2013年12月17日星期二

Recognize chronic renal failure

Core Tip: etiology of chronic renal failure caused by more complex , the primary kidney disease , the most common chronic glomerulonephritis chronic renal failure accounted for the overall incidence of more than half ( about 50 - 70) , chronic pyelonephritis about a quarter , as well as other causes of renal arteriosclerosis .
Did you know that chronic renal failure do ? Chronic renal failure occurs in a variety of chronic kidney disease based on the slow emergence of renal dysfunction , until the failure of a clinical syndrome ( ie as long as the structural changes in the kidneys can cause local or systemic disease can eventually develop to renal failure ) , the main manifestation is renal dysfunction , metabolic products of retention, water, electrolyte and acid-base balance , causing the kidneys can not maintain a stable internal environment .
Etiologies of chronic renal failure is more complex, in primary renal disease , the most common chronic glomerulonephritis chronic renal failure more than half of the total incidence (about 50 - 70) , chronic pyelonephritis about accounting for a quarter , as well as other causes of renal arteriosclerosis ; secondary renal disease , common in diabetic nephropathy, systemic lupus erythematosus nephropathy , gouty nephropathy .
Chronic renal failure in accordance with the degree of renal dysfunction , divided into four phases , the first phase of decompensated renal insufficiency ( serum creatinine clinical at 133 - and 177 from diagnostic criteria , this period may be no symptoms in patients ) ; first two , is also called azotemia of renal insufficiency and renal insufficiency in decompensated , this period of serum creatinine is generally 186 - 442 ; third phase of renal failure , Cr 451 - between 707 ; fourth , uremia , Cr over 707 .

It should be noted that due to my friends not to be fooled by the illusion of chronic renal failure , due to the early manifestation of CRF 's not typical , but symptoms can occur in any one system , therefore, easily misdiagnosed as a disease of a system , especially those without significant patients with chronic kidney disease , where there is weakness, fatigue , physical decline , abdominal pain , diarrhea, vomiting or gastrointestinal bleeding friend ; and general weakness , paleness , anemia , skin itching symptoms to the doctor , often misdiagnosed as digestion tract disease , cancer , aplastic anemia, peripheral neuritis and other diseases , delayed treatment , missed the best time and remorse lifelong treatment . If the above symptoms , should be approaching a large hospital to find specialist expert advice , make a systematic examination, it is not difficult to diagnose. Should be treated as soon as possible after diagnosis .

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