2014年10月30日星期四

CKD 4 patients do drink wine

As we all know,A Kidney Friendly Diet for Stage 4 Chronic Kidney Disease.Can CKD 4 patients drink wine? With the development of society, chronic kidney disease patients older more attention to their diet of. Maintain a good healthy diet can not only reasonable supplement the body of the patient, but also to control the disease and prevent worsening of the disease. For patients with this problem in the next, we will give you a detailed answer.
Recently, an American, "Fox News," the report said, moderate consumption of wine is not only good for health, but also help protect the kidneys, prevention and treatment of chronic kidney disease (CKD). Participated in this survey have 5852 people, including 1031 people suffering from chronic kidney disease and found that patients with moderate chronic kidney health benefits of drinking wine. Less than a day to drink a cup (about 4 oz, 113 g) wine chronic kidney disease patients compared to patients at all, which is a lower incidence of cardiovascular disease by 29%. Without chronic kidney disease who drink a glass of wine a day can effectively reduce the incidence of chronic kidney disease.
According to the survey, we can see, chronic kidney disease patients can drink wine, but never drank without limitation, about 100 grams per day is appropriate, drink, and will increase the burden on the kidneys, worse.

In addition, chronic kidney disease patients should receive prompt and effective treatment. The sooner the better therapeutic effect. Shijiazhuang Kidney Disease Hospital is the treatment of kidney disease hospital, here are the treatment of chronic kidney disease innovative therapies, such as micro-penetration of traditional Chinese medicine therapy, immunotherapy, blood purification therapy, traditional Chinese medicine bath spa therapy, foot therapy, spa treatments, etc. lap, breaking kidney disease difficult to cure the problem. If you still do not have effective treatments and distress, you can consult our online doctor for more treatment. If you have additional questions, you can leave a message below, we will reply to you at any time.

2014年10月26日星期日

How should we control creatinine values ​​increased in the diet?

Elevated creatinine and diet have a lot of relationships, wrong diet can lead to increased creatinine, creatinine increase will lead to inappropriate medication, then the value of the high creatinine in patients dietary needs attention to? 1, creatinine can not eat high potassium foods high in potassium content of common foods are divided into categories:
A potassium content per 100 grams of food in more than 250 milligrams of common foods: cabbage, rape, spinach. 2 per 100 grams of food in the 150-250 mg of potassium content of common foods: Green 3 potassium content per 100 grams of food radish, Chinese cabbage, cabbage, celery, leek, oranges, etc. 150 milligrams or less common foods: onions, pumpkin, melon, eggplant, watermelon, apple, pear, pineapple and so on.
2, creatinine can not eat high protein-containing foods that are high: the supply of the total protein content of not more than 20-30 grams per day, including staple food plants in the amount of protein contained.
3, the patient can not eat high creatinine level ​​salty stuff, so you should keep a low-salt diet, that is, the amount of salt daily intake of no higher than 3 g.
4, high creatinine can not eat foods high in phosphorus: high phosphorus foods are aquatic, animal offal, sesame, peanuts, walnuts, honey, egg yolk, tea and some dried fruit.
5, high creatinine can not eat high-fat foods. ? So how can we control the food is not high in fat it should note the following two points:
1 vegetable oils contain less saturated fatty acids are preferred.

2 should put less cooking oil, we should not eat fried, fried and greasy foods.

Normal serum creatinine

Check renal function and serum creatinine is the most commonly used indicators. Normal serum creatinine measure each hospital is not the same, in general normal serum creatinine criteria: 44-133umol / L, when serum creatinine exceeds 133umol / L mean renal injury, has renal insufficiency, kidney failure. (133umol / L or more inflammatory injury period, 186umol / L for renal injury period, 451umol / L for renal failure).
A normal value
Men: 44-133umol / L
Female: 70-108umol / L
Pediatric: 25 ~ 69umol / L.
Creatinine values ​​higher than normal is called creatinine, creatinine, including serum creatinine and urine creatinine, but creatinine more meaningful measure of kidney function. So in general it refers to the high creatinine serum creatinine higher. Normal serum creatinine measure each hospital is not the same, in general normal serum creatinine criteria: 44-133umol / L, when serum creatinine exceeds 133umol / L mean renal injury, has renal insufficiency, kidney failure. (133umol / L or more inflammatory injury period, 186umol / L for renal injury period, 451umol / L for renal failure).
Normal serum creatinine: Men 44-133umol / L (0.8 ~ 1.2mg / dL)
2 value is high Cause
Changes in serum creatinine concentration mainly by glomerular filtration capacity (glomerular filtration rate) to decide. Filtration capacity decreased, the creatinine concentration. Most of mean serum creatinine higher than normal kidney damage, serum creatinine can more accurately reflect the situation renal impairment is not sensitive indicators. Because the glomerular filtration rate decreased to 1/3 of normal, serum creatinine was significantly increased. Meaning that, because human kidney metabolism ability, when kidney damage is generally less obvious discomfort, so a lot of people when the real nausea, vomiting, dizziness, in fact, have been severely injured kidney, serum creatinine at this time also began to rise significantly .
3 causes of low value

