What are the treatments for chronic kidney failure? Which treatment works best?

What are the best ways to treat chronic renal failure? Which method works best? Chronic renal failure occurs in the uremia phase, indicating that it enters the final stage of kidney disease.

Common treatments should include: Hemodialysis: Blood purification is mandatory, including hemodialysis** and hemodialysis**.

<> hemodialysis is the last resort. For example, patients with impaired renal function, in addition to hypotension, have some special conditions that can undergo blood purification**; Peritoneal dialysis: Peritoneal dialysis** can be performed in patients with residual renal function**, especially in older diabetic patients who cannot tolerate blood**.

Kidney transplantation: Kidney transplantation may be considered for patients who are able, but the cost tends to be high.

Chronic renal failure is a clinical syndrome consisting of a series of clinical symptoms and endocrine, biochemical, and metabolic disorders. From the primary disease to early kidney failure, the interval can range from several years to more than ten years. The identification of acute and chronic renal failure is unreliable, and the diagnostic change rate after renal biopsy is high, and the pathological diagnosis of renal biopsy is the gold standard for distinguishing acute and chronic renal failure.

Kidney biopsy is to puncture the human kidney through the puncture cavity under B-ultrasound, remove a small amount of tissue, understand the morphological and immunological changes of kidney injury through light microscopy, electron microscope and fluorescence microscopy, and perform pathological analysis. It is the only way to diagnose the pathology of nephropathy.

Physical discomfort: Patients may feel unnecessary due to the accumulation of toxins and waste products in the body. Symptoms include nausea, vomiting, poor nighttime sleep, loss of appetite, itching, and fatigue.

Edema: Some patients develop edema. Decreased urine output and frequent urination (especially at night).

Edema of the hands, feet, and ankles. Other symptoms include shortness of breath and swelling around the eyes. Anemia:

Anemia occurs because the kidneys are impaired and the body is unable to produce enough hormones to produce red blood cells. People with anemia often feel cold and fatigue ......Hello, kidney failure can be repaired with traditional Chinese medicine**"Five Elements Poison Reverse Repair**. Combined with the essence of the five elements of traditional Chinese medicine, through the deduction and clinical follow-up research of the five elements of the viscera, this unique kidney disease such as kidney failure and uremia is synthesized.

Common means of chronic failure, such as hemodialysis, can purify the blood to achieve the ultimate goal.

Eat some fresh food, and you can also take some medicine, and you can do surgery, or should**, exercise, improve the body's immunity, etc., these methods are effective, and they are also very good, can be very good**.

Kidney failure can be achieved through oral medication or dialysis, because kidney failure is a serious damage to kidney function, resulting in metabolites in the body, and there is no way to eliminate them in time.

By chemotherapy**, or by medication**, or by the timing of surgery**, or by a developed protocol**, or by particularly advanced medical equipment**.

**The method of kidney failure is mainly determined by the stage of kidney failure. If it is early kidney failure, it is necessary to take drugs under the guidance of a doctor to preserve the remaining kidney function, which can be done with traditional Chinese medicine or a combination of Western medicine, if it enters the terminal stage of kidney failure, that is, the uremia stage.

It can be carried out by oral medication or by dialysis**, the effect is good, and the specific situation is analyzed, or go to the hospital for systematic examination.

The first thing is to have surgery in time, and you can also choose to replace a kidney, and then you must insist on taking medication, the best is to ensure a happy mood, and you must usually strengthen exercise and ensure adequate sleep.

What are the ways to do kidney failure? Today I have some content for you.

1.Removal of triggers, symptomatic treatment**, control of infection, correction of water-electrolyte imbalances and acidosis.

2.Non-dialysis**. A low-protein, low-phosphorus diet can slow the progression of the disease.

Adjust protein intake according to kidney function, including high-quality protein (eggs, milk, lean meat, etc.). It should be 50% 70%. Calories should be days, the proportion of vegetable protein should be limited, and rice and flour staples should be replaced with wheat starch potatoes or cornstarch.

Supplementation of essential amino acids increases protein synthesis, improves malnutrition and immunodeficiency caused by long-term low-protein diet, and lowers blood phosphate. Mild uremia with oral rhubarb or decoction enema can lower bun. Oral adsorbent oxidized starch can be excreted in feces in combination with intestinal urea nitrogen or amine, reducing BUN.

If kidney damage is still in its early stages, it can be controlled with medication and diet, but there is no hope of recovery from end-stage renal failure. For chronic renal failure, there are only two methods, dialysis or kidney transplantation.

