Saturday, August 15, 2015

Salt, High Blood Pressure And Kidney Disease

The body's blood vessels are closed, and heart and kidney connected, inside the blood, the more pressure (BP) is higher. And how much blood volume and blood on water and sodium, they are controlled by the kidneys, therefore, extremely important in the kidneys in blood pressure regulation.

We usually eat salt, drinking water, most generate urine through the kidneys. If too much salt, the kidneys excrete more than ability, salt and water will accumulate in the body too much, resulting in an increase in blood volume, leading to high blood pressure. If the kidney is a problem, even if just some very slight kidney damage, it may also cause its ability to decrease drainage natriuresis. Thus, kidney disease is a major cause of high blood pressure.

In fact, we usually say hypertension or essential hypertension, the incidence of very important reason is because the kidneys can not be completely discharged eat sodium and water, resulting in increased blood volume. So, how by regulating salt intake and excretion to treat high blood pressure do?

First, we must strictly control the salt intake, daily intake of sodium chloride controlled at 5 to 6 grams, the equivalent of 2 to 3 coffee spoons. According to our research, the majority of normal subjects and patients with hypertension usually eat salt exceed this limit. Therefore, in order to strictly control the salt intake is actually not an easy task. Because of the salt in the diet, except when cooking to put salt in many foods already contain salt, especially pickled foods. So, how do you know that salt intake is appropriate? Very simple, just check the content of sodium and chloride in the urine of 24 hours a day, 24-hour urinary sodium or chlorine 80 ~ 100mmol, equivalent to 5 to 6 grams of sodium chloride ʱ?? Thus, for high blood pressure and kidney disease, you should periodically check urine sodium and chlorine, to check whether the target sodium intake.


Secondly, if the strict control of sodium intake are still not effectively control blood pressure, and even edema, then rely on diuretics to help. Diuretic treatment of hypertension is one of the most important of the six antihypertensive drugs, through the promotion of renal natriuresis and drainage, reduce blood volume and lower blood pressure.

But for patients who have kidney damage, diuretics should note the following: ① renal response to diuretics may have declined, so often need to increase the dose. Glomerular filtration rate at 30ml / min or less, commonly used thiazide diuretics basically no effect, while a new loop diuretics should be used. ② renal excretion of potassium corresponding decline in capacity, using potassium-sparing diuretics need to guard against the occurrence of hyperkalemia. ③ when the glomerular filtration rate, decreased excretion of uric acid, we need to guard against diuretics cause hyperuricemia.

Salt, high blood pressure and kidney disease! In short, salt is very important for high blood pressure, and kidney is the mastermind behind both. Control salt intake, regulate renal excretion of salt, it is an important means of treatment of hypertension. In addition, any new diagnosis of hypertension, renal system check aspects must be made to determine whether the blood pressure caused by kidney disease. At the same time, high blood pressure and often cause kidney disease, and therefore patients with hypertension should be regular system checks the kidney area.


If you have any questions you want advice, you can contact us by E-mail: chinakidneyhospital@gmail.com or Tel: +8613633219293.

What Glomerulonephritis Diet Principles?

1, protein intake should be based on the disease. If the patient has renal insufficiency, when azotemia, protein intake should be limited, such as urea nitrogen than 60mg%, the daily protein supply intake of 0.5 grams of body weight in kilograms, and the use of milk, eggs, high biological value protein, the quality of nitrogen in order to reduce the burden of renal excretion; if severe renal insufficiency, when azotemia, protein intake should be further reduced in order to reduce the intake of essential amino acids staple food in Central Africa, can substitute corn starch, lotus root starch, wheat starch staple food; if the above situation or condition improves, you can gradually increase the protein intake, the daily supply of protein per kilogram of body weight to 1 gram.


2, carbohydrate and fat intake, generally may not be unrestricted. To ensure an adequate supply of heat.

3, patients with symptoms of edema and hypertension should be determined by the disease were used less salt, no salt or less sodium foods. It refers to the daily salt intake of less than 3 grams of salt; salt-free diet means a day without salt, nor eating foods containing salt; eat less sodium diet means a maximum daily amount of not more than 1,000 milligrams of sodium , in addition to salt, sodium is high (such as alkaline) foods should be controlled.

