2016年11月8日星期二
Does renal transplant means health once and for all? A successful renal
Does renal transplant means health once and for all? A successful renal
transplant and well being afterwards depends on the following points. 1. The
patient’s condition is the basis. To guarantee the success of the surgery and
long term stability after it, uremic patients should confirm that their primary
diseases such as nephritis are not in an active stage and renal function
recovery is impossible and their condition is relatively good. 2. Successful
surgery is the necessary condition. Perfect match, no systemic disease with the
receipt, rapidity in getting the donated kidney and superb skills of the surgeon
are important guarantees of a successful surgery. 3. Rejection is a problem that
kidney transplantation patients are likely to confront at any time. Although
there is big progress in the effect of anti-rejection drugs and it improves the
survival rate of transplanted kidney in a short time, it has little to do with
chronic rejection. Once rejection occurs, renal function will decline to failure
gradually and patients require dialysis again. Long time use of anti-rejection
drugs will also lower the patients’ immunity. Infection is the main reason that
leads to rejection and death. In the meantime, rate of cancer is dozens of times
of normal people. In addition, anti-rejection drugs can also cause
hepatotoxicity, nephrotoxicity, high blood sugar and bone loss, which are not
adverse reactions of patients on dialysis. 4. Patients with complications and
other potential diseases should be cautious. Renal transplant means getting rid
of dialysis in a sense, but it can’t cure potential diseases such as diabetes,
arteriosclerosis or even can make them worse. Previous kidney disease may also
recur in the transplanted kidney. 5. The donor had better be living. The
survival rate of transplanted kidney from a dead donor is almost the same with
dialysis. So life span doesn’t change because of transplant. 6. To uremic
patients with viral hepatitis such as HBV, HCV, they need to take anti-rejection
drugs for a long time. Because of immune suppression, active hepatitis or even
liver failure may happen. So this kind of patients had better not receive renal
transplant. Medical technology keeps developing nowadays. Uremic patients don’t
need to pin all their hope to renal transplant. Uremia is not completely
incurable. With proper treatment, it can be controlled. Clinical research shows
that as long as there is still renal function, there is hope to cure it. As long
as there is hope, patients should never give up treatment.
Dialysis is a process for removing waste and excess water from the blood
Dialysis is a process for removing waste and excess water from the blood, and
is used primarily as an artificial replacement for lost kidney function in
people with renal failure. Although dialysis can help patients expel toxins from
their bodies, it makes human bodies lose a lot of nutrients. So it’s important
for patients to have a good diet. A good diet can not only help patients
supplement nutrition, but also improve their physical immunity. Some foods are
nourishing, however, they are bad to patients. So pay attention to the following
foods. Dietary restrictions: 1. Salty food: Because dialysis patients have
little urine or no urine, so they should limit their sodium salt intake, adopt
low-salt or no-salt diet. 2. Plant protein food: Plant protein food contains
high protein, but it’s not good for patients with damaged kidney. So patients
should not eat bean products. 3. High potassium food: High potassium food will
aggravate kidney’s burden, it’s bad for dialysis patients. So patients should
limit foods intake that contain potassium like mushroom, seaweed, cabbage,
banana, celery, pumpkin etc. 4. High phosphorus food: Dialysis patients should
limit phosphorus intake (600-1200mg per day), these foods contain phosphorus:
yolk, animal organs, chocolate, millet, mung bean. 5. Stimulating food: avoid
eating spicy food, garlic, ginger etc.
2016年11月7日星期一
Six kinds of way of lifestyle damage Kidney If there is a kidney damage
Six kinds of way of lifestyle damage Kidney If there is a kidney damage, is
not simply the kidney is affected by healthy problems, but the whole body.As the
change of lifestyle, there are some behavior hurts kidney.What kind of life
style will be harmful to kidney? Either to work day and night, too busy to drink
water,or endless entertainment, eating and drinking...This is working state of
life nowadays for many office workers, they put the kidneys slowly worn
out.Kidney disease is mainly concentrated in the elderly before, but in recent
years, young patients with nephropathy gradually rise, there is more young
people in their 20 s,and patients about 20 to 35 years old now has accounted for
nearly forty percents.The cause of young people is obsessed with kidney disease
mainly because of bad living habits, like irregularity eating, eating and
drinking to much, often exercise little, the bad living habits will drive down
the body's immunity, easily lead to kidney problems.Early nephropathy
quietly,made people off guard, who knows when kidney disease has buried a hidden
mines in the body? Kidney injury affect the whole body. Kidney has three
functions:One is to generate urine, maintain the balance of water. Second,
education the metabolites and toxic substances out of body. Third is endocrine
function.Such as erythropoietin secretion to promote bone marrow hematopoiesis.