Kidney transplantation is the process of surgically transplanting a kidney from a non-donor to a transplanted patient. Potential family members, spouses, close friends, or brain-dead individuals who signed their consent to organ donation before death. Of course, the most compatible kidneys usually come from the transplant recipient's siblings, as their genes are most likely to match.

Kidney transplantation is currently the best method for kidney failure, because the kidney transplanted into the patient's body can almost completely replace the function of the failed kidney, allowing the patient to live a normal life.

Dialysis refers to the selective removal of certain substances from the blood through filtration. That is, the toxic waste, water and salt accumulated in the patient's body after kidney failure can be removed by artificial means, so that the patient's physical condition can be restored to a healthy state. Dialysis comes in two forms:

Hemodialysis and peritoneal dialysis. Haemodialysis is the use of specialized machines to replace the function of the kidneys. Peritoneal dialysis uses the body's peritoneum as a filter to remove toxins from the body.

What are the above-mentioned methods of kidney failure** provided by Bian Xiao? Hope it helps.

1. ACE inhibitors and ARB drugs: they have good antihypertensive effects, as well as their unique effects of reducing glomerular hyperfiltration and reducing proteinuria, mainly by dilating glomerular arterioles, and also have the effects of antioxidant, reducing glomerular basement membrane damage, and reducing mesangial matrix deposition. In addition, ACE inhibitors and ARBs can reduce myocardial remodeling and reduce the incidence of cardiovascular events.

2. Hypoglycemic drugs: strictly control blood sugar, so that diabetic patients can control their fasting blood sugar before bedtime, and glycosylated hemoglobin of 7% can delay the progression of chronic kidney disease.

3. Diuretics: The application of loop diuretics in volume control** can increase urine output, which helps to remove excess fluid from the body. When urine output does not increase after use, use should be discontinued to prevent adverse reactions.

4. Sodium bicarbonate: metabolic acidosis should be timely**, and 5% sodium bicarbonate intravenous drip can be used. Patients with severe acidosis should be treated with dialysis immediately**.

5. Recombinant human erythropoietin: In the exclusion of factors such as blood loss and lack of hematopoietic raw materials, hemoglobin < 100g l can be considered to start the application of recombinant human erythropoietin**.

6. Maintain the stability of the internal environment**: mainly to remove metabolic wastes in the body, correct the disorder of water and electrolytes, and keep it balanced.

Drugs can be used to help eliminate excess water and metabolites in the body, and can also be used for high blood pressure, anemia and other related complications caused by kidney disease. The multi-bacterium powder composed of Poria cocos, Cordyceps, white fungus and Zhu Ling can remove the immune complexes that cause glomerular basement membrane damage, improve the blood circulation of the kidneys, reduce the blood creatinine of the kidneys, promote the repair of kidney function and promote the metabolism of the kidneys. In life, we should avoid food, that is, less oil and less salt, do not eat soy products, do not eat seafood, eat less beef and mutton, do not drink meat soup, and maintain one to two taels of lean meat or chicken and fish meat every day to ensure nutrition.

In life, you can't be tired, strictly prevent colds and flu, and keep a peaceful mind.

In most cases, patients with early renal failure have no significant symptoms, while symptomatic patients mainly present with edema, increased blood pressure, poor appetite, backache, and fatigue, and the distinguishing feature is that it is not easy to detect.

Patients are likely to have the main manifestations such as drowsiness, dizziness, loss of appetite, itching, yellowish complexion, and increased edema, because the initial endotoxin rise is not very significant, so it is generally not easy to produce nausea and vomiting.

The initial stage of chronic kidney disease generally does not directly affect the cause of erythropoietin, and iron deficiency anemia is not very significant in patients. The diagnosis of early kidney failure cannot be based on some symptoms, and because many patients have uncommon symptoms, they must go to the hospital outpatient clinic for renal function tests.

Authoritative experts have shown that the early stage of kidney failure can also be carried out with the help of drugs**. In the early stage of kidney failure, it is generally not easy to produce more significant discomfort, and under the guidance of a doctor, according to the drug taken to assist the discharge of endotoxin, it is also necessary to observe whether the creatinine rises, and if it rises, you can take drugs that reduce creatinine. In addition, it can also maintain and nourish the spleen according to the Chinese herbal medicines, do a good job of recuperating the human body, and reduce some discomfort caused by kidney failure.

The key to the early stage of kidney failure includes three levels, namely, the cause of the disease, the adjustment of dietary mix, and the complications.

For the cause of the disease**. The initial stage of renal failure usually refers to the patient's elevated blood creatinine level is not so high, and the decrease in renal tubular filtration rate is not so serious.

