The difference between glomerulonephritis and pyelonephritis

Often encountered in patients with abnormal urine routine examination, that he had "nephritis", fear of future renal failure, uremia, in fact, abnormal urine routine examination, not only "nephritis", more "pyelonephritis "

Urinary tract infections, including upper urinary tract infections and lower urinary tract infections, and one of the upper urinary tract infection refers to pyelonephritis. Pyelonephritis due to pathogenic micro-bacteria (including bacteria, fungi, etc.) caused by the invasion of the renal pelvis.

The main symptoms of acute pyelonephritis for the cold, fever, white blood cells increased, frequent pain in the waist, kidney area percussion pain, urgency, dysuria, urinary white blood cells or no urine protein, urine red blood cells, normal renal function. Generally timely use of anti-bacterial anti-inflammatory drugs, they can be cured. If the acute pyelonephritis is not treated in time, which led to the expansion of calyces and dull, that is, chronic pyelonephritis, rather than the length of time acute, chronic, chronic pyelonephritis, there may be renal function (urea nitrogen, serum creatinine) abnormal.

Nephritis, also known as glomerulonephritis, is considered to be a human immune response, rather than directly caused by infection or kidney damage caused by certain pathogenic factors, can not use anti-bacterial anti-inflammatory drugs to treat.

Common symptoms of nephritis, including increased urinary foam, hematuria, edema, waist pain and so on. There are bubbles in the urine that urinary protein increases, the more weeks the bubble that the more protein; urine in the normal case of the naked eye can not see the blood, no red blood cells under the microscope. However, if the naked eye to see the hematuria, which shows a lot of urine in the red blood cells, and this does not mean that the red urine in the urine is hematuria, it does not necessarily mean nephritis, and pay attention to lesbian hematuria is not caused by menstruation , So to avoid menstrual period when the urine test, nephritis edema is often the first in the eyelid, facial, scrotum and other loose places, such as the emergence of lower extremity edema, systemic edema may even have a small number of ascites, then the performance of the disease deteriorated. Nephritis patients often no significant low back pain, and low back pain is generally lighter, or just backache, as acute pyelonephritis low back pain. Nephritis generally requires the use of hormones and / or cytotoxic drugs, nephritis, if not properly controlled, will develop into renal failure, so early detection and early treatment.

What are the serious complications of chronic kidney disease?

(1) infection
The main reason for the decrease of the resistance to infection with nephrotic syndrome patients is ① losing too much IgG in the urine.② The deficiency of B factor (complement pathway component) leads to the deficiency of immune regulation. ③Malnutrition, the body's non-specific immune response ability weakened, resulting in impaired immune function. ④A large number of transferrin and zinc were lost from the urine, transferrin was necessary to maintain the function of normal lymphocytes. ⑤The local factors, ascites, pleural effusion, skin edema caused by highly skin breakdown and severe edema which local humoral factor dilution, defense function, are susceptible to patients with nephrotic syndrome factors in antibiotics before bacterial infection was one of the main causes of death in nephrotic syndrome patients, severe infection mainly occurred in children and the elderly, adults are rare, common clinical infection: primary peritonitis, cellulitis, respiratory tract infection and urinary tract infection, once the infection is diagnosed, should be treated immediately.
(2) hypercoagulable state and venous thrombosis
Nephrotic syndrome with hypercoagulable state, mainly due to the changes in blood coagulation factors, including factor IX, Xi decreased V, X factor VIII, fibrinogen, beta thromboglobulin and platelet levels increase, enhanced platelet adhesion and aggregation, antithrombin and anti plasmin activity decreased, therefore, to promote the aggregation and coagulation factor increased, decreased and fibrinolytic mechanism of anti coagulation and anti coagulation factor damage, nephrotic syndrome is a hypercoagulable state, antibiotics, glucocorticoid and diuretic for aggravating factors of venous thrombosis, coagulation proteins play a role by hormone, and diuretic makes the blood concentration. Increase in blood viscosity.
Nephrotic syndrome, when plasma albumin is less than 2.0g/d1, the risk of renal vein thrombosis increased, most of that first and then extended thrombus formation, in small veins, eventually involving renal vein, renal vein thrombosis in patients with membranous nephropathy can be as high as 50%, in which he pathological type, its occurrence the rate is 5% ~ 16%, the acute type patients with renal vein thrombosis can be manifested as a sudden onset of back pain, hematuria, urine white blood cells, increased urinary protein and renal dysfunction, chronic patients without any symptoms, but after thrombosis of renal blood stasis often result in increased proteinuria, or poor response to treatment, because thrombosis, renal embolism symptoms, pulmonary embolism can occur, can also be associated with renal tubular damage, such as diabetes, amino acid in urine and renal tubular acidosis, diagnosis to renal vein angiography, Doppler Ultrasound, CT, IMR and other non traumatic examination also contributes to the increase of plasma thrombomodulin beta diagnosis, suggesting the potential for thrombosis, blood alpha 2- antifibrinolysin increase also is considered a sign of renal vein thrombosis, the rate is about 6% in peripheral deep vein thrombosis, deep vein common Yu Xiaotui, only 12% there are 25% clinical symptoms, can be found by Doppler ultrasound, the incidence of pulmonary embolism was 7%, 12% still have no clinical symptoms, other venous involvement is rare, arterial thrombosis is rare, but in children, although the incidence of thrombosis is relatively low, but the arterial and venous involvement as common.
(3) acute renal failure
Acute renal failure nephrotic syndrome was the most serious complication, often requiring dialysis treatment, common causes are: ①hemodynamic changes: nephrotic syndrome often hypoalbuminemia and vascular lesions, especially in elderly patients with renal arteriosclerosis, the blood volume and blood pressure drop are sensitive, so when the acute blood loss, vomiting diarrhea, caused by the loss of body fluid, surgical injury, ascites, a diuretic and antihypertensive drug use, can make blood pressure drops further, leading to renal perfusion decreased abruptly, which reduced glomerular filtration rate and tubular epithelial cell swelling after acute ischemia, degeneration and necrosis, leading to acute renal failure. ②The renal interstitial edema, hypoproteinemia can cause edema, also may cause renal interstitial edema, renal interstitial edema of renal tubular compression, the proximal tubule of Bowman capsule hydrostatic pressure increased, GFR decreased.③ Drug induced acute interstitial nephritis. Bilateral renal vein thrombosis. Vasoconstriction: some nephrotic syndrome in patients with low blood pressure when the concentration of renin, renin contraction of the renal artery, GFR decline, this situation in the elderly who have more vascular lesions. The concentration of protein tube blockage in renal distal tubule: nephrotic syndrome may be involved in the mechanism of acute renal failure. Often accompanied by glomerular epithelial foot process effacement, nephrotic syndrome, fracture hole disappeared, the effective filtration area was significantly reduced. The rapidly progressive glomerulonephritis. To urinary tract obstruction.
(4) renal tubular dysfunction
The renal tubular function in nephrotic syndrome decreased, to see more children, that is the mechanism of renal tubular filtration protein heavy absorption, the tubular epithelial cell damage, Changbiaoxianwei glycosuria, aminoaciduria, hyperphosphaturia, renal tubular potassium loss and hyperchloremic acidosis, where the renal tubular function a variety of defects often indicates poor prognosis.
(5) abnormal bone and calcium metabolism
Nephrotic syndrome in the circulation of VitD binding protein (Mw65000) and VitD syndrome complex in the urine in the blood loss, 1, 25 (OH) 2VitD3 level decreased, resulting in intestinal calcium malabsorption and bone of PTH tolerance, thus nephrotic syndrome often occurs in hypocalcemia, osteitis fibrosa and sometimes paraungual hyperactivity caused by bone softening, in nephrotic syndrome complicated by renal failure progression of bone malnutrition, generally non nephropathy caused by uremia is more serious.
(6)endocrine and metabolic abnormalities
Nephrotic syndrome and urinary loss of thyroid binding protein (TBG) and cortical hormone binding protein (CBG), clinical thyroid function may be normal, but the levels of TBG and T3 decreased, free T3 and T4, the TSH is normal, because the blood CBG and 17 hydroxycorticosteroid are reduced, and combined with the free cortisol ratio can be changed. The organization of pharmacological doses of cortisol response is different from normal, because ceruloplasmin (Mw151000), transferrin (Mw80000) and urinary albumin loss from nephrotic syndrome, often in serum copper, zinc and iron concentrations decreased, zinc deficiency can cause impotence, taste disorders, wound healing and cell mediated immune damage. Continue to reduce transferrin can cause clinical treatment of anemia of iron, with the resistance of microcytic hypochromic and severe hypoproteinemia can lead to metabolic persistent alkali poisoning due to plasma protein Reduce 10g/L, the plasma bicarbonate will be reduced by 3mmol/L.

