few pulsed strings. They can use drugs such as vine, red peony, and rehmannia at night. .
Among them, the night Jiaotan Yangxin Anshen, Hurricane Tongluo, can relieve this heart failure, improve the quality of sleep in patients with kidney disease; Chishao heat and cooling blood, Sanyu analgesia, rehmannia tonic Yin, filling lean marrow marrow effect, Has a good blood-supplementing effect, can relieve complications such as anemia, heart failure, but also improve the immune system of patients with kidney disease.
The position of Chinese medicine in the treatment of nephropathy
In the treatment of kidney disease, Western medicine's main role is to suppress or kill the clinical symptoms of inflammation, urine protein, occult blood, and creatinine; the main role of Chinese medicine is to improve blood circulation, enhance the patient's constitution, and protect the remaining nephron.
The two are highly complementary and there are no absolute advantages or disadvantages.
In the treatment of kidney disease, Chinese medicine is not capable of reversing arrogance, nor can it immediately eliminate various symptoms and restore various indicators. However, Chinese medicine can slowly regulate the functions of the body itself and enhance the body's ability to repair itself.
Therefore, Chinese medicine does not directly treat kidney disease. It is only through conditioning and supplementation that the treatment of kidney disease has become relatively easy and the patient feels better.

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2018年4月8日星期日

What are the 4 symptoms of nephrotic syndrome, the most serious

What are the 4 symptoms of nephrotic syndrome, the most serious?
Nephrotic syndrome is a collective term for 4 symptoms: high edema, large amounts of urine protein, hyperlipidemia, and hypoproteinemia.
Which of the four symptoms is the most serious?
First: a lot of urine protein
The large amount of urinary protein in nephrotic syndrome refers to 24-hour urinary protein quantitation exceeding 3.5 grams.
Whether it is primary nephropathy (membranous nephropathy, minimal change type), or secondary nephropathy (lupus nephritis, diabetic nephropathy), it is mostly due to the destruction of the glomerular filtration barrier that results in leakage of large amounts of protein.
Large urine protein severity:
Continued leakage of protein will further destroy the filtration barrier and cause more protein to leak out.
Second: Hypoproteinemia
Mainly refers to the plasma albumin down to 30g/L or less.
The serious decline in plasma albumin is due to a large amount of urine protein.
The severity of hypoproteinemia:
Low albumin is not only likely to cause edema (colloidal osmotic pressure imbalance), but also to reduce the immune system, reduce the constitution of patients with kidney disease, and more likely to cause new infections (such as a cold).
Third: hyperlipidemia
A decrease in plasma albumin can lead to compensatory increase in lipoproteins, leading to hyperlipidemia.
The so-called hyperlipidemia can be simply understood as blood becomes thick.
The severity of hyperlipidemia:
It is easy to cause thrombosis, especially deep vein thrombosis, and it may be life-threatening in severe cases.
Fourth: High Edema
The edema caused by nephrotic syndrome is caused by an imbalance of colloidal osmotic pressure caused by a decrease in plasma albumin.
This edema is usually symmetric concave edema, often spread from the lower limbs to the body.
The severity of edema:
High edema not only affects the appearance, but also causes acute pulmonary edema and acute heart failure. In severe cases, it will be life-threatening.
On the whole, the four symptoms of nephrotic syndrome are very serious, but when meticulously analyzed, most of them agree to list a large number of urinary proteins as the most serious symptoms.
Not only is a large number of urinary proteins can cause further damage to the kidneys, but the other three symptoms have a direct or indirect association with large amounts of urine protein.
However, it should be noted that:
If a large number of urine protein and high degree of edema exist at the same time, it should be given priority to solve the edema, because hormone can cause sodium and sodium retention, so that patients with kidney disease swollen and swollen.

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Dialysis is not the most terrible thing for uremia

