2017年2月1日星期三

A miracle of a patient with severe kidney disease

A miracle of a patient with severe kidney disease
But also complicated by hypertension, heart disease, anemia, and abnormal obesity, loose teeth, whole body weakness, as if living in hell on earth. Because the family are opposed to the beat, had to sneak away from home, looking all the way to play, did not expect the heart rate from the original 130 times, down to the normal range of 90 or so now, the color Ye Hao.


I have this early twenties, with very serious kidney disease has been more than 3 years. The disease is very torture, easy to relapse, the development process is very fast, I had to live twice a year hospital, once more than two months, despite little success. By 2015, when the disease began to be difficult to control, and has been deteriorating, doctors have no good way.

After discharge, because of the side effects of Western medicine, I became like people do not like ghosts ghosts, the whole person is very fat, loose teeth, general weakness, dizziness, anemia, frequent heart attack, from head to toe is not a good place. I eat three times a day medicine, that is, as much as fifty or sixty. At home, I repeatedly wanted to end their lives, because there is no better way to treat the home economy has also been my collapse. I do not want to live so painfully, and I feel no one can endure this pain, I always smell the pungent smell of the hospital disinfection.



I see the parents that boil the white hair and look forward to the eyes, my eyes hazy. I was in his early twenties, the real life has not yet begun, if I leave, parents how piercing ah! The thought of this, I am very guilty, body hair skin, by the parents, vowed to stay with them in any case. Because the body is extremely weak, can only stay at home, began to learn traditional culture. If I can be good, I have to spread the traditional culture, so that this society a little more care less cold.

Perhaps I read a filial or a good idea, in the rest, I occasionally come into contact with the beating stretch, they began to browse the tap the article, which Zhang Yumei teacher's article, I began to pay attention to her information, and her Made contact. She understood my situation, the phone has been encouraging me, very patiently and I explained. That kind of caring feeling, let me see through the inconstancy of the people almost crying out. It was not long before I arrived at her studio and accepted my first full body slap.

The first time to see Yumei sister, feeling very comfortable, her words simple, for me to care for. The first beat, I feel particularly painful, gently I also feel a pain. Yumei sister told me, "where the disease are all meridians barrier," I did not listen to, because my pain was grimace in pain. After the first beat, there Qi Chong lesions, dizziness, vomiting, weakness and trembling hands and feet. Yumei sister told me to alleviate the method of air rushed lesions, very conscientious.

Sleep in the middle of the night, my heart beat fast, speechless, very afraid, would like to give up. Yumei sister has been encouraging me, told me not to fear, adhere to drink ginger tea dates and enzymes, pay attention to rest, conditional warm compress. She was so concerned about my situation every day.

I am 35 days back to fever, particularly slow, we can see that my body was poisoned by Western medicine how much poison. After the first beat, I feel the color began to have a little change, before completely dark, black; discharged a day of black urine, is the kind of dark brown and with a little red. Know that gas is red, so I do not worry, on the contrary I am very happy, this is my body toxins discharged ah. As far as I know, at present any medical means are not. My family is very opposed to my use of this method, that is nonsense. I can also understand their feelings, not argue. I want to convince them that my body is better.

The second beat, air shock lesions than the first severe, body trembling, weakness, dizziness, physical weakness, vomiting worse. With the first experience, I am not very afraid, I opened my heart, began to talk, crying very sad. Yumei sister has been comforting me, with examples to encourage me, told me to insist. The fever 27 days before receding.

To September, I had the impression of a more profound third beat, unlike the pain before the very tough battle, but the mood is very irritable, would like to say Do not fight, and finally can not help but start crying out. I am a more gentle character, almost no temper, I do not know myself a little bit. Yumei sister to see me cry, they have been encouraging me, but also inspired her own experience with me. After crying in a good mood, then I know this is the heart of the gas Chong lesions, I am very happy, I even hope that the next regular pat can also have such gas Chong lesions.

Only through this simple three-beat, I harvest a lot. To tell the truth, thousands of miles away see Yumei sister, never thought to beat stretch can make their own drug, withdrawal, medical treatment, only hope can improve my body symptoms. Yumei sister told me that confidence can begin to reduce drug, but I can not. Every time there is a sister to accompany the beat, worried that I suddenly went to the heart attack.

Because the pain of the sad things, each beat I will cry, Yumei sister did not control the emotional gate, and I cried into one, became the two tears people. Each time to help me beat, told me to go home must adhere to beat the stretch, but also kept my encouragement and comfort, because each time by the agreed time in the past, parents and family do not believe in flapping, only sneaky She beat, no way the hospital, but also worried that will shoot dead.
 
But I still alive, now no longer dark complexion, the color looked good; before kidney disease caused by high blood pressure, eat two or three times a day antihypertensive drugs, but antihypertensive drugs has long stopped, did not eat; the original heart rate of 130 per minute Many times, and now 90 or so, are normal range of normal heart rate; before dizziness, a dizzy untenable, there is no dizziness symptoms, that anemia Ye Hao; strong hands and feet, eating incense, beat improved Blood circulation, anti-blood clotting drugs no longer on the.