Acute renal failure need to adhere to the principles of treatment?

Clinical manifestations
(2) uremic symptoms may have nausea, vomiting, gastrointestinal bleeding, breathing (1) three low (sodium, calcium, pH reduction) three high (potassium, phosphorus, creatinine increased) Difficulty, cough, chest pain, high blood pressure, heart failure, lethargy, confusion, tremor and epileptic seizures, anemia and bleeding tendencies; (3) infection in the affected area to produce the corresponding symptoms. 2, polyuria: renal function and failed to recover, blood urea nitrogen and creatinine can still rise, and prone to dehydration, infection, hypokalemia, gastrointestinal bleeding. 3, recovery period: blood urea nitrogen and creatinine close to normal, urine gradually returned to normal, glomerular filtration function more in 3-12 months to return to normal.
Diagnose based on
1, there are shock or intravascular hemolysis, drug poisoning or allergic history; 2, in correcting or excluding acute blood volume, dehydration, urinary tract obstruction, urine output is still ≤ 17 / ml / h or urine still ≤ 400 / ml / 24h; 3, the proportion of urine in the following 1.015, or even fixed at 1.010; 4, rapid onset and increasing azotemia; 5, urinary osmotic pressure <; 350mOsm / Kg. H2O, urinary sodium>; 40mmol / L; 6, except prerenal azotemia and postrenal oliguria or anuria
Treatment principles
1, the general treatment: bed rest, add enough nutrition; 2, to maintain water, electrolyte and acid-base balance; 3, control the use of sensitive antibiotics; Dialysis treatment, including hemodialysis hemofiltration or peritoneal dialysis; 5, promote renal tubular epithelial cell regeneration repair.
Principle of medication
1, early mild can be used A items, and pay attention to control the amount of liquid, add vitamins and energy, to maintain electrolyte and acid and alkali balance; 2, severe should be timely and early dialysis treatment, if necessary, dialysis every day, and blood transfusion and Human albumin; 3, combined infection can be selected according to the specific circumstances of C drugs; 4, combined with high blood pressure, the choice of A or C items of drugs; 5, combined with heart failure, Heart drug treatment; 6, combined with bleeding with A or C in the drug.
Auxiliary check
1, progressive oliguria or anuria examination of the project should first check the frame limit "A", while checking the edge of treatment; 2, if not diagnosed, should be followed by "B" and "C" project inspection.
Efficacy evaluation
1, cure: urine normal, uremic symptoms disappeared, normal urine and blood biochemical tests, normal renal function; 2, improved: urine close to normal, uremic symptoms disappeared, blood biochemical tests improved significantly, renal function improved significantly; 3, healed: less urine, no significant remission of complications, renal damage significantly;

What causes uremia

What causes uremia?

Uremia refers to a variety of kidney disease leading to progressive irreversible renal dysfunction, until the loss of a series of symptoms and metabolic disorders composed of clinical syndrome. Because there is no normal kidney detoxification function, the human body contains nitrogen metabolites and other toxic substances can not be discharged and accumulate in the body, in addition to causing water, electrolyte and acid-base balance disorders, which can cause multiple organ and system lesions. So what causes uremia?

Causes of uremia include direct factors, also indirect factors. Experts pointed out that the direct cause of uremia is half of all types of kidney disease is not timely treatment and the development of late results. Mainly have the following several:

First, glomerular disease: chronic glomerulonephritis, lupus nephritis, etc..

Second, infectious diseases: such as chronic nephritis, renal tuberculosis.

Third, toxic nephropathy: such as drugs, heavy metal poisoning caused by renal failure.

