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Chronic renal failure treatment

2016-12-29 16:49
Chronic renal failure is a chronic disease, the disease prevalence of renal failure in our time to do the scientific treatment, because this disease will give patients bring a lot of pain, timely treatment and care of the right is the key here and tell you how to treat the chronic renal failure and bleeding is good.
First, the active treatment of the original disease. Do not use drugs to damage the kidneys, timely removal of predisposing factors, often can restore the condition to the original level.
Two, delaying the treatment of chronic renal failure. (a) diet therapy (two) essential amino acid therapy oral or intravenous essential amino acid solution, adult daily 9-23g. Where the law should not eat non essential amino acids and rich food, eating low amounts of high-quality protein, in order to promote the utilization of urea and non essential amino acids, and essential amino acid synthesis of human proteins, so as to achieve the purpose of reducing blood urea nitrogen. (three) sodium expansion after the diuretic therapy to suit 3g/d (such as sodium bicarbonate, sodium and water retention in patients already, do not have to wear, and then treated with furosemide, sodium bicarbonate) to the dosage of 100mg/d, intravenous injection, the daily urine volume of about 2000ml, otherwise, the amount of daily furosemide doubled, to the amount of urine. But the total daily dose of furosemide should not exceed 1000mg, such as furosemide each more than 200mg, should be added to glucose intravenous drip. (four) the application of vasoactive drugs 20mg dopamine, phentolamine 10mg plus 5% glucose injection 250ml by intravenous drip, drip speed 1ml/, 1 times a day, a total of 7 times. It can improve the renal blood flow, increase urine volume and promote the excretion of urea nitrogen. (five) oral oxidation starch 20-40g/d, can make the intestinal urea and oxidized starch combination excreted after 1-2 weeks, blood urea nitrogen can be reduced by about 30%, because of its side effects are dizziness, nausea, diarrhea, the oxidized starch with albumin coating preparation, the preparation of slight side reaction. (six) traditional Chinese medicine rhubarb 10g, oyster 30g, dandelion 20g, Decoction to 300ml, high retention enema 1-2 times a day, patients with diarrhea control at 3-4 times per day is appropriate, to promote the increase of fecal nitrogen excretion.
Three, correct water, electrolyte imbalance. (a) dehydration and hyponatremia in uremic patients prone to dehydration and hyponatremia, especially long-term loss of appetite, vomiting and diarrhea, even more so, once occurred, should be added. However, attention should be paid to the characteristics of water and sodium tolerance should not be excessive, so as not to cause hypernatremia and water intoxication. (two) hypokalemia and hyperkalemia in patients with uremia in the blood potassium is generally low, but the use of diuretics, it is prone to hypokalemia. Should the oral potassium chloride or potassium citrate supplement, only in case of emergency, only need intravenous infusion of potassium, urine or potassium sparing diuretics, can cause hyperkalemia. (three) hypocalcemia and hyperphosphatemia oral calcium gluconate and calcium lactate can improve hypocalcemia. When the low calcium tetany, intravenous glucose should be 10% or 5% calcium calcium chloride 10-20ml, corrected. Oral administration of 4% Aluminium Hydroxide Gel 15-30ml, 3-4 times a day, can inhibit the intestinal absorption of phosphorus from the phosphorus decreased. Vitamin D helps improve the blood calcium level and improve renal osteodystrophy.
Four, symptomatic treatment of patients with high blood pressure, should limit sodium intake, and appropriate antihypertensive drugs to control hypertension. Severe anemia with iron supplementation should be, and lose a few blood by intravenous or subcutaneous injection of erythropoietin is the best general use 50u/kg, after 6-8 weeks, red cell volume increased after 30-40vol%, to maintain the volume (25u/kg), in the application process, can be due to the increase in red blood cells and the blood the viscosity increase, increased vascular resistance, elevated blood pressure, should pay attention to. Patients with renal osteodystrophy, should supplement calcium and vitamin D or 1.25 hydroxy D3 (Luo Gaiquan), such as serum calcium and parathyroid disease without improvement, such as the exploration and resection of adenomas.
Five, blood purification therapy is to replace the loss of function of the kidney by artificial methods, in order to maintain the patient's life. Hemodialysis and peritoneal dialysis.
Six, kidney transplantation allogenic kidney transplantation to the health of patients with uremia, is an ideal treatment for renal transplantation therapy since beginning of this century, great progress has been made in China has accumulated a lot of experience. With the development of anti rejection, renal transplantation will become an effective treatment.
I hope that in the future when the life of the occurrence of renal failure disease, do not delay the treatment of time, is willing to each kidney failure patients can face up to their disease.
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