4, patients with hyperkalemia continued oliguria, to avoid the high potassium content of foods, such as fruits and various fruit juices.

5, to ensure that foods rich in vitamin A, B vitamins, vitamin C food supply, especially fresh vegetables and fruits should try to eat more.


If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.

Friday, August 14, 2015

How to Treat Uremia

Renal balance the human body environment as an important organ in the human body metabolism, maintain environmental balance and stable body of work as an extremely important role, once it appeared kidney problems, human metabolic disorders, a variety of problems followed, not to mention the almost defeated the entire kidney uremia. Uremia renal function is a function not recoverable loss disease, jargon called "kidney failure." Renal failure is a very grueling process, in the course of the continued loss of kidney function, the body chaos, a series of symptoms swarm increasingly serious metabolic disorders. The situation is grim, uremia concomitant diseases.

So whether uremia can cure it? Of course, since renal function decline is irreversible, so except for a healthy kidney otherwise not easily healed. Healthy kidneys are not readily available, the method currently used for the treatment of major dialysis uremia, choose hemodialysis or peritoneal dialysis patients according to different situations. The following are details of uremia dialysis and precautions.


Disease treatment

Due to the shortage of kidneys, so again for a healthy kidney
is not easy, so many people are forced to choose long-term kidney dialysis to sustain life. Uremia are not emergencies, for some patients, even in stable condition but also preparing for transplantation, after all, only the kidney graft substitute is to make the most reasonable and most effective way of uremic patients completely healed. Under the premise of a kidney, a number of patients with moderate disease in achieving drug control and diet at the same time be prepared to actively respond to dialysis.

Hemodialysis and peritoneal dialysis

Dialysis There are two ways, first hemodialysis, peritoneal dialysis another. Hemodialysis is helped by the dialysis machine, so that the patient's blood after purification re-enter back into the body to help achieve the implementation of the loss of renal function kidney metabolism, cleanse the body in order to stabilize the pH balance in the body. This treatment can prolong the lives of patients ranging from 10-20 years.

Peritoneal Dialysis: The principle is coming down by the peritoneal dialysis fluid of the body of excess water and metabolic waste from the body, dialysate is equivalent to a garbage truck, and then filled with human waste, and then remove the abdominal cavity, complete discharge of body waste sectors. This method is known as a long process, it can take the necessary tools and materials from the family home to perform this work.

Investigate root chase at the end, suffering from uremia or kidney transplant in order to eliminate the troubles, though dialysis can prolong patients' lives, but also give patients the corresponding inconvenience and pain.


If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.

What Is The Harm of Chronic Glomerulonephritis

Chronic glomerulonephritis, if not timely prevention or timely treatment in the usual case, then there may be quietly hit various potential risks to patients more serious physical and mental injuries, for which we will have to understand chronic glomerulonephritis What harm caused to occur in a timely manner in which they appear when signs of the necessary measures for the damage to a minimum. The following six summary:

Chronic glomerulonephritis harm

1, high blood pressure, chronic glomerulonephritis will be varying degrees in most patients with hypertension, some patients will be relatively light, but also some moderate.

2, change in urine, urine abnormalities are the most common symptoms of chronic glomerulonephritis, if urine output is less than the following 1000ml / day, may be called oliguria, and often accompanied by swelling; for patients with more severe renal tubular damage, often there will be an increase in nocturia, increased urine output, but the swelling is not obvious. Severe cases of dehydration occur.

3, prodromal symptoms: chronic glomerulonephritis there is no history of acute nephritis or streptococcal infection, the cause is difficult to determine.

4, anemia: anemia and renal secretion of erythropoietin reduce related.

5, patients with onset in different ways, some patients with chronic glomerulonephritis is due examination, we found that proteinuria and hypertension. But the majority of patients with clinical symptoms of headache, high blood pressure, fatigue, anemia. But a few patients onset is more urgent, serious edema and proteinuria.