Description of renal function in patients with serum creatinine higher when there is a problem, the ability of the kidneys decreased metabolic waste, some of the body of harmful toxins not normally excreted, then what is opposed to low serum creatinine reason? Low serum creatinine is due by the kidney in violation of various causes, the first impaired renal intrinsic cells transformed phenotype, the formation of pathological changes, stimulate kidney fibroblasts into myofibroblasts converted, and at the same time violations and stimulate the inherent normal kidney tissue, the occurrence of the same disease, thus forming a kidney from point to plane, from local to global, expanding the spread of excitation type process to enter the device quality injury period (ie renal injury period) , this time due to the continuous renal damage, which excrete waste function decreased, causing a creatinine accumulation of toxins in the body, which appears in the blood creatinine, blood urea nitrogen increased, decreased urine creatinine, renal filtration rate decline. At the same time patients will have high blood pressure, high degree of swelling and other symptoms elsewhere in the body

Creatinine index

A creatinine edit this section
Creatinine is a product of muscle metabolism in the human body. Each 20g muscle metabolism can produce 1mg creatinine.
Creatinine is mainly excreted by glomerular filtration, serum creatinine from exogenous and endogenous two inside. Exogenous creatinine is meat product in the body metabolism. Endogenous Creatinine is a product of metabolism in muscle tissue in vivo. When meat intake is stable, the body's muscle metabolism has not changed, creatinine generation will be relatively constant.
2 creatinine index edit this section
Including serum creatinine, creatinine (Cr) and urine creatinine, serum creatinine (Cr) is an important indicator of renal function, serum creatinine increased mean renal damage. Mainly from the blood through urine creatinine glomerular filtration excreted in the urine creatinine. Pathological reduction Tip: acute and chronic renal failure and severe congestive heart failure, muscle atrophy and so on.
2.1 serum creatinine (Cr)
Is an important indicator of renal function, serum creatinine increased mean renal damage.
[Reference] men 53-106μ mOI / L, women 44-97μmol / L
[The clinical significance] pathologically elevated creatinine indicate ① reduce renal excretion, suggesting: renal failure, uremia, severe congestive heart failure; ② body creatinine generate excessive Tip: gigantism, acromegaly.
[Testing requirements] 12 hours of fasting venous blood.
2.2 urine creatinine
Mainly from the blood after glomerular filtration excreted in the urine creatinine.
[Reference] 8.4-1 3.25mmol / 24-hour urine
[The clinical significance] pathological reduce Tip: acute and chronic renal failure and severe congestive heart failure, muscle atrophy and so on.

[Testing requirements] urine specimens from 24 hours.

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    2014年10月23日星期四

    Nephrotic syndrome and its causes

    Nephrotic syndrome is a stubborn disease, a large clinical treatment difficult. Nephrotic syndrome is not a disease name, it is a clinical syndrome caused by a variety of causes, the most basic is characterized by high proteinuria, hypoalbuminemia, edema and hyperlipidemia, clinical called "three high and one low "symptoms.
    Nephrotic syndrome causes:

