Renal failure treatment must follow certain principles

Renal failure treatment must follow certain principles

If you are diagnosed with chronic renal failure, do not panic. Must listen to the doctor's arrangement, actively cooperate with the doctor for treatment. In the treatment of chronic renal failure, the aim is to alleviate symptoms and delay the progression of CRF.

Primary treatment

The treatment of primary disease and the treatment of chronic renal failure, the better, as long as adhere to the long-term treatment of primary or secondary glomerulonephritis, hypertension, diabetic nephropathy and other reasonable; to avoid or eliminate the factors that make CRF deterioration, such as insufficient blood volume, Yan Zhonggan dye, the obstruction of urinary tract, renal toxicity of drug use so, it will have a better therapeutic effect.

TCM differentiation of symptoms and signs

Chinese medicine treatment of chronic renal failure is the best method, can effectively relieve symptoms and delay the progress of CRF, some patients of Chinese medicine catharsis, useful lotion can reduce dialysis times, reduce a lot of pain for patients.

Diet therapy

Diet therapy is also an indispensable part of a reasonable nutritional diet for the treatment of disease has a great role in promoting. It is necessary to keep the heat of 30 ~ 35kcal/kg.d, and the compensatory period of renal insufficiency can be supplied with high quality low protein (0.8g/kg.d ~ 0.6) and low phosphorus (<750mg/d) diet. High quality low protein diet (<0.6g/kg.d) plus essential amino acids or alpha keto acids in patients with advanced non dialysis.

Hypertension control

In the process of treatment of chronic renal failure, the patient will be controlled by the drug treatment of hypertension, to avoid rising blood pressure, the impact of treatment. For the early renal function in acute exacerbations, can try dopamine and prostaglandin E1; refractory hypertension oral minoxidil, intravenous phentolamine or sodium nitroprusside; and heart failure on the capacity of hypertension, should be timely dialysis. Note that the pressure can not be too fast or too low blood pressure should be controlled at 16.0/11.3kPa (120/85mmHg).

Clear toxin treatment

Some patients in the disease, excessive accumulation of toxins in the body, to bring great harm to the treatment of the disease. For mild oral coated dialdehyde starch, oral dialysis salt, Niaoduqing or Shenshuanning drug; some patients using mannitol preparation or saline enema; end-stage renal failure need replacement therapy (dialysis or transplantation).

Treatment of complications

Maintenance of water electrolyte balance and correction of metabolic acidosis

Patients with chronic renal failure in early dehydration, should be appropriate rehydration, not too much too fast. The urine, edema and hypertension, should be limited to water and salt intake, intermittent intravenous furosemide, if the dose is higher than 400mg/d non responders still don't need to use; severe edema or heart failure should be early removal of dialysis.

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