Anemia is a common symptom among patients with kidney disease. The incidence
of developing anemia rises with the aggravation of kidney disease. According to
some researches, anemia affects 28% of patients with mild kidney disease.
However, the incidence of anemia among patients with serious anemia is as high
as 87%.
As the patients’ renal function declines, the kidneys may mot produce enough
erythropoietin that regulates red blood cells production in our body.
Erythropoietin is a necessary requirement for bone marrow to produce red blood
cells. After red blood cells are produced, they can carry hemoglobin that
delivers oxygen to other body part. However, if our body can not get enough red
blood cells, there will not be enough oxygen supplements to meet body’s
need.
Moreover, the patients with kidney disease often have bleeding in digestive
tract and so on, which can cause red blood cells loss. Also some patients often
have vomit, nausea, poor appetite so the patients can not get enough raw
materials of blood such as iron, vitamin. It is also an important factor in
causing anemia.
Therefore, usually the patients with kidney disease have more than one reason
for anemia.
The patients do not have obvious symptoms if anemia is mild or develops very
slowly. With the anemia development, some symptoms will appear such as fatigue,
trouble breathing, weakness, dizziness, pale skin, and headache and so on. If
you have the above symptoms, you may be affected by anemia.
Some studies show that if the patients with kidney disease are accompanied
with anemia, they have an increased risk of heart problems. If patients can
receive effective treatment of anemia, it can decline the risk of heart disease
to some extent.
2016年1月15日星期五
Can You Stop Dialysis Once You Start
Can I stop dialysis once I start? All patients on dialysis must be concerned
with this issues very much. Although dialysis is an important substitutive
therapy for patients with Renal Failure, it can cause many side effects.
Therefore, many patients hold a rejective attitude to dialysis. In fact, whether
the patients can stop dialysis is up to what treatment and when they begin to
adopt treatment.
As the patients’ renal function declines, a mass of uremic toxins will accumulate in their blood, which not only damage their renal function, but also affect other organs and even skin. Therefore, the patients have to recur to dialysis to clear the toxins. However, dialysis has no effects on the improvement of their renal function so the patients will lose their renal function gradually. Finally, kidney transplant is the only choice for them. The above has described the therapeutic process of patients with Renal Failure in the conventional therapies. However, if the patients can receive proper treatment in time, they will be able to decline the dialysis frequency and even stop it. The combined application of Micro-Chinese Medicine Osmotherapy and Immunotherapy bring much hope to patients with Renal Failure.
For patients on dialysis, most of their renal intrinsic cells are necrotic, some only are damaged. If the damaged cells are reversed, the patients’ renal function will improve to some degree. Micro-Chinese Medicine Osmotherapy can change renal ischemia and anoxia state thus improving blood circulation. Therefore, some urmic toxins will be discharged out of body through blood circulation. Moreover, Chinese medicines can provide much nutrient substance for the repairing the damaged cells. However, as most of the renal intrinsic cells are necrotic, even if the patients can recover the normal renal function of the damaged cells, it is not enough to maintain their renal function.
Then the patients should recur to the renewing ability of Immunotherapy. Immunotherapys are undifferentiated original cells so they can differentiate into the damaged cells to replace their role. Therefore, Immunotherapy can improve the patients’ renal function greatly. However, no matter how effective a therapy is, it always has its limitations. If all the renal intrinsic cells are necrotic, there is no blood flowing through kidneys. Therefore, Immunotherapy can not reach kidneys at all. In addition, as the patients’ internal environments are polluted by the urimic toxins seriously, in some cases, the environments are not suitable for Immunotherapy. Therefore, whether Immunotherapy can make patients get rid of dialysis, it all depends on their patients’ own disease condition.
Therefore, if the patients with Renal Failure receive proper treatment as early as possible, they are very likely to avoid dialysis.
As the patients’ renal function declines, a mass of uremic toxins will accumulate in their blood, which not only damage their renal function, but also affect other organs and even skin. Therefore, the patients have to recur to dialysis to clear the toxins. However, dialysis has no effects on the improvement of their renal function so the patients will lose their renal function gradually. Finally, kidney transplant is the only choice for them. The above has described the therapeutic process of patients with Renal Failure in the conventional therapies. However, if the patients can receive proper treatment in time, they will be able to decline the dialysis frequency and even stop it. The combined application of Micro-Chinese Medicine Osmotherapy and Immunotherapy bring much hope to patients with Renal Failure.
For patients on dialysis, most of their renal intrinsic cells are necrotic, some only are damaged. If the damaged cells are reversed, the patients’ renal function will improve to some degree. Micro-Chinese Medicine Osmotherapy can change renal ischemia and anoxia state thus improving blood circulation. Therefore, some urmic toxins will be discharged out of body through blood circulation. Moreover, Chinese medicines can provide much nutrient substance for the repairing the damaged cells. However, as most of the renal intrinsic cells are necrotic, even if the patients can recover the normal renal function of the damaged cells, it is not enough to maintain their renal function.
Then the patients should recur to the renewing ability of Immunotherapy. Immunotherapys are undifferentiated original cells so they can differentiate into the damaged cells to replace their role. Therefore, Immunotherapy can improve the patients’ renal function greatly. However, no matter how effective a therapy is, it always has its limitations. If all the renal intrinsic cells are necrotic, there is no blood flowing through kidneys. Therefore, Immunotherapy can not reach kidneys at all. In addition, as the patients’ internal environments are polluted by the urimic toxins seriously, in some cases, the environments are not suitable for Immunotherapy. Therefore, whether Immunotherapy can make patients get rid of dialysis, it all depends on their patients’ own disease condition.
Therefore, if the patients with Renal Failure receive proper treatment as early as possible, they are very likely to avoid dialysis.
How to Supply Nutrients for Patients with Chronic Renal Failure
For patients with Chronic Renal Failure, their body dissolves more protein
than normal so their body stays in a negative nitrogen balanced state.
Therefore, their resistance is weak and it is very easy for virus to invade into
their bodies. Proper supplement of nutrients is very important for patients to
improve their resistance.
1. Keep enough vitamin intake
Vitamins take part in the metabolic process. If the body can not get enough vitamin supplements, it will cause metabolic disorder. Therefore, the patients with Real Failure should eat more fruits and vegetable with high vitamins.
2. Keep proper high quality protein
Protein can provide essential amino acid for body. The patients should decline the portion of vegetable protein in the total protein intake for vegetable protein can produce more urea nitrogen thus aggravating to kidneys. Moreover, the patients should limit the total amount of protein intake. The non dialysis patients should keep their protein intake within 0.6~0.8 grams/ kg body weight per day. The patients on hemodialysis should keep their protein intake within 1grams/ kg per body weight and peritoneal dialysis patients keep 1.2 grams/kg per day. However, the patients should take examination regularly and make their diet plan on the results under their doctors’ guidance.
3. Regulate the sodium supplement
The patients with Renal Failure should keep balance between the sodium intake and excretion. However, if they have edema, the intake amount should be less than excretion.
4. Avoid eating high- phosphorus food
Patients with Renal Failure can not execrate phosphorus out of their bodies thus leading to hyperphosphatemia. If the phosphorus level in blood keeps going up persistently, it will stimulate the parathyroid to secrete more parathyroid hormone. As a result, the calcium in blood will increase thus causing renal bone diseases.
The above article just introduces the general principles for patients with Renal Failure. As the disease conditions vary with different patients, they should make their personalized diet plan under their doctors’ guidance.
1. Keep enough vitamin intake
Vitamins take part in the metabolic process. If the body can not get enough vitamin supplements, it will cause metabolic disorder. Therefore, the patients with Real Failure should eat more fruits and vegetable with high vitamins.
2. Keep proper high quality protein
Protein can provide essential amino acid for body. The patients should decline the portion of vegetable protein in the total protein intake for vegetable protein can produce more urea nitrogen thus aggravating to kidneys. Moreover, the patients should limit the total amount of protein intake. The non dialysis patients should keep their protein intake within 0.6~0.8 grams/ kg body weight per day. The patients on hemodialysis should keep their protein intake within 1grams/ kg per body weight and peritoneal dialysis patients keep 1.2 grams/kg per day. However, the patients should take examination regularly and make their diet plan on the results under their doctors’ guidance.