The doctor said: The most terrible thing about uremia is not dialysis, but it fails to build confidence in treatment.Dialysis is the most terrible thing for uremia?
For people with kidney disease, this is even more terrifying Uremia is a popular term for the development of chronic kidney disease to the end stage. The most important treatment is hemodialysis, which not only makes the patient feel painful, but also puts a heavy burden on the entire family.
But do you know? The most terrible thing about uremia is not dialysis.
For doctors, what is the doctor's responsibility for hospitalization?
Treat the disease well so that the patient can live a normal life.
In other words, do not let the disease continue to disturb the patient's life.
This is a relatively abstract statement. Specifically, it is to suppress or eliminate various clinical symptoms.
Such as edema, in order to reduce swelling; urine protein, to find a way to turn yin; high blood pressure, to find ways to buck ......
Elimination of symptoms is not an end, and life is not an objective.
Therefore, with some symptoms, doctors do not think it will affect their lives. There is no need for treatment.
However, for patients, the situation is completely different!
After all, the disease has appeared on oneself. Although we have not paid any attention to the body when we indulge in eating and drinking, and carnival, once we have a problem, the past neglect will turn into a thousandfold of care.
In the doctor's eyes, the unobtrusive low-grade fever appears to the patient as if the body is really burning;
The urinary protein 1+, which appears to the doctor as not being administered at all, appears to the patient as if the kidneys are already full of holes.
When patients go to hospital for treatment, they must have the greatest hope and even the last hope.
Not a last resort, most people will not choose to go to hospital for treatment.
Therefore, the greatest significance of treatment for patients is not to return to normal life, but to establish and strengthen the confidence of living.
Uremic disease can't give the patient such confidence.
Even if the dialysis is no longer painful, the cost will be higher, and the blow to the patient will not be even greater.
Especially in the regular dialysis phase, the monotonous and painful life in the distant future has completely changed the “treatment”.
Since there is no possibility of breakthroughs in medical technology in the short term, letting patients regain confidence is the focus of doctors' work.
Maybe answering a question does not produce a substantial change;
It may not be magical to express an understanding.
However, these small things can always shine in the hearts of some patients.

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2018年4月7日星期六

What should a kidney patient go to the hospital

Nephrologist: The most valuable thing that patients with kidney disease get to the hospital are not effective
What should a kidney patient go to the hospital? Not only is the condition improved
To go to the hospital for treatment, either to remove the uncomfortable feelings, or to return the abnormal numbers on the lab sheets to normal, or even to “spend money”.
However, for patients with chronic diseases such as kidney disease, the value of the hospital should not be limited to this.
The role of doctors in the treatment of kidney disease
Kidney disease is a chronic disease, and the course of illness is often more than ten years. Even though there are dangerous situations, it is very dull during such “long” periods.
Because of this, the role of the doctor in the treatment of kidney disease is less important.
After a cold, during the treatment week, you may see a doctor every day; but during the years of kidney disease treatment, the time spent meeting doctors is very small. Most of the time you are fighting for kidney disease.
In fact, not only kidney disease, but also other chronic diseases such as hypertension and diabetes.
You are your best doctor
In the fight against chronic diseases, you are the most important factor. Any idea or any choice you make will have an impact on the development of the disease.
In this situation, the doctors are regarded as supporting roles, and they are only required to appear when the disease changes drastically.
Therefore, as a patient with kidney disease, the purpose of each visit to the hospital can not only be limited to improving the condition, but more important is to make yourself more like a doctor.
As the saying goes, "Ill be a good doctor for a long time" is what this means.
But unfortunately, many of the patients with kidney disease I have met have experienced many years of treatment and have visited many hospitals. However, they still know little about kidney disease and are completely dependent on the command of doctors.
Without being able to get along with doctors, it is a dangerous thing to rely entirely on the doctor's command.
What do we go to the hospital to ask?
Someone has to ask, what should kidney patients learn? Those chaotic drug names can be a headache.
Don't bother with the name and role of those drugs. Just read the following two things:
1How does kidney disease come from?
The cause of kidney disease is currently inconclusive, and each hospital has its own version. From these arguments, we can see the starting point and focus of treatment.
2How is kidney disease treated?
According to the different understanding of kidney disease, everyone has different plans for the treatment of kidney disease.
Some tend to Western medicine, and some like Chinese and Western medicine.
By comparing various treatment options, we can find a hospital that suits them and spend less.
The more you know about the disease, the more calm your heart will be. Although this does not necessarily help the treatment, at least it will not accelerate the progression of the disease due to anxiety. It's like we don't take colds seriously because we're too familiar with it.
Therefore, do not be afraid to "interfere" the doctor. Any questions must be asked. What you feel must be said.
Until one day, you can discuss with the doctor about the treatment plan in order to truly achieve the doctor-patient cooperation in the treatment process, and not only as the existence of the doctor's trial and error.