    According to the etiology of renal disease syndrome can be divided into primary and secondary two categories. Primary nephrotic syndrome is the most common primary glomerular disease etiology performance. The secondary cause of nephrotic syndrome are more common with diabetic nephropathy, systemic lupus erythematosus nephritis, infections and drugs cause nephrotic syndrome. Pathological types of primary nephrotic syndrome more, there is minimal change nephropathy, focal segmental nephropathy, membranous nephropathy. Nephrotic syndrome belong to the scope of traditional Chinese medicine edema, back pain, Consumption, and other evidence of turbid urine. Chinese medicine believes that the development of nephrotic syndrome with patients over exertion, chronic illness mistreatment, loss of governance, weak health and eating unclean and other incentives related to these incentives the lung, spleen, kidney dysfunction, caused by lack of blood and viscera of yin and yang , resulting in the formation of human metabolic disorders nephrotic syndrome. To the late development of nephrotic syndrome, kidney increase, it will happen "Longbitong" and "off grid" and other evidence (uremia performance), to the point, the treatment more difficult, if not treated, would endanger the patient's life at any time.
    if you have any questions, you can ask our online doctor. we will give you answer. Or you can send an email to us. Email:kidneyservice@hotmail.com .

    Chronic nephritis is caused by what?

    Induced chronic nephritis reasons: 1, low blood volume:
    Uremic patients because of severe restrictions of sodium and water, combined with a diuretic, reducing tubular sodium reabsorption, resulting in dehydration, resulting in hypovolemia, glomerular filtration rate, renal function further damage, if appropriate, to add volume , will enable the symptoms improved.
    2, high blood pressure:
    Uremic patients due to various reasons, a sudden increase in blood pressure, impaired renal function will increase, so that the blood pressure is maintained at an appropriate level, to achieve both buck and ensure a certain degree of kidney filtration rate, delaying the development of renal failure.
    3, excessive protein intake:
    Uremic patients the protein content in food, BUN content and degree of renal damage were parallel Therefore, protein intake should be based on renal function to determine . 5, acidosis: CO2-CP when the patient is less than 18mmol / L, in addition to giving basic drugs, actively looking aggravate acidosis factors are removed, can alleviate the symptoms of uremia.
    4, electrolyte imbalance:
    Uremic patients often have low blood calcium, high phosphorus, calcium deposition in the kidneys, resulting in the continued deterioration of renal function. Also due to insufficient potassium intake, diuretics, often seen hypokalemia, should be dealt with, or will cause serious consequences.
    5, the use of nephrotoxic drugs:
    When renal failure delayed excretion of drugs, easily accumulate in the blood and tissues, causing kidney damage, the use of these drugs aggravate renal dysfunction may be considered drug-induced.
    6, systemic diseases:
    Chronic uremia caused by renal damage may be primary, or secondary to certain diseases or be systemic diseases, such as connective tissue diseases, metabolic diseases, cardiovascular diseases, etc., caused by the above-mentioned diseases such as uremia, or because these diseases increase, so timely and correct treatment of these primary disease can get some degree of uremic condition improved or fully recovered.
    7, infection:
    Uremic patients because of the various effects of toxins, poor body resistance, decreased immune function, complicated by systemic infection, inevitably further aggravate renal damage. Therefore, a sharp deterioration of renal function in patients with uremia, unexplained fever who pyuria persons and has an easy concurrent infection of primary disease, must be given, if it is found to be active treatment after infection control uremic symptoms reduce, or even relieve uremic state.
    8, urinary tract obstruction:

    Within the upper urinary tract obstruction after increased pressure, urine reflux, causing kidney damage, uremia aggravated obstruction of a patient if there is reason promptly remove the obstruction, renal function may have different degrees of improvement.

    Whether nervous headache may be caused by nephritis?

    One, nervous headache
    Directly affected by nerve stimulation or reflex contraction caused by vascular spasm, ischemia leads to headaches.
    Which :( 1) trigeminal neuralgia, trigeminal nerve in the region is paroxysmal, recurrent pain, divided into primary, secondary two. Primary cause is unknown, usually caused by secondary tumors, vascular malformations, skull deformities, nasopharyngeal carcinoma, arachnoiditis, traumatic brain injury, multiple sclerosis and other causes, mainly in the elderly.
    Clinically, trigeminal area tear, power, cutting, burning, needle-like pain, a few seconds at 1 - 2 minutes, it will cause pain when hemifacial spasm, and some facial trigger points, then touch evoked. Often due to chew, brush your teeth, wash your face, talking, etc. induced. Ipsilateral facial possible rough, sparse eyebrows.
    (2) occipital neuralgia, paroxysmal pain in the rear, a large pillow with a small nerve tenderness, radiation to the head, was symmetry.

    Second, eat more fruits and vegetables, maintaining a good mood, good sleep, exercise, wash your hair to dry after winter to wear a hat, eating croissants compound tablets when pain

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