How to treat renal insufficiency, what to do if renal insufficiency

Patients with renal insufficiency need to undergo long-term persistence, and the most important principle is to control blood sugar and blood pressure for various primary diseases, and avoid various factors that may cause deterioration of kidney function, such as infection and shock. Renal insufficiency is mainly based on medications, and severe patients can be considered for hemodialysis or kidney transplantation.

1. General**.

Actively ** primary disease, remove the factors that cause the deterioration of kidney function, and protect the preserved nephrons. It mainly controls high blood pressure, blood sugar and proteinuria, eliminates toxins, and protects residual kidney function.

2. Drugs**.

1. Sodium bicarbonate: can correct metabolic acidosis.

2. Angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists: not only have a good antihypertensive effect, but also reduce glomerular hyperfiltration, reduce proteinuria, reduce myocardial remodeling, reduce the incidence of cardiovascular events, and those with a significant decline in renal function need to be cautious to avoid hyperkalemia.

3. Furosemide and bumetanide: the use of diuretics can quickly correct water and sodium retention and improve the manifestations of edema and hypertension.

4. Recombinant human erythropoietin: can correct anemia.

5. Calcium carbonate and calcitriol: can correct hypocalcemia.

6. Simvastatin: It can correct hyperlipidemia and prevent cardiovascular and cerebrovascular diseases.

7. Insulin: improve the symptoms of hyperglycemia and reduce the complications caused by hyperglycemia.

8. Allopurinol or febuxostat: it can relieve gout, hyperuricemia, and delay the deterioration of kidney function.

How to treat renal insufficiency: Renal insufficiency needs to be integrated. Among them, diet** is one of the most important measures for non-dialysis patients with chronic renal failure**, mainly to limit the intake of protein, phosphorus, fat, water and sodium in the diet, and ensure adequate calories.

At the heart of the diet** is a low-protein diet. Care must be taken to supplement folic acid, water-soluble vitamins, etc. For cardiovascular diseases caused by renal insufficiency, the main drugs** include antiplatelet drugs, lipid-lowering drugs and anti-myocardial ischemia drugs.

For blood pressure control in patients with hypertension, antihypertensive drugs with a renal protective effect, such as angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists, are preferred. Patients with renal insufficiency often have anemia and need to be given erythropoietin and supplemental hematopoietic raw materials, such as iron and folic acid. If the patient enters stage 5 of chronic kidney disease, i.e., uremia, renal replacement is required**. ”

1. Eat more high-quality protein foods.

2. Eat more high-calorie foods.

3. Supplement vitamins in moderation.

4. Don't take too much salt.

1.Eat more high-quality protein foods Although protein breakdown produces toxic metabolites, protein is one of the essential nutrients for the body. This requires patients with renal insufficiency to choose high-quality protein as much as possible, such as lean meat, eggs, fish, etc., but it should be noted that patients with renal insufficiency should eat less vegetable proteins such as beans.

2.Eat more high-calorie foods In order to ensure the body's caloric needs, patients with renal insufficiency need to eat high-calorie foods, which can mainly be obtained from carbohydrates, such as rice, bread, etc. Calorie intake is based on a minimum of 30 calories per kilogram of body weight.

If the patient weighs 50 kg, he or she needs to eat at least 1500 kcal per day.

3.Appropriate vitamin supplementation Patients with renal insufficiency can get the vitamins that the body needs from vegetables, such as green vegetables, bok choy, etc., and can also take vitamin tablets under the guidance of a doctor.

4.Don't take too much salt Be sure not to consume too much salt, because patients with renal insufficiency have reduced sodium reserves, so be aware of these issues.

The kidneys can be protected by:

First, pay attention to rest. Rest is indispensable for everyone, and long-term work will inevitably lead to a series of physical problems, which is often said to be a disease caused by overwork, so whether it is work or study, there must always be time to rest, and combine work and rest.

The second is to eat right. Eating some common foods is yams, walnuts, black beans, animal offal, etc.

The third is daily massage. You can rub your ears to replenish the kidneys, rub the palms of your hands and then rub the outline of your ears, and one ear can be used for about three minutes, which is a great benefit to kidney deficiency and fatigue.

The fourth is to do exercise. You can also do some exercises to maintain good physical strength, such as swimming, climbing, and playing tennis are good choices, and you should have confidence at ordinary times, which is very helpful for nourishing the kidneys.

The fifth is to supplement kidney nutrition. If you want to nourish the kidney, the most important thing is to take Boqijian orally, twice a day, for a period of time, you can fundamentally supplement kidney nutrition, improve kidney function, and thus play a role in protecting the kidney.

How to carry out the symptoms of renal insufficiency**? Many people are very entangled in how to carry out the symptoms of renal insufficiency**, in fact, there are many **methods**, the most important thing is to see which **method the patient can accept**.

1.Reasonable control of protein intake in the diet. Due to renal insufficiency, protein intake during the diet should be controlled.

Many people's kidney function has declined, and excessive protein intake is not good for their health. Protein is the material basis of human life activities and can be obtained from legumes, meat or dairy products. However, in the case of renal insufficiency, excessive protein intake increases the metabolic burden on the kidneys and may make proteinuria more severe.

Therefore, there are some principles that should be kept in mind during the diet. Patients with renal insufficiency should have a reasonable control of protein intake, only a small amount of protein, and do not consume a large amount of high-protein foods.

2.Avoid work fatigue and pay attention to your diet. Some patients will have a stressful life and too tired work, which will affect their condition.

Therefore, the only requirement for kidney disease is not to tire yourself too tired. Only a small number of people with kidney disease who have active disease and have very poor heart and lung function need to rest at home. Secondly, adjust to a reasonable diet, dare not eat anything, and do not pay attention to diet at all, in order to stabilize the condition and gradually improve the physical condition.