Fourth, metabolic diseases: such as diabetic nephropathy, gouty nephropathy and so on.

Fifth, tubular nephropathy: such as tubular acidosis.

Sixth, renal vascular disease: such as renal arteriolar sclerosis, renal artery stenosis, etc..

Seventh, obstructive nephropathy: such as urinary tract stones, benign prostatic hyperplasia, bladder tumors and so on.

Eighth, congenital, hereditary nephropathy: such as polycystic kidney disease, hereditary glomerulonephritis and so on.

What causes uremia?In the above causes  uremia, the chronic glomerulonephritis is the most common, accounting for about 50-60%, followed by chronic pyelonephritis, renal arteriosclerosis, urinary stones etc..

Uremia patients will lead to death?

Does Uremic patients will lead to death, this is the vast number of nephropathy uremia patients are very concerned about, nephropathy has been a "silent killer", as everyone knows, the development of all the patients with nephropathy the most "bad" is to uremia! Mention to the uremia, a lot of people tremble with fear. Most people are afraid of death, but is uremia most feared is: Uremia will make people dead, then got uremia would die? Please Shijiazhuang Kidney Disease Hospital Professor Wang Zhanping explain to everybody in uremic patients will lead to death, hope that can help you.
 
Experts say: the answer is no! The reason why is below:
First, psychological fragility, negative attitude:
Uremia patients often fell fear and tension. Especially introverted, wordless patients, their mind is more delicate, treat things tend to be very sensitive, others word or test indicators are a little unhappy, will cause great psychological pressure to the patient. In order to better understand their illness, they will find their own books, the result they think his condition is more and more serious, all living in fear, always think have been regarded as hopeless, after feeling very depressed, and will be worse.

According to statistics, the death of uremic patients in China, more than 80% is not died in the treatment period, but after the end of routine treatment of rehabilitation. Especially after discharge of patients there are many psychological problems, eventually leading to patients  sad psychological.
It is proved that an optimistic attitude after the illness is one of the important factors to better and better! A depression, fear and tension, not only for the improvement of the condition is meaningless, also aggravation and irreversible.
Two, expensive medical expenses:
Currently conventional treatment only dialysis and kidney transplantation. Dialysis is dependent, and each time to the hospital for treatment, expensive treatment costs, as well as suffering from cardiopulmonary bypass puncture pain and risk, making many uremic patients flinch. For renal transplantation, is not a popular means of uremia treatment in china. Because the kidney transplant costs high, risk high, even if the operation is successful, we must also continue to take anti rejection drugs, after operation, medication treatment the first month is twenty thousand or thirty thousand yuan; three or four years later, the annual cost is ten thousand or twenty thousand yuan. Therefore, kidney transplantation is not an ordinary family can bear.

Renal failure in the body of various system symptoms

What are the symptoms of kidney failure?
1.  severe renal failure patients with nasal bleeding or gastrointestinal bleeding.

2 kidney failure cardiovascular system symptoms
The majority of patients with renal failure have high blood pressure, with the progress of the disease, blood pressure showed a progressive upward trend. Long term hypertension, urinary toxin accumulation, water, electrolysis
Stromal disorders, acid-base imbalance and severe anemia, can  lead to abnormal heart organ, complicated by myocarditis, pericarditis, pericardial effusion Yan Heavy disease.
3. renal failure hematopoietic system symptoms
The main symptoms of renal failure are anemia, in general hemoglobin determination  5-6g/dl.  Appear ecchymosis, nose bleeding, gingival bleeding, fundus spontaneous Sexual tendency.
4.  kidney failure neurological symptoms
Early symptoms of renal failure are headache, memory loss, lack of concentration, fatigue, a small number of people with decreased sexual function. Advanced drowsiness, consciousness fuzzy, muscle tremors, aches and pain. A serious disease of the nervous system, face stiff limbs, motionless, quarrel constantly out of a lot of saliva, and even convulsions convulsions and coma.
5. renal failure respiratory symptoms
Dry cough, nasal odor associated with pulmonary edema or dysfunction of heart failure, breathing more difficult, paroxysmal spasmodic cough, cough, white foam.
6.  renal failure symptoms of urinary system
In the early and middle stage of renal failure, there was a large amount of bubble like urine, and late night urine increased, and the proportion of urine was low, which was often fixed at about 1.010. At this time, not only kidney body .The volume is reduced, and the majority of the patient's urine volume begins to decrease gradually to no urine. Of course, the amount of urine increased from reduced to no urine, requires a process,1-2 years ranging.
7. renal failure acidosis symptoms
Renal function damage, the concentration of urine is poor, resulting in an increase in the amount of urine at night, can make the body in a semi dry state, in the removal of extreme thirst inability to walk. To the development of the disease to uremia, urine volume gradually began to decrease, causing the body organs, tissues of varying degrees of edema, accompanied by made of water and electrolyte disorders in moderate or severe hyperphosphatemia, hypocalcemia, and other symptoms of poisoning.

In fact, the phenomenon of kidney failure occurs frequently in men, that is, the pressure of work for a long time is relatively large, physical and mental fatigue has a great relationship, so for the emergence of renal failure, we must be vigilant, so as not to harm the health of the disease.

What Treatment Can Replace Kidney Transplant Treat for Renal

What treatment can replace ”Kidney Transplant” treat for ”Renal Failure”? To regain a brand new life with no more dialysis, lots of patients want to relay on kidney transplant to have a better life. However, kidney transplant is no longer the only and best treatment for kidney failure at present. Call for ”ONLINE DOCTOR”.

What treatment is better than dialysis and kidney transplant?

In the past, it is almost impossible to make renal failure patients live without dialysis and kidney transplant. While now we use Chinese medcine as the mainly treatment to match with Western medicine for kidney failure patients prevent kidney transplant and dialysis. This kind of treatment is a brand new way for kidney failure treatment. Furthermore, ”Immunotherapy” is also the effective treatment for this kind of patients too.

How does Immunotherapy help patients with renal failure?

