Wish the patients with kidney disease a happy Christmas day ahead of time

2013年3月24日星期日

60 years old,sugar level at 5.3,Creatinine is 706,


I am now 60 years old now and I was diagnosed 10 years ago. My pressure is ok at 130/80. I am generally very fit with my sugar level at 5.3. I have not established if anyone in my family had pkd but I think it came from my mother who died at age 64 more that 30 years ago.
The cysts have steadily grown and my g f r has been going down systematically . It Is now 7. Creatinine is now 706. Carbon dioxide is 106 and urea is 23.3
For my condition my Doctor thinks I am ok and not needing dialysis now.


Doctor answer
i have read your Medical report, here i can analyze it for you and then give you some corresponding suggestions. Hope my suggestions can do you some help,
First we can see that the electrolyte level is a little disordered, which can be shown as the higher S-potassium and S-chloride, If the potassium level is high, it can make the burdern to the heart heavier, the patient may show the symptom of weak and arrhythmia, so at this time, some diet low in potassium is necessary for you.
For the higher S-chloride, it is an underlying factor which may cause the higher blood pressure. fortunately, you are controlling your blood pressure well, that can lessen the burdern of the kidney.
For the low Egfr and high creatinine level, i think it is the high time to raise your kidney function and creat a cleaner inner environment, then have you been on dialysis? how many times of dialysis do you take in one week? and how is your urine output now in 24 hours? do you show swelling now? All these are very important to estimate the prognosis of the disease.
You know the cysts on the kidney are growing all the time, and when they big enough, there exists the potential rise that they may break, and worsen the kidney function directly, moreover, your controlling blood sugar level well is rather helpful for the protection to the kidney function.
Now, what kind of medication are you taking to keep your kidney function? and what treatment is your local doctor suggesting for you?
Mr Willing, what we should do now is try to clean the toxins accumulating inner the body, and regulate the disordered inner environment, meanwhile, try to keep your kidney function, only by this way can we pave the way for the further treatment, which seems rather complicated though, but we should be with full confidence, i will also be on your side try to help you with all the problems, if you get any questions please ask me freely.

2013年3月12日星期二

Help me with chronic glomerulonephritis


Health counseling description:
Hello, my chronic glomerulonephritis, proteinuria 2 + and hematuria 20-30 to the hospital prescribed some medicine has improved. I would like to ask, I usually should pay attention to what I was because the blood pressure Gaocai to check blood and protein in the urine so I would like to ask if I should pay attention to what? I heard that this disease is not loving and love repeatedly so please help me, thank you and wish you happy every day, all wishes come true
Kidney disease experts answer:
Hello, hypertension and kidney close and complex relationship. High blood pressure can cause kidney damage, and many kidney disease prone to high blood pressure. Hypertension and kidney disease affect each other, reinforce each other, as well as creating a vicious cycle. Although it is very early discovery of this phenomenon, but the exact relationship between the two, there are still many problems to be solved. In light to moderate essential hypertension, the early course of the disease for a long period of time, due to kidney regulation itself does not appear on kidney structure and function change only when the kidney that autoregulation dysfunction appears hypertension high sodium load and acute capacity expansion under pathological state experienced a certain period of time, before the gradual emergence of renal tubular damage and dysfunction. Clinically, the patient may have nocturnal enuresis associated with electrolyte excretion increased, laboratory tests found that patients with renal blood flow decreased. Illness sustained and stable development, may occur after 5 to 10 years with mild to moderate renal arteriosclerosis, which in turn lead to ischemic renal units, atrophy, renal dysfunction. Its progression is generally very slow, the greater the age, the higher the prevalence. On the other hand, many kidney disease itself can produce hypertension. Hypertension many kidney disease associated with elevated blood pressure can be reduced to normal levels, with the improvement of kidney disease, kidney structure and function of the recovery, Caused by kidney disease, hypertension, secondary hypertension, about 5% of the incidence of high blood pressure, often caused by renal parenchymal disease and renal vascular lesions. A variety of factors involved in the pathogenesis of renal hypertension: increased renin secretion, enhance the excitability of the sympathetic nervous system, prostaglandins, atrial natriuretic peptide vasodilators reduce sodium and water retention, increased extracellular fluid volume the cause, such as acute and chronic glomerulonephritis, chronic pyelonephritis, renal tuberculosis, kidney stones, kidney cancer, congenital kidney disease (polycystic kidney disease, horseshoe kidney), secondary nephropathy (various connective tissue diseases, diabetes nephropathy), the most common clinical glomerulonephritis and pyelonephritis. Renal vascular hypertension due to unilateral or bilateral renal artery branch stenosis, obstruction, renal blood flow is reduced, causing the increase in renin secretion caused by high blood pressure, timely lift artery stenosis or occlusion, hypertension can be reversed. In short, the relationship between high blood pressure and kidney is very complex, close, two different cases, each other. Involving the kidneys, while the long-term high blood pressure is bound to change the structure and function of the kidneys, would lead to high blood pressure. In both cases, high blood pressure and kidney damage can be each other intensified, creating a vicious cycle. Can see the relationship between high blood pressure and kidney are relatively close and special. Hypertension is a common disease of middle-aged, common, easy to make, especially during winter the progression of the disease, this is because: ① low temperature allows the body surface reduced elasticity of blood vessels, increased peripheral resistance, so that the increase in blood pressure, leading to cerebrovascular bleeding. ② cold stimulation can also be the sympathetic nerve, adrenal cortical hormone secretion, so that a small artery spasm contraction, increased peripheral resistance, so that the blood pressure. ③ cold also allows the increase in fibrinogen levels in the blood, increased blood viscosity, promote the formation of blood emboli. Therefore, hypertensive patients should pay attention to in the winter to do self-care, prevention of stroke onset. (1) Note weatherization avoid cold stimulation, especially cold wave hit, when temperatures plunged to pay attention to timely add clothes. The diet should eat some producing high-calorie and nutrient-rich foods, such as lean meat, chicken, fish, dairy and soy products, eat greasy food taboos alcohol and tobacco, and should maintain a smooth stool. (2) Keep your exercise, improve tolerance to cold. May participate in whatever sports activities, such as outdoor walking, tai chi, do Qigong. (3) appropriate control their emotions, to guard against fatigue. Extreme anger or stress can be induced stroke in hypertensive patients to maintain a happy mood of optimism, avoid ecstasy rage, depression, sadness, fear and frightened. (4) insist on regular medication to keep blood pressure stable. Hypertensive patients antihypertensive drugs can not be arbitrarily stop taking, especially clothes clonidine, propranolol, methyldopa antihypertensive drugs should be noted. According to reports, if the sudden withdrawal of about 5% of patients in about 40 hours, blood pressure and substantial rebound. Hypertensive patients should be under the guidance of a doctor, insist on taking quite a long time to maintain the amount of blood pressure is maintained at the ideal level. (5) is often physical examination, prevention and treatment of complications. Susceptible to influenza, rhinitis, pharyngitis, tonsillitis, bronchitis, etc. in the winter, should pay attention to the prevention and active treatment, and blood pressure measurement should always conditional, should be regularly lipids, blood glucose, ECG, cerebral blood flow diagram Check the abnormal processing in a timely manner. High blood pressure in the arterial blood pressure, especially in diastolic blood pressure continues to rise as the characteristics of the systemic, chronic vascular disease, is the result of the combined effects of a variety of risk factors. Dietary nutritional factors play an important role in the pathogenesis of hypertension, mainly animal fats in the diet, high cholesterol levels, food sodium excessive, food potassium, calcium is too small (ie, poor quality protein), drinking too much, these Dietary factors are caused by high blood pressure, hypertensive patients is reasonable to select the diet is very important. Hypertensive patients usually light vegetarian should eat a low-fat, low-cholesterol foods, such as fish, lean meat, rabbit meat, beef, beans and soy products, etc., such foods containing cholesterol is lower, and the beans and soy products also contain sitosterol, sitosterol inhibiting intestinal absorption of cholesterol. Promote fat metabolism vitamins, especially vitamin C can reduce cholesterol, so patients should eat foods containing vitamins and more fresh vegetables and fruits, such as bean sprouts, celery, shepherd's purse, radishes, carrots and so on. Hypertensive patients should be properly selected food lipid-lowering effects of food, such as kelp, jellyfish, sea cucumbers, mussels, sunflower seeds, sesame. Usually cook should use vegetable oil, it is best to choose peanut oil, soybean oil, rapeseed oil, sunflower oil. The disease should eat or not eat animal fat and high cholesterol foods, such as fat, the various animal oil, bone marrow, butter, liver, heart, brain, kidney, egg yolk, fish roe, cod liver oil, crab, spicy foods should eat or not eat. Hypertensive patients should limit salt intake, daily salt intake to control in 3 to 5 grams. Cook should be subdued, pickles, mustard, salt, tea, preserved eggs