Dietary adjustments. A low-protein diet or a limited protein diet was prescribed, and it also included low salt. Low in fat. Low-purine foods, which reduce endotoxins and relieve swelling and high blood pressure, are also beneficial.

For complications**. Patients with kidney failure may have iron deficiency anemia in some early stages, and at this time, it is necessary to fight iron deficiency anemia**, in addition, edema and high blood pressure need to be given corresponding **.

There are many causes of kidney failure, and there are differences in its methods. The first is to target its primary disease, such as controlling blood pressure, controlling blood sugar, regulating blood lipids, reducing uric acid, which is the most basic, as well as reducing proteinuria** and so on; If there are some common complications of renal failure, such as renal anemia, metabolic acidosis, calcium and phosphorus metabolism disorders, and hyperparathyroidism, targeted ** should be given, such as correcting anemia with iron and erythropoietin, keeping the stool smooth, using sodium bicarbonate to correct acidosis, preserving the normal calcium and phosphorus state when there is calcium and phosphorus metabolism disorders, and using active vitamin D3 for active ** when there is hyperparathyroidism, these are the methods of chronic renal failure.

First, dietary care can be carried out to change the symptoms of kidney failure from the diet. Second, early dialysis** is performed to delay kidney failure. Third, kidney transplantation can be performed if possible.

Diet**. 1.Weight days) and vitamin-rich diets such as eggs, milk, and lean meats are high-quality proteins.

Patients must consume enough calories, generally 30-35 kcal (kg of body weight per day). If necessary, the staple food can be wheat starch with plant protein removed.

2.A low-protein diet plus essential amino acids or ketoacids**. When using ketoacid**, pay attention to recheck the blood calcium concentration, and use with caution when hypercalcemia occurs. If there is no severe hypertension and significant edema, the urine output is 1000 ml a day, and the salt is 2-4 g a day.

2) Medications**.

The aims of CRF drugs** include: relieving CRF symptoms, alleviating or eliminating patient suffering, and improving quality of life; delay the progression of chronic renal failure and prevent it from progressing; Prevent complications and improve survival rates.

1.Correction of acidosis and water-electrolyte imbalances.

1) Metabolic acidosis corrects metabolic poisoning, mainly oral sodium bicarbonate (NaHCO3). Patients with moderate to severe disease can receive intravenous fluids if necessary, and acidosis is basically corrected for more than 72 hours. For patients with significant heart failure, it is necessary to prevent excessive total NAHCO3 input and slow input speed to avoid aggravating the cardiac workload or even heart failure.

2) Prevention and treatment of water and sodium imbalance. Loose limb intake of sodium should be appropriately limited. In general, the intake of NaCl should not exceed 6 8 g d, and for people with significant edema and hypertension, sodium intake is generally 2 3 g d (NaCl intake is 5 7 g d), and in some severe cases it can be limited to 1 2 g d (.

Loop diuretics (furosemide, bumetanide, etc.) It can also be used as needed. Thiazide diuretics and potassium storage diuretics have poor efficacy on CRF (SCR220mol L) and should not be used.

Patients with acute heart failure and severe pulmonary edema should be given prompt ultrafiltration alone and continuous hemofiltration (e.g., continuous venous-venous hemofiltration).

In general, patients with chronic renal failure do not need to be active in mild to moderate hyponatremia, but they should be analyzed differently**, and only those with true sodium deficiency should be cautious to supplement the old sodium salt. Hyponatremia with severe sodium deficiency should be corrected with a step-by-liter rise.

3) Prevention and treatment of hyperkalemiaPatients with renal failure are prone to hyperkalemia, especially when the serum potassium level is high, and potassium intake should be more strictly restricted. Potassium intake should be restricted, attention should be paid to prompt correction of acidosis and appropriate use of diuretics (furosemide, bumetanide, etc.). ) increases urinary potassium excretion, thus effectively preventing hyperkalemia.

In patients with hyperkalemia, in addition to restricting potassium intake, the following measures should be taken: aggressive correction of acidosis and, if necessary, intravenous sodium bicarbonate (serum potassium 6 mmol L). Give loop diuretics:

It is best to give furosemide or bumetanide intravenously or intramuscularly. The infusion is a glucose-insulin solution. Oral potassium-lowering resin:

Calcium polystyrene sulfonate is more suitable because only ionized calcium is released during the ion exchange process, and no sodium is released, which does not increase the sodium load. Patients with severe hyperkalemia (hypokalemia and poor diuretic effect should undergo haemodialysis promptly**.