There is a common truth, no specific treatment can cure renal failure completely at present, so the most effective therapy is to improve kidney function as much as possible, through nourishing the impaired kidney cells. With the essence of traditional Chinese medicine and western medicine, Immunotherapy indeed can help achieve this goal and it is favored by more and more patients. Chinese herbal medicines are proven to have a remarkable effect in repairing damaged tissues, through expending blood vessel, transporting more blood and oxygen to impaired cells, enhancing patients’ self-curative ability and regulating their immune system. In addition, Immunotherapy can also purify blood, just as dialysis does. Once the damaged but not necrotic cells are repaired, patients’ life quality will be improved largely.

If you want to know more about Immunotherapy and Chinese medicine treatments for ”Kidney Failure”, please leave us a message or send us an email. We are waiting for you.

What are the causes of the occurrence of uremia and the rela

What are the causes of uremia? The incidence of kidney disease is actually very normal, after all, is the occurrence of the disease, more or less will bring harm to our lives. However, you do not worry, timely treatment will be effective to alleviate the disease. Next, we come to a detailed understanding of the occurrence of uremia.

Causes of uremia

1, age factors

After middle age, our life will appear in the body quality, at the same time, also with the growth of the age of degenerative change. This creates a favorable condition for the occurrence of uremia, which is a common cause of uremia.

2, common kidney disease

Kidney disease is often seen in life, for example, urinary tract infections, chronic pyelonephritis, in addition, the life will also be in a serious condition, caused by uremia. And the reason is caused by uremia regardless of age and gender restrictions, everyone has the possibility of disease, but has more prone to women of childbearing age. And if there is obstruction caused by urinary tract infection, the occurrence of the disease will be more early.

3, nephrotoxic drugs

The cause of uremia is closely related to the long-term use of nephrotoxic drugs. Therefore, we in the treatment of other types of medication of the disease, we must pay attention to the choice of drugs with low renal toxicity, no drug or renal toxicity, so as not to cause renal damage and further induce uremia

What is the purpose of IgA nephropathy?

IGA nephropathy how to medication

☆ IgA What are the main causes of disease?

IgA nephropathy is one of the most common chronic nephritis species in the Asian population. There is no evidence of the exact cause, but many evidence that IgA nephropathy and mucosal chronic infection, such as chronic tonsillitis, sinusitis, enteritis and so on. Sore throat can appear naked eye hematuria.

☆ What are the main clinical manifestations of IgA nephropathy?

IgA nephropathy, a small number of patients only in the physical examination was found in the urine appeared red blood cells, the first time without any uncomfortable, if not physical examination can not find the disease. Some patients will appear proteinuria, hematuria, but only a certain amount of proteinuria in the case, only the face and lower limb edema. Heavy cases, manifested as high blood pressure, elevated serum creatinine, found when it has entered the uremic stage. Therefore, the disease varied, varying severity, need to check the hospital to find Ni side, a further check to doubt the disease, only kidney can be diagnosed IgA nephropathy.

☆ IgA kidney disease is often accompanied by other complications? why?

Can appear naked hematuria, often after the cold increase. Also prompted the disease with a great relationship with the infection.

A large number of patients with proteinuria will be edema, mild only edema of the face or eyelid, severe systemic edema, and even pleural effusion, ascites.

Creatinine increased, will be associated with nephrotic anemia, which is due to the reduction of erythropoietin produced by the kidneys.

Can occur in high blood pressure, because the water and sodium feel, renal secretion of renin levels increased.

The purpose of treatment is to reduce proteinuria, stabilize renal function, delay renal failure. But not the disappearance of hematuria for the purpose, which requires special emphasis.

☆ why IgA nephropathy must be classified before treatment? Do each have to be treated?

Clinical can be pided into simple hematuria, proteinuria + hematuria, nephrotic syndrome, renal failure and other types and staging.

Not every need for treatment, simple hematuria can be observed. Protein urine is less than 1.0g / 24h can not use immunosuppressive agents, first with ACEI or ARB class of antihypertensive drugs, proteinuria may be serious use of immunosuppressive agents, and even a variety of drug treatment. Renal failure may require dialysis treatment.

☆ IgA kidney disease commonly used drugs which?

Simple to be pided into immunosuppressive agents and non-immunosuppressive agents.

Immunological preparations include steroid hormones such as prednisone, methylprednisolone, prednisolone, cyclophosphamide, leflunomide, cyclosporine, mycophenolate mofetil,

Non-immunosuppressive agents include ACE inhibitors, ARB-type antihypertensive drugs, antiplatelet agents, and proprietary Chinese medicines.

☆ Under what circumstances should the joint medication? What are the main joint programs?

At present, the amount of proteinuria is less than 1.0g / 24h, mainly non-immunosuppressive agents. Large amount of protein, the need to use immunosuppression. In most cases, immunosuppressive agents are required in combination with nonimmunotic inhibitors. The use of a regimen for the treatment of IgA nephropathy, which contains the impact of methylprednisolone, drops the dose of prednisone every other day.

What is the integrated treatment of chronic kidney disease?

The basic understanding is that once the occurrence of kidney disease is included in the whole process of management, at different stages of the disease to choose the most appropriate patient program intervention, rather than just a stage of treatment of the disease.

☆ kidney problems, to cut tonsils?

This issue is controversial and is currently inclined to cut. But more slowly infected more obvious, my personal opinion is recommended to remove.

☆ what circumstances to do dialysis?

When the blood creatinine level increased, more than 707umol / L, severe edema, heart failure, severe acidosis, hyperkalemia, obvious symptoms of uremia, such as nausea and vomiting can not eat one of the cases, you need dialysis.

☆ What is the case to do kidney transplantation?

Chronic renal failure, and B-ultrasound imaging prompted renal sclerosis, atrophy, the performance of end-stage renal failure, in which case conditions can be considered kidney transplantation.

☆ What are the prognosis of IgA nephropathy is not ideal? why?

Pathological manifestations of severe, there is anemia, creatinine increased, low calcium, high phosphorus, B super-echo enhancement and pulp boundaries do not ask patients with poor prognosis.

☆ IgA patients how to follow? What is the frequency?

According to the pathological situation and the severity of the disease, usually 2-4 weeks referral time, mild, such as simple hematuria can be 3-6 months to see an outpatient clinic.