3. Regulate the sodium supplement
The patients with Renal Failure should keep balance between the sodium intake and excretion. However, if they have edema, the intake amount should be less than excretion.
4. Avoid eating high- phosphorus food
Patients with Renal Failure can not execrate phosphorus out of their bodies thus leading to hyperphosphatemia. If the phosphorus level in blood keeps going up persistently, it will stimulate the parathyroid to secrete more parathyroid hormone. As a result, the calcium in blood will increase thus causing renal bone diseases.
The above article just introduces the general principles for patients with Renal Failure. As the disease conditions vary with different patients, they should make their personalized diet plan under their doctors’ guidance.
2016年1月14日星期四
Pathogenesis and Treatment of Membranous Nephropathy
Membranous Nephropathy is also named as Membranous Glomerularnephritis. It is
an immunological disease characterized by the deposition of immune complex in
epithelial cells and basilar membrane of glomeruli.
Infections are the main causes of infections such as colds. When a person is affected by infection, a mass of inflammatory mediator will be released. As a result, a huge amount of antigen-antibody immune complex will deposit in the epithelial cells and basilar membrane, which can damage the epithelial cells. Therefore, the epithelial cells will lose their normal barrier function so the protein will be leak into urine.
From the above description, it can be seen that Membranous Nephropathy is caused by two causes. One is autoimmunity deficiency, which is the fundamental cause of the disease. The other is the inducement of infection.
Knowing the fundamental causes of Membranous Nephropathy is the foundation of treating the disease. The patients need to experience the following four steps in treating Membranous Nephropathy.
1. Dilate blood vessels
The deposition of immune complex in the glomerular blood capillaries can lead to obstruction thus causing renal ischemia and anoxia. Dilating blood vessels can improve the blood circulation so as to provide a favorable environment for repairing the damaged renal intrinsic cells.
2. Anti-inflammation
After infection viruses invade into bodies, it can cause renal inflammatory reaction. Anti-inflammation can decrease the releasing o f inflammatory factors thus alleviating the further damage to the glomerular epithelial cells.
3. Anticoagulation
The increase inflammatory cells in blood will release a mass of inflammatory factors and blood coagulation factors. It can increase the viscosity of blood thus leading to the formation of microthrombus in the glomerular blood capillaries. Anticoagulation can improve the blood circulation thus benefit the repairing of the epithelial cells.
4. Degrading
The deposition of immune complex is the fundamental cause of Membranous Nephropathy. By degrading, the immune complex can be degraded and finally will be discharged out of body in urine.
If the patients can receive proper treatment based on its pathogenesis, they will be able to get a good therapeutic effect. If you are tormented by the annoying Membranous Nephropathy and want to know a personalized therapeutic schedule, you can email to kidney120@hotamil.com.
Infections are the main causes of infections such as colds. When a person is affected by infection, a mass of inflammatory mediator will be released. As a result, a huge amount of antigen-antibody immune complex will deposit in the epithelial cells and basilar membrane, which can damage the epithelial cells. Therefore, the epithelial cells will lose their normal barrier function so the protein will be leak into urine.
From the above description, it can be seen that Membranous Nephropathy is caused by two causes. One is autoimmunity deficiency, which is the fundamental cause of the disease. The other is the inducement of infection.
Knowing the fundamental causes of Membranous Nephropathy is the foundation of treating the disease. The patients need to experience the following four steps in treating Membranous Nephropathy.
1. Dilate blood vessels
The deposition of immune complex in the glomerular blood capillaries can lead to obstruction thus causing renal ischemia and anoxia. Dilating blood vessels can improve the blood circulation so as to provide a favorable environment for repairing the damaged renal intrinsic cells.