I know this is not the three beat, once and for all, and beat the reinforcement is not a medical act, but a self-healing means, it is the core of their own to do in terms of self-tapping and pat on the main, so as to maximum The degree of mobilization of their own efforts, and thus better self-healing.

From the beginning I slapping exclusion (because too much pain), to doubt, and then to see the improvement of the body began to accept. In the three beat process, I just drink ginger tea and enzymes, nor how stretch, but the effect has been unexpectedly good. I believe that in the Yumei sister's help and their efforts, we can completely withdrawal.

IgA nephropathy major breakthrough in the national scientific and technological progress in 2016 the first prize

IgA nephropathy major breakthrough in the national scientific and technological progress in 2016 the first prize
Recently, the CPC Central Committee and the State Council held a grand prize at the Great Hall of the People in Beijing. The party and leaders at all levels attended the congress and presented awards to the delegates who won the National Science and Technology Progress Award.
It is reported that the National Science and Technology Progress Award in 2016 a total of 171 awards results, including the Grand Prize 2, first prize 20 (including innovation team 3), 149 second prize. Among them, the Chinese Academy of Engineering led by Academician Chen Xiangmei, the Chinese People's Liberation Army General Hospital and the Soviet Union in the pharmaceutical industry and other units jointly completed the "IgA nephropathy syndrome treatment and diagnosis and treatment of key technology research and application" project, access to national scientific and technological progress Award first prize.
The project will integrate the holistic view of TCM into the clinical practice of western medicine, reveal the new mechanism of IgA nephropathy from the perspective of integrated traditional Chinese and western medicine, and successfully establish a new scheme for the treatment of IgA nephropathy by combining traditional Chinese and western medicine. The academic value and social and economic benefits are recognized by both domestic and foreign countries. . It is worth noting that the research results embodies the core value of Suzhong Pharmaceutical Huangshuhua preparation, which is a model of collaborative innovation, hospital-enterprise cooperation, and truly industrialized and market-oriented development of scientific and technological achievements.
This is a clinical study of kidney disease is another major breakthrough in the Soviet Union is a major progress in the pharmaceutical industry.
Su Chinese medicine in the Abelmoschus flower preparation, "Abalone" for the unilateral development of successful patented products, the national health insurance varieties. Indications: edema, low back pain, proteinuria, hematuria, yellow greasy tongue coating and so on.
According to "Compendium of Materia Medica" records, Abelmoschus odor, cold, slippery, non-toxic, attending urinary leaching and birth, cure all evil sore pus for a long time not those who apply for the end of the deposited that is more , For the sores to drugs, eliminate gangrene swelling, immersion oil Tu Tang fire and so on. In modern medicine, the main active component of abelmoschus is flavonoids, with the protection of podocytes, anti-inflammatory, anti-fibrosis, anti-oxidation, reduce immune complex deposition and other pharmacological effects, related research published in "Journal of Ethnopharmacology" , "Chinese Journal of kidney disease" and other core journals.
Based on its pharmacological effects, then, abercrombie and fitch, abercrombie and fitch, abercrombie and fitch sale, abercrombie and fitch,
Led by Chen Xiangmei, "Huang Kwai treatment of primary glomerular disease efficacy and safety of clinical studies," the results showed that 414 cases of CKD patients after 24 weeks of treatment, Huang Kwai group 24 h urinary protein reduction rate was significantly better than los Tan, and high security, long-term use. The study, published in the "Am J Kidney Dis", is a higher level of evidence of kidney medicine proprietary Chinese medicine evidence.
In order to accumulate more evidence-based medical evidence, Chen Xiangmei Academy of Sciences in conjunction with the Soviet Union make persistent efforts to start the "treatment of chronic kidney disease drug Huangkuang IV clinical study." In accordance with international standards, 106 top three hospitals, 4000 subjects to participate, is a proprietary Chinese medicine treatment of chronic kidney disease large-scale randomized controlled study. The project was recognized by the state, selected countries, "second five" science and technology to create major new drug projects.
In addition, the Soviet Union active in the pharmaceutical industry with international practice, is currently working with France, "Huang Kwai treatment of diabetic nephropathy proteinuria clinical study", the French government approved the international cooperation projects of Chinese medicine. Huang Kwai is a self-confident grace to challenge the world!
Absuria flower preparations are walking in their own evidence-based medicine on the road, confident and firm. It will lead the kidney medicine first to achieve modernization and internationalization.
In addition, it is understood that the Soviet Union in the pharmaceutical industry as the lead unit of this project, as early as 2000, began to select the best source of Anthurium to determine the provenance of Abelmoschus. Only the seeds, the Soviet Union on the medicine industry won five patents, to protect the accumulation of technology over the years. Also spent tens of millions to build GAP planting base of Abelmoschus, in order to ensure consistency, product uniformity, safety and controllability.
All along, the Soviet Union in the pharmaceutical industry has developed higher than the national standard enterprise standards, to achieve a standardized process quality management, quality control anytime, anywhere to form a "whole process of quality control, digital information storage" to ensure safe and efficient products!
"Science and technology to create health" is the Soviet Union in the pharmaceutical industry has been advocating the spirit of enterprise. In five thousand years of continuous clinical validation of Chinese medicine formulations, the Soviet Union in the pharmaceutical industry adhere to independent innovation, a substantial increase in R & D investment, the establishment of post-doctoral workstations, academicians workstation and provincial technical centers, and the Chinese Academy of Social Sciences in close cooperation with science and technology As the guide, strengthen the scientific and technological content of products, the successful development of more than three national patents 16 new drugs.
To lead the development of innovation, innovation advantage to win competitive advantage. Su established a combination of production and research innovation system, to achieve rely on scientific and technological innovation to adjust the industrial structure, promote industrial optimization and upgrading, and vigorously promote the industrialization of major scientific and technological achievements, so that scientific and technological innovation to truly promote the development of the Soviet Union in the pharmaceutical industry, the main productive forces .
Su in the pharmaceutical industry to participate in the study, and won the National Science and Technology Progress Award, is the Soviet Union in the pharmaceutical research and innovation of a recognition and encouragement. The project will further accelerate the transformation of medical research results into the Soviet Union in the pharmaceutical industry a new economic growth point, but also for patients with IgA nephropathy drugs provide a better choice and create greater social benefits.
The future, the Soviet Union in the medicine industry will make full use of its human resources, product development and market development of the comprehensive advantages, the introduction of talent, the introduction of the project, the introduction of funds to promote modernization of Chinese medicine, internationalization, the benefit of more people!