Nephropathy development


Health counseling description:
Will the doctor: my mom this year, 63-year-old, 20-year history of hypertension, is now the development of kidney disease, serum creatinine 130, urea nitrogen, urine protein + usual medication: ** given, Cozaar, Shenshuaining etc.; diet: In the morning, even lotus flour, 2 two of the lunch, dinner, wheat starch, dish - pork or fish twenty-two less, plus vegetables do not control (do not eat soy products), a bottle of milk, eggs a. Month hospital urine, the blood test. Usually do not do housework, I would like to ask what needs to be done? If the long-term, the shortest time my mom to dialysis, the longest to have much time? Thank you!
Kidney disease experts answer:
Hello, low-salt diet, now basically feasible. Checked regularly. Serum creatinine 130, urea nitrogen, urine protein a + is not heavy, active control can control good, do not have the ideological burden .

To have the mild thin film proliferative IJA nephrotic how governance life should pay attention to what?


Health counseling description:
The fine mild mesangial proliferative the IJA nephropathy is what nephropathy daily work and life should pay attention to what this disease can be cured good treatment for this?
Kidney disease experts answer:
Hello, this disease is characterized by recurrent eye and (or) continuous microscopic hematuria establish the diagnosis depends on mesangial IgA deposition. The most common cause of recurrent glomerular hematuria is IgA kidney disease, is also the most common glomerular disease in China. There are currently no special treatment. The main treatment for this disease: (1) positive control hypertension; ② avoid loss of kidney drug; ③ infection, if any, should be immediately given treatment control. Life, pay attention to the regular diet, proper physical exercise.