2. Anti-inflammation
After infection viruses invade into bodies, it can cause renal inflammatory reaction. Anti-inflammation can decrease the releasing o f inflammatory factors thus alleviating the further damage to the glomerular epithelial cells.
3. Anticoagulation
The increase inflammatory cells in blood will release a mass of inflammatory factors and blood coagulation factors. It can increase the viscosity of blood thus leading to the formation of microthrombus in the glomerular blood capillaries. Anticoagulation can improve the blood circulation thus benefit the repairing of the epithelial cells.
4. Degrading
The deposition of immune complex is the fundamental cause of Membranous Nephropathy. By degrading, the immune complex can be degraded and finally will be discharged out of body in urine.
If the patients can receive proper treatment based on its pathogenesis, they will be able to get a good therapeutic effect. If you are tormented by the annoying Membranous Nephropathy and want to know a personalized therapeutic schedule, you can email to kidney120@hotamil.com.
How to Prevent Diabetes from Developing into Diabetic Nephropathy
Diabetic Nephropathy is a serious complication of Diabetes. In those years,
more and more new cases of Kidney Disease are caused by Diabetes. However, it
can not be cured, but only can be managed. Therefore, it is very important for
patients with Diabetes to take preventive measures in advance.
1. Early diagnosis
According to stages of Diabetic Nephropathy, if the patients can receive treatment in its first stage, their renal damage can be recovered completely. However, most of the patients with Diabetes do not know or do not attach any importance to the early diagnosis of Diabetic Nephropathy. Some patients do not receive treatment until their diseases develop into stage 4 or even stage 5. At that time, they have lost the best therapeutic time. Therefore, the patients with Diabetes should do a microalbumin test annually.
2. Control blood pressure level
If the patients with Diabetes are diagnosed with high blood pressure, they are more likely to have Diabetic Nephropathy. That is because high blood pressure adds more strain on the tiny blood vessels of the kidneys thus causing renal damage. Therefore, the patients should take antihypertensive medicines to control their blood pressure under their doctors’ guidance.
3. Control blood glucose level
High blood glucose can damage the kidneys, which is the primary cause of renal damage for patients with Diabetes. It can cause much damage to tiny blood vessels of kidneys. Therefore, the patients with Diabetes should check their blood glucose every day. For patients with type1 Diabetes, they should inject insulin regularly to control their blood glucose level. For patients with type 2 Diabetes, diet and exercise may be the primary treatment to low their blood glucose level.
4. Develop healthy habits
Once you have been diagnosed with Diabetes, you should quit smoking, drinking and some other harmful activities that can worsen your disease. In addition, exercise is also a habit for patients with Diabetes. However, before you start a exercise program, you should make a proper exercise plan under doctors’ guidance.
If the patients with Diabetes can receive early treatment and take effective measures to control their blood pressure and glucose level, they will be able to prevent Diabetes from causing renal damage.
1. Early diagnosis
According to stages of Diabetic Nephropathy, if the patients can receive treatment in its first stage, their renal damage can be recovered completely. However, most of the patients with Diabetes do not know or do not attach any importance to the early diagnosis of Diabetic Nephropathy. Some patients do not receive treatment until their diseases develop into stage 4 or even stage 5. At that time, they have lost the best therapeutic time. Therefore, the patients with Diabetes should do a microalbumin test annually.
2. Control blood pressure level
If the patients with Diabetes are diagnosed with high blood pressure, they are more likely to have Diabetic Nephropathy. That is because high blood pressure adds more strain on the tiny blood vessels of the kidneys thus causing renal damage. Therefore, the patients should take antihypertensive medicines to control their blood pressure under their doctors’ guidance.
3. Control blood glucose level
High blood glucose can damage the kidneys, which is the primary cause of renal damage for patients with Diabetes. It can cause much damage to tiny blood vessels of kidneys. Therefore, the patients with Diabetes should check their blood glucose every day. For patients with type1 Diabetes, they should inject insulin regularly to control their blood glucose level. For patients with type 2 Diabetes, diet and exercise may be the primary treatment to low their blood glucose level.