☆ IgA kidney disease will not

How to solve the diet of diabetic nephropathy

For diabetic patients, the symptoms of the disease are painful. In the early stages of diabetes, you will feel hungry. However, body weight is a downward trend. Let a person think of its solution. Some people do a blood test to see the value of blood sugar is soaring. Then he found himself suffering from diabetes. Many complications of diabetes. There are diabetic nephropathy. How to solve diabetic nephropathy diet? Look together.

Steps / methods:

1 diabetic nephropathy diet needs to be done slowly. At this time, the patient can eat some food to protect the kidneys. You can eat foods rich in vitamin A, Chinese wolfberry, can put together to eat pork and medlar stew. The patient can eat meat soup.

2 if the patient has diabetes, then you need to eat some light nutritious food. At this time, do not casually eat some candy, as well as chocolate. And, of course, don’t eat the cake. Cake sugar is actually a lot of.

3 if you want to get rid of the disease, so patients avoid fishy volatiles. It is better for people to eat light food at this time. This time can not casually to eat fish and eels. These foods tend to make the symptoms of inflammation of the body more and more serious.

Matters needing attention：

Diabetic complications, including diabetic nephropathy. Not only need to cooperate with treatment. And check the daily diet of diabetic nephropathy needs to be light and nutritious. Do not eat volatiles.

What is the misunderstanding of chronic renal failure dietary ?

There are many reasons for chronic renal failure, the development stage of the disease is also more, the course of disease in each stage has different performance at each stage, therefore, at different stages of the need to pay attention to different. Special diet, need to pay attention to more. Take food as an example. So, diet in chronic renal failure misunderstanding what?

Chronic renal failure patients dietary should eat food containing essential amino acids of high animal protein, such as milk, egg, fish, should be appropriate to control the intake of plant protein, we should plant proteins such as Soybean Milk and tofu, beans and bean products. However, protein intake should be controlled, the daily intake of protein intake should be controlled, the daily intake of protein can be estimated according to their own blood creatinine level. In short, patients with chronic renal failure must be clear, high quality low protein diet does not mean vegetarian, vegetarian and can not reduce the burden on the kidneys.

Two, do not eat salt water

Edema is a common symptom of kidney disease, but also the most susceptible to changes in the patient. As we all know water, salt and edema is directly related to so many patients to eat salt water special attention, resulting in "fear of salt", "water" mentality, do not even eat salt, counterproductive. Limited salt water is necessary for chronic renal failure patients of  with hypertension, edema and oliguria dietary , so as to avoid excessive sodium retention, edema and hypertension. But not all patients should limit water and salt. If there is no hypertension, edema and oliguria, should not limit the intake of water and salt. Even if there are symptoms of edema and oliguria, should also take a low salt diet, appropriate control of water intake. Therefore, patients with chronic renal failure strict control of water, salt intake, depending on the specific circumstances of the doctor. The fear of excessive salt, water is not necessary.

Three, drink bone soup can be calcium and physical

Bone soup contains more phosphorus, phosphorus accumulation in the body after eating, will increase hyperphosphatemia. Practice has proved that not only can not improve the bone soup to drink calcium deficiency, but also due to elevated serum phosphorus and accelerate renal damage. While the low phosphorus diet can delay the renal function caused by hypothyroidism, hyperthyroidism, secondary kidney pain, so in patients with chronic renal failure due to low phosphorus diet.

Four, hunger therapy can protect renal function in patients with chronic renal failure

Experts pointed out that many patients with chronic renal failure in the hospital to have severe malnutrition, the reason mainly has two aspects: one is because the control diet, because most patients with chronic renal failure are the daily staple food control in the 250~300g, so that the rice, flour and other staple food and animal protein is too limited, which patients with poor nutrition; on the other hand is part of the patients with chronic renal failure as hunger therapy to reduce the burden on the kidney taken, which aggravates the malnutrition, resulting in decreased body resistance and hypoproteinemia, and easy to infection, aggravating illness, resulting in deterioration of renal function.

Through the above introduction, we can see that the diet for the treatment of renal failure is very important, the patient must always regulate their diet, diet must not be blind, can not enter the above introduction of the dietary errors. To a reasonable, scientific diet, a healthy chronic renal failure diet plan.

So how to prevent nephritis

First, the control diet, to avoid excessive intake of acidic substances, increased acidity. Dietary acid-base balance is very important for the treatment and prevention of complications of diabetes. To eat more food rich in organic alkaline active foods, eat less meat, eat more vegetables. The ancient Qamma is rich in plant organic active alkali, can rapidly eliminate acid poison, clear urine acid poisoning, so as to truly protect the kidney.

Two, participate in aerobic exercise, proper exercise, in the sun to do more exercise sweating, can help eliminate excess acid in the body, so as to prevent the occurrence of kidney disease.

Three, maintain a good mood, do not have too much psychological pressure, excessive pressure will lead to the deposition of acidic substances, affecting the normal metabolism. Proper regulation of mood and self stress can maintain alkaline constitution, thereby preventing the occurrence of nephropathy.

Four, the law of life, living habits of people, such as the night to sing Cara OK, playing mahjong, night life and other rules, will increase the physical acidification. Easy to suffer from diabetes. We should develop good habits, so as to maintain a weak alkaline, so far from their nephropathy.

how to prevent nephritis Nursing notes

1, nephritis patients should pay attention to blood pressure if there is high blood pressure, must be carefully controlled, high blood pressure can increase the burden on the kidneys, and then make the disease worse. There is no high blood pressure, usually pay attention to prevention.

2, nephritis patients daily diet should pay attention to light in general, high protein content should be properly controlled. Many patients are because of the holidays, gathering of friends and family, eat a lot of food, the condition suddenly worsened.

3, nephritis patients do not over physical labor too much, or strenuous exercise, stay up late, too much sex, etc., will make the disease worse and recurrence.

4, nephritis patients should pay attention to the daily care of moderate exercise when the disease is not completely at ease, do some exercise, under the guidance of doctors in general, do not do strenuous exercise, walking, brisk walking is easy to do, every one to two times, each 20 to 30 minutes is appropriate.