Diabetic nephropathy how to choose hypoglycemic agents?


Type 2 diabetes is one of the most common chronic diseases, often associated with chronic kidney disease (CKD). The use of conventional doses of hypoglycemic agents will not only have some impact on renal function, but also may increase the risk of adverse reactions such as hypoglycemia, so patients should be specific for renal function, the rational choice of oral hypoglycemic agents. This paper summarizes the latest expert consensus and research for everyone to learn together.

1
Biguanides - to improve peripheral insulin resistance

Metformin was found to be excreted by the kidneys. Metformin and lactic acid were easily accumulated in the body when the renal function was severely impaired, increasing the risk of lactic acidosis. Based on the accumulation of clinical evidence, the US Food and Drug Administration (FDA) modified metformin in patients with nephropathy in the application of that metformin in mild renal impairment and some patients with moderate renal impairment in the safe application. At the same time, the American Diabetes Association (ADA) Diabetes Guidelines point out that metformin is safe for patients with an eGFR of 30 to 45 ml • min-1 • (1.73 m2) -1. But should reduce the dose of metformin and stop the use of the treatment of nausea, vomiting and dehydration drugs.

However, 2016 updated "type 2 diabetes with chronic kidney disease oral medicine principles of Chinese medicine experts consensus" mentioned in the eGFR <45 ml • min-1 • (1.73 m2) -1 when the application of metformin is still contraindicated, GFR <45 ml • min-1 • (1.73 m2) -1 is not recommended, GFR <30 ml • min-1 • (1.73 m2) -1 is disabled.

2
Sulfonylurea-insulin secretagogue

① glibenclamide: half-life and sustained action of a long time (10 ~ 16 h and 16 ~ 24 h), 50% of the active metabolites excreted by the kidneys, renal dysfunction in the accumulation of easily lead to severe hypoglycemia. CKD1 ~ 2 patients do not need to adjust the dose, 3 to 5 disabled;

Glimepiride: active metabolites and 60% of the prototype by renal excretion. CKD1 ~ 2 patients do not need to adjust the dose, 3a reduction, 3b ~ 5 disabled;

③ Glipizide: metabolites without hypoglycemic activity, mainly by renal excretion but lower risk of hypoglycemia than glibenclamide and glimepiride. CKD1 ~ 2 patients do not need to adjust the dose, 3 reduction, 4 to 5 disabled.

④ Gliclazide: metabolites without hypoglycemic activity, mainly by renal excretion but lower risk of hypoglycemia than glibenclamide and glimepiride. CKD1 ~ 2 patients do not need to adjust the dose, 3a with caution, 4 to 5 disabled.

⑤ gliquidone: metabolites inactive and mainly by fecal excretion, 5% by renal excretion. CKD1 ~ 3 patients do not need to adjust the dose, 4 with caution, 5 disabled.

3
Glibenclamide - non-sulfonylurea insulin secretagogue

① nateglinide: study found that moderate to severe CKD and hemodialysis patients, nateglinide plasma exposure was no significant change. Patients with CKD had no dose adjustment and GFR <30 ml · min-1 · (1.73 m)

② repaglinide: study found that compared with the normal group, repaglinide in CKD group blood pressure was no significant difference in the incidence of hypoglycemia and renal function damage has nothing to do. CKD1 ~ 5 patients do not need to adjust the dose, starting 0.5 mg per meal.