6, other: due to the long suffering from high blood pressure, anemia, arteriosclerosis, and long-term urinary protein appeared, edema, clinically can be divided into common type of chronic glomerulonephritis, hypertensive nephritis.



If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.

Wednesday, August 12, 2015

How the Differential Diagnosis of Nephrotic Syndrome

1. nephritis patients have rashes, purpura, joint pain, characterized by abdominal pain and blood in the stool, there are characteristics of nephritis hematuria, proteinuria, edema, hypertension and so on. If purpura characterized by atypical misdiagnosed as primary nephrotic syndrome. Early this disease is often associated with elevated serum IgA. Diffuse mesangial proliferative renal biopsy is a common pathology, immunology and pathology is IgA C3 as the main sediment, it is not difficult to identify.

2. lupus nephritis more common in women 20 to 40 years, many patients have fever, rash and joint pain, antinuclear antibody, anti-ds-DNA, anti-SM antibodies, complement C3 decreased renal biopsy light microscopy in addition to mesangial hyperplasia, the lesions characteristic diversity. Immunopathology was "full house."

3. Diabetic nephropathy patients prone to diabetes for more than 10 years, can be expressed as nephrotic syndrome. Fundus examination microvascular change. Renal biopsy shows glomerular basement membrane thickening and mesangial matrix, typical damage to Kimmelstiel-Wilson nodules. Renal biopsy can confirm the diagnosis.

4.The hepatitis B virus associated nephritis nephrotic syndrome virus confirmed viremic serum, kidneys Free pathological examination revealed the hepatitis B virus antigen component.


5.Wegner nose and granulomatous inflammation, pneumonia, three characteristics of necrotizing glomerular sinus based disease necrotizing. Clinical features of renal damage is rapidly progressive glomerulonephritis or nephrotic syndrome. Serum γ-globulin, IgG, IgA increased.

6. amyloid early diabetic nephropathy can only proteinuria, usually after 3 to 5 years nephrotic syndrome, serum γ-globulin, heart, liver, splenomegaly, skin serum γ-globulin lichen-like myxoid edema, diagnosed rely on biopsy.

7. nephrotic syndrome caused by malignant tumors can cause a variety of malignant tumors by immune mechanisms nephrotic syndrome, nephrotic syndrome and even early clinical manifestations. Therefore, nephrotic syndrome patients should do a comprehensive examination to exclude malignancy.

8. graft after renal transplantation relapse after kidney allograft nephropathy syndrome relapse rate of about 10%, usually after 1 week to 25 months, proteinuria, recipients often severe nephrotic syndrome and six months to 10 years, the loss of the transplanted kidney.

9. A drug-induced nephrotic syndrome organic gold, mercury, D- penicillamine, captopril (captopril), non-steroidal anti-inflammatory drugs have cause nephrotic syndrome (such as membranous nephropathy) reported. It should be noted medication history, timely withdrawal may cause remission.


If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.

Pay Attention to The Prevention of Nephrotic Syndrome

Nephrotic syndrome is not only against large, treatment is also very difficult. Many patients have had for a long time can not heal, leading to more serious complications. So for this disease, we must actively prevent in life, the only way to stay away from nephrotic syndrome brought us harm.

Prevention of nephrotic syndrome pay attention to what

First, the Diet, not Tanliang.

Summer fruits and vegetables varieties, color, flavor and funny appetite, but patients with nephrotic syndrome diet should still be strictly enforced rules, must not eat, so as not to increase the burden on the kidneys. Although such as watermelon diuretic swelling, heat summer heat, but too much food is urinary frequency also increased burden on the kidneys, furthermore watermelon sugar in the body is cumulative disease potential crisis. Some children suffering from nephrotic syndrome, like ice cream or iced diet to quench their thirst.

If occasionally, many small is not contraindicated, if the disease is blindly Tanliang useless. Because cool or cold can damage the gastrointestinal function, resulting in loss of the spleen and stomach health movement, the disease than good. Ruoyin Tanliang acute enteritis then each make repeated illness or worse. Therefore, caution in patients with nephrotic syndrome cool summer cold drinks.