It is because the three big functions of kidney, so if there are problems in
kidney, other parts of the body also can appear problem.Early nephropathy
symptoms mainly are fatigue, eyelid edema, face pale, a large number of bubbles
in urine, micturition and pain or difficulty.Then generate anorexia, nausea,
vomiting, lumbago, nocturia increased, anasarca, increased blood pressure,
breath with urine smell, bone pain, itching, muscle tremor, hands and feet
numbness, slow in reaction, etc.If severe, can lead to multiple organ such as
heart, liver and lung function failure. What kind of life style damage kidney 1.
The too salty food. Diet partial salty, especially some snacks are high salt
content, such as eating Fried potato chips, instant noodles, etc. Will make
people unknowingly absorb excess salt, lead to high blood pressure, unable to
maintain normal renal blood flow, so as to induce kidney disease. 2. The
analgesic drug abuse.Long-term or high-dose take some anti-inflammatory
analgesic drugs, easy to cause damage to the kidney.Renal damage can be shown
as: fatigue, dry mouth, loss of appetite, frequent urination, urgency
urination,urine pain appear even hematuria and aseptic pyuria, accompanied by
joint pain and other symptoms.Some direct causes nephrotic syndrome like acute
nephritis or glomerular necrosis,can lead to kidney failure and death if
serious. 3. Overeating.Modern meals more opportunity to dine together, and often
eat too much "delicious", food intake will eventually produce waste, uric acid
and urea nitrogen and so on.Most of these wastes discharged through the kidneys,
dietary excesses will no doubt increase the burden of the kidney. 4. Often hold
a full bladder.Some people because of busy work hold full bladder for a long
time.Urine in the bladder for too long it is easy to breed bacteria, bacteria
can the retrograde to the kidney, causing urinary tract infection and
pyelonephritis.These infections once break out repeatedly, can cause chronic
infection, is not easy to cure.Patients not only can appear the symptom such as
back pain, frequent urgency urination, may also become acute uremia. 5. Too
little water.If without water for a long time, the urine volume decreases,
carrying waste and toxins in the urine concentration will increase.Clinical
common kidney stones and kidney seeper, etc are closely related with long time
without water.Drink more water can dilute the urine, protect the kidney, which
is beneficial to fully discharge wastes and toxins. 6. Excessive drinking
beverage. The excessive intake of soft drinks and sports drinks indirect damage
of kidney.The ph value is 7.2 in the human body, the drinks generally is highly
acidic, after drinking the body ph change obviously.Kidney is a major organ to
adjust ph value in the human body, long-term excessive intake of soft drinks and
sports drinks, can give a kidney burden, increase the probability of kidney
damage.