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2018年4月5日星期四

There are several kidney diseases that you are most concerned about

Can kidney patients have children? Can hormones stop? The answer to these questions is this
Nephrologist: There are several kidney diseases that you are most concerned about. The real answer is this
In the background message today, several questions frequently asked by patients with kidney disease are listed, and a focused answer is given to everyone, hoping to open up the doubts in people's hearts.
Question one: Can kidney patients have children?
Although the standards of various hospitals are different, there are several principles that are generally recognized:
1 Hormone dropped below 3 tablets;
2 urinary protein below 1g/24h, it is best to turn negative;
3 Try not to use cyclophosphamide;
4 There is no three high, or three high control is better;
5 Good kidney function.
No matter what kind of pathological type, it is necessary to meet the above principles, or the doctor does not recommend children.
Of course, it is not really impossible to not recommend returning or not recommending these principles. These principles are just in case.
Another question related to this question is: What is the genetic chance of nephropathy?
In fact, probability is not meaningful to individuals. Whether it is 1% or 99%, if it is not completely certain, it will make no sense.
Question 2: When can hormones stop?
How much does the hormone stop eating?
Theoretically speaking, in the case of negative protein, hormone reduction is completed, but the reality is often not so ideal, whether it is protein relapse during hormone reduction, or protein relapse after reduction, giving People have the feeling that "hormone needs to eat for a lifetime".
The answer to this question is this:
We eat hormones because of insufficient secretion of adrenal hormones, and the reason why urine protein relapses after hormone reduction or withdrawal.
So, when can the hormone stop eating? The adrenal secretion function recovered.
Isn't this possible to have to spend a lifetime?
In fact, hypoglycemic agents and antihypertensive drugs theoretically need to eat for a lifetime, but some patients can achieve long-term drug withdrawal through maintenance, exercise, and dietary control.
The same is true for hormones.
In the final analysis, hormones are just to suppress the inflammatory response and maintain the balance of water and electrolytes. If these problems are solved by other means, will it be important for the adrenal secretion capacity to recover?
However, most people simply can't do it...
Question 3: How long can kidney disease be cured?
The answer to this question is very simple: how long does the kidney disease cure?
Yes, I am so straightforward.
what? Kidney transplant?
If the kidney transplant is really good, it will not be a "final solution."
Our judgment of the therapeutic effect of kidney disease is based on the degree of clinical symptom control, that is, the degree of recovery of various laboratory tests.
This is true regardless of the patient or the doctor.
Therefore, as long as the temporary control of various symptoms, even if cured, as will not relapse in the future, is not a relapse after the cold cure it?

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If you find yourself with kidney disease, will you do these 3 things

If you find yourself with kidney disease, will you do these 3 things?
If one day is diagnosed with kidney disease, what would you do? Is active treatment? Still indifferent? Is it anxiety? Or does it not change?
Treating treatment correctly
Treatment of kidney disease is like symptomatic treatment.
We do not have a good way to catch the cold virus. The so-called treatment of colds is nothing more than the use of drugs to suppress cough and fever.
The same is true for the treatment of kidney disease. We have not even made clear the real cause of kidney damage, and we cannot do anything about those necrotic kidney cells, but use drugs to suppress protein leakage and eliminate edema and other symptoms.
And, because the causes are not clearly understood, treatment is often difficult to satisfy.
The significance of treating kidney disease is to make the patient slightly more comfortable.
Just as we cannot prevent the recurrence of a cold, kidney disease cannot be eradicated.
Correct treatment of curative effect
Like the cold, “It's good to take medicine for one week, and not to take medicine for seven days.” The effect of kidney disease treatment depends on the ability of the kidney itself to recover.
We know that the vast majority of people have two kidneys, but what everyone may not know is that these two kidneys contain more than two million kidney units.
What is even more amazing is that these kidney units are not 24-hour work systems, but are shift systems. Even if one of the kidneys is completely dead, we will not be affected.
Therefore, the reason why kidney disease treatment is effective is, in addition to the inhibitory effects of those drugs, what is more important is that the remaining kidney units are escorting you.
Why do some patients with kidney disease use hormones and urine protein turns negative? That's because the fusion of the podocyte foot processes is not serious, and the hormones inhibit the inflammatory response and it is very difficult for proteins to leak out. In patients with kidney disease whose foot processes are very intensively integrated, even if cyclophosphamide is added, the effect is not great, because the inflammatory response is suppressed, but the filtration barrier is completely destroyed, and it is ineffective.
Learn to coexist with kidney disease
People eat whole grains, have joys, sorrows and joys, and the body will inevitably have problems.
In fact, everyone lives with illness.
There is no need for a skin graft because of a small scar; nor do you need to replace the cornea because your eyes are nearsighted.
Although kidney disease is terrible, it is not our reason to give up enjoying life.
In the final analysis, the essence of treatment is simply to live a better life. In the case of extra energy, active treatment is to enjoy the next life.
However, it is necessary to look at each person’s specific choices if it is necessary to obtain debts for treatment.

