How to maximize kidney function in patients with renal disease?

How to maximizekidney function in patients with renal disease?

Note that this is a stage of renal function, with the pathological grading is not a thing.

For example, some kidney friends asked, why I was IgA nephropathy Lee's 4, but the count is a chronic kidney disease, people Lee2 level, but the calculation is chronic kidney disease 2 it?

Pathological grading with renal function staging is not the same thing! Renal function staging, different types of kidney disease are in accordance with these five criteria. But the pathological classification is more complex, different types of kidney disease, assessment criteria are not the same. Pathological emphasis, renal function can be good, the pathological light side, renal function can be abnormal.

Well, understand this, we went on to say.

1 is a normal renal function, 2 of renal function mild abnormalities, 3, later, it is estimated that the glomerular filtration rate below 60ml / min / 1.73m2, can be said to renal insufficiency, 5 is us Said end-stage renal failure, which is uremic period.

So, we get to the question, how to maximize kidney Shenyou friends to delay the progress of renal function?

Control proteinuria, high blood pressure

No matter what type of kidney disease, normal renal function, or renal insufficiency, in the absence of uremia, control of urinary protein and blood pressure levels of these two aspects, are always the core of the treatment is to slow down the decline in renal function The most important measures.

Urine protein is not the lower the better, try to maintain at 0.5g / day, or 0.3g / day or less, it is very good, that treatment is very good. Some patients urine protein has zero a few grams, but also worried that they did not fully with the normal to reach 0.15g on the following uncomfortable, so that psychological, so that others urine protein a few grams of kidney friends how to do, the typical pull hatred ~

Blood pressure level is not the lower the better, blood pressure need to be controlled in the 140 / 90mmHg the following, the best state is 130 / 80mmHg the following. Less than 90 / 60mmHg is low blood pressure levels, and easily lead to insufficient renal blood perfusion, it is best not to be lower than this level. A lot of kidney friends never concerned about their blood pressure, which is not good, in the community or pharmacies with blood pressure in these places where free of charge, or home to buy a little better electronic sphygmomanometer, usually nothing to measure a volume. As now the weather is cold, high blood pressure is easy, but also to pay attention to their overall blood pressure.

For different causes and specific conditions, medication is not the same. In some cases, the use of drugs, or other drugs, or other antihypertensive drugs, some use of hormones and other immunosuppressive agents, some people are able to get some proprietary Chinese medicines can not be generalized.

Prevention and Treatment of Cardiovascular Diseases

Some people ask me, why do you say there are 120 million chronic kidney disease, but I did not see someone around? This is because the awareness of chronic kidney disease is very low, nearly 90% of people do not know that they have kidney problems.

And known to have kidney disease, know to prevent cardiovascular disease even fewer people. Some kidney friends, may not have to dialysis that step, because the cardiovascular disease game over.

Normal renal function, mild abnormal renal Friends, the incidence of cardiovascular disease than the average person much higher, with the decline in renal function, renal insufficiency, renal failure, renal disease, the incidence of cardiovascular disease is even higher . Therefore, in order to prevent "the emperor did not start a business halfway and collapse," this situation, we have a conscious prevention and treatment of cardiovascular disease.

Quit smoking, increase exercise, obese people lose weight, nutrition needs to limit the diet, malnutrition need to correct the nutritional status, which are important to improve the living habits, can help us a good prevention of cardiovascular disease. In addition, the "blood pressure, blood fat and blood sugar," the three high control is good, for existing cardiovascular disease in patients with chronic kidney disease, the doctor may recommend sustained small doses of patients with aspirin or anti-platelet drugs such as Plavix.

Complications of treatment

In stage 1-2, the complications of nephropathy are rare. And to the renal function after 3, kidney-related complications and other issues will gradually appear.

Anemia, calcium and phosphorus disorders, malnutrition, metabolic acidosis and other complications are possible, therefore, 3-4 renal function, and 5 have not been dialysis patients, control these complications, is to further deteriorate renal function .

Anemia in patients may need to use intravenous or oral iron supplementation, subcutaneous injection of synthetic erythropoietin and other treatment. Calcium and phosphorus disorders in patients with oral vitamin D, limiting high phosphorus diet, lanthanum carbonate and other phosphorus binding agents such as treatment.

Diet therapy

Inappropriate diet, such as high protein diet will accelerate the progress of kidney disease, and eat too little easily lead to malnutrition, is not conducive to rehabilitation.

Therefore, patients with kidney disease according to their own circumstances how to diet conditioning, kidney diet article wrote a lot, you can point to open these articles to see:

Got a kidney disease, diet and lifestyle conditioning summary

Low-salt diet on the original kidney patients so important? . How to control salt?

Kidney function of the kitchen | renal function 3-4, low-protein three meals a day recipes

How to understand the quality of low-protein diet?

Excessive blood phosphorus, which food can not eat? Practical method Qiao phosphorus

What to do when the doctor says you want a low-potassium diet?

Not random medication

Analgesic tablets, antibiotics, prescriptions of unknown ingredients, etc., not to mention kidney friends, is the normal kidney, eat more of these drugs, but also easy to go wrong.

In addition to some of the necessary medication, nephropathy medication must be streamlined, most of the drugs need to pass the kidney metabolism, the burden of the kidney is very heavy, especially renal toxicity of drugs.

Fatigue and infection

The two are induced and aggravated kidney disease incentives.

Not to say that every day lying on the house is not tired, the general work of the Friends of the kidney are competent, but also encourage you not always stuffy at home, in some work within its capacity. Mainly to work and rest, work and rest, do not stay up all night.

Infection, which is not to say, a proteinuria and other indicators of infection increased, it is we feel the heart plug. Usually enhance physical exercise, eat well, relax, in order to have good health, to less infection.

If with their own doctors, these areas do their best to do a good job on their own kidney baby really a clear conscience! Kidney baby you are good, kidney baby will not ill-treat you!