What should be done to avoid uremia in patients with nephropathy?

What should be done to avoid uremia in patients with nephropathy?

The incidence of uremia is actually not as high as you might think. Not all patients with chronic kidney disease develop uremia. If you first find kidney disease, you don't have to worry about it. But in fact, there are some people who can't avoid uremia. Because of one reason or another, leading to the aggravation of the disease, eventually to dialysis.

What should be done to avoid uremia in patients with nephropathy?

For patients with kidney disease, no matter who will not want to wait for the exacerbation of the disease, waiting for dialysis to come, waiting for the fate of the judgment! If you don't want to get worse, you have to be aware of the duration of these treatments.

Patients with kidney disease in stage 1 or 2 are lucky to have no substantial kidney damage, complete renal function, and active treatment that is completely treatable. The two most important symptoms of prevention and treatment are proteinuria and hypertension, both of which are important factors that affect the progression of renal function. If the two indexes are controlled in time, the risk of uremia will be reduced to zero if they do not cause substantial damage to renal function.

The quantitative reduction of 24 hours urine protein to less than 0.5 g, the blood pressure below 130/80 is the most safe to protect renal function, and the patients' proteinuria and blood pressure elevation level is not very serious at this stage. Active treatment can be controlled. Pay attention to two points in the course of treatment: a low salt, quality low protein diet, on time to take protein, hypotensive drugs.

Once you enter stage 3, that is, the renal function is incomplete, there is substantial damage to the renal function, which is basically half of the damage. If you don't pay attention to treatment and protection, the progress of renal function is very rapid. In this stage, in addition to controlling proteinuria, Two indicators of blood pressure, acute renal injury, and complications such as anemia, infection, electrolyte disorders, etc.

To avoid acute renal injury, we should avoid these factors: nephrotoxic drugs, infection, urinary obstruction, hydronephrosis and so on.

The renal function loss in the stage of renal failure has reached 70 percent, and the progress of the renal function is much faster than in the previous two stages. If you do not pay attention to it, you may go directly to uremia. The key indicators to measure renal function are serum creatinine, urea nitrogen, uric acid. Cystatin C, endogenous creatinine clearance rate. With the exception of the last indicator, the increase in other indicators means an increase in toxins in the body. So the focus of treatment at this stage is to remove toxins from the body. At present, it is more effective to use western medicine control and traditional Chinese medicine specific therapy to clear poison. In addition, we should regularly monitor the condition of renal function in order to adjust the treatment plan at any time.

Renal failure is the early stage of uremia, at this time to cure is very difficult, so patients should adjust their mentality, actively treat and protect residual renal function, do not have too much pressure, good control of long-term retention in this period is also possible.

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