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The true role of hormones in treating kidney disease, as well as prone to errors

The true role of hormones in treating kidney disease, as well as prone to errors
problem:
1. Why use hormones for treatment of kidney disease?
2. Why is it easy to relapse during hormone reduction?
3. What are the common errors in using hormones? 
The significance of hormones in the treatment of kidney disease
Most of the primary kidney disease, renal cell damage have immune and inflammatory response factors, and this is often the cause of urine protein, occult blood.
The so-called immuno-inflammatory reaction, the popular term is the appearance of foreign bodies (immune complexes) in the kidneys, and the immune cells of the kidney itself fight against these foreign bodies. This battle is an immune and inflammatory response.
As a result of the fighting, it is still difficult to say whether foreign bodies have been cleaned up, but the kidneys will certainly be destroyed as a battlefield.
The role of hormones is to suppress immunity, which is to stop the parties from continuing to fight. Just like maintaining the military, let the two parties remain calm.
After the fighting is over, the remaining kidney cells will start working again and it will look like kidney disease has been cured.
Why hormone remission is easy to relapse?
In fact, the kidney itself secretes hormones, so the peacekeeping forces were originally sent by the kidneys. However, as the damage to the kidneys worsens, fewer and fewer hormones are secreted from the kidneys and it is necessary to supplement them with drugs.
Hormone decrements, first, to prevent or alleviate various adverse reactions (such as full moon face), the second is to help the kidneys regain their secretory function.
With the reduction of hormones, the concentration of hormones in the blood also decreases. After the brain detects this condition, it will urge the kidneys to increase the secretion of hormones. When the hormone secretion of the kidneys returns to normal, the effect of hormone therapy is complete. Reached.
Unfortunately, the reality is always cruel: With the reduction of hormones, the ability of the kidneys to secrete hormones has not been improved, and the concentration of hormones in the blood will continue to decline. Eventually, the peacekeepers will not be deterred. The fighting between the two sides will begin again, and the immune and inflammation The reaction reappeared, which is the recurrence of urine protein.
Common Misconceptions of Using Hormones
1, reduce the drug by yourself
Each doctor has a unique set of drug-reduction programs. This is based on their own years of clinical practice and is actually an exploration of the speed at which the kidneys secrete their hormones.
Therefore, please follow the doctor's instructions and do not reduce your own medicine.
2, abrupt withdrawal
After the urine protein turns negative, do you not need to eat hormone?
After reading this article, you will know that in order to maintain the stability of the hormone concentration in the blood, please do not stop the drug abruptly. Even if the urine protein turns negative, you should continue to reduce it as required.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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2018年4月4日星期三

what can you do to reduce the damage

If you have to stay up late, what can you do to reduce the damage?
Staying up late is not good for the body. This Earthman knows, but sometimes we have to stay up late, such as overtime, such as parties, such as playing games...
Since we have to stay up late, how should we maintain our body and minimize the damage of day and night?
When you want to maintain your body, you must first see what kind of harm the body can do to stay up late:
1, cardiovascular and cerebrovascular
Staying up late for a long time can cause the body to be in a state of stress for a long time, abnormal vasoconstriction, and affect blood pressure and heart.
2, endocrine
Stay up late can lead to endocrine disorders, especially hormone secretion disorder, which can increase the chance of cell mutation, thereby increasing the risk of cancer.
3, gastrointestinal tract
Most people who stay up late eat late nights, which is a heavy burden on the stomach. Therefore, people who stay up late for a long time often have a bad stomach.
These are the main injuries of day and night. How should we protect our body against these injuries?
1, add water
Although there is usually not much exercise during the day and night, the loss of water is also terrible. Sufficient water supply can not only maintain the body's needs, but more importantly it can stabilize the endocrine situation.
2, vitamin supplement
The greatest effect of vitamin A is to relieve visual fatigue, and it is the best choice for people who stay up late to protect their eyesight.
In addition to preventing infection and anaemia, the vitamin B group helps maintain skin health and protect your memory.
3, light diet
Although instant noodles are "artifacts", they are very bad for your stomach. You can choose foods such as milk, toast, or porridge.
4, regular activities
Stay up late to stay in the same position. Be sure to move about every once in a while. It's best to do some soothing tendons.
Adventurous party notes:
1, no matter how tired, do not go to bed in the middle unless you want to end the day and night;
2, do not eat cold stuff;
3, to prepare enough water;
4, must have breakfast at the end of day and night;
5. If you are not sleepy the next morning, do not do anything exciting. It is recommended to do some quiet things;
6, it is recommended not to stay up late.