Kidney disease is the third disease that threaten our health. As a kind of chronic kidney disease
肾病目前已是威胁都市人健康的第三类疾病。作为一种慢性病,其治疗也是一场“持久战”,但在这场“战斗”中,有很多患者却常有两种认识上的误区。
“指标降”≠“病就好”
许多肾病患者,初期可能不重视肾病的严重性,往往采用口服激素等控制尿蛋白。刚开始治疗效果还比较明显,尿蛋白等几项化验指标很快好转,有的甚至完全消失。于是患者就认为自己病好了,非常高兴。
但没多久,遇到感冒、劳累等不良刺激,病情有加重了。于是,又开始使用激素等药物,如此反复,药是吃了不少,但尿蛋白却没有得到控制,反而出现了肥胖、胸腹水、甚至是肝功能受损、股骨头坏死等药物副作用,病情也日渐加重。
专家提醒:尿蛋白是由于肾脏内肾小球基底膜受到了严重损伤才从尿中渗漏出来的,如果只认为尿蛋白消失了就是病好了,是认识上的错误。单纯使用一些控制性药物,初期有效果,但也只是暂时的,并且这些药物往往会有副作用,治标没治本。
正确的治疗,应是从根本上对肾脏进行系统治疗,通过修复受损的肾小球来彻底消除尿蛋白症状。
Kidney disease is the third disease that threaten our health. As a kind of chronic kidney disease, its treatment period is long, but in this battle, many patients has this wrong idea. Index reduction is not equal to illness recover Many kidney disease patients don’t pay high attention to their illness, usually use hormone to control proteinuria. In the beginning, it is effective, all indexes turn to be better in a short time and even disappears totally. So patients are very happy for their recover. Not a long time later, however, a cold or overtired condition make their illness appears and aggravates, so they use hormone again, while this time, the urine protein doesn’t disappear, what worse is that fat, hydrothorax and ascite, even liver function damaged, illness condition aggravates day by day. Experts caution: urine protein is the result of glomerular damage. So urine protein disappears is not equal to illness recover, this is a wrong idea. Just using hormone, have effects in the beginning, but it will repeat in a long term and these medicines have side effects. The right treatment should be treated from the root, eliminating proteinuria through repairing damaged glomerular.
Kidney disease is the third disease that threaten our health. As a kind of chronic kidney disease, its treatment period is long, but in this battle, many patients has this wrong idea. Index reduction is not equal to illness recover Many kidney disease patients don’t pay high attention to their illness, usually use hormone to control proteinuria. In the beginning, it is effective, all indexes turn to be better in a short time and even disappears totally. So patients are very happy for their recover. Not a long time later, however, a cold or overtired condition make their illness appears and aggravates, so they use hormone again, while this time, the urine protein doesn’t disappear, what worse is that fat, hydrothorax and ascite, even liver function damaged, illness condition aggravates day by day. Experts caution: urine protein is the result of glomerular damage. So urine protein disappears is not equal to illness recover, this is a wrong idea. Just using hormone, have effects in the beginning, but it will repeat in a long term and these medicines have side effects. The right treatment should be treated from the root, eliminating proteinuria through repairing damaged glomerular.
2016年11月6日星期日
What causes obesity?
A person becomes obese when s/he consumes more calories than is being used by the body. This type of weight gain can take place over weeks, months, or years. In contrast, if you spend more energy than is taken in, weight loss occurs. Finally, if the amount of calories consumed equals the amount of calories being used, weight stays the same.
Risk factors
Risk factors increase the likelihood of experiencing a disease or condition. Some factors might contribute to the development of obesity. For example, you're at higher risk obesity if you watch more than 2 hours of TV per day or are diagnosed with certain medical conditions.
Age
Environmental factors – People who do not have enough time in the day to exercise due to long commutes are more at risk than others of becoming obese.
Ethnicity - Although obesity affects people of all ethnicities, ages, and backgrounds, Hispanic and African-Americans are at higher risk of developing obesity.
Genetics - Both obesity and being overweight may be influenced by genetics.
Gender - Women are more likely than men at becoming obese.
Income - Income is also correlated with a greater tendency to be obese, with women of lower-income being 50% more at risk of obesity than women of middle- and upper-income backgrounds.
Lifestyle – People who have just quit smoking are more at risk of becoming obese. Alos, people who experience lack of sleep are more likely to be obese.
Medication – Taking medications such as corticosteroids or birth control pills can increase your risk of becoming obese.
Metabolism
Pregnancy
2016年11月5日星期六
What’s the daily care of patients with lupus nephritis
狼疮肾的护理方法?
(1)应卧床休息。(2)给予低盐、低脂饮食,优质蛋白饮食。使用激素血糖升高的患者,给予低糖饮食。(3)严重水肿及少尿者,注意营养补给及水、电解质、酸碱平衡药。(4)记录24小时出入水量。(5)伴高血压者,定时监测血压。(6)预防感染做好口腔、皮肤护理。(7)肾功能衰竭者,按肾衰护理常规进行相关的处理。
What’s the daily care of patients with lupus nephritis?
1. Rest on bed. 2. Low salt, low fat and high quality protein food. Patients with high glucose on hormone should keep a low sugar diet. 3. Patients with severe swelling and low urine volume should pay attention to nutrition supplement and medicine to control water, electrolytes and acidbase balance. 4. Record water intake and urine volume in 24 hours. 5. Patients with hypertension should monitor their bp regularly. 6. Prevent infection and do oral and skin care. 7. Patients with kidney failure should be taken care of according to routine related treatment.