5, pay attention to the prevention of infection of upper respiratory tract infection is common, tonsillitis and pharyngitis and should pay attention to the prevention of enteritis. These infections are likely to cause acute exacerbation or exacerbation of kidney disease. Especially the climate change season, when cold, wet and windy, attention to the temperature of the house, keep indoor dry, open doors and windows to avoid "Chuantangfeng" clothes to keep warm, not hot cold ning. In addition, urinary tract infections will make the disease worse, once the occurrence of timely treatment.

Nephritis need how to care? Nephritis in our lives is a common kidney disease, therefore, we should pay attention to it, a good treatment of kidney disease. In addition, the reasonable care of the disease is that we can not ignore the professional treatment and careful care, will promote the rapid and sound recovery of patients. Finally, I wish you good health!

What is cause for the in IgA nephropathy kidney disease?

What is the cause that increase the severity of IgA nephropathy? Therefore, it is necessary for patients to understand the cause that exacerbate IgA nephropathy in order to facilitate the control of the disease and prevent it from repeatedly. Induction of IgA nephropathy increased the main cause are the following four:

Iga nephropathy aggravated cause one: 

IgA nephropathy is an immune disease, is "lack of righteousness", so patients with IgA nephropathy should usually use some immune enhancers, such as kite oral liquid, more anti-a tablets, Siqi Kang, thymosin, Yupingfeng powder, Bu Zhong Yi Qi Wan and Jinkui Shenqi pills, etc., to regulate immune function, enhance the body of great benefit. So the correct correction of immune function is to prevent the induction of IgA nephropathy  the necessary cause.

IgA nephropathy  aggravating cause two:

Exercise can also induce IgA nephropathy aggravated cause weakened. IgA nephropathy should be appropriate exercise, living section, to prevent the stay up late, fatigue, strenuous exercise and physical decline.

IgA nephropathy aggravating cause three: 

Low-fat protein diet, limit the excessive phosphorus food, protein overdose; ban spicy thick tired of the goods. The patient can not see his condition has improved on the control of the mouth, forget the doctor asked the low-fat diet. Management of mouth can also prevent IgA nephropathy increased  cause .

IgA nephropathy aggravating cause four:

The elimination of susceptibility and predisposing factors, such as upper respiratory tract, skin, intestinal tract, urinary tract infection, root sore boils, fungal infection, children with prepuce should be timely cut. So to prevent a variety of predisposing cause is to prevent IgA nephropathy increased common attention.

What causes renal failure？

At present, the incidence of clinical renal failure rate is extremely high, and renal failure will give the patient's body and life caused great harm, so many people want to know some knowledge about the causes of renal failure, in order to make prevention and nurse measures in daily life, so next will details introduce what the causes of renal failure.
Chronic renal failure (CRF) refers to various causes of chronic progressive renal damage, resulting in renal atrophy, unable to maintain the basic function, clinical in metabolite retention, water, electrolyte and acid-base balance disorders, systemic involvement as the main clinical manifestations of the syndrome.
The reasons for kidney failure include the following:

1. The kidney's own lesions
Such induced renal failure accounted for more than 70% of chronic renal failure. Such as various types of chronic glomerulonephritis, nephrotic syndrome, chronic interstitial nephritis, kidney stones, renal cysts, renal artery stenosis, renal tubular acidosis, etc..
 2. The cause of renal failure
There are a lot of different opinions, but after all is due to their kidney tissue lesions, so patients with nephropathy should actively do a good job in appear to prevent renal failure, timely treatment kidney disease.
3. The cause of renal failure is due to obstruction of lower urinary tract
Such as prostatic hypertrophy or tumor, urethral narrow, urethral calculi, neurogenic bladder and so on, easy to cause secondary infection and repeated infection caused by chronic renal failure, accounting for about 1/5.
4. Systemic disease or poisoning can cause renal failure
Systemic diseases can affect the kidney, leading to renal failure, such as long-term hypertension, diabetes, systemic lupus erythematosus, allergic purpura, pregnancy induced hypertension, cirrhosis, gout and heavy metals (lead, cadmium, lithium and other toxic nephropathy etc.).
Through the above, you must have a certain understanding for renal failure , I hope it can bring some help for you, and also suggest friends with kidney failure can actively to the regular hospital have treatment, so as to miss the right timing of treatment.

Hold your pee will really cause uremia?

As we all know, the kidney and its related organs, is a specialized with the water to deal with the system, the body of excess water, waste generated by the metabolism of waste, mainly by the kidneys to complete. 

Excretion of urine can excrete the final metabolites ,maintaining osmotic pressure of extracellular fluid and plasma and acid-base balance. If water and metabolic end products in vitro can not be ruled out, and retention in the body, at this time, the intravesical pressure will too large,not only lead to renal excretion of metabolic function waste damage,but also urinary retention and urinary bladder to reach a certain number. The bladder in order to change this state, will increase the amount of urine, to meet more and more water in the process, which can be damaged by bladder muscle expansion.

In addition, the urine in the bladder for too long  is easy to breed, bacterial retrograde to the kidney, thus easily lead to urinary tract infection and pyelonephritis.Once full habit, this kind of infection once repeated attacks, can develop for urinary sepsis.

 

Late uremia introduces a common symptoms?