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What should I do if I have a cold

What should I do if I have a cold? Listen to what the doctor said
Colds are almost our most common disease. Some people have at least one cold every year.
However, for patients with kidney disease, a cold may worsen the condition of kidney disease, and even cause acute renal failure. Therefore, doctors are all verbose: Do not catch a cold.
Then, how should the kidney patients deal with colds?
The effect of cold on kidney disease
Why are kidney patients so afraid of a cold? This starts with the cause of kidney disease.
Although the medical community has not yet found the specific cause of kidney disease, it is generally accepted that "most kidney diseases are related to the immune and inflammatory response."
The immune-inflammatory reaction produces a large number of immune complexes. These immune complexes will deposit in the capillaries of the kidney as the blood flows through the kidneys, causing damage.
The cold, which is the upper respiratory tract infection, is the most common type of immune inflammatory response.
What should I do if I have a cold?
The first thing that needs to be emphasized is that you should never buy drugs yourself after a cold because certain cold medicines have a certain chance of causing acute kidney failure.
If a patient with kidney disease really suffers from a cold, the first thing to do is to do an immunocomplementary and electrolyte examination to see if you have immunity and electrolytes. If necessary, check the renal function.
With these, we can choose drugs based on past medical history to treat the common cold.
Specifically, it can be divided into the following three situations:
1, patients with good renal function
This part of the patient usually has only urinary protein, occult blood, and edema. If a cold develops, it can be treated with generic drugs.
It should be noted that, almost a week, it is necessary to conduct a review to see if kidney disease is affected.
2. Patients with renal insufficiency
This refers to patients with nephropathy whose blood creatinine is 600 μmol/L or less.
In addition to urinary protein and occult blood, these patients are often accompanied by hypertension, heart failure, and azotemia, and the nervous system, digestive system, and endocrine system have also been damaged to a certain extent. Therefore, Chinese medicine is used to treat colds. Better.
3, patients with uremia
If the kidney disease develops to uremic stage, the symptoms of the cold will become very slight. This is because long-term use of hormones leads to a serious decline in immunity.
Uremia patients with colds need to cooperate with dialysis, it is recommended to use traditional Chinese medicine, mainly to eliminate cold symptoms.
Chinese medicine treatment of common cold
1, cold cold
The main features of the cold flu are coldness, clear nose, and occasional sore throat.
Treatment: You can use light blue and ginger to drink water, you can also use warm water foot bath, water temperature control at 37 degrees, the water should diffuse to the middle of the calf, the time control in 15-30 minutes.
2, Fengreganmao
The main feature of the wind-heat fever is sweating, yellowish nose, and itching occasionally.
Treatment: Shuanghuanglian oral solution can be.
3, fever
In addition to ibuprofen, patients with kidney disease may choose to use traditional Chinese medicine such as Radix Astragali, Bupleurum, Isatis root, almonds, etc., but the specific use and dosage should be based on individual conditions.
4, cough
Western medicine is not recommended. In addition to proprietary Chinese medicines such as cough syrup and Chuanbei Lulu, you can also choose Chinese herbal medicines such as mulberry, Campanulaceae, Houttuynia, or scallion, licorice, and radish.

