Do you understand kidney failure?
★ ★ Mentioned the disease of kidney failure, I believe many people do not feel strange. Because kidney failure is one of the more common kidney diseases. And if the condition is serious, it can lead to a decline in kidney function, which can even endanger life. Therefore, if you find symptoms of suspected renal failure, it should promptly go to the hospital for examination and treatment. So in the end kidney failure can be cured? Treatment methods include what?
★ ★ Renal failure is one of the more harmful diseases, easily lead to abnormal platelets, and even hydronephrosis, uremia and so on. Therefore, if there is a disease in this area, do not hide the curse, timely treatment is the most crucial. Here to explain to you about renal failure can be cured of this problem.
★ ★ Renal failure is a pathological state of partial or complete loss of renal function caused by various chronic kidney diseases. Renal failure can be divided into acute renal failure and chronic renal failure. The progression of acute renal failure is rapid, usually due to inadequate supply of renal blood flow (such as trauma or burns), impaired function of the kidney due to obstruction of certain factors, Of the injury, causing acute renal failure. The main reason for chronic renal failure is long-term renal disease, with the progress of time and disease, the function of the kidney gradually decreased, resulting in the occurrence of renal failure.
★ ★ cause: 1. Acute renal failure: usually due to inadequate supply of renal blood flow (such as scratches or burns), kidney function blockage due to a factor blockage or poison damage, causing acute renal failure. 2. Chronic renal failure: Because of long-term renal disease, with the progress of time and disease, the function of the kidney is gradually decreased, resulting in the occurrence of renal failure.
★ ★ Classification: 1. Acute renal failure: The rapid progression of acute renal failure is usually due to inadequate supply of blood flow to the kidneys (such as scratches or burns), impaired function of the kidneys due to obstruction of certain factors, or injury to poisons , Causing acute renal failure. 2. Chronic renal failure: Chronic renal failure refers to a variety of renal diseases caused by slow progressive renal dysfunction and eventually lead to uremia and complete loss of renal function, causing a series of clinical symptoms and metabolic disorders such as biochemical and endocrine clinical syndrome From the onset of primary disease to the beginning of renal insufficiency, the interval can be several years to more than ten years.
★ ★ clinical manifestations: 1. oliguria period: the most critical stage of the disease, the serious internal environment disorders. Patients may have oliguria (<400ml / day) or no urine (<100ml / day), low specific gravity urine (1.010 ~ 1.020), high urinary sodium, hematuria, proteinuria, tubular urine. Severe patients may appear water poisoning, hyperkalemia (often the cause of death in this period), metabolic acidosis (can promote the occurrence of hyperkalemia) and azotemia (progressive increase can occur uremia), etc., Endanger the lives of patients. This period lasted several days to several weeks, last longer, the prognosis worse. 2. Polyuria: oliguria gradually increased urine output, when the daily urine output exceeds 500ml, that is, into the polyuria. Since then, urine output doubled daily, the highest daily urine output 3000-6000ml, and even up to more than 10000ml. At the beginning of polyuria, although the urine output increased, but the renal clearance rate is still low, the accumulation of metabolites in the body still exists. About 4 to 5 days later, serum urea nitrogen, creatinine and so on with the increase of urine volume gradually decreased, uremia symptoms also improved. Electrolytes such as potassium, sodium and chlorine, which are excreted in large quantities from the urine, can cause electrolyte imbalance or dehydration. Note that the peak period of oliguria may shift to hypokalemia. This period lasted 1 to 2 weeks.
★ ★ 3. Recovery period: urine output gradually returned to normal, 3 to 12 months renal function gradually restored, most patients with renal function can be restored to normal levels, only a few patients to chronic renal failure.
★ ★ Check: 1. Blood tests: significant anemia, normal cell anemia, normal or increased white blood cell count. Platelets reduce the rate of cell sedimentation accelerated. 2. Urine routine examination: with the original disease vary. The commonalities are as follows: (1) The decrease of urinary osmolality is mostly below 450 mosm per kilogram, and after heavy low, mostly below 1.018, and fixed at 1.010 ~ 1.012 in severe cases, Urinary specific gravity exceeded 1.020, the difference between the highest and the lowest urinary specific gravity was less than 0.008; (2) the urine output decreased more than 1000ml per day; (3) the quantitative increase of urinary protein was mostly due to glomerular injury in the late stage, ④ urinary sediment check how many ranging from red blood cells, white blood cells, epithelial cells and granular tube, wax tube is the most meaningful. 3. Renal function tests: all indicators were diminished. 4. Blood biochemical tests: reduced plasma albumin, low serum calcium, phosphorus increased, serum potassium and serum sodium with the disease may be. 5. Other tests: plain umbilical cord and angiography, isotope nephrology, renal scans, renal biopsy, etc., for the diagnosis of the cause of help.
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