What kind of person is farthest from renal failure uremia

What kind of person is farthest from renal failure uremia?Even if you do not have kidney disease, you know that it is a very difficult disease, and it is basically incurable when you reach the stage of uremia of renal failure.
Who is not easy to get renal failure uremia?

1, people without family history
Although there is no clear evidence at present, most types of nephropathy have family clustering, and it can be said that there are certain genetic factors.
Therefore, those who do not have a family history have a relatively low chance of having kidney disease.
2, people with good habits
Regardless of diet or daily life, it is easy to observe certain regulations and it is easy to maintain the stability of immune function. The condition of immunity is very important for kidney disease because most of the types of kidney disease are related to the immune inflammatory response.
Therefore, people with balanced diet, reasonable daily living, and proper exercise have a low chance of having kidney disease. Even if they have kidney disease, they can delay the onset of uremia with renal failure.

 3, actively cooperate with the treatment of people
Even if you have kidney disease unfortunately, if you can actively cooperate with doctors, it can also reduce the rate of development of kidney disease. It can be maintained for more than ten years or even life in the initial stage.
The current medical level does not reverse kidney disease, but it can protect the remaining nephron and meet the minimum human needs. Even with renal insufficiency and elevated serum creatinine, the onset of uremia can be delayed.
4. People who maintain peace of mind
Mild peace of mind has two advantages. First, it helps stabilize blood pressure. Second, it helps improve immunity.
The influence of emotion on the body has been known by more and more people, especially the influence of emotion on blood pressure and endocrine conditions, which often endanger life. The peaceful mind can play an unexpectedly beneficial role in treatment.

In short, the incidence of chronic kidney disease in the world has exceeded 10%. It can be said that kidney disease has become a relatively common disease.
The horrors of uremia are naturally known, but as long as you do the above four points, even if you can not avoid kidney disease, but also can keep you away from renal failure uremia.

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What is the difference with proteinuria

What is microalbuminuria? What is the difference with proteinuria? Nephropathy patients need to understand, the relationship between urinary microalbumin, urinary protein, and the relationship between urinary protein and renal physicians. After reading, it is known that urine is a very common examination item for patients with kidney disease, but regarding protein, Urine microalbumin, urinary protein, etc., many patients with kidney disease expressed confusion: What are the differences between these two tests?

Clinical significance of urinary protein
It is well-known that there is a plus sign for urine protein, which usually means that the kidneys are damaged. Therefore, urinary protein is one of the important criteria for judging kidney disease.
But there is a problem here: physiological urine protein.
Although the kidney is not damaged, but due to various reasons such as body position, diet, exercise, etc., it will also cause urinary protein plus sign.
Therefore, when there is a plus sign for urinary protein, the doctor will usually ask the patient to do 24-hour urinary protein quantification for further confirmation.
However, it is inconvenient to make 24 urine protein quantification. It involves the collection and preservation of urine and may require hospitalization. Therefore, a test item named "urine protein creatinine ratio" is also called, which is abbreviated as ACR.
ACR is generally used to detect random urine, and the value has a very significant positive correlation with 24-hour urinary protein quantification, so it can well replace 24-hour urinary protein quantitation.

Clinical Significance of Microalbuminuria
The urinary protein test is so rough that although ACR or 24-hour urinary protein quantification can be used as a supplement, there are still some cases that are easily overlooked.
For example, early kidney damage caused by hypertension and diabetes.
This kind of protein leakage caused by elevated glomerular pressure, urinary protein added in the early days, but this time has caused kidney damage, and more importantly, this stage is the best time for treatment.
In order not to miss this optimal treatment opportunity, we have found urinary microalbumin as a solution.
As the name suggests, urinary microalbumin is used to detect urinary proteins below 0.15g/24h.
This is one of the important criteria for early diagnosis of secondary nephropathy such as diabetic nephropathy and hypertensive nephropathy.

The order of urine test in patients with kidney disease
In general, for a newly diagnosed kidney patient, the order of urine tests is probably this:
1, no history of diabetes, hypertension
First check the urine routine. If everything is OK, it's fine. If urinary protein is added, 24-hour urinary protein quantification is required.
If the 24-hour urinary protein quantification is not convenient, ACR can be done.
At this point, you can basically confirm whether or not you have kidney disease.
2, there is a history of diabetes, hypertension
First check the urine routine, if everything is normal, you also need to check urinary albumin for further judgment.
The following steps are consistent with the former case.
Here, everyone should understand the relationship between urinary microalbumin and urinary protein, and also understand why these tests are performed.