4. Develop healthy habits
Once you have been diagnosed with Diabetes, you should quit smoking, drinking and some other harmful activities that can worsen your disease. In addition, exercise is also a habit for patients with Diabetes. However, before you start a exercise program, you should make a proper exercise plan under doctors’ guidance.
If the patients with Diabetes can receive early treatment and take effective measures to control their blood pressure and glucose level, they will be able to prevent Diabetes from causing renal damage.
Side Effects of Hemodialysis and How to Prevent them
Hemodialysis is a lifesaving substitutive therapy for patients with end stage
renal failure (ESRF). However, the patients often have to encounter various side
effects of hemodialysis. Most of these side effects can be managed if the
patients can follow the recommendations of their doctors and keep a strict
dietary habit.
1. Hypotension
Hypotension is a common side effect of hemodialysis. It is occurs when too much fluid is removed out of body during dialysis. When the patients experience hypotension, they usually have nausea, dizziness and so on. The patients should let their doctors know this issue and ask them to program the dialysis machine so as to guarantee proper amount of fluid to be removed out of body.
Another reason for hypotension is medicines for hypertension. The patients should decline or do not take that medicines after asking for their doctors' advices, unless their doctors prescribe the medicines. In addition, limiting fluid intake also can prevent low pressure during dialysis.
2. Muscle cramps
Many patients may have muscle cramps during hemodialysis. The muscle cramps can cause discomfort and pain in the legs. There are various causes of muscle cramps. Sometimes when fluid is removed too fast or too much fluid is taken out of body, the patients will have muscle cramps. The patients should let their doctors know this problem at once and ask some remedies.
3. Infection
In hemodialysis,the fistula or graft access is very likely to be infected or inflamed. Pressure caused by clothing and sleeping on the side of where the access is located and some bacteria invasion often can cause infection and inflammation on access. The patients should monitor the access daily to ensure it works well.
4. Itching
Many patients on hemodialysis often have skin itching. It is commonly caused by the high phosphorous level in body. As hemodialysis can not remove phosphorous effectively, it will accumulate in body thus causing itching. Therefore, the patients should keep a low phosphorus diet or take a phosphorus blinder with their doctors' guidance.
Patients on hemodialysis should communicate with their doctors closely during their hemodialysis period and let them know about the abnormal reactions caused by dialysis so as to adjust their dialysis in the first time.
1. Hypotension
Hypotension is a common side effect of hemodialysis. It is occurs when too much fluid is removed out of body during dialysis. When the patients experience hypotension, they usually have nausea, dizziness and so on. The patients should let their doctors know this issue and ask them to program the dialysis machine so as to guarantee proper amount of fluid to be removed out of body.
Another reason for hypotension is medicines for hypertension. The patients should decline or do not take that medicines after asking for their doctors' advices, unless their doctors prescribe the medicines. In addition, limiting fluid intake also can prevent low pressure during dialysis.
2. Muscle cramps
Many patients may have muscle cramps during hemodialysis. The muscle cramps can cause discomfort and pain in the legs. There are various causes of muscle cramps. Sometimes when fluid is removed too fast or too much fluid is taken out of body, the patients will have muscle cramps. The patients should let their doctors know this problem at once and ask some remedies.
3. Infection
In hemodialysis,the fistula or graft access is very likely to be infected or inflamed. Pressure caused by clothing and sleeping on the side of where the access is located and some bacteria invasion often can cause infection and inflammation on access. The patients should monitor the access daily to ensure it works well.
4. Itching
Many patients on hemodialysis often have skin itching. It is commonly caused by the high phosphorous level in body. As hemodialysis can not remove phosphorous effectively, it will accumulate in body thus causing itching. Therefore, the patients should keep a low phosphorus diet or take a phosphorus blinder with their doctors' guidance.
Patients on hemodialysis should communicate with their doctors closely during their hemodialysis period and let them know about the abnormal reactions caused by dialysis so as to adjust their dialysis in the first time.
Causes and Symptoms of Diabetic Nephropathy
Diabetic Nephropathy is a serious complication of Diabetes. Usually, many
patients with a long history of Diabetes have renal damage in varying degrees.