Attentions of membranous nephropathy patients
膜性肾病护理要注意的事项:
1、膜性肾病患者注意休息,避免劳累,预防感染,饮食以低蛋白为主,注意补充维生素。避免应用损害肾脏的药物。
2、肾脏病人是否可吃盐、碱?我们正常成年人每天摄入盐量约5—6克,有的地区吃盐量每人每天到12克,盐为氯化钠,碱为碳酸钠,苏打为碳酸氢钠,进食含钠的盐碱过多,容易使水潴留在人体内,诱发水肿,所以对肾性水肿患者应该控制盐碱入量,每人进盐2—3克即为低盐饮食。无盐饮食也不科学,时间长了易乏力、头晕等。
3、膜性肾病的治疗要注意保护残存肾功能,纠正使肾血流量减少的各种因素(如低蛋白血症、脱水、低血压等)以及预防感染。对于影响病人疗效和长期预后的并发症,应积极给予治疗。
4、膜性肾病病人饮水量应多少?正常人尿量一般一天1—2公斤,急性肾炎、急性肾衰少尿期以及肾病综合征、慢性肾衰伴少尿浮肿患者,要控制入水量。因为喝进去排不出去,水潴留在人体内加重水肿,也易加重高血压,此时水入量以尿量加500毫升为宜。尿量增多后入水量可放宽。而尿量正常的患者入水量不限。另外,泌尿系感染患者如急性肾盂肾炎、尿道炎、膀胱炎等,除及时就诊服药外,多饮水、多排尿对病的康复是十分有利的。
5、膜性肾病人可否吃鱼、虾、蛋、肉类食物?鱼虾类食物,有的肾脏病人自觉不吃,认为对肾不好,其实,此类食物为优质蛋白,在有过敏性疾病如过敏性紫癜,紫癜性肾炎时因怀疑异性蛋白过敏或有鱼虾过敏史者须慎用,一般是不需禁忌的。鱼、虾、蛋、肉类食物含丰富的动物蛋白,是人体细胞、组织主要的构造材料,对人体十分重要,进食含蛋白食物后肝脏分解,肾脏排泄,所以当肾脏功能下降时,要适当减少蛋白入量,
温馨提示:以既满足人体代谢营养需要,又不增加肾脏负担为原则。有的患者肾脏病并不严重而不敢吃蛋白,或病情需限蛋白时而不在乎都是不正确的。不要暴饮暴食,不食用不洁食物。在肾病治疗的过程中,不是忌口的问题,是调节身体营养的问题,不要忌,而是调节。
Attentions of membranous nephropathy patients
1, membranous nephropathy patients should pay attention to rest and avoid over tired and prevent infection. Diet should be dominated as low protein. Pay attention to supplement vitamin. Avoid using medicine that would damage kidney.
2, can kidney disease patients take salt and soda
Salt intake should be controlled in 5-6g/d for normal person, while some area’s people daily salt intake can high as 12g/d, taking much salt and soda rich in sodium will induce swelling, so renal swelling patients should control the intake of salt and soda, salt intake controlled in 2-3g is called as low salt diet, no salt intake also not scientific. Long term no salt diet would cause to fatigue and headache.
3, membranous nephropathy should pay attention to protect the remaining renal function, adjusting kinds of factors which make renal blood flowing decrease( such as hypoproteinemia, dehydration and low blood pressure) and prevent infection. We should treat in time for complications that influence patients curative effects and long-term prognosis.
4, how much water should membranous nephropathy patients should take?
Urine volume generally is 1-2kg for normal people, acute nephritis, acute kidney failure in oliguria stage and nephrotic syndrome, chronic kidney failure accompanying with oliguria swelling patients should control water intake. Because water intake and can’t discharge out, it would retain in the body, it can also aggravate high blood pressure. And water intake should be urine volume add to 500ml. Water intake should increase when the urine volume increases. In addition, Patients with urinary tract infections such as acute nephropyelitis, urine tract infection, bladder infection and so on. Excepting from taking medicine in time, it would be good to increase water intake and urination.
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