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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How is the treatment effect judged about kidney disease

The doctor said: For kidney disease, how is the treatment effect judged?
When many patients with nephropathy gave me messages, they always complained about their own treatment for many years. Major hospitals ran through them but they had no effect. However, after I carefully asked for treatment experience, I found that there was a lot of misunderstandings.
In the end the treatment of kidney disease is how to determine it?

Although patients with kidney disease are at a loss for most laboratory tests, urinary protein, creatinine, and other values ​​can still be seen. Therefore, in many people's opinion, the therapeutic effect of kidney disease is the degree to which these figures return to normal.
This is actually a kind of misunderstanding. This must be started from the significance of the inspection.
The essence of medicine is through the body's various anomalous manifestations, deducing the damaged parts and ways of damage, and then using drugs, instruments, etc., to repair the damaged parts, or inhibit the damage.
For example, urine protein, most of the urinary protein produced by the reason is an inflammatory reaction, so we use hormones to inhibit the inflammatory response, so as to achieve the purpose of eliminating urine protein.
Please note that the "derivation" process here includes three parts: testing, asking history, and patient self-reporting.
The laboratory tests referred to various inspection items;
To ask for a medical history, doctors use the patient's previous treatment process and their own treatment experience to judge the condition of the patient.
The patient's self-reporting is based on the patient's description of the abnormal condition of the patient and assisted judgment.
Therefore, the test form can only reflect a small part of the patient's condition, and most of the remaining condition cannot be reflected on the test form.

Let me give you an example. You understand:
We often experience a feeling of "uncomfortable". Although this feeling is real, it will be carefully described but it will not be able to tell. Go to the hospital to check it, the data is normal, it seems there should be no problem.
This is because laboratory tests can only reflect a small part of the illness. The so-called "uncomfortable" feeling does not reach the pathological changes of the body and cannot be reflected in the data.

The same is true for the treatment of kidney disease. For patients, reducing urinary protein and creatinine is naturally the most important, but for doctors, it may be necessary to increase hemoglobin and albumin. Even sometimes, letting patients eat dinner and sleep is the focus of treatment at this stage.
Some of these effects are reflected on the lab sheet, but you may not pay attention; some are simply a feeling and are easily overlooked.
It should be noted that the kidney includes more than two million nephron units, and as long as 30% of the nephron units can work properly, it is enough for the daily needs of the human body.
Protecting the remaining nephron is the main task. Eliminating urinary protein, creatinine, etc. are only branch tasks.
Since necrotic kidney units cannot be recovered, many times, "not worsening" or "will not accelerate deterioration" is the best effect.
Those patients who have been treated for 5 or 6 years and still have urinary protein 3+ should be thankful for not having elevated serum creatinine, because some patients have already had dialysis for only a few years after getting kidney disease.
Similarly, patients with renal failure, some can only stay in bed all day, and some can still go out to work.
Therefore, the significance of treatment is not only the number on the laboratory sheet, but also the control of the progress of the disease. It is to improve the treatment of life and to minimize the impact of disease on life.

If you have doubts about the treatment of kidney disease, if your kidney disease is not cured for a long time, you can long press the QR code, we will discuss together.

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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How to eat a reasonable diet for patients with kidney disease

Nephrologists talk about diet: how to eat a reasonable diet for patients with kidney disease
In addition to treatment, there is no dietary problem that can cause entanglement for patients with kidney disease. This is because the Internet is filled with articles such as “Eating ** leading to kidney failure” or “×× eating uremia”, which makes everyone feel at a loss .
How to solve the diet problem of patients with kidney disease? Today we talk about it.

What is a "light diet"?
A light diet is almost a pet phrase for all doctors, but the question is, what is "light"?
The so-called "light" actually refers to the intake of sodium ions, which is simply not easy to grasp accurately, and the specific situation of each patient is not the same (such as whether edema, hypertension, etc.), so the general statement Yes, patients with normal renal function have daily salt control below 6 grams, and patients with renal insufficiency have daily salt control below 3 grams.
People who have actually performed it all know that this is just a taste! (Although I don't know what the wax tastes like...)
To solve this problem, first of all we need to find out: Why do doctors need to reduce sodium intake in patients with kidney disease?
There are two reasons: First, sodium ions are prone to cause sodium retention, which is the common edema in patients with kidney disease; Second, sodium ions may cause high blood pressure, and high blood pressure has a relatively large injury to patients with kidney disease. (Note: The issue of elevated blood pressure caused by sodium ions is currently controversial.)
From these two arguments, we can see that the reason why doctors restrict salt to patients with kidney disease is only to fear edema and high blood pressure, which aggravates kidney disease.
We also know that one of the main functions of the kidneys is to regulate the electrolytes, and the metabolism of sodium ions is also within its scope of regulation. Therefore, if the kidneys regulate the normal electrolyte function, there is actually no reason to limit the salt.
From this we can draw the following conclusions:
The limit is not limited to salt, depending on whether the patient has developed edema, high blood pressure, or electrolyte imbalance. If not, there is no need to limit salt.