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2018年3月30日星期五

Is eating salt in patients with kidney disease really worse

"Kidney patients eat less salt," which has become an iron law, all medical staff are patiently admonishing patients and their families: eat as much as a beer bottle cap so much salt every day, or the consequences are serious.
Is eating salt in patients with kidney disease really worse?
Why do patients with kidney disease eat less salt?
In fact, it is to reduce the sodium ion intake.
Because one of the main functions of the kidneys is to balance the electrolytes, after the kidneys have problems, this function is affected.
Once the sodium ion content is too high, sodium ions remain outside the cell, increasing the reabsorbed water in the renal tubules, there will be edema, which is called renal edema.
But the greater harm caused by excessive sodium ions is actually high blood pressure.
The reason why eating more salt to cause high blood pressure is that water and sodium retention cause cells to increase, leading to narrowing of the blood flow channel; second, sodium ions destroy the inner wall of blood vessels and increase blood flow resistance.
Therefore, patients with kidney disease eat less salt, one to prevent edema, and the other is to prevent blood pressure.
How much salt should a kidney patient eat ?
Since patients with kidney disease should eat less salt, how much should they eat?
In simple terms, in the case of normal renal function (normal serum creatinine), it can be controlled within 6 grams per day.
Once severe edema or renal insufficiency (increased serum creatinine) occurs, it should be controlled within 3 grams per day.
Some people say that if you do not eat salt, what is the cause of hyponatremia?
This is the idea!
Because other foods also contain sodium ions, for those foods rich in sodium ions, such as bacon, sausage, oats, soy sauce, etc., but also the right amount.
Correct diet attitude
A lot of people's opinions on the diet of the patient make people feel that after reading, they will always come to the illusion that “this can't be eaten, and that can't be eaten”.
In fact, no matter what kind of disease, there are only two dietary principles: one is up to eight points full, and the other is not biased towards a certain type of food.
First, the meaning of eight-point fullness is to control food intake within 80% according to the patient's current standard of appetite;
Second, the meaning of not being biased towards a certain kind of food is not to eat more because certain foods are good, and not to eat completely because certain foods are not so good. The balanced combination of various nutrients is the king.
For example, patients with kidney disease who eat less salt will definitely not allow you to cook boiled cabbage, and even a variety of sauces, seasoning bottles, sodium foods will be abandoned, but instead of salty as usual.
Remember that the bias to a certain type of food is exactly the source of most medical problems.
For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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What should we think about urinary protein negative

It is a good thing to turn urinary protein negative, but there is a class of patients with kidney disease, urinary protein is best not to turn negative, kidney physician: If your urine protein is the case, do not rush to treat it.
In most cases, a negative urinary protein means that the treatment of kidney disease can come to an end. It is worth celebrating. However, there is such a class of patients with kidney disease, their urine protein is best not to turn negative.
 Patient’s anxiety
A few days ago, a patient gave me a message saying that he had been treated for two years and his urinary protein had not improved. To see him as anxious, he asked about the leakage of protein.
As a result, his 24-hour urinary protein ration was always between 0.16-0.2 grams, and he could not always fall below normal.
Do not know what other people think, my first feeling was: This person is coming to show it?
After two years of illness, urinary protein has been controlled at this level. Is it already quite a good deal? I really want to ask his doctor to take down my knee!
However, his anxiety is very real. He repeatedly asked me if I should use hormones.
Treatment is a price
Everyone may have a misunderstanding about treatment: Treatment is good for health.
This was originally true, but this idea is very easy to ignore the other side of the treatment: the treatment of the damage to the body.
Just like the martial arts novels, those who believe that rivers and lakes doctors seem to only save people will not kill people, like a great one-sidedness.
The old ancestors had already warned us: It was a drug poison.
All treatments, whether drugs or devices, will damage our bodies to varying degrees.
Otherwise, ginseng is so good. Why are you not eating? Do not control the price, I am afraid it is white for you to eat, you will not do so.
The doctor's job is simply to find a balance between side effects and efficacy, which will relieve the pain without causing the body to be injured.
Treatment is also stressful enough
Go back to the previous case.
For urine protein, it's good to be able to turn over, but isn't it worth it to not only be full of anxiety but also use drugs with side effects such as hormones?
We will not buy a new car because the rearview mirror of the car is a little broken.
There are some minor problems with the body, as long as they do not affect life and do not cause more serious consequences in the short term, it is not necessary to use thunder measures to force treatment.
Why do doctors only recommend observation when the renal cyst is less than 3 cm? Is direct surgery not immediate?
Why does hemodialysis not be performed when serum creatinine is more than 200? Isn't it more consistent with "killing disease in the cradle"?
Because the treatment is also stressful enough.
Therefore, you do not have to worry about the fact that some of the values ​​on the lab sheet are not in the normal range, and that life is so beautiful.
Remember, if the problem is really serious, the doctor will certainly find a solution and will never let it go.
For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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What is the cause of membranous nephropathy in the end

