2014年6月23日星期一

The clinical manifestations of diabetic nephropathy

The clinical manifestations of diabetic nephropathy! Diabetic nephropathy is a serious microvascular complications of diabetes-specific, is also the main reason for the death of people with diabetes. Once a person has diabetes, kidney damage, persistent proteinuria, the continuing decline of renal function until the end-stage renal failure, so far no effective measures to prevent its occurrence and progression.
Clinical manifestations of diabetic nephropathy:
(1) proteinuria. Early diabetic nephropathy without clinical proteinuria, only by radioimmunoassay method to detect microalbuminuria. The only early clinical manifestations of diabetic nephropathy proteinuria, albuminuria evolved from intermittent persistent.
(2) edema. Early clinical diabetic nephropathy generally no edema, a small number of patients before lowering plasma protein, may have mild swelling. If proteinuria, plasma protein is low, edema aggravated, disease progression to late manifestations of.
(3) Hypertension. Hypertension also increased the proportion of type 1 diabetic patients without nephropathy than normal prevalence of hypertension was not increased in patients with hypertension, type 2 diabetes are more, but if when proteinuria in nephrotic syndrome patients with hypertension, this mostly moderate hypertension, a few severe.
(4) renal failure. There are great differences in the speed of progression of diabetic nephropathy. Some patients with mild proteinuria sustainable for many years, but with normal renal function, urinary protein rarely some patients may appear the rapid development of nephrotic syndrome, renal function gradually deteriorated, culminating in uremia.
(5) anemia. Patients with significant azotemia, may have mild anemia.
(6) the performance of other organ complications: such as heart failure, myocardial infarction, neuropathy, retinopathy. Diagnosis of diabetic nephropathy: Continuous urine within six months there have been three times urinary albumin excretion in 20-200μg / min, and the exclusion of other possible causes of urinary albumin excretion increase was due to the early diagnosis of diabetic nephropathy.
In particular the treatment of diabetic nephropathy and nephrotic significant efficacy in early clinical nephropathy, our results show that: traditional Chinese medicine, treatment of diabetic nephropathy, to reduce urinary protein, improve kidney function, the progress of the disease control has a positive effect, make early diabetic nephropathy 80% of patients with normal urinary albumin, can drop 60% rate of progression of renal failure in clinical nephropathy.
Specific Treatment programs are:
(1) kidney Yin Deficiency type.
Main symptoms: lassitude, less gas lazy words, oropharyngeal dry, dry stool, dizziness, tinnitus, blurred vision, weak knees, dark tongue, fat, thin pulse string. Therapeutic: nourishing liver and kidney, qi and blood circulation. Basic side: cornus, medlar, astragalus, heterophylla, arrowroot, Radix, Salvia.
(2) the spleen and kidney yang deficiency type gas.
Main symptoms: lassitude, waist and knee pain, foot face edema, chills, poor appetite, fat tongue with teeth marks, thin weak pulse. Therapeutic: replenishing spleen and kidney, Qi.
The clinical manifestations of diabetic nephropathy! About the causes of kidney disease is more, we own body to be a lot of attention, such problems do not take it lightly, as soon as possible to the hospital for examination and treatment to kidney disease, prevent disease progression.

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