4
Thiazolidinediones - insulin sensitizers

① pioglitazone: the liver metabolism. CKD1 ~ 3a patients do not need to adjust the dose, 3b ~ 5 with caution.
② rosiglitazone: the liver metabolism. CKD patients do not need to adjust the dose.

5
Glycosidase inhibitors

① Acarbose: prototype and its metabolites in plasma concentration decreased significantly with renal function. CKD1 ~ 3 patients do not need to adjust the dose, 4 to 5 disabled;

② Voglibose: CKD 1 to 3 patients without adjusting the dose, 4 to 5 with caution.

6
Dipeptidyl peptidase-IV (DPP-4) inhibitor

① sitagliptin: about 79. 0% by renal excretion, plasma concentration decreased significantly with renal function decreased, and the prototype can be a small amount of dialysis to remove. GFR ≥50 ml • min-1 • (1.73m2) -1 was reduced to 50 mg once a day (qd) GFR <30 ml • min-1 • (1.73m2) -1 reduction to 25 mg qd;

② saxagliptin: by liver and kidney excretion. Mild CKD patients without adjusting the dose, moderate CKD reduction to 2.5 mg qd, severe CKD with caution;

③ vildagliptin: study found that patients with moderate or severe CKD, plasma vildagliptin plasma concentration increased about 2 times. Mild CKD patients without dose adjustment, moderate and severe reduction of CKD to 50 mg qd;

④ Glibenclamide: CKD patients do not need to adjust the dose;

⑤ Aglutin: 60% to 71% of the prototype by renal excretion. In patients with moderate CKD, the area under the plasma curve (AUC) of alogliptin increased approximately 2-fold. Patients with severe and end-stage CKD increased AUC by approximately 3 and 4-fold, respectively. (1.73m2) -1: 12.5mg / d, GFR <30 ml • min-1 • (1.73m2) -1: 6.25 mg / day for patients with mild CKD without dose adjustment, GFR 30-60 ml • min- / RTI & gt;

Chronic kidney disease in the end how the conditioning?

Chronic kidney disease in the end how the conditioning?

Chronic glomerulonephritis in the context. Moreover, this kidney is said, according to medical statistics data, the Chinese people, every 10 people there is a person, this is a huge number, therefore, how to regulate, how to protect themselves, is a must care about.



I always say, in fact, if a physician, can treat the cold to understand, that is good. Many of us look down on a cold, in fact, a cold will cause a lot of problems, including kidney disease.

Therefore, some doctors recommend, strictly speaking, should be in every cold after, have to do a urine routine examination to determine whether the kidney has been damaged. I feel that when the general cold, the kidneys are often vulnerable to a transient damage, so if the cold has just ended, may have not recovered this damage, and over a week or so, if a transient damage, has been restored, If it is really a damage, no recovery, then you can check out.

In the examination of chronic nephritis, Western urine test is very accurate, we must learn from Chinese medicine.


So, chronic nephritis in the end how to prevent it?


1. Do not kidney. Kidney deficiency, is the root cause of illness, such people, evils more easily invaded, so we must protect ourselves, try not to loss of kidney qi, not excessive indulgence. This is a prerequisite for prevention and treatment of kidney problems. In addition to protecting the kidney, the body upright protection is also very important, lack of spleen and lung, and so on, are also need to pay attention.

2. Try to prevent a cold. Cold is inevitable, but now the air pollution is serious, very cold indeed, so try to keep the air clean, protect themselves, to avoid the occurrence of colds. Otherwise it is very easy because of a cold and cause exogenous pathogens invasion of the kidney.

3. To maintain emotional optimism. This is a problem that has not been concerned, in fact, the occurrence of emotional disease in the development of a great influence, I observed a number of patients with chronic nephritis, are a little emotional instability. Or is the character has its own characteristics, are some sentimental, over-thought, sensitive to emotional problems. This may not always be the case, but it does have an impact.

4. Away from decoration pollution. This is my observation of the phenomenon, I have a survey of patients with chronic nephritis, found that many people have just renovated at home. Although there is no more clinical epidemiological studies, however, I later check the information to see, nephritis is also an immune disease, from a certain perspective, is also a blood disease, and leukemia and other related.

5. Control of blood uric acid. Many nephritis is caused by gout, called gouty kidney disease, which is a lot of people ignore the problem, and now more and more of these patients.


Suffering from chronic nephritis how to do?


A friend asked, if suffering from chronic nephritis, how to do it?

I study the late Beijing University of Traditional Chinese Medicine Professor Zhao Shaoqin thinking, Zhao old kidney disease has many original ideas, I give you share. Zhao Zhaoqin old man's father, Mr. Zhao Wenkui, is the Qing Dynasty Imperial Palace Hospital, the last president, once to the Empress, Pu Yi doctor, Professor Zhao Shaoqin is our contemporary febrile disease, learning his old ideas, benefit a lot.