Membranous nephropathy is a very common nephrotic syndrome. Unlike other pathological types that also manifest as nephrotic syndrome, membranous nephropathy is less sensitive to hormones and the treatment effect is often unsatisfactory.
Membranous nephropathy is not sensitive to hormones?
First, the cause of membranous nephropathy
According to the latest pathological studies, we have found that the occurrence of membranous nephropathy is related to the antiphospholipase A2 receptor at the glomerular podocytes.
As a sudden infection (such as a cold) or other factors that cause decreased immunity, this receptor will be exposed, causing antibody attack, that is, anti-phospholipase A2 receptor antibody.
When receptors and antibodies are combined, they become immune complexes. This immune complex located at the glomerular podocyte, in turn, will attract complement attack, the two further combined to form a membrane attack complex.
The birth of this compound will gradually lead to podocyte damage and thickening of the basement membrane.
This is the origin of membranous nephropathy.
Second, how to staging membranous nephropathy?
According to the pathological changes of nephron, we will divide membranous nephropathy into four phases:
First issue
The immune complexes have just begun to deposit on the basement membrane and have not caused structural changes.
Phase II
The deposition of immune complexes gradually increased, the basement membrane began to thicken, and the spikes formed.
Three issues
The basement membrane is further thickened and the nails are enlarged and fused.
Four issues
The immune complexes are gradually absorbed and the spikes form a chain-like change.
Among them, the first and second phases of treatment are relatively easy, because the nephron has not been substantially damaged, but the podocytes are slightly damaged, and the urine protein can be suppressed, and the disease can be cured.
In the third period, with the thickening of the basement membrane, the glomerular filtration barrier gradually lost its function, preventing protein leakage and increasing the difficulty of treatment.
Third, membranous nephropathy should be how to treat?
The effect of hormone therapy on membranous nephropathy is not ideal, because from the third phase, the main reason for protein leakage is no longer the inflammatory response caused by complement and immune complexes, but the podocyte damage, basement membrane thickening caused by small kidney Destruction of the ball through the barrier.
The main role of hormones is to inhibit the inflammatory response. There is not a good way for the abnormal changes of the podocyte and basement membrane, only a slight decrease in the permeability of some renal cells, but for the case of a large number of leaky proteins, the effect is minimal.
The treatment at this time should be divided into two aspects:
First, increase the intensity of the inflammatory response
The commonly used method is to increase other immunosuppressants, such as cyclophosphamide, tripterygium, cyclosporine, etc. The purpose of doing so is to suppress the existing inflammatory reaction and minimize the damage of the nephron.
Second, to strengthen the activity of the remaining nephron
Doctors prefer to use proprietary Chinese medicines such as Jinshuibao and Bailing, mainly to allow them to exert their qi and blood circulation.
Because the kidney itself is a group of two capillaries that dilate blood vessels and improve blood circulation, it can effectively help the nephron to obtain enough nutrients, especially for those kidney units that temporarily stop working under the influence of inflammatory reactions.
Some doctors suspected that the effect of proprietary Chinese medicines was not good enough, and the same purpose was used when using traditional Chinese medicine formulas that countered the evidence.

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2018年3月23日星期五

What is best medicine for lowering your creatinne level 10.9

What is best medicine for lowering your creatinne level 10.9 ? Elevated creatinine level is an indicator of kidney damage. It shows your kidneys are unable to discharge excess creatinine out of your body.

The best medicine for high creatinine level 10.9 in our hospital is Chinese medicine. We have a series of Chinese medicine therapies to lower down elevated creatinine level. For example:

Micro-Chinese Medicine Osmotherapy

This therapy is used externally based on Traditional Chinese Medicine (TCM) and Chinese medicines are micronized into powder. Processed Chinese medicines will be put into two medicated bags. Patients just need to lie on bed to take this therapy. It is just like a massage and feels very comfortable. The osmosis machine helps the active ingredients arrive at kidney lesion directly. Through dilating blood vessels, improving blood circulation, preventing inflammation and coagulation, degrading extracellular matrix and providing nutrients, it is able to restore injured kidney tissues and improve renal function. When renal function is improved, your kidneys can lower down high creatinine level 9 effectively and radically.

Moxibustion Therapy

With Moxibustion Therapy, the main channels of your body will be cleaned. The blood flow and circulation will be increased. Also your immunity will be improved. Then you will have great resistance to fight against diseases. Moxibustion therapy can help improve your sleep quality, increase urine volume, lower down high creatinine level and relieve weakness.

Medicated Foot Bath

There are acupoints in your feet which are connected with your kidneys. With Medicated Foot Bath, Chinese medicines can be transported to your kidneys directly and kidney disease can be treated by dilating your blood vessels, improving blood circulation, providing nutrients. Your condition can be improved greatly with Medicated Foot Bath.