2013年3月9日星期六

My son have any disease IGA nephritis


My son have any disease IGA nephritis
Health counseling description:
Experts: Hello! My son just turned 3 years old on December 25 last year, due to his frequent urination urine checked a result, RBC 2 +, the other without. Since He looked at a number of hospitals. The General Hospital of the Nanjing Military Region, experts say thin basement membrane nephritis may IGA nephritis. Let us each week to do urine routine observation. Another hospital urine inaccurate results, done several inspections be done urinary sediment (after centrifugation per high power field in the number of red blood cells), about 50% less than the normal range of 5 50% more than 5, the red blood cell morphology and sometimes about 40%, sometimes 30% -40%. 4-5 months to do three times the 24-hour urine calcium, 24-hour urine protein, the hypercalciuria said that the 24-hour urine backbone diagnosis of idiopathic hypercalciuria and medicine - Dual grams. Because other doctors idiopathic hypercalciuria red blood cell morphology should be uniform shape, should not multiforme shaped contradictory. So they did not dare to give a child medication. Have been observed so far, I do not know that the child is in the end what disease, very worried. You idiopathic hypercalciuria? Or other nephritis? Because children father is FSGS nephritis, the child grandmother also nephritis (hematuria and proteinuria) We have been worried that will not genetic. From time to time will check urine urine until October last year, the children are normal routine. Please help diagnosis, waiting for your answer, thank you!
Nephropathy Doctor: Hello, now the results of laboratory tests is not enough as a clinical diagnosis, not enough indicators, but the child is the abnormal indicators, you still have to check with the doctor, regularly reviewed. In addition kidney disease is a genetic factor.
Kidney patients: Do you think that the red blood cell morphology of idiopathic hypercalciuria should be uniform shape and should not multiforme shaped? After centrifugation, the normal range is less than 5 per high-power field the number of red blood cells, it? Or 3 below it? Please help, thank you!
Nephrotic Doctor: Hello hypercalciuria, urinary calcium excretion increased significantly, daily urinary calcium> 01mmol/kg no clear cause normocalcemic called idiopathic hypercalciuria. Mostly microscopic hematuria patients with gross hematuria, recurrent, and may be associated with urinary tract stones. Urine Ca / Cr> 0.21, the 24-hour urine calcium> 0.1mmol/mg can be diagnosed, and for calcium load test distinguish nephropathy and intestinal absorptive. And
Kidney patients: experts: Hello! Check the 24-hour urinary calcium and urinary backbone, you need three days in advance can not drink milk? 3 days in advance do not drink milk check, but not forbidden to drink milk check result is not normal, or idiopathic hypercalciuria it? Here are the most recent inspection report. CA2.90MMOL/LU-CRE8702UMOL/L pediatric weight: 16KGS urine volume: 220ML Will the results normal? How is this calculated? Another: the number of red blood cells after centrifugal 1-6/HP multiforme type about 30% -40% (of the renal hematuria?)
Three days before the nephrotic Doctor: Hello, 24-hour urinary calcium in urine muscle stem checks should avoid eating high calcium and protein foods, to prevent the impact of inspection results. If three days ahead of normal, do not drink milk check without forbidden to drink milk check result is not normal, generally can not be diagnosed as idiopathic hypercalciuria, but also can not be ruled out. These results may be preliminary diagnosis of hypercalciuria, 24-hour urine output less than normal. The urinary sediment not yet red blood cells derived from the kidney. Calculation method, please refer to the above answer.
Nephropathy patients: Hello! Checked several urinary sediment in the General Hospital of the Nanjing Military Region. The red blood cells results: over 110,000 30000 shaped shadow red over 60,000 shaped over 30,000 over 60,000 shaped shaped type tube. Single laboratory report did not specify in detail what percentage shaped red blood cells. Heard of the Military General Hospital of test results are accurate. If this is the case, there may be idiopathic hypercalciuria? Child after another three days ago back broke two Xiaoqing spot, penny size. Back (15 days ago livedo 1 dollar coin size, about a week after it disappeared.) You will anaphylactoid purpura?
Kidney disease doctors: Hello, what nephritis well established body ecchymosis alone can not determine is allergic purpura.
Kidney patients: Thank you for your reply. But before answering the first two questions, could you please nephrology experts answer the first question. The local doctor is no clear diagnosis, so only consult online experts. Thank you.
Nephrotic doctors: do not rule out the possibility of idiopathic hypercalciuria.
Nephropathy patients: Hello! Will the anemia how to make up to do? Thank you!
Nephropathy Doctor: Hello: You can be referred to as follows: the most common anemia is iron deficiency anemia. The iron manufacture of heme necessary minerals, if you do not get enough iron, the red blood cells will be reduced. Iron deficiency is due to the long-term blood loss, lack of iron in the diet, the intestinal absorption of iron diminished capacity, or pregnancy-related causes body caused by the need to increase iron. Patients with iron deficiency anemia and a lot of the world's most popular and nutrition-related diseases. Iron deficiency anemia occurs, the patient is pale, generally still feel fatigue, weakness, legs heavy like filling the lead Similarly, dizziness, asthma, heart palpitations, listlessness, tinnitus, often feel poor appetite, nausea. Iron supplementation is the treatment of iron deficiency anemia in the most basic way, symptoms of oral iron. But too much iron supplements, liver and other organs of the iron is too saturated, can lead to disease. So, the best way to the iron through diet, food therapy. The iron-rich animal liver, kidney; followed by lean meat, egg yolk, chicken, fish, shrimp and beans. Iron in green leafy vegetables, alfalfa, spinach, celery, rape, amaranth, shepherd's purse, day lily, tomato. Fruits, apricots, peaches, plums, raisins, dates, cherries and other iron more, dried fruit, walnuts, and other issues such as kelp, brown sugar, sesame contains iron. In addition, parents in particular should pay attention to the injury of anemia girls, because they often go on a diet, resulting not adequate iron intake.

Hydronephrosis into uremia it?


Health counseling description:
I'm in the hospital b ultrasound for soft reduction hydrocephalus doctor said traditional Chinese medicine for the kidney, saying so on? Should be treated?
The nephrotic doctor replied:
Hello: the Chinese dialectical general check against human systemic symptoms can be diagnosed with kidney. A variety of causes hydronephrosis, ureteropelvic junction obstruction. Long hydronephrosis caused by obstruction, will eventually lead to kidney function gradually diminishes. Partial obstruction of the of bilateral kidney or solitary kidney anuria can occur, resulting in renal failure.
Kidney patients: Thank you, doctor, I use some medicine TCM let me eat anti-inflammatory drugs and Liu Wei Di Huang Wan, which can do it
The kidney doctor replied: Hello, Chinese medicine can be used. Regularly check the medication according to the specific circumstances of the disease.

