Edema and kidney disease to do?Many people will be found in the case of
unknown causes such as face, hands and feet edema, will first consider whether
has relationship with kidney, kidney disease.Also often have edema patients to
online inquiries, edema is one of the many symptoms of kidney disease, kidney
disease cause of renal edema is relatively complex, specific conditions as
described below.
1) renin - angiotensin aldosterone system activation to water sodium
retention;
(2) the glomerular filtration rate decreased, but the ball - tube unbalance,
namely relatively normal renal tubular reabsorption function;
(3) a large number of protein loss caused by the plasma colloid osmotic
pressure is reduced, water from intravascular chosen.In a word, water retention
of sodium and water ran into tissue clearance is the basis of cause renal
edema.
Some chronic kidney damage, although the renal tissue destruction is very
heavy, but renal tubular reabsorption of water's ability to reduce more obvious,
at this point, even if the glomerular filtration rate is very low, because of
the renal tubular reabsorption capacity less than glomerular filtration rate,
there is no water sodium retention, so patients can no swelling, or edema is
very light.
Nephrotic syndrome patients in some kidney damage is not too heavy, the
pathological changes of the kidney is only small lesions, basement membrane
damage charge barrier is given priority to, but as a large amount of albumin
loss, make patient plasma colloid osmotic pressure drop, water clearance move to
the organization.Offshoring due to moisture at the same time, the blood volume
to drop, activation of renin angiotensin system, water sodium retention.The
edema patients with serious, can appear pleural effusion, ascites or pericardial
effusion, like a big "water".But by hormones such as drug therapy, can recover
soon.
So, although renal edema is the basis of the water retention of sodium and
water move to the clearance, but because of its different emphasis have edema,
the degree of edema is not entirely consistent.The degree of this level of
different with kidney disease is not necessarily the correlation.That is to say,
the degree of edema and there is no direct relationship between the degree of
kidney damage.
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