Renal failure dialysis can "good to close"

After renal failure, the body's metabolic waste can not be excreted from the urine, which remain in the body, poisoning all tissues and organs. At this time, the doctor should dialysis treatment for the patient to remove excess body water and harmful substances out. However, many patients have concerns that if they are on dialysis, they will "struggle" for life and can not get rid of them. Is this really true?

After treatment can be reversed renal failure, to "good to close"

15-year-old Wang Chen from Henan Zhoukou. Last spring, there was generalized edema and high blood pressure symptoms. His father took him to hospital treatment, diagnosed as "radical nephritis." Doctors said that acute radical nephritis acute glomerulonephritis, with acute onset, severe illness, rapid progress in the short term due to renal failure and aggravate the condition. Several hospitals did treatment for him and did dialysis, but the disease not only failed to control, but more and more heavy, several hospitals are under the critical condition.

January 13, Wang Chen admitted to the Third People's Hospital of Zhengzhou City, Department of Nephrology. Chief physician Wu Xianming immediately made a comprehensive treatment for him. Wang Chen significantly improved the condition, the patient serum creatinine, urea nitrogen decreased edema, decreased urine output, during which he had only done a dialysis, it was terminated.

Director Wu said that some renal failure can be reversed, the key is the premise of the correct treatment. However, dialysis "good to close" is conditional, this condition is: the kidney volume did not shrink, the daily urine output is greater than 500 ml or more, anhydrous, dielectric disorders, no heart failure.

Dialysis, the "shot" when "shot"

Obviously, the above conditions do not apply to chronic renal failure, because the renal structure of chronic renal failure has been denatured, fibrosis and atrophy, the use of drugs can not reverse the disease. Once the patient has reached chronic renal failure, renal function is severely impaired. Without dialysis treatment, it not only accelerates renal damage but also damages many organs such as heart, brain and lung, and even leads to life-threatening.

What are the indications for dialysis in patients with chronic renal failure? First of all, to have the clinical manifestations of chronic renal failure, serum creatinine more than 500 micromol / L, blood urea nitrogen more than 20 mmol / L, glomerular filtration rate <10 to 15 ml, no infection, urinary tract obstruction, effective blood Insufficient capacity, heart failure, use of nephrotoxic drugs, severe hypertension, disturbances of electrolytes and electrolytes, sudden over-high protein diet, can be used for maintenance dialysis.

Chronic renal failure on the performance of the system in what areas

Metabolic system changes: If water retention can cause ascites, edema; sodium retention causes cardiovascular overload, hemorrhagic heart failure; potassium metabolism disorders can lead to hyperkalemia. In addition, due to renal acid and alkali disorders, can lead to acidosis, severe acidosis inhibition of myocardial contractility, increase heart failure, life-threatening.

Digestive system changes: Patients appetite poor, nausea and vomiting, stomach, duodenal mucosa superficial inflammation, ulcers, and even lead to upper gastrointestinal bleeding.

Cardiovascular System Alterations: Cardiovascular disease is an important complication of chronic renal failure. One third of patients with chronic renal failure have heart failure, and 85% of patients with chronic renal failure have cardiac structural changes. The incidence of hypertension is 80%. Uremic cardiomyopathy and pericarditis are often associated with chronic renal insufficiency.

Respiratory system changes: early only decreased lung capacity, not too much attention. To the late stage of chronic renal failure, the symptoms of most people more obvious, often pulmonary edema occurs, this time and heart failure co-exist. Uremic pleurisy is also more common in the late. Nervous system changes: Nervous system changes can affect the central and peripheral nervous system. Changes in the central nervous system mainly to cerebral atrophy, mild dementia performance, severe cases may have convulsions, and even coma and death. Peripheral nerve changes often manifest as neuritis.

Blood system changes: mainly anemia, bleeding tendency and thrombophilia. Here to remind everyone, all anemia patients, should check the "kidney" to see if renal anemia.

In addition, the motor system, endocrine system will be infringed.

Director Wu said that the occurrence and development of any disease are not absolute and the treatment mode should be changed according to the development of the disease so that effective treatment can be obtained.

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