First of all, Zhao made the old non-virtual theory. He believes that chronic nephritis, renal parenchyma is a problem, and the traditional stresses of the kidney, not the same thing. This chronic nephritis, the majority of damp heat, blocking the meridians, kidney can not be in accordance with the kidney, so Zhao Lao special emphasis on chronic nephritis patients, do not eat supplements disorder, what ginseng, velvet, very easy to eat the problem.

This is a very worthy of attention, many patients that need to make up, often make up the problem, such as I have seen long-term eating ginseng, rapid development from nephritis to renal failure patients.

However, nourishing the spleen of the yam, etc., but can eat, but also good for kidney disease treatment.

For patients with particularly weak, but also need side of the tune up, while the treatment.

However, most patients with nephritis is damp heat.

Second, Zhao-old movement of patients with kidney disease. Before kidney disease must rest in bed, Zhao old advocate every day to exercise, walking the best, the best day to walk for more than an hour, step by step, speed combination. This is Zhao old when young boxing, practice walking circle, the final sentiment out, the original legs to walk back and forth, is to accelerate the blood run, you can drive the waist blood patrol.



Now haze very heavy, I suggest that patients with kidney disease, home to open the air purifier, walking in the room inside.

Finally, Zhao proposed kidney disease patients should not eat protein. Over the past generally advocate nourishing patients with nephritis, because they lost protein inside the urine, so from inside the food to make up. This is the Western point of view. Zhao old that this will increase the burden on the kidneys, when he found those who eat a good dry patients, and soon died, and ordinary people, to eat bread and butter patients, but live very well, so he found Feigan thick Taste will increase the burden on the kidneys, it made the Jishi protein, this formulation, as early as Western medicine for many years, and now Western medicine has also found this problem, began to change.

Zhao old doctor, make patients vegetarian, especially not to eat beef, that are not allowed to eat.

Soy products, but also control, such as tofu.

In terms of treatment, Zhao old advocate cooling blood, Shufeng heat.

He generally use such a recipe conditioning: six grams of wind, Nepeta carbon six grams, fried Sophora japonica 10 grams, 10 grams of raw elm, Salvia ten grams, 10 grams of Rubiaceae, Rehmannia ten grams, Rhizoma Imperatae 10 grams, 10 grams, 10 grams of water safflower.

This is a basic side, prescription inside the wind, Nepeta carbon scoop scattered evil, sometimes Zhao old will add Angelica, living alone, when there will be added externally Agastache rugosa, Perrin. Are scattered with the wind scattered evil. Then, fried Sophora japonica, raw Burnet, Reed rhizome, Chine is used for cooling blood, and Salvia, madder is used for blood circulation, Jiao Sanxian is to protect the Stomach and the establishment.

In the back acid, Zhao old will Ghassan sticks 10 grams, 10 grams of loofah.

Dream in patients with more time, which will add baihu six grams of prescription, baicalin six grams, 6 grams of toosendan.

Encountered the person of Qi, prescription, which will add 30 grams of astragalus.

I usually use this side, will increase the old man grass 15 grams (this drug is also called Huolv Cao), pregnant yam thirty grams.

The effect of this prescription is very good, under normal circumstances, adhere to use, slowly the body will gradually recover. I recommend taking the time, do not have to frequently check the urine, check once a month on it.

If the kidney patients want to know more, can be purchased on the network Zhao Shaoqin old man's book, in Dangdang search "Zhao Shaoqin" three words on it.

In the Beijing University of Traditional Chinese Medicine in front of the National Medical Church (do not know whether it is also called the name), there are many teachers are Mr. Zhao Shaoqin disciples, we can go to find out.

There are many friends asked whether the high creatinine can be treated. In fact, high creatinine, indicating that renal function has lost more than half, this time, but also to be careful, you can eat a small amount of protein per day can be. Other and chronic nephritis, according to the traditional Chinese medicine to adjust this idea, the body will be restored, or delayed into the stage of uremia.



Dear friends, Today, I introduced the knowledge about kidney disease, this is the experience of the older generation of Chinese medicine, I spread to you, I hope you protect the kidney, to be a healthy "good"!

Kidney disease in the end can reverse it? The doctor 's voice please listen to!

Kidney disease in the end can reverse it? The doctor 's voice please listen to!
Recently heard some let me feel very helpless words: Doctors, you can not buy these public hospitals in the top three private hospitals of advanced technology? You say these doctors every day, chronic kidney disease requires lifelong control, but private hospitals already have the world's leading technology, can reverse the kidney completely through the drug micro-infiltration to the kidney inherent cells, complete reversal of fibrosis, sclerosis. Private hospitals are too expensive to afford, but the state can not point out some money to promote these technologies? Let us have no money people can enjoy the advanced technology?

I really dumbfounding, feel ridiculous! exasperating! sad! Alas! Poor!

I believe that this is not just a kidney physician I heard, explained for the patient! Many conscience professional kidney physicians are worried about this, why patients can not be a little sober think about it, if you really have these "advanced method", we will not research and promotion? Will these "advanced therapies" decline in the light of the place?