Late uremia introduces a common symptoms? Uremia advanced explain kidney has been severely damaged, and is likely to bring other body disease, so say that brings more pain to the patient; So, uremia patients with adanced patients have the following symptoms? 
1. The gastrointestinal performance:
This is the most common symptoms of uremia and the earliest. After the initial stage is given priority to with anorexia, abdominal discomfort, nausea, vomiting, diarrhea, mouth has urine smell and oral mucosa canker, and even accompanied by symptoms such as gastrointestinal bleeding badly. The cause of the digestive tract symptoms, is the retention of toxic substances in the body cause certain damage to the nervous system, and increase in the number of quantity of urea from the digestive tract, under the effect of bacteria or hydrolytic enzymes in the intestinal produce ammonium carbonate and ammonia, stimulate the gastrointestinal mucosa, gastrointestinal disorders and varying degrees of mucous membrane inflammation and ulcers. In addition, the disorder of water, electrolyte and acid-base balance is also a cause of gastrointestinal symptoms.
2. Mental, neurological system performance:
Early symptoms are: depression, fatigue, dizziness, headache, memory loss, insomnia, associated with burning pain, itching, limb numbness, hands and feet must often move, can't rest. Late appear sleepiness, be agitated, delirious speech, muscle tremor convulsions, seizures, coma and other symptoms. The causes of mental, neurological symptoms, is a metabolic product retention, water and electrolyte balance disorder, metabolic acidosis, and other factors, such as high blood pressure, the result of joint action.
3. The cardiovascular system performance:
Uremia often accompanied by increased blood pressure, which is mainly due to the water and sodium retention, part, with an increase in renin activity prostaglandin secretion decline and so on. High blood pressure for a longer time can make the left ventricular hypertrophy, myocardial damage, heart failure, and cause systemic atherosclerosis. Renal arteriolar sclerosis and accelerate the deterioration of renal function. Retention of toxic substances, including the rise of parathyroid hormone can cause myocardial damage, uremic pericarditis, at this time, the area before the heart fibrin often can be heard, a few patient can have the pericardial effusion, serious cardiac tamponade can occur.
Helpful hints: for the convenience of patients and those in need to better understand the 'late uremia introduces a common symptoms? 'information, shijiazhuang kidney disease hospital expert special free < < online consulting > > service, authority kidney disease experts online to answer your kidney disease related diseases, according to the condition to provide the most professional treatment plan, and keeping secret for your privacy. I wish you recover at an early date!

Kidney disease can eat food

Although nephropathy treatment is difficult, but not incurable disease, his characteristic is that the disease lasted for a long time, when there is a relapse, the treatment effect has been slow. Patients need to continue to take medicine, even if the results are very good, but also need to continue to consolidate the therapeutic effect of treatment, while living and nephropathy eating should pay special attention to. so,What are the foods that nephropathy can be eaten ?

The principle of diet in patients with nephropathy is low protein and low salt. In the kidney during seizures, kidney function and metabolism are decreased obviously, the body of toxins can be excreted during this period, if eating foods high in protein, it will increase the burden on the kidneys, deposition of toxins in the body, make the illness. For patients with uremia should also control the intake of phosphorus, in eating rice, meat, fish, when the first use of boiled soup to cook food. At the same time, patients should remember that uremia seizures varied, so eating any medical treatment should be based on the laboratory test report shall prevail, based on patient inspection report, adjust the diet structure.

In general, nephropathy patients diet can eat mung bean, mung bean soup is cold food, can play the role of heat and water, if the patient is a urinary tract infection, can relieve dysuria than fever in eat mung bean soup. In patients with chronic nephropathy diet can be appropriate to eat yam, yam Ping, sweet taste, vegetables in the top grade, has a good effect of Tonifying the spleen and kidney. Suffering from chronic nephritis, the general performance of the spleen and kidney qi deficiency, and the role of Tonifying the spleen and kidney, so you can eat properly.

If the disease can be detected early, it is very effective to control the disease. In the actual treatment process, found that there are a lot of patients will go two extremes, one is not enough attention to their illness, delayed treatment. There is also a psychological burden is too heavy, skeptical attitude to the doctor. These two methods are not correct, the patient should timely adjust mood, choose the professional hospital and actively cooperate with the treatment, family and friends to care about, care for patients with uremia, in the daily life and the nephropathy diet should pay attention to and insist for a long time.

Renal failure can eat what supplements

Renal failure in patients with this disease can eat  easily digestible light, and nutritious food. Patients should eat more fresh fruits and vegetables in the diet food, eat foods that rich in protein.

First, patients with renal failure in the diet should pay attention to ensure adequate heat, and should eat enough food rich in essential amino acids, which requires patients should eat more protein rich foods in the diet, you need to eat food for the egg, milk, meat and other foods, these foods and cooking methods on the selection of light method.
Renal failure can eat what supplements
Secondly, in patients with renal failure, the disease in the diet should adhere to high quality low protein diet, and food should be low phosphorus, low salt, high calorie, eat these foods helps to restore physical health and should eat more fresh fruits and vegetables.
Then renal failure to eat light food, avoid eating spicy spicy food, pepper, pepper, after pepper, curry, garlic bolt etc. spicy food to eat is easy to get angry, as well as five spice powder, aniseed, coriander and other Chinese toon.
The last is that patients can eat the food is really a lot, but should choose suitable methods of cooking, should use the method of cooking stew on cooking methods, avoid fried.
Fried, what method to use these methods to do barbecue, food is harmful to the body's digestion, of course, is not conducive to patients with kidney failure.
Patients should pay attention to eat more calories and eat enough to ensure adequate food rich in essential amino acids in the diet, which requires in the diet, eat more foods rich in protein, and the patient should eat more fresh fruits and vegetables, food cooking methods should be light.

How should we treat chronic nephritis?

1. What is chronic nephritis?

In general, from the clinical features of nephritis distinction, there are acute nephritis, chronic nephritis, acute nephritis, occult nephritis several. If you do a renal biopsy, you can directly in accordance with the pathological characteristics of the name, such as minor lesions, focal sclerosis kidney disease, mesangial proliferative glomerulonephritis, membranoproliferative glomerulonephritis, membranous nephropathy, IgA nephropathy. According to the cause can be pided into primary glomerulonephritis and secondary glomerulonephritis, which can include lupus nephritis, purpura nephritis, hepatitis B-associated glomerulonephritis, hypertensive nephropathy, multiple myeloma nephropathy, high uric acid Kidney disease, rheumatoid arthritis kidney damage and so on. Often we will have a clinical proteinuria and (or) hematuria, with or without hypertension and edema in patients with a history of more than 3 months called chronic nephritis.

2. When faced with chronic nephritis, how can I treat chronic nephritis?

When the doctor told us that we may have chronic nephritis, we will have a lot of questions to ask. For example, how did the disease come about?How is chronic nephritis treated? How long will it take? Will it become uremia? So how did nephritis produce it? The reason is more complex, in general, mostly because of immune inflammation damage to the kidneys, the kidneys in the human body like a sieve filter, when damaged after the sieve hole becomes larger, resulting in useful substances such as protein and red blood cells too much excretion To the urine, and thus the formation of proteinuria and hematuria, which is what we said the performance of nephritis. Most chronic nephritis treat requires long-term or even lifetime medication, a small part can be cured. But as long as the control of the disease and stability can be, and generally will not develop for uremia. Chronic nephritis treatment should be said that the combination of Chinese and Western medicine is the best solution, because the use of Western medicine alone when there may be some side effects, if combined with traditional Chinese medicine conditioning, you can reduce side effects. In addition, some Western medicine is not a good effect, we can only choose traditional Chinese medicine conditioning, often have unexpected results. But we can not the role of mythology, to be flexible use of Chinese and Western medicine, to achieve the best results and purpose. In the course of treatment, I have a deep experience, that is, must be patient, can not be impatient, or it is easy to lose confidence and treatment, so easy to develop the disease caused by the emergence of uremia. That is to fight a protracted war. Regular check with the doctor is critical. East governance, West governance, non-stop for the doctor is easy to detours. I have a patient, male, 47 years old, chronic nephritis, renal insufficiency, serum creatinine 154umol / L, urinary protein medium, active treatment, adherence to treatment, Chinese and Western medicine treatment for 19 months, now has serum creatinine to maintain normal 4 months, urinary protein reduced to a small amount. The success of this medical record should depend on the patient's trust and patience.

3. Do you want a renal biopsy?

When diagnosed with nephritis, it should be with the doctor in time renal biopsy, so you can confirm the diagnosis, to determine the condition and prognosis, to guide the treatment program is very good. Can avoid misdiagnosis, because some chronic nephritis kidney disease is a very different treatment methods, such as lipoprotein nephropathy, obesity-related nephropathy, renal amyloidosis, etc., can not use hormones and immunosuppressive therapy, if not renal biopsy Is unable to determine the treatment program, only the experience of treatment is not enough. Some old doctors often do not take the initiative to allow patients with renal biopsy, said do not do a kind. Actually it is not really the same. We had a renal biopsy diagnosis of IgG4-related nephropathy, a clear diagnosis of hormone therapy, and finally to avoid long-term dialysis, and now patients have completely returned to normal. The importance of renal biopsy. In fact, renal biopsy is very safe, do not worry too much, that will hurt the kidneys. It can be said that the damage is completely negligible, there is no adverse impact on people. Therefore, it is recommended nephritis patients treatment must do renal biopsy, which is very important and meaningful thing. Like the war, the enemy is not clear, how can win the battle it?

Renal failure in the body of various system symptoms

What are the symptoms of renal failure?

1.  severe renal failure patients with nasal bleeding or 

gastrointestinal bleeding.

2 renal failure cardiovascular system symptoms

The majority of patients with renal failure have high blood pressure, with the
 progress of the disease, blood pressure showed a progressive upward trend.
Long term hypertension, urinary toxin accumulation, water, electrolysis

Stromal disorders, acid-base imbalance and severe anemia, can  lead to
abnormal heart organ, complicated by myocarditis, pericarditis, pericardial effusion
 Yan Heavy disease.

3. renal failure hematopoietic system symptoms

The main symptoms of renal failure are anemia, in general hemoglobin
 determination 5-6g/dl.  Appear ecchymosis, nose bleeding, gingival bleeding,
fundus spontaneous Sexual tendency.

4.  renal failure neurological symptoms

Early symptoms of renal failure are headache, memory loss, lack of 

concentration, fatigue, a small number of people with decreased sexual 

function. Advanced drowsiness, consciousness fuzzy, muscle tremors, aches
and pain.A serious disease of the nervous system, face stiff limbs, motionless,
quarrel constantly out of a lot of saliva, and even convulsions convulsions
and coma.

5. renal failure respiratory symptoms

Dry cough, nasal odor associated with pulmonary edema or dysfunction of heart 

failure, breathing more difficult, paroxysmal spasmodic cough, cough, white foam.

6.  renal failure symptoms of urinary system

In the early and middle stage of renal failure, there was a large amount of bubble

 like urine, and late night urine increased, and the proportion of urine was low, 

which was often fixed at about 1.010. At this time, not only kidney body .The
volume is reduced, and the majority of the patient's urine volume begins to
 decrease gradually to no urine. Of course, the amount of urine increased from
reduced to no urine, requires a process,1-2 years ranging.

7. renal failure acidosis symptoms

Renal function damage, the concentration of urine is poor, resulting in an increase 

in the amount of urine at night, can make the body in a semi dry state, in the 

removal of extreme thirst inability to walk. To the development of the disease to 

uremia, urine volume gradually began to decrease, causing the body organs,
tissues of varying degrees of edema, accompanied by made of water
and electrolyte disorders 

in moderate or severe hyperphosphatemia, hypocalcemia, and other symptoms 

of poisoning.

In fact, the phenomenon of kidney failure occurs frequently in men, that is, the 

pressure of work for a long time is relatively large, physical and mental fatigue 

has a great relationship, so for the emergence of renal failure, we must be
vigilant, so as not to harm the health of the disease.

Which diseases can cause uremia?

Mention of uremia, many people will feel very fear, because deep down they will always equal.Which diseases can cause uremia:

1. Metabolic diseases

Such as the late stage of diabetic nephropathy, renal glomerular sclerosis, glomerular basement membrane thickening, glomerular filtration function damage. 

 

2. Long term chronic urinary tract obstruction

Such as hypertrophy of the prostate when normal urine can not be excreted in time, resulting in double hydronephrosis, if not timely treatment will eventually cause kidney damage caused by uremia.

 

3. Hypertension

Long term hypertension, renal glomerular sclerosis, renal function damage, eventually leading to renal failure. Therefore, hypertension is also one of the reasons for the occurrence of uremia.

 

4. kinds of kidney diseases

Such as pyelonephritis, lupus nephritis, chronic glomerulonephritis, tubulointerstitial nephritis, nephrotic syndrome, polycystic kidney disease, hereditary polycystic kidney disease, due to the continuous long-term damage to kidney disease that gradually lost kidney function, any kidney disease should pay close attention, timely treatment, right the treatment, to prevent the occurrence of uremia. 

 

A comprehensive grasp of the causes of uremia for patients in the future treatment and nursing measures are helpful, can promote the patient's condition to get better recovery