Second, adequate exercise, pay attention to hygiene.

Proper physical exercise on the recovery of the disease beneficial. Such as walking, tai chi, qigong and so on. It should be noted workout time in the morning and evening is appropriate, must exercise at noon or when the sun is strong. Swimming is a good project, though summer sport, but because swimming consumes a lot of energy, as well as swimming venue health can not be guaranteed, we recommend that patients with nephrotic syndrome do not swim. For patients with nephrotic syndrome summer health should include two aspects: First, food hygiene, can not eat sour, rotten or overnight enzyme unclean food, avoid gastrointestinal disease that affects the recovery.

Furthermore, personal hygiene, clothes to wash frequently changes, with loose, soft cotton appropriate, should always take a bath, clean the skin to prevent prickly heat, boils infection recurrence or worsening of the disease. Pay attention to mosquito, fly and other summer insects, prevent their bites cause skin infections.

Third, Regulating Emotions, abstinence Paul essence.

Emotional uncomfortable is often repeated, an important reason for fluctuations in blood pressure condition. Nephrotic syndrome, long course, the patient must have the confidence to overcome the disease, subtly regulate emotions, such as bird amused, calligraphy, reading, chess, etc. can be joyful mood and promote health.

Prevention of nephrotic syndrome, the first lot of attention in the diet, the diet should be moderate, do not eat too much, do not eat too cold food. To appropriate exercise in life, and pay attention to health and regulate their emotions, maintain a good mood. Only do this, we can better prevent nephrotic syndrome.


If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.

Tuesday, August 11, 2015

Daily Care Patients With Diabetic Nephropathy

For elderly diabetic nephropathy are more familiar with, you know, treat the disease take a very long time, so do the daily care is particularly important, then, that patients with diabetic nephropathy in the end how to perform routine Nursing? We specifically look.

1, to patients and their families to explain the hazards of diabetes by controlling blood sugar may reduce the pathological changes of diabetic nephropathy, hypoglycemic drugs are now mostly western control, such as biguanides, sulfonylureas, Α- glucosidase inhibitor and thiazole TZDs, these drugs quickly hypoglycemic effect is remarkable, but in the prevention and treatment of diabetic complications in these areas there is still some defects. The traditional Chinese medicine methods, although in terms of hypoglycemic effect will be slower, but a modicum of success in the treatment of complications, now used widely in pharmaceutical capsules, such as exercise and Tai Ji Yue, the patient should be in time to meet a certain treatment programs, treatment Its prognosis.

2, kidney patients pay attention to rest, no high blood pressure, edema is not obvious, without renal impairment, in patients with small protein may be appropriate to participate in physical exercise to enhance physical fitness, prevention of infection; for edema, high blood pressure or kidney patients failure patients, emphasizing bed rest, according to the condition given the appropriate level of care.


3, monitoring body weight, twice a day, each wearing the same clothes measurements at fixed times.

4, the observation of urine, color, character change: there are obvious abnormalities promptly reported to the physician, at least weekly routine urine tests and urine specific gravity 1 times.

5, to observe blood pressure, edema, urine output, urine test results and renal function in patients: If oliguria, edema, high blood pressure, should be promptly reported to the competent physician to give appropriate treatment.

6, observe the patient consciousness, respiration, blood pressure and heart rate: Note hypertensive encephalopathy, heart failure aura symptoms.

7, close observation of the patient's biochemical indicators: observe whether the anemia, electrolyte imbalance, acid-base imbalance, elevated blood urea nitrogen and so on. If abnormal timely reporting physician treatment.

8, guide patients using insulin, according to the blood, urine calculate the insulin dose. It offers a quiet retreat environment uninfected.

Read the above description, diabetic nephropathy precautions for routine care should also understand it, then we must remember to remind the experts, according to the method described above make the appropriate preventive work in their lives, in order to facilitate the early resumption of healthy life.


If you have any questions you want advice, you can contact us by email: chinakidneyhospital@gmail.com or Tel: +8613633219293.