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.

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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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.

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 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.

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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Fitness trainers are not the real reason for losing weight

Fitness trainers are not the real reason for losing weight.
For those fat papers who are eager to lose weight, "Keeping your mouth shut and taking your legs" have become good words, but it's too hard to keep exercising every day! The last day's class has been tired of dogs, where there is still physical out of the run ... morning run it? joke! So precious time is of course used to sleep!
Don’t worry, in fact, even if you keep exercising every day, you can’t lose fat...

Can exercise really lose weight?
We see people on the TV or in the pictures who are physically more than one, so can exercise really lose weight?
The answer is: No.
According to the study, exercise accounts for only 15%-30% of the body's calorie consumption. That is, even if it is sweating in the gym, the calories consumed only account for 30% of the total calorie consumption.
How is the vast majority of the remaining calories consumed?
It is basal metabolism.
Basal metabolism refers to the amount of calories the body consumes while lying in bed and doing nothing.
Someone once did an experiment and jogged for 1 hour at an hourly rate of 10 kilometers. As a result, it consumed 960 calories.
However, I feel hungry after running, so I ate a piece of muffin, a banana and a cup of coffee to supplement my strength.
How much heat does these foods bring? It is 880 kcal, which means that just running was basically wasted.

Basal metabolic rate prevents you from getting thin
The basal metabolic rate is like a devil, and it hinders your weight-loss plan.
For example, after each exercise, the idea of ​​treating yourself with food will arise. It also directs certain organs or cells to reduce the workload to reduce energy consumption.
With the decrease of body weight, the basal metabolic rate will also decrease, resulting in lower and lower total caloric consumption, and the so-called "slimming bottleneck" will occur, even if the increase in exercise volume will not help.
Even worse, when the basal metabolic rate is reduced, the ability to absorb heat will increase. Therefore, the weight that has been hardly reduced will be returned to before the liberation.

The real way to lose weight
In this case, sports have no meaning what?
Of course not, exercise can stimulate the body to secrete lipoprotein lipase, an enzyme that can effectively prevent fat from entering the bloodstream, thereby reducing blood lipids.
Therefore, people who exercise regularly have stronger immunity and better body.
The problem is, how can we lose weight if exercise fails to lose weight?
The answer is: keep your mouth shut.
Exercise helps shape the body, but it does not help to lose weight. The reason why those great-sized sportsmen succeed in weight loss is to rely on a reasonable diet plan.
The Chinese diet is dominated by carbohydrates, such as steamed bread, noodles, rice, potatoes, and the like, which are huge sources of calories, resulting in calorie intake far exceeding calorie consumption.
Therefore, if you want to lose weight, there is only one way to manage it.
Make a healthy and reasonable diet plan, faithfully implement it, do not exercise, you can lose weight.
Of course, if you want eight abdominal muscles, diet alone is not enough, or need to exercise...

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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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?

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)

Email:kdtinchina@yahoo.com

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