In the United States, Diabetes is the leading cause of chronic kidney disease
and kidney disease.
In fact, not all patients with Diabetes will develop Diabetic Nephropathy. Some researches show that the patients who do not control their blood sugar effectively are susceptible to renal damage. Each of our kidneys are composed of about 1 million nephrons that help remove extra water out of body and keep electrolyte balance in our body. High blood sugar level can damage the tiny vessels in the nephrons by thickening scarring them thus causing kidney damage over time. As a result, the nephrons will lose their normal filtrating function. Without timely proper treatment, the kidney damage will lead to Renal Failure gradually.
In the early stage of Diabetic Nephropathy, the patients may not have any symptom. That is the reason why most patients can not get timely treatment. As the disease progression, it will cause a series of symptoms. Diabetic Nephropathy is divided into five stages. The patients have different symptoms in the five stages.
1. Proteinuria
If the patients with Diabetic Nephropathy, it proves that their disease has developed into the fourth stage. In the stage 2 and 3, the patients often have intermittent or persistent microdose albumin in urine. After the disease develops into the fourth stage, the urine protein will increase gradually and even have amount urine protein in 3~5 years.
2. Edema
With the appearing of proteinuria, edema will occur. When the protein loss in urine causes hypoproteinemia, the patients usually have serious edema and even have hydrothorax and ascites.
3. High blood pressure
High blood pressure is an early symptom of Diabetic Nephropathy. In the stage 2 or 3 of Diabetic Nephropathy, the patients may have high blood pressure. In the early stage, the patients usually have intermittent high blood pressure and gradually it will develop into persistent high blood pressure. High blood pressure can increase the secretion of urine protein, which is an risk in aggravating kidney damage.
4. Kidney damage
Before stage 4 of Diabetic Nephropathy, the renal function usually declines very slowly. However, after the appearance of persistent proteinuria, especially amount urinary protein, kidney damage progresses very fast and have renal insufficiency gradually.
Therefore, the patients with Diabetes should do renal test, urine test and blood test regularly so as to find the disease and receive treatment in the first time.
In fact, not all patients with Diabetes will develop Diabetic Nephropathy. Some researches show that the patients who do not control their blood sugar effectively are susceptible to renal damage. Each of our kidneys are composed of about 1 million nephrons that help remove extra water out of body and keep electrolyte balance in our body. High blood sugar level can damage the tiny vessels in the nephrons by thickening scarring them thus causing kidney damage over time. As a result, the nephrons will lose their normal filtrating function. Without timely proper treatment, the kidney damage will lead to Renal Failure gradually.
In the early stage of Diabetic Nephropathy, the patients may not have any symptom. That is the reason why most patients can not get timely treatment. As the disease progression, it will cause a series of symptoms. Diabetic Nephropathy is divided into five stages. The patients have different symptoms in the five stages.
1. Proteinuria
If the patients with Diabetic Nephropathy, it proves that their disease has developed into the fourth stage. In the stage 2 and 3, the patients often have intermittent or persistent microdose albumin in urine. After the disease develops into the fourth stage, the urine protein will increase gradually and even have amount urine protein in 3~5 years.
2. Edema
With the appearing of proteinuria, edema will occur. When the protein loss in urine causes hypoproteinemia, the patients usually have serious edema and even have hydrothorax and ascites.
3. High blood pressure
High blood pressure is an early symptom of Diabetic Nephropathy. In the stage 2 or 3 of Diabetic Nephropathy, the patients may have high blood pressure. In the early stage, the patients usually have intermittent high blood pressure and gradually it will develop into persistent high blood pressure. High blood pressure can increase the secretion of urine protein, which is an risk in aggravating kidney damage.
4. Kidney damage
Before stage 4 of Diabetic Nephropathy, the renal function usually declines very slowly. However, after the appearance of persistent proteinuria, especially amount urinary protein, kidney damage progresses very fast and have renal insufficiency gradually.
Therefore, the patients with Diabetes should do renal test, urine test and blood test regularly so as to find the disease and receive treatment in the first time.
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