Nephrotic syndrome with traditional Chinese medicine

Health counseling description:
My child was nine years old, suffering from nephrotic syndrome, hormone therapy, sensitive, active hormone has been eight months, the urine tests have been normal. I ask you: how the treatment effect in conjunction with traditional Chinese medicine, with what Chinese medicine effect? Now with Liu Wei Di Huang Wan how?
The nephrotic doctor replied:
Hello, what treatment should be medical advice, to provide some methods for reference. Nephrotic syndrome TCM can be divided into four types are briefly described as follows: (1) spleen qi deficiency, stopping water wet Main symptoms: swollen limbs less urination, pale complexion, less gas fatigue, listlessness, eat less satisfied stay, waist acid sleepy, tongue pale, tender or scalloped edges, greasy moss or white slip, slow and weak pulse. Governing Law: spleen and kidney, Lee water dampness. The Recipe: flavored Buzhongyiqitang. Astragalus 40g, Codonopsis 20g, Atractylodes 30g, tangerine peel 10g, Chai Hu 10g, angelica 15g, the Morinda 20g, Dodder 2 0g, Poria 15g, plantain seed 30g, melon skin 30g Zhigancao 6g. (2) spleen deficiency, moisture resistance Main symptoms: edema and even more, mainly lower limb low back or ascites, pleural effusion, urination, pale, cold limbs, poor appetite and indigestion, loose stools thin, pale tongue, thin white fur, thin pulse. Governing Law: Warming spleen and kidney, Lee water swelling. Recipe: Modified Zhen Wu Tang. Cooked Monkshood 12g, Poria 30g, Atractylodes 20g, peony root 10g, 10 g of ginger, leather, orange peel 10g, Dafu Pi 20g, Alisma 15g. (3) the liver and kidney, heat nostalgia Main symptoms: facial or leg edema, difficult urination, weak waist, dizziness, ringing in the ears, less sleep soundly upset when hair sore throat, throat dry mouth, constipation, red tongue, thin greasy or thin yellow pulse string breakdown. Governing Law: nourish liver and kidney, heat and dampness. Recipe: Modified ZDP. Anemarrhena 15g, Cork 10g, habitat 30g, the cornus 10g, paeonol 15g, Alisma 10g, Poria 20g, Polyporus 10g, plantain seed 30g, the Zeeland 30g, Baked Licorice 6g. (4) stasis water transimpedance Main symptoms: oliguria, edema, swarthy, lips and skin petechiae or ecchymosis, low back pain, such as thorns, take root, rough skin, or see anorexia Pan evil, dark purple tongue or petechia, pulse string or astringent. Governing Law: blood circulation, diuresis dehumidification. Recipe the: Modified Taohongsiwu soup. Peach kernel 15g, safflower 15g, angelica 10g, red peony root 10g Chuanxiong 10g, leeches 6g, Zeeland 1 5g, the motherwort 30g, plantain seed 15g.

2013年3月8日星期五

Chronic renal failure suitable to eat what type of pressure drop drugs


Health counseling description:
Hello! My father was chronic renal failure has been two years, and the cause is hypertension caused. Now is 3-4 days to do dialysis every day eating antihypertensive drugs (Plendil, Ni Fuda metoprolol). effect total not very good, and sometimes blood pressure reached 200 or more I would like to ask, this condition eat what brand of antihypertensive drugs are the most ideal, there is close to a day or two dialysis body skin always itchy, and how to alleviate? dialysis after the first day of the limbs always weak. Sorry, more problems, please forgive an anxious daughter's heart!
Kidney disease experts answer:
Hello, it should be a comprehensive treatment for various tests currently used drugs can.

The Glomerulonephritis how to prevent colds


Health counseling description:
Patients suffering from glomerulonephritis Lu underwent one year, the urine protein + +, and other laboratory indexes normal. Frequent colds sneezing. Runny nose. Sore throat and other symptoms, and ask how drug prevention, what drugs? Thank you.
Kidney disease experts answer:
Hello, prevent infection: enhance the environmental and personal hygiene precautions to keep the room clean and well-ventilated, daily ultraviolet disinfection. Life care to promote the physical and mental rest: renal hypertension should be regularly measured blood pressure, according to the increase in blood pressure, changes in bed rest time. 2, reasonable diet: the diet should be based on the circumstances of each disease in patients with specific dietary guidance, such as renal insufficiency, the intake of high calorie (sugar-based), high-quality low-protein diet, the extent of the amount of fluid maintaining water balance. 3, pay attention to oral care: sooner or later, and postprandial mouth, keep the mouth clean, remove bad breath, nausea reduction, to prevent bacteria and mold students 4 strengthen skin care: do patients with chronic renal failure, skin care, prevention of skin infections , an important work of bedsores and related complications, uremic frost deposition on skin irritation, patients often itching and discomfort, and the impact of sleep and scratch the skin vulnerable to infection, it should wash with warm water and scrub, keep the skin clean, avoid using soap and alcohol. Frequently changes the underwear, blankets. Patients with severe edema, but also should pay attention to protect the skin, is changed frequently prone position, massage pressure areas, to prevent bedsores.
Kidney patients: Can strengthening the immune system drugs, which drug is better.
The kidney specialists: Hello: You can use drugs to enhance the immune system, it is recommended to use the immunoglobulin.
Kidney patients: a check today: normal laboratory lgG.A.MC3C4. Normal renal function. Normal liver function. RT normal blood, urine RT: protein + +. 35-year-old patient. Female, had stopped the medication a month, and now should be how to treat. Thank you
Nephropathy Doctor: Hello: usually to drink plenty of water, proper exercise can.
Kidney patients: has Chinese and Western medicine treatment for three years, this situation can stop medication
Nephropathy the doctor: Hello, length of the disease condition, may be two or three decades, they still want to check and periodic review. Adjustment of drugs and diet therapy and exercise under the circumstances.

2013年3月5日星期二

The IGA nephropathy patients are anxious for answer.