3.Avoid drugs that harm the kidneys. The kidneys are the only place where the drug is excreted from the body.

Therefore, patients with renal insufficiency are more cautious. Try to find other medications to replace those that may be causing kidney damage. If you must use it, you should choose an alternative that is the least damaging to the kidneys.

You can choose to use it for a short period of time or alternately, and you can't abuse it at will.

4.Strict control of high blood pressure. When chronic kidney disease progresses to the stage of kidney failure, it is often accompanied by high blood pressure, which in turn promotes disease progression.

The higher the blood pressure, the faster CKD progresses. In the past, it was thought that for chronic kidney disease with high proteinuria, blood pressure should be controlled below 130 80 mmHg. The latest guidelines recommend that systolic blood pressure should be kept below 120 mmHg, regardless of whether the urine protein is high or whether you have diabetes.

This is more conducive to protecting the kidneys and delaying the progression of kidney failure. The antihypertensive drugs of choice for most patients with CKD are sartan or preel, as these drugs have a variety of kidney-protective effects, such as lowering blood pressure, lowering protein, and delaying kidney failure. For patients whose blood pressure is difficult to lower, other types of antihypertensive drugs are often added.

In order to improve renal insufficiency, it is necessary to actively control the primary disease, and at the same time, strictly control the patient's diet, strictly control the intake of foods containing protein and sodium, and reduce the burden on the kidneys.

Listen to the doctor's words more, take medicine on time, seek medical attention on time, and eat more things that are good for the kidneys, only in this way can you be good.

Prone to insomnia: Poor kidneys may lead to the accumulation of toxins in the body, affecting the quality of sleep.

Early awakening: Poor kidney function may lead to urinary incontinence or excessive urination at night, which can cause a person to wake up early.

Morning dreaminess: Poor kidney function may affect the secretion of adrenal corticosteroids, leading to morning dreams.

Fatigue: Poor kidney function may lead to edema, making the person feel tired.

Renal insufficiency is caused by a variety of reasons, and the glomeruli is severely damaged, so that the body has disorders in excreting metabolic wastes and regulating water, electrolytes, acid-base balance, etc. First of all, primary diseases, such as hypertension, diabetes, etc. Prevents the aggravation of renal artery and glomerulosclerosis.

Infection control, especially urinary tract and respiratory tract infections, should be pursued to prevent superinfection. Actively correct the imbalance of hydropower, water and acid-base balance. Diuresis, correction of heart failure.

Eat a high-calorie, high-quality, low-protein, low-phosphorus diet with essential amino acids, appropriate vitamins, minerals and trace elements. Avoid colds, dampness and overexertion, prevent colds, and do not use drugs that damage the kidneys. Adequate and effective dialysis.

For complications, it is necessary to comprehensive**, correct anemia, prevent gastrointestinal bleeding, and use anticoagulation** in patients with hypercoagulability**. For those whose disease has progressed, it is advisable to switch to blood purification as soon as possible**.

The basic methods are dialysis and kidney exchange. For the dialysis method, if you are a renal insufficiency patient who is going to have a kidney exchange, then you must stick to this **. In this method, components (solutes or water) in the body fluids of patients with renal insufficiency are excreted through a semipermeable membrane.

There are two types of dialysis methods for patients with renal insufficiency: hemodialysis and peritoneal dialysis.

In addition to dialysis, patients with renal insufficiency can also choose the method of kidney transplantation. But we all know how difficult it is to find a matching kidney, and there will be a certain period of danger after a kidney transplant, and of course if a patient with renal insufficiency passes the danger period, then they can live a healthy life. Based on the emergence of these problems, it is hoped that patients can adopt the best method of traditional Chinese medicine.

This method is effective in stabilizing the condition and causing minimal harm to the patient.

First of all, it is necessary to strengthen self-care, exercise, enhance disease resistance, and timely ** upper respiratory tract infection. I used to see the Dongyu Kidney Disease Hospital, and the medical staff at the hospital were very kind.

First of all, you need to go to the hospital to do some detailed relevant examinations to see what causes renal insufficiency, many reasons will cause renal insufficiency, caused by different reasons, and the relative methods are not the same. If it is caused by one's own cause, it should be aimed at kidney problems**, and if it is caused by other primary diseases, it is necessary to focus on **primary diseases first.

If renal insufficiency must pay attention to medication and diet and daily life, in general, try not to take drugs with large kidney damage, pay close attention to urine output and kidney function test results in diet, if urine output is reduced, drink less water, low protein diet. Maintain a regular daily routine, don't overwork, keep a cheerful mood, and exercise appropriately. If the creatinine is above 700, regular hemodialysis or peritoneal dialysis is used.

But don't be overly depressed, everything will always be fine! Good luck!

Renal insufficiency can be acute and chronic, and when renal insufficiency is detected, the primary disease causing renal insufficiency must first be identified. Mild renal insufficiency, also known as compensatory phase, can be treated with non-dialysis** to delay disease progression, mainly to reduce urine protein, blood pressure, lipids, cholesterol and uric acid.

**The purpose is to prevent the further development of kidney function, and later with the increase of creatinine value to the uremia stage, kidney replacement can be taken**, including kidney transplantation and dialysis**, dialysis** There are two kinds of hemodialysis and peritoneal dialysis, and the effect of the two is generally the same.

In addition, attention should be paid to correcting the patient's abnormal calcium and phosphorus metabolism, renal bone disease, and hyperparathyroidism, and preventing cardiovascular and cerebrovascular complications in the uremia stage.