Chronic renal failure is a very intractable disease which is a major killer for human health , place a great threat to people's health constitutes . Treatment of chronic renal failure includes dialysis and renal transplantation. Dialysis and kidney transplantation are undoubtedly the best treatment options for patients with end-stage renal failure, but because these treatments are expensive and the source of donor kidney is often not accepted by most patients. General use of non-dialysis treatment, such as diet, exercise and symptomatic treatment. The principle of non-dialysis treatment are as follows:
1. Reduce the load on residual kidney units. Mainly used to adjust the diet, such as the daily heat required to make up on the basis of low salt, low protein diet, it is also advocated not edema, no significant salt, the general daily intake of salt is about 3g.
2. To eliminate the increase in kidney damage factors. Hypertension is a vulnerable factor in the kidney and is associated with kidney disease, which should be strictly controlled. Heart failure, anemia, infection can reduce renal blood flow, affecting renal perfusion, increase its damage, should be corrected early.
3. active prevention and treatment of complications. Chronic renal insufficiency patients often have water and electrolyte, acid-base balance disorders, such as hypocalcemia, hyperphosphatemia, hyperkalemia, hyperuricemia, hypoproteinemia and metabolic acidosis. Can be given the appropriate symptomatic treatment.
4. Patients with chronic renal insufficiency should maintain a certain physical activity, according to the specific circumstances of the patient to develop the appropriate exercise plan. Participate in appropriate activities to help improve the physical quality of patients, while increasing their confidence to return to normal life, is conducive to maintaining the patient's physical and mental state. Many patients with dialysis therapy can achieve good results, so that plasma urea nitrogen, creatinine remained at a relatively low level, the patient did not have too much discomfort.
When dialysis treatment can not be maintained, dialysis can be used. On the dialysis of the indications, most people if the symptoms of uremia in patients with plasma creatinine value of 707umol / L (8mg / dl) above, uremic nitrogen reached 30mmol / L (80mg / d1) or cr <10ml / min, you can use dialysis therapy.
Difficult to control the high blood pressure, or a high degree of edema, no urine with heart failure, or concurrent pulmonary edema, cerebral edema patients; combined pericarditis, gastrointestinal bleeding, central nervous system symptoms (trance lethargy, coma, convulsions, etc.) And patients with severe metabolic acidosis (PH <7.2), available for emergency hemodialysis. For patients with concurrent peripheral neuropathy diabetes, connective tissue disease, hematocrit <0.15 patients and children or elderly patients can be early dialysis.
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