Health counseling description:
Investigation in June 2003 suffering from chronic nephritis (backbone 130, urine protein, occult blood), July renal biopsy: visible 16 glomeruli, 3 small balls sclerosis, small ball Pao sac irregular growth thick, 2 small ball balloon adhesions, the rest of the glomerular lesions to diffuse mesangial moderate hyperplasia, severe hyperplasia with 3 balls segmental segmental endothelial cells in pairs and small amount of inflammatory cell infiltration, mesangial matrix moderate increase. Renal interstitial focal fibrosis, hardening around the ball and interstitial focal lymphocyte infiltration of mononuclear cells, tubular small focal atrophy, individual small vessel wall thickening. ECT: filtration rate 78 diagnosis: the IGA nephritis (mesangial proliferative with global sclerosis) taking the hospital of traditional Chinese medicine (one daily) western medicine (MMF, Lotensin, Cozaar, calcium child odd, prednisone ) backbone 100 negative urine protein, occult blood ---- now changed medicine every two days a MMF day one, prednisone was reduced to a daily one, was replaced by the United States drow every two day three, okay? effect of this treatment and prognosis?
Kidney disease doctor:
Hello, this drug is a good drug for chronic diseases should be actively treated. Chronic nephritis prognosis, and are very different due to the chronic nephritis variety of different types of root disease. Generally speaking, the poor prognosis of hypertension-common type of acute onset prognosis is good, but if the latter two types of the presence of hypertension and renal dysfunction, the prognosis is not good. Factors affecting the prognosis of chronic nephritis: (1) pathological factors: (1) pathological types: mild mesangial glomerulonephritis good prognosis, severe mesangial proliferative glomerulonephritis and membranoproliferative glomerulonephritis, focal segmental glomerulosclerosis poor prognosis; membranous nephropathy good prognosis, progress has been slow. (2) chronic indicators: fibrous crescents number, the number of glomerulosclerosis, interstitial fibrosis and tubular atrophy and how much related to prognosis. These indicators is more, the worse the prognosis. ③ severe lesions of renal vascular disease with poor prognosis. (2) The clinical manifestations: ① persistence massive proteinuria and persistent hematuria, renal function deterioration faster; ② high blood pressure and can not control, and renal dysfunction and poor prognosis; signs ③ tubulointerstitial damage such as renal anemia, nocturia increased renal loss of sodium, Fanconi syndrome, renal tubular acidosis, obviously a poor prognosis. (3) dietary factors: the high-protein diet can accelerate the development of chronic nephritis disease
Kidney patients: Thank you for your timely reply, thank you! Lot of information, so write, but I feel that the total is still not clear how much the current technology, the satisfaction of the rehabilitation such as kidney damage is not there more good law other, the day before yesterday to the doctor, the doctor said that my poor diet (high uric acid) can specifically talk about the place you want to pay attention! Thank you!!!
Nephropathy doctors: rehabilitation or treatment method can, pay attention to eating meat can eat plenty of fruits and vegetables, as long as the active treatment is well controlled.

Two kidney stones


Health counseling description:
My dad this year 48-year-old recent check suffering from double kidney stones, size 0.5 * 0.5mm often lumbago eaten some medicine, but also did not play down, I ask what good treatment and effective medicine?
Kidney disease experts answer:
Hello: symptoms based on what you said, the stones are not great, is considering taking medication, you can take a row of stone granules or taking medicine row of stone Obviously! Usually should drink plenty of water, proper exercise, often a run, should soon be able to send down! The purpose of the treatment of kidney stones, not only to relieve pain, protect kidney function, as far as possible to locate and lift the cause, and to prevent the recurrence of stones. General treatment, the cause of treatment, extracorporeal shock wave lithotripsy, endoscopic stone dissolution therapy, surgical therapy, traditional Chinese medicine treatment and Prey therapy and other treatment should include comprehensive measures. General treatment, including a lot of water and acupuncture. Should be possible to maintain the daily urine output in 2000? 3000 ml, drink lots of water with the diuretic antispasmodic drugs, can contribute to a small urinary stones discharged. In order to keep the urine at night, except bedtime drinking water at night to get up after urination should then drinking water. Diluted urine can slow down the speed of stone growth and recurrence of stones after surgery. Infection, the more the amount of urine can promote drainage, conducive to infection control. The water may exacerbate renal colic, colic, such as acupuncture and antispasmodic drugs can help to discharge stones. Such as small stones, patients in good health, and sports activities can be used, and can be applied traditional Chinese medicines and to facilitate the stones themselves discharge. Over the past decade have seen a breakthrough in the treatment of kidney stones, now commonly used treatment to extracorporeal shock wave lithotripsy (ESWL) and endourology, only a small number of cases treated by surgery.