The reality is that many patients by these so-called "reverse therapy" deceived, the money was drained, dragged back more severe condition, had to re-formal treatment, which the blood and tears, but also far more than one or two words can say clearly!

1

Chronic kidney disease is a long-term control of the disease, which was diagnosed in the first day should be psychologically prepared. So you have this psychological preparation, not to say that after the sick days of dark days, it is necessary to drag the body to tears all day! We have a considerable number of patients in stable condition, the days flies fast! Than ordinary people also healthy!

Tell you the need for long-term control, is to let you establish the concept of the disease: Do not paranoid overnight, eat a few drugs completely without control! Do not delusional use of drugs for some time, you can like god water, the disease is completely cured! You have to have such an idea, the next step will fall into a variety of trap! According to you most want to listen to the series to listen to you, these scams routines very much! As long as you have such a "quick cure" of the chances, the set is a matter of time.

You need to cooperate with a good doctor, make their condition stabilized, and this requires a long-term treatment process. Sometimes a few months, sometimes several years, the disease reached a stable period, it is not without control, and some patients can be completely discontinued the disease, only every three months or six months to the hospital to review kidney-related indicators. Some patients need to continue after the stability of one or more drugs to maintain treatment, regular hospital review.

Although the need for such regular monitoring, some people need to continue to take medicine, but usually life will not be much affected.

Recently, I encountered a patient with nephrotic syndrome, is a small lesion girl, now has been beautiful, really "blind" my eyes! 3 years ago because she was eating glucocorticoid treatment, the full moon face is very obvious, followed by 2 years and relapse twice, the last 1 year in stable condition, hormones and other drugs are gradually disabled, look like recovery, although the middle of a year off, But now the situation is very good, to achieve complete clinical remission, has returned to normal life, like her classmates, enjoy a better college life. In addition to regularly check the hospital to a renal function of urine, and healthy people is the same.

And her same period with a nephrotic syndrome patients admitted to a hospital received numerous phone calls that they can direct treatment of lesions, not only a temporary solution is also a permanent cure, unlike ordinary treatment is only a surface, can not stand the temptation to go to this Home hospital, hospitalized 10 days cheated 40,000 yuan, where the test results are can be free to change, and what can not? After acute renal failure, the money did not, and the disease is also a variable back.

Good doctor sometimes did not say you want to hear, not for you is not responsible, it is not do not want to cure you, on the contrary, is responsible for your condition, do not want you to go astray, only hope you have a clear understanding.

2

That is to say, chronic kidney disease does not exist any reversal? There is no cure?

We have a "clinical cure" of this argument, that is, through a certain treatment, the patient's indicators to achieve medical complete remission, can be considered a clinical cure. But this is not the same thing as the reversal we think.

Take the most common type of chronic kidney disease in young people --- IgA nephropathy, an analogy. If the patient through effective treatment, the 24-hour urine protein less than 0.5g, blood pressure normal, normal renal function, then it can be considered "clinical cure", the risk of renal failure has been very small.

But we usually believe that the reversal is that the indicators should be completely and exactly the same as normal, kidney disease and reverse the organization was exactly the same as normal.

To achieve this reversal is impossible.

Kidney cells, in addition to renal tubular epithelial cells, other cells can not be regenerated. A lesion, if not acute changes, but chronic changes, such as sclerosis, fibrosis, which is like a scar, there is no drug to make it renewable. No matter how much hype, has died organization, and this organization is not renewable, our goal is not all day thinking of reversal, but to protect the remaining part of the kidney, let it continue to deteriorate!

And through effective treatment control, many patients can protect the remaining part of the longevity! Kidney reserve function is very powerful, as we see a kidney person, some people can maintain normal renal function.

3

Well, said so much, a bit long-winded, but I hope that our patients can hear our professional kidney physician an advice, although chronic kidney disease requires long-term attention and management, but many of our patients can be controlled very well, Healthy and healthy, and ordinary people no difference in life.

Through formal treatment, do not believe that crooked heresies, our kidney friends, can live a better life!

Kidney disease is called "silent killer"! These circumstances, we must pay attention to

Kidney disease is called "silent killer"! These circumstances, we must pay attention to



Kidney disease is called "silent killer". Sometimes even if the kidney is injured, you may also feel no.

In fact, one out of every 10 people in our country suffer from kidney disease! According to the latest published in the international top medical journal "Lancet" on a study reported that the prevalence of adult chronic kidney disease in China up to 10.8%.


Kidney very delicate, very vulnerable to injury, daily habits What is the most hurt kidney? May wish to look at the list of injuries kidney behavior it, you must have committed!

Ten kinds of behavior of kidney injury

1, stay up all night

Yes, the first is staying up all night! In addition to well-known stay up late liver injury, stay up late will hurt the kidney. Sunset and sunrise and make the best way of living, sleep at night not later than 11 points, but modern people is difficult to do.

2, drug abuse



Some drugs on the kidney damage is very serious, and some painkillers on the kidney damage is very large.

