2017年2月2日星期四

Nephrotic syndrome edema how to do


Shijiazhuang nephropathy hospital red imprinted physician said nephrotic syndrome, a high degree of swelling of the reasons for the following two points:
(1) decreased plasma colloid osmotic pressure: the exchange of body fluids inside and outside the body by its osmotic pressure on both sides of the regulation. Osmotic pressure, including osmotic pressure and colloid osmotic pressure, the former from the crystalline material (mainly electrolytes), because it can freely through the capillary wall, so the exchange of blood vessels inside and outside the little effect; the latter mainly from proteins (mainly Albumin), because it can not freely through the capillary wall, which is inside and outside the body fluid exchange of blood vessels a major factor. Nephrotic syndrome, due to a large number of plasma protein lost from the urine, causing hypoproteinemia, resulting in decreased plasma colloid osmotic pressure, when the normal 3.3 ~ 4kPa down to 0.8 ~ 1.1kPa, the intravascular water to hypertonic Interstitial fluid movement, and edema.
(2) effective blood volume reduction: plasma moisture to reