2014年5月25日星期日

Daily life in patients with chronic renal failure Precautions

Daily life in patients with chronic renal failure Precautions
Chronic renal failure ( referred to as chronic renal failure CRF), refers to a variety of causes of primary or secondary chronic kidney disease caused by progressive renal parenchymal damage , resulting in renal dysfunction , metabolic products retention, water, electrolyte and acid-base balance , system involvement , such as severe clinical syndrome. The slow progress of the disease , and even then showed progressive loss of renal function or worsening until uremia .
The common causes of secondary factors western countries mainly among diabetes, hypertension is the first CRF two factors . Our primary disease to chronic glomerulonephritis based, but in recent years, with secondary factors of CRF gradually increased, followed by hypertensive nephropathy , diabetic nephropathy, lupus nephritis, nephritis , hepatitis B virus associated nephritis.
Of adult patients with chronic kidney disease rate of 9.4% to 13.6 %, and the incidence is still increasing , reaching more than 7 % a year. Based on projections , China chronic kidney disease more than 100 million , 1% develop ESRD , then China will reach 100 million dialysis patients .
With the continuous progress of chronic kidney disease , cardiovascular disease risk increased significantly in 2010, according to International Data Institute and the International Federation of Kidney Disease Kidney Foundation announced the existence of the world's 500 million people have varying degrees of kidney damage , there are hundreds each year people with chronic kidney disease and death caused by cardiovascular disease . Renal failure and mortality is almost identical to cancer mortality. It is worth noting that the incidence of chronic kidney disease getting younger and younger , many CRF patients as young as their twenties and thirties , the youngest only teens.
Although dialysis and kidney transplantation in patients with end-stage section allows survival has improved greatly , however it is not suitable for early , mid- treatment, and medical costs . So early on the CRF , the patient how to delay or prevent the mid- pathological process of chronic renal failure is a modern study of kidney disease hot and difficult . TCM unique understanding of the disease and treatment , possession of non- dialysis chronic renal failure in an important position , especially for CRF decompensation early at this stage to uremia , Chinese medicine treatment has obvious advantages. Chronic renal failure everyday life considerations are there?
First, pay attention to prevent the throat , lungs , urinary tract infections, exacerbation of chronic renal failure in order to avoid infection .
Second, to avoid the cold , fatigue , diarrhea, trauma . Because every once infected , the disease may aggravate once.
Third, you should use antibiotics to control infection after infection , prohibited the use of gentamicin , kanamycin , amphotericin , avoid toxic to the kidneys drugs, otherwise it will increase accelerated deterioration of renal function .
Fourth, control of hypertension , because hypertension can lead to deterioration of renal function faster, blood pressure is generally maintained at 130/80mmHg or less.
Fifth, aggressive treatment of the primary disease should reduce lost protein. Because hypertension, proteinuria is an independent risk factor for progression of chronic kidney disease , but the damage was the strongest factor proteinuria , proteinuria can contribute to long-term deterioration of renal function .
    Six diet recuperating
Diet recuperating non- dialysis chronic renal failure is the most basic , the most effective measure is the foundation of all drug treatment . Its role is as follows :
① maintain good nutritional status ;
② slow the progression of renal failure ;
③ prevent and alleviate metabolic disorders caused by renal failure ;
④ postponed after entering the number of dialysis dialysis to reduce the time and dialysis .
Its contents include: high quality low volume protein diet ; high-calorie diet and adequate intake of vitamins and minerals ; controlled sodium, potassium, phosphorus , purine and lipid intake.

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