3, remedies, health products



In Taiwan, the incidence of chronic kidney disease is high, and local people may love to eat folk remedies, health care related. Some so-called "supplementary protein powder, improve the resistance" of the health care products are likely to lead to excessive protein intake, to bring the burden of the kidneys.

4, overworked



Intensive work lead to physical fatigue, which lead to kidney deficiency symptoms. Second, excessive use of the brain, a huge work pressure and life stress can not lead to mental relaxation, mental tired, but also easy to kidney injury.

5, excessive drinking



People say that alcohol body injury, often drinking is a kidney killer.

6, suddenly strenuous exercise



Busy long-term work does not exercise, sudden and violent exercise may cause excessive renal damage, severe acute renal failure will lead to.

7, eat salty, eat high-purine shabu-shabu



In winter, people like to eat hot pot, but eat more rinse the meat will hurt the kidney. High-purine, high-fat, high calorie intake of food too much, a long time, no matter how good the kidney will be tired. In fact, usually eat too salty, too sweet, too much oil, eat too much protein will increase the burden on the kidneys.

8, seafood on the beer



Many people like to drink beer on seafood, seafood products are high-protein food, containing purine and glycoside components, and beer mixed together, will produce excessive uric acid and urea nitrogen and other metabolites, increasing the burden on the kidney, easily lead to hyperuricemia Disease, and even kidney stones, uremia.

9, often drink tea



Tea contains caffeine, a small amount can play the role of refreshing, if excessive intake will make blood flow, blood pressure. The body often contains a high concentration of caffeine, will bring a huge burden on the kidneys. In addition, the tea contains more tannic acid, easily combined with the body of iron into a insoluble substance can cause kidney stones.

10, pressure, irritability



Modern work, life pressure is great, "I am tired" will become a lot of people's mantra. These emotions will also hurt the kidneys.

Kidney injury "distress signal"

Kidney disease known as silent killer, but it is not without performance, but if you have these atypical symptoms, it may be your kidney in for help:

There is a bubble in the urine

Healthy people urinate 4 to 6 times a day, urine output of about 1000 ml to 2500 ml, if excessive or too little urine output, or too many nights, the urine bubble, it should attract attention.

Body did not strength

Renal function is not good, a lot of waste is difficult to excrete from the urine out, there will be lack of energy, fatigue, fatigue and other feelings.



Edema

Patients with chronic kidney disease due to decreased renal excretion, renal hormone secretion and urinary protein loss, there Shuinazhuliu, causing eyelid and lower extremity edema.

Appetite is not good, nausea and vomiting

Chronic kidney disease patients will have a variety of gastrointestinal symptoms, especially after gastrointestinal edema, often without eating, abdominal distension and other symptoms of digestive disorders. Renal failure, blood urea nitrogen increased in the intestine for the decomposition of ammonia, to stimulate the gastrointestinal mucosa, causing nausea and vomiting.

Healthy people every six months to check the urine routine can be early detection of kidney disease. If there is early kidney disease, urine will be abnormal, then add a little more cost, check the renal function can be diagnosed.



Prevention of kidney deficiency develop three habits

Stay up late at night, the table can be prepared on the cup (about 20 grams per day wolfberry), but because it is very strong warm effect, is a fever, the body has inflammation, diarrhea, the best people do not eat.

Three points massage Waist: air sea cave in the navel under the two horizontal refers to Guanyuan points in the navel three horizontal refers to the daily press with the palm of your hand Anrou about 30 times. Shenshu points in the back belt and lumbar spine at the cross on the four cross-finger around every day with the palm of your hand about 100 times.

Morning and evening rubbing soles of the feet: Yongquan pressure by hand, so that soles of the feet fever, it is recommended sooner or later rub the soles of the feet 1, left and right foot by 100 times.