What is a "high quality low protein diet"?
This also makes everyone very confused, what is "high-quality protein"? Why "low protein"? What is the "high quality" and "low" protein diet?
First, talk about high-quality protein, which is actually the most easily absorbed protein, that is, the protein whose amino acid pattern is closest to the human body.
Why "low protein"? Because most patients with kidney disease have urinary protein-positive symptoms, that is, proteins leak out, this leakage process can damage kidney cells, especially glomerular podocytes, and cause more protein to leak out. If there are a lot of protein in the body, whether it is good or not, if the kidneys are unable to prevent it, it will increase leakage and cause kidney damage. Therefore, to control protein intake, it is the “low-protein diet”.
In summary, a high-quality, low-protein diet is to ensure that the body's normal protein needs, but also ensure that there will not be too much protein to destroy the kidney cells.
High quality protein is represented by fish, meat, eggs, milk, etc.
Although each kidney patient has a different situation, there is a more general principle: the daily intake of protein is 0.6-1 g/kg body weight.

Dietary contraindications for patients with kidney disease
What are the things that kidney patients can't eat?
not at all.
The so-called dietary taboo, but some people deliberately exaggerated the impact of food on the human body. In fact, if we think about it, we can understand that highly purified drugs are still difficult to produce immediate effects on the human body. What is food?
As long as people can eat normally, people with kidney disease can eat, but some need to eat less.
Some people say that crayfish can cause rhabdomyolysis, which in turn causes acute renal failure, so people with kidney disease cannot eat crayfish.
I want to say how much crayfish I have to eat! If you really eat so much, not to mention kidney patients, normal people can not stand it?
Can kidney patients eat chili?
Eating half a bottle of Laoganma for a meal is definitely not a good thing, but if it's only a little bit as a seasoning, it won't happen.
what? Pepper can cause inflammation, aggravate the condition?
Do you think that the powerful stomach acid and endocrine system are furnishings?
Therefore, unless the kidney disease seriously affects the digestive function, it is not necessary "this can not eat, it can not eat."
After all, the depression caused by the isolation of food is the real killer of aggravating illness!

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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How to solve urinary occult blood in patients with kidney disease

Why is occult blood difficult to eliminate? How to solve urinary occult blood in patients with kidney disease?
To say the most difficult symptoms of kidney disease is definitely urine occult blood. In many cases, even though urine protein is negative, occult blood still remains and makes people feel upset.
Why is occult blood so hard to eliminate?

Occult blood and hematuria
The occult blood is also called occult blood. As its name suggests, it refers to "hidden blood."
In fact, urine occult blood is formed by the release of heme into the urine after rupture of red blood cells; and hematuria is the formation of red blood cells into the urine.
There are many causes of occult blood, such as stones, or tumors. The most common is urinary tract infection, followed by various types of nephritis, which can be judged by hematuria positioning.
It should be noted that urine occult blood occurs in women's physiology, so urine routine examinations must be done to avoid the physiological period.

Why is occult blood difficult to eliminate?
The reason is simple. At present, there is no effective drug for eliminating occult occult blood.
Urinary proteins are macromolecular substances. For urinary proteins that are caused by inflammation, we can use hormones to suppress inflammatory reactions and reduce renal cell permeability to prevent the leakage of proteins. For hypertension-induced urine protein, we can expand the kidneys. Blood vessels, improve the microcirculation of the kidneys to prevent the leakage of protein.
But occult blood? The red blood cells are already small, and the hemoglobin released after the rupture is even smaller. It is difficult to stop.
Therefore, we can often see that some urinary protein in patients with kidney disease has been negative for many years, but occult blood has been there, can not be eliminated in any case.

How to deal with occult blood?
At present, most doctors have the opinion that urine occult blood should be kept and active treatment should be avoided.
There are two reasons for this:
The first is the lack of effective drugs
As has been said before, there is currently no effective drug for occult occult blood. Only proprietary Chinese medicines such as Huangkui, Bailing and Jinshuibao can be used for proper conditioning.
Second, occult blood damage is relatively small
Urinary occult blood is much less damaging to the kidney than urine protein, and the side effects of active treatment do not offset the effect that may be achieved.
Therefore, for patients with kidney disease, as long as other aspects are well controlled, urinary occult blood does not have to be too tangled, but do not have to do everything possible to eliminate it, so as not to be worth the candle.

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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