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2018年2月24日星期六

Is uremia "incurable"

Because uremia is a general condition that causes disorganization of the body system during uremia, this leads to refractory uremia.
from google
Uremia why refractory? We say refractory, then it is not treated uremia bad? Of course, experts do not answer, although uremia is refractory, but not can not rule that uremia is incurable disease this lack of basis, but also based on the lack of understanding of the disease. The occurrence of uremia, in essence, is the health of the kidneys to damage, and then to damage until the final loss of function. Intrinsic cells in the kidney gradually fibrosis, sclerosis. In the process of renal fibrosis, the innate cells of the kidney are damaged, the phenotype of the cells is transformed, and the cells harden, accompanied by a loss of function. The more serious loss, the fewer healthy nephrons, the body's various laboratory indicators such as serum creatinine, blood urea nitrogen quickly beyond the scope of the more out of range, more and more weak renal function, and finally to the failure, end-stage renal failure Is uremia period. In other words, if you want to treat kidney disease, uremia, these kidney disease, we must do to block the development and renal disease link. Once these links are blocked, on the one hand, it blocks the possibility of renal failure to kidney failure and uremia. On the other hand, on the basis of controlling the development of severe diseases, it further clears various inflammatory mediators in the kidney to promote Reversal of damaged kidney inherent cells, the repair of residual renal cells, make the complete rehabilitation of kidney disease has become a reality.

Although uremia is refractory, but not can not cure. Currently kidney replacement therapy  include: hemodialysis, peritoneal dialysis and kidney transplantation.

Hemodialysis is the introduction of the patient's blood and dialysis simultaneously dialysis membrane on both sides of the membrane through the semi-permeable membrane to clear the metabolic waste, to correct electrolyte and acid-base imbalance, and remove excess body water. Hemodialysis can partially replace renal function, which is one of the widely used uremic treatment methods.


Peritoneal Dialysis The human body's own peritoneum is used as a dialysis membrane for blood purification. The dialysate is introduced into the abdominal cavity of the patient, the toxins in the blood and excess water are passed through the peritoneum into the dialysate in the abdominal cavity and excreted. Regular or continuous replacement of the dialysate in the abdominal cavity, to purify the blood purpose.

Renal transplantation is the implantation of other people's kidneys into the body of patients with uremia by surgery to function. Implantation of the kidney can completely replace the function of the kidney, which is the most effective and long-term cost-effective treatment for uremia. It is also recognized as the best uremic treatment.

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2018年2月20日星期二

How to avoid dialysis for Stage 4 CKD

Remedies for Stage 4 CKD and Avoid Dialysis as Long as Possible,micro-Chinese medicine osmotherapyQ: Hello, I am looking for remedies for Stage 4 CKD, not on Dialysis, and, of course, hoping to avoid dialysis as long as possible. Lately, I am experiencing episodes of moderate shortness of breath, almost always in the early morning. Waiting for your solution.
A: Stage 4 CKD, also called Kidney Failure, shows kidney function is gradually losing and a lot of metabolic wastes accumulate in the body, caused by the destroyed nephrons. A increasing number of symptoms will occur at the same time, such as back pain, edema at eyelid, lower extremities and other parts, shortness of breath. If left untreated timely, it is very likely to develop into uremia.

Common therapies for stage 4 CKD
Western medicine: Steroids are widely used to relieve patients' symptoms temporarily, but its side effects and complications bring patients more sufferings like heart failure.

Dialysis: If patients’ illness condition is severe, they must do dialysis. But it also will cause some side effects to patients, such as nausea, vomiting, low blood pressure, etc.

Both of them can not treat kidney failure from the root since kidney failure is caused by renal ischemia and anoxia, making kidneys damaged and kidney fibrosis.

Natural remedies for stage 4 CKD and avoid dialysis
Micro-Chinese Medicine Osmotherapy: It is a perfect combination of Chinese medicine and western medicine, which can effectively eliminate the side effects of western medicine to increase the treatment safety and efficiency. It is mainly consist of three processes:

1. Promoting blood circulation and dredging collaterals

This therapy can increase blood volume to the kidneys and the whole body, so as to improve blood circulation, increase oxygen, and promote metabolism.

2. Removing blood stasis and removing toxins

The active materials of Chinese medicines are located in the damaged fibrosis tissues, immune complexes, and damaged kidney cells. Through removing blood stasis and toxins, the Chinese medicines can arrive at kidney lesions directly to act on their functions.

3. Repairing kidney damage and improving renal function

In the clean blood environment, the medicines can activate damaged kidney cells and tissues and improve kidney failure patients’ renal ischemia and anoxia state, creating good environment for kidney recovery.

Along with the improved renal function, shortness of breath can get obvious relive, High Cretinine can also be reduced effectively, and other symptoms also have obvious improvement. You can live a high quality life without dialysis like normal people.

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