2017年1月23日星期一

What is diabetic nephropathy

What is diabetic nephropathy
What is diabetic nephropathy, how to control? Diabetic nephropathy is commonly referred to as diabetic microangiopathy caused by diabetes - diabetic glomerulosclerosis, diabetic renal arteriosclerosis and pyelonephritis. The main feature of the lesion is glomerular (capillary plexus within the kidneys) localized or diffuse sclerosis. Glomerular sclerosis is mainly caused by long-term high blood sugar to the glomerular basement membrane on the glomerular glycoprotein and glycosylated protein increased basement membrane thickening, increased permeability, and hypertension, autoimmune, genetic, etc. factor. Thus, the occurrence and development of diabetic nephropathy and diabetes control is good or bad to the length of the course of disease is closely related to clinical research found that effective control of diabetes can stop or delay the occurrence of diabetic nephropathy. At present, diabetic nephropathy is still one of the most serious complications of diabetes, diabetes is one of the most important causes of death.
 According to clinical manifestations of diabetic nephropathy can be divided into: common in patients with a history of more than 10 years, is the main cause of death in type 1 diabetes is divided into five: Ⅰ: increased glomerular filtration rate and renal volume increased to feature. This initial lesion is consistent with hyperglycemia, but is reversible and can be restored by insulin therapy, but does not necessarily completely restore normal glomerular hypertrophy leading to increased filtration.
Ⅱ period: the urinary albumin excretion rate is normal but the glomerular structure has been changed. This period of urinary albumin excretion rate (UAE) normal (<20μg / min or <30mg / 24h), UAE increased after exercise rest after rest. Glomerular capillary basement membrane (GBM) thickening and increased mesangial matrix, GFR more than normal and consistent with the blood glucose levels, GFR> 150mL / min patients with glycated hemoglobin often > 9.5%. GFR> 150mL / min and UAE> 30μg / min after the patients more likely to develop clinical diabetic nephropathy. Diabetic renal damage in patients with stage Ⅰ, Ⅱ more normal blood pressure. Ⅰ, Ⅱ GFR patients increased, UAE normal, so the two can not be called diabetic nephropathy protein filtration stage Ⅲ: also known as early diabetic nephropathy. Urinary albumin excretion rate of 20 ~ 200μg / min, the patient's blood pressure increased slightly, began to appear abandoned glomerular. Ⅳ period: clinical diabetic nephropathy or dominant diabetic nephropathy. This phase is characterized by massive albuminuria (greater than 3.5 grams per day), edema and hypertension. Diabetic nephropathy is more serious edema, poor response to diuretics. Stage V: end-stage renal failure. Diabetic patients once the persistent urinary protein development for clinical diabetic nephropathy, due to extensive glomerular basement membrane thickening, glomerular capillary luminal stenosis and more glomerular waste, renal filtration function decreased, Leading to renal failure. The progress of diabetic nephropathy in each patient is different, and some patients with mild proteinuria sustainable for many years, while renal function has remained normal. Some patients with minimal proteinuria, but soon developed into severe proteinuria (≥ 3 to 5 g / day) such patients with poor prognosis.


 Treatment of diabetic nephropathy principles: ① strict control of blood sugar, blood sugar as close to normal levels as possible to prevent and delay the occurrence of diabetic nephropathy; ② delay the rate of renal dysfunction; ③ dialysis treatment and kidney transplantation. Prevention and treatment of diabetic nephropathy: 1. Strict control of blood sugar, before the emergence of clinical diabetic nephropathy, that is, early in the diabetes, insulin pump or subcutaneous insulin injections to strictly control diabetes, so that blood sugar remained normal, can delay or even prevent diabetes The occurrence and development of nephropathy, reduce the increased glomerular filtration rate and improve microalbuminuria. Other complications are also beneficial. According to the DCCT study, T1DM with intensive insulin therapy, the incidence of diabetic nephropathy decreased by 35 %% - 55 %%. Has been developed to clinical diabetic nephropathy, there are significant proteinuria, blood glucose control to help the development of its disease smaller. After the emergence of clinical diabetic nephropathy, hypoglycemic drugs should generally use insulin. 2. Control of high blood pressure, high blood pressure will promote the development of renal failure, effective antihypertensive treatment can slow down the rate of glomerular filtration rate, reduce urinary albumin excretion. Angiotensin converting enzyme inhibitors or angiotensin Ⅱ receptor antagonists can be used as the drug of choice, often in combination with other antihypertensive drugs. Other antihypertensive agents such as calcium antagonists, diuretics, beta-blockers, methyldopa, clonidine, etc. are also effective. Diabetic patients with blood pressure ≥ 130 / 80mmHg should use antihypertensive drugs, should be controlled at 130 / / 80mmHg the following. Treatment with antihypertensive drugs, the relatively healthy glomerular glomerular capillary pressure drop and continue to survive, but has been completely blocked the glomerular obstruction, water can not be filtered, the protein can not leak. It was observed that blood pressure decreased from 160 / 95mmHg to 135/85-mmHg, urinary protein excretion was significantly reduced glomerular filtration rate decreased from lml / / min · month to 0.35ml / / min · month . Diabetic nephropathy patients also significantly longer survival, antihypertensive treatment 10 years before the cumulative mortality rate of 50 %% - 70 %%, after treatment down to 18 %%. Antihypertensive therapy is also beneficial for diabetic retinopathy. 3. Diabetic nephropathy has occurred in patients with restricted protein intake, an appropriate diet to reduce the amount of protein (0.8 / kg · d) can reduce glomerular pressure, reduce high filtration and reduce proteinuria. On the contrary, to high-protein diet will aggravate glomerular histological lesions. Renal dysfunction has occurred should limit the intake of protein, and should eat essential amino acids with high protein. 4. Patients with advanced dialysis and renal transplantation can be implemented, once the emergence of renal failure, dialysis and kidney transplantation is the only effective way. Kidney transplantation is the best way to treat diabetes uremia, better than dialysis. Patients> 65 years old are poorly transplanted. 5. Attention to personal hygiene to prevent the occurrence of urinary tract infections. 6. Avoid the use of drugs harmful to the kidneys.

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