I was a Kidney transplant patients


Health counseling description:
Expert Doctor: I do kidney transplant is now six and a half years, the indicators are normal (inosine 89.5 Urea 5.08 glucose 5.34 carbon dioxide 23.1 serum uric acid the 331.6 total bilirubin 16.9 aspartate aminotransferase 17.2 alanine aminotransferase Enzyme 14.8, etc.). Weekdays eat MMF (1.25 grams per day), Neoral cyclosporine (100 mg daily blood drug concentration 76.29), I listen to other dialysis patients to talk about the large amount of medication in poor health. Will people like me drugs dosage should be how to control (due to economic reasons, sometimes not timely review), I usually do in daily life should pay attention to what?
Hello to the referral. Referral significance: When others kidneys are transplanted, this non-own organs exist in the recipient's body, they may be attacked by the immune system in the body, this is the rejection, kidney transplant to obtain long-term survival, rejection is a major obstacle to solve the rejection problem, there will be a leap in long-term survival of kidney transplants. Renal transplant patients after discharge, active prevention and timely treatment of chronic rejection is essential, which requires patients must adhere to the periodic review, so that the doctor can discover problems. Changes observed laboratory data, re-examine the whether the immunosuppressants program is reasonable, once problems are detected promptly. This part of the patients transplanted the irreversible deterioration of renal function can be changed to be able to control the reversal of the pathologic lesions of chronic rejection at a minimum, patients with renal time. Do not have a successful kidney transplant everything will be fine, "thought to more postoperative treatments can not be taken lightly. People feel uncomfortable and then come to the doctor, not later than "not to take prescribed medication, review and follow-up, and mistakenly believe that" this time, often too late, lost treatment opportunities painful examples of common clinical. Kidney faithful must respect science, transplantation easy success, only periodic review, regular communication with the doctor, in order to ensure the persistence of graft function properly. ? 2, the time of referral: surgery after the first month review twice a week, once a weekly review of the second month, the first three months of bi-weekly review once after six months on a monthly basis, after? 2 years 1? 3 months review time, more than three years after surgery, the review once every 3? 4 months. , Review the contents of: (1) to doctors accurately reflect the symptoms, blood pressure, urine output, loss of appetite, weight change, physical condition. (2) blood, urine, liver function, kidney function, and surrounded by prime plasma concentration rosette experiments necessary to check the chest X-ray, the transplanted kidney ultrasound, electrolytes and lipids. Restore the body to improve the resistance and immunity. Conducive to good health. Renal transplant patients: postoperative recovery is key (2004-11-08 16:51:17) of kidney transplant experts, Changzheng Hospital, Second Military Medical University, Professor Min Zhilian reminded renal transplant patients should be noted that after the top ten issues: maintain a happy . The patient should maintain a good mental state, the correct treatment of surgery and rehabilitation, to get rid of the burden of thinking, beliefs set up in spirit to overcome the disease. Any time, cheerful and optimistic are the best medicine. Attention to personal hygiene. Kidney transplant patients in the early postoperative rehabilitation phase of the best living alone, and keep the ventilation of the environment and health. The personal attention Qin change clothes, bathe, keep warm and food hygiene, avoid contact with plants. Adhere to regular inspections. Due to a variety of transplant rejection performance, even decades after still appear rejection phenomenon, so long-term adherence to regular inspection is essential. In general, within the first three months after the kidney transplant, a week should consult a doctor once; within 3 to 6 months after surgery, half check once; six months to one year, one month check once; over one year 2 months to check the time. Regular checks also help to reduce the incidence of high blood pressure, cardiovascular, diabetes and other complications. Fixed follow-up doctor. Patients after kidney transplant rejection monitoring is a long-term process, the continuous reading of the signs indicators to determine the post-treatment programs and the regimens is especially important. Renal transplant patients should regularly check after fixed doctors, the best implementation for the surgery doctors, which helps the doctor to deepen the understanding of the patient, as well as long-term observation of the disease and accurate judgment. Adhere to time quantitative medication. Renal transplant patients in the the main postoperative immunosuppression, and therefore need to rely on drugs to maintain patient long-term taken on a regular basis, in order to control and reduce the incidence of rejection. Many years after patients will increasingly normal life while ignoring taken on a regular basis, this is an extremely dangerous behavior can easily lead to the occurrence of the phenomenon of hurt and rejection of transplanted kidneys. To refrain from taking the tonic. The Chinese tonic habits, like tonic in Chinese medicine to promote physical recovery after surgery, but it is the taboo of kidney transplant patients. Kidney transplant patients in the postoperative must try to avoid traditional supplements such as ginseng, propolis, because these drugs have enhanced the effectiveness of the human immune postoperative use will reduce and destroy the entire maintenance immunosuppressive efficacy and absorption of the drug system, resulting in row differences occur. Do not own dispensary. After basic rehabilitation of the body, and some patients, due to economic considerations and to stop taking the doctor with drugs, self-configuring medication instead. This is a dangerous behavior, because of renal transplant patients with special medication, on the one hand, to reduce the body's immune system, on the other hand, these drugs cause damage to human organs and functions. Doctors dispensing according to the signs indicators, considering the body while maintaining the body's immune suppression drug interactions to enhance absorption or moderately reduce the side effects of the drug, their doctors for prescriptions often can not play this effect, it will result in damage. Adhere to proper exercise. In order to reduce the incidence of heart disease, diabetes and tumors, adhere to the proper aerobic exercise and strength training to contribute to a healthy recovery. These movements include walking, riding a stationary bicycle, swimming, dancing, table tennis. Walking about three times a week, every 20 to 30 minutes proved more suitable for kidney transplant patients postoperative rehabilitation. However, when the activity after the intensified joint pain, chest pain, fever, blood sugar in people with diabetes than 30mg/dl or lower than 70mg/dl should not do sports. In addition, the heavy manual labor and fatigue should try to avoid. Develop good habits. First, we must work and rest rules, avoid staying up late to meet the body's metabolic cycle, and to promote drug absorption; Second, we must daily self-test, self-test good signs such as body temperature, blood pressure, weight, urine; Third, we must remain vigilant, once the fever, kidney pain, swelling of the body, decrease in urine volume, blood pressure and other symptoms should seek immediate medical attention, in order to avoid delaying the disease. In addition, in the normal life and work to form a strong sense of self-protection, and do not cause external damage of the transplanted kidney. Pay attention to diet. Kidney transplant patients in the postoperative diet mainly to the high-carbohydrate, low-fat, low-heat food, rich in carbohydrates such as fruits, vegetables, protein-rich

2013年3月4日星期一

Nephrotic syndrome rehabilitation after the maintenance


Kidney disease experts answer:
Hello: nephropathy in the case of chronic diseases, so critical in raising as much as possible to avoid colds, respiratory infections, such as inflammation of the tonsils tend to affect the kidneys. The mainly food diet of protein, carbohydrates, vitamins, minerals and a small amount of fat, eat more fruits and vegetables.

Mild diffuse mesangial proliferative glomerulonephritis


Health counseling description:
Male, 28 years of age, premorbid physical health, nutritional status in general. Genetic and other medical records. August 18, 2004 at the First Affiliated Hospital of Anhui Medical University, do renal biopsy and pathological diagnosis: mild diffuse mesangial proliferative glomerulonephritis. Discharged on August 26, August 28 to work special rest after work. 1 treatment: According to Su daily one, 10mg / tablets. Every day at noon to eat. Jinshuibao eat some time disabled, astragalus, Eucommia, American ginseng soaked in water instead. 2, diet, and no significant change, eat meals, no special attention to diet. 3, restful sleep: pay attention to rest after discharge, and now want to review the exam, reduced sleep time, but the sleep quality is acceptable. 4 work: engaged in the management of heavy manual labor, but the work is quite busy. Heavy workload, did puncture the side of the feeling of fatigue, the other side without feeling, I suspected puncture sequelae, doctors say my psychological effect. 6 week sex life. Adhere to medication after discharge. Attachment: renal biopsy report an optical microscope: light microscopy 10 points Ye ball hardened ball and crescent formation, increased the number of cells increased mesangial cells (2? 4 ), increased mesangial matrix and mesangial area widened capillaries River (?) open cavity of erythrocyte, no thickening of the basement membrane normal balloon. Mild tubule? Interstitial lesions, vacuolar degeneration of tubular epithelial cells, interstitial infiltration of inflammatory cells, fibrosis? Immunofluorescence: visible glomerular mesangial area IgG + +, IgM + +, C3 + + particulate deposition. April 28, 2004, urine protein + +, hematuria + + +, begin to eat traditional Chinese medicine treatment May 8 to check results as before, or protein + +, hematuria + + +, the doctor gave for the Chinese medicine. May 23 urine protein + + + (increase a +), hematuria + + +. Such as hypertension, edema. The doctor told me this afternoon to go to the hospital with a renal biopsy report. Do not know will not use hormones it. Consult a doctor, I have treated such a long time, why did not effect it? I know that certainly can not be cured, the worst development to uremia, a kidney transplant or die. However, if the treatment effect is good, my illness will control to what extent? Or the best results, what is it?
Kidney disease experts answer:
Hello, can reference below. Non-IgA mesangial proliferative glomerulonephritis (nonIgamesangial proliferative glomerulonephritis) refers to the light microscope, pathological changes of diffuse mesangial cell proliferation and / or widened mesangial matrix, a group of diseases. Over the report of this group of diseases, the incidence of significant differences in primary nephrotic syndrome, such as this group of diseases in the United States accounted for less than 10%, but it is very common in our country, however, accounted for about 30% of primary renal ball diseases renal biopsy number may be as high as 40%. This difference is related to geography, species, environmental factors such as sample preparation, in which the course of the disease when the biopsy stage and assessment standards. Mesangial proliferative glomerulonephritis only on a pathological description of the concept, so it contains a variety of situations. Much overlap between the primary glomerular disease, mesangial proliferative glomerulonephritis with minimal change nephropathy and focal segmental glomerulosclerosis. Minimal change nephropathy may be associated with a certain degree of mesangial proliferative mesangial glomerulonephritis focal segmental heavier even focal segmental sclerosis; performance plus repeat renal biopsy conversion and the inconsistency of the response to treatment, and thus that of the three histological types may just be different with a disease severity. As for mesangial proliferative glomerulonephritis whether the as an independent disease, as well as its relationship with minimal change nephropathy and focal segmental glomerular sclerosis, remains to be further proved. Not yet penetrated within this group of diseases under an optical microscope with acute post-streptococcal glomerulonephritis (endothelial cells diffuse mesangial proliferative glomerulonephritis) dissipated period, as well as early mesangial capillary glomerulonephritis (referring mesangial the subcutaneous) often can not distinguish. Immunofluorescence examination, the type and intensity of positive immunofluorescence was also very different: IgA-based, or IgA nephropathy; mainly IgM and / or C3 mesangial deposition, it was called "IgM nephropathy , contingent has not yet been recognized; mainly Ig and / or C3 deposition also has a variety of modes; otherwise no immunofluorescence positive material deposited. Secondary glomerular diseases have similar morphology performance even more, such as: systemic lupus erythematosus, anaphylactoid purpura, rheumatoid arthritis, hereditary nephritis, pulmonary hemorrhage - nephritis syndrome, Kimura's disease and D-penicillamine induced renal damage; vasculitis is very similar, but often accompanied by necrotic changes in glomerular vascular plexus. Discussed in this section refers to the primary mesangial proliferative glomerulonephritis, and does not include the aforementioned diseases. 】 【Treatment when the patient's renal biopsy showed mild mesangial proliferative without immunoglobulin deposition or focal segmental glomerulosclerosis signs superimposed, often benign prognosis. Such patients have a good reaction, most of the sugar adrenal corticosteroids, the only course of treatment to be extended; them invalid, or only partially alleviate the patient or repeated relapse patients, the use of cytotoxic drugs, such as cyclophosphamide or the chlorambucil or Liu Zuopiao Yin, effective or increase the response rate and reduce the recurrence. Glucocorticoid adrenal hormone reaction when adult patients with nephrotic syndrome, renal biopsy and moderate to severe diffuse mesangial proliferation with focal segmental glomerulosclerosis performance superimposed, often poor, tend to be persistent protein urine and slow progression to renal insufficiency. These patients with balloon adhesions, small ball hardened even worse damage, tubular atrophy and interstitial fibrosis. Type of disease in the trial of prednisone standard dose after 8 weeks, such as invalid should be changed every other day treatment and reduce dose, depending on the condition to decide the course of treatment and attention to preventing and reducing the side effects of hormone therapy. International Children's Kidney Disease Cooperative Study results show significant mesangial cell proliferation, prolonged hormone treatment to more than one year were more satisfied. This program must still cautious use in adults. Typical mesangial proliferative glomerulonephritis associated with IgM-based sediment, its response to steroid therapy, easy progress into focal segmental glomerulosclerosis. In short, the favorable response of patients on hormone therapy, the prognosis is usually good, despite the the proteinuria dissecting heavy Shiyou alleviate only a few develop into end-stage renal disease; hormone-free reaction performance continuous nephrotic syndrome patients, the prognosis The poor, however, its speed is not consistent with the occurrence of renal failure. Whether the cytotoxic drugs can slow down the rate of progress is not clear. It is estimated, that focal segmental glomerulosclerosis performance overlap and no response to steroid therapy, renal failure often occurs in 5 to 10 years after onset. Severe mesangial proliferative glomerulonephritis superimposed focal segmental glomerulosclerosis associated with nephrotic syndrome and renal failure patients in the three years for the kidney transplant, have reported a high incidence of transplant renal recurrent nephritis.

Can Chronic nephritis drink green tea?


Hello: You can drink! Green tea Eight, anti-aging Green tea contains antioxidants help fight aging. Because the process of human metabolism, peroxide will produce large amounts of free radicals, easy to aging, also cause cell injury. SOD (superoxide dismutase) is a free radical scavenger, can effectively remove excess free radicals, prevent free radical damage to the human body. Catechins in green tea can significantly improve the activity of SOD, scavenging free radicals. 2, antibacterial research shows that the inhibitory effect of green tea catechins on the part of the bacteria to cause human disease, and will not harm the intestines? Beneficial bacteria multiply, so green tea have Zhengchangsheng functionality. 3, hypolipidemic scientists do animal experiments show that catechins in tea can reduce plasma total cholesterol, free cholesterol, low-density lipoprotein cholesterol, and triglyceride amount? Can increase high-density lipoprotein cholesterol . The experiments show that of the human body, to inhibit platelet aggregation, reduce the incidence of arteriosclerosis. Green tea contains flavonols, antioxidant, can prevent blood clots and platelet clumping, reducing cardiovascular disease. Thin reduced fat green tea contains theophylline and caffeine, by the many roles activated protein kinase and triglyceride lipase to reduce the accumulation of fat cells, so to obesity. 5, anti-caries, clear bad breath green tea contains fluoride, which catechins can inhibit cariogenic bacteria and reduce the incidence of dental plaque and periodontitis. Tea contains tannic acid, has a bactericidal effect, crumbs of food residue to prevent the growth of bacteria, it can effectively prevent bad breath. 6, anti-cancer green tea for some cancer inhibition, but its principles are limited inferences stage. Occurrence of anti-cancer, more tea is necessarily positive encouragement. 7, whitening and UV protection role experts in animal experiments found that green tea catechins resistant to UV-B induced skin cancer. 8, can improve indigestion recent research report shows that green tea can help to improve the situation of indigestion, such as acute diarrhea caused by bacteria, can drink a little green tea to alleviate the condition.

2013年3月3日星期日

Acute glomerulonephritis should pay attention to what


Health counseling description:
Hello: two months before his son (11 years old) hematuria, hospitalization has improved, doctors recommend discharged do not take drugs and said that the best medicine is rest, will it delay the disease?
Hello, doctors are right, acute glomerulonephritis is the most important addition to anti-inflammatory treatment is bed rest.

Kidney stones 2.0 cm x 1.5, 2 times rubble after in vitro


Health counseling description:
Kidney stones 2.0 cm × 1.5, after 2 gravel vitro, a 1.2 cm blocking the ureter, the renal moderate hydrocephalus, made ​​an the ureteral incision surgery, remove the stone on April 28, May 15 hematuria also feel old to pee, ask the experts what? Thank you!
Kidney disease experts answer:
Hello, is caused because of the inflammatory lesions. Recommendations to the hospital for re-examination of the urine and B-to see the stones in the body. And ureter after monitoring observation.

2013年3月2日星期六

I got exactly what nephropathy


Health counseling description:
Late April, found that leg swollen three days immediately after the April 23 inspection, routine urine examination no problem, hematuria together seized, and the results are as follows: blood β2-microglobulin 2.63, urine β2-microglobulin 0.25, urinary albumin 13.13. The doctor said I tubular, open nephritis tablets, dipyridamole, Jinshuibao, and vitamin e. May 16 review, urine avail issues, hematuria together review the results of: blood β2 microglobulin 3.71, urine β2-microglobulin 0.19, urinary albumin 11, my disease is renal tubular? Strict condition is not serious? Why medication, blood β2 microglobulin increased instead? This is nearly 20 days of treatment effect? And some doctors say, no problem as long as the routine urine examination, to explain the kidney is not a big problem, this argument makes sense? Panfu! Thank you!
Kidney disease experts answer:
Hello: Blood β2-microglobulin elevated and normal urine β2 microglobulin, mainly due to the decline in glomerular filtration function is common in acute, chronic nephritis, renal failure, and renal tubular nothing , it is recommended to continue medication. The doctors say there is some truth.

Polycystic kidney disease is what kind of disease?


Health counseling description:
Experts Hello: I am 22 years old my mother because of polycystic kidney disease death, I would like to ask the polycystic kidney disease is what kind of disease? Whether there are genetic? Can be cured?
Kidney disease experts answer:
The Hello: involving bilateral the kidney congenital cystic kidney Department. The intrarenal covered cysts of varying sizes, some inter-communication, kidney volume increased with compression of the renal parenchyma to atrophy resulting in dysfunction, until chronic renal failure. Polycystic kidney disease is divided into two types: infantile autosomal recessive, often accompanied by other congenital malformations than died within a few months; adult-onset autosomal dominant, the incidence of more than middle-aged, often accompanied by the liver, spleen, pancreas polycystic ovary, bone and organ lesions and intracranial aneurysm. Clinically, most patients have a family history, more men than women, the performance of different. The common performance: (1) waist abdominal pain: for the majority of patients the first symptom was persistent or paroxysmal ranging tired after the increase. (2) hematuria: often the first symptom, about half of the people for intermittent painless gross hematuria. (3) abdominal mass: multi-bilateral upper abdominal palpable tumor sizes. (4) can have high blood pressure with dizziness, headache. (5) renal insufficiency: markedly abnormal renal function tests, urine specific gravity low and fixed. (6) about 1/4 of patients with renal colic performance and frequent urination, urgency and discomfort. X-ray, B ultrasound, MRI and other tests to help diagnose. Treatment principle to non-surgical therapy and surgical treatment of intractable pain only, renal artery pressure, treatment of ureteropelvic obstruction and complications such as stones, empyema. As for the genetic may be genetic.

Consult a renal problem


Health counseling description:
I, male, 53 years old. Yesterday, I renal function tests, creatinine 145umol / L uric acid 437umol / L, (blood urea nitrogen 5.50 mmol / L), I do not know the problem is not so big? Recent period, the lower back is often sore, very uncomfortable. Is there a problem? (I had high blood pressure for more than 20 years, diagnosed with primary aldosteronism 2003, after a laparoscopic surgery, the blood pressure high pressure good, basic 130-110, but low pressure in between 90-80, when it's cold also higher, eat antihypertensive drugs, that is, the pressure difference is small, only 20-30.)
Kidney disease experts answer:
Hello, there are some problems, but not great, the proposed adjustment with traditional Chinese medicine.

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