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Early detection and treatment of uremia

Early detection and treatment of uremia

Uremia is caused by a variety of chronic diseases of the renal unit serious damage, so that the body in the excretion metabolism and regulation of water, electrolyte and acid-base balance disorders etc. clinical syndrome Hou group, the prog...


Uremia is caused by a variety of chronic diseases of the renal unit serious damage, so that the body in the excretion metabolism and regulation of water, electrolyte and acid-base balance disorders etc. clinical syndrome Hou group, the prognosis of severe, is one of the important conditions of death. Therefore, early detection, early treatment is the key to the treatment of this disease. However, in many cases, renal dysfunction patients into uremia without obvious features, often ignore the patients and the medical personnel, so as to delay the illness, missed the best timing of treatment, then how to do early detection and effective treatment? First of all, we remind patients with kidney disease should pay attention to a few signs of uremia in a timely manner to the hospital for a clear diagnosis.

Poor appetite: because urine toxin retention, affect the digestive function caused by the majority of people did not pay attention to, the progression of the disease appear abdominal distension discomfort, nausea and vomiting, stool frequency increased, the condition has been heavy, even when some careless doctors, still I had stomach treatment, a female admissions in uremic patients, where they are misdiagnosed as stomach more than one year.

Ochriasis: This is due to renal erythropoietin secretion caused by anemia, due to this occurrence and development is very slow, so it can not cause enough attention, often according to the general treatment of anemia and delay treatment.

Edema: is a relatively easy to perceive the performance of the common symptoms is to get up in the morning when the eyelid edema, a little back in the afternoon, tired feet swollen, after the rest of the disappeared, which is often mistaken for the phenomenon of overwork was ignored. Wait until the disease has further affected the development of the body's internal organs, including the heart, lungs, central nervous system, symptoms, rarely misdiagnosed, and the condition is more difficult to cure.

Western medicine in the treatment of uremia dialysis and renal transplantation, often limited by conditions can not be achieved, and not for the treatment of renal diseases, nephropathy group of experts after years of research that the pathogenesis is deficiency of spleen and kidney yang, Yang is not wet, wet inside, turbid evil choking triple burner, involving the heart liver and other organs, according to the above a theoretical study on uremic pure Chinese medicine "Jin Qi Shen Kang" series of prescriptions, combined with traditional Chinese medicine enema, with spleen and kidney, effect of huazhuojiedu, can protect the kidney function, reduce blood urea nitrogen and creatinine, early patients from dialysis, late stage patients can eliminate symptoms and gradually reduce the number of dialysis, dialysis from the final the patient can take care of themselves.

Chronic renal failure stage

According to the editorial board of Chinese Journal of internal medicine group and the June 1992 professional kidney disease held in Anhui Taiping primary glomerular disease type, treatment and curative effect judgment standard symposium was pided into four periods.

Phase I (renal decompensation): glomerular filtration rate (GFR) 50~80ML/MIN, serum creatinine (SCR) 133~177.

Phase second (renal decompensation): GFR20~50ML/MIN, SCR186~442.

Third stage (uremia stage or end stage of renal failure): GFR<10ML/MIN, SCR>707.

It is of great significance to correctly determine the diagnostic criteria (SCR>707, GFR<10ML/MIN) for the diagnosis of the patient's prognosis, to formulate the clinical treatment plan, and to select the indication of dialysis. BUN is affected by many factors, and can not be used as the basis for the diagnosis of chronic renal failure.

Etiology and development of chronic renal failure

Chronic renal failure (CRF) is the result of structural, functional and progressive deterioration of kidney. The country is still the chronic glomerulonephritis is the most common cause of chronic pyelonephritis accounted for 75.64%; only 0.64%; connective tissue disease in systemic lupus erythematosus, accounted for 5.77%, diabetic nephropathy caused increased accounted for 10.27%, foreign literature shows that end-stage renal disease with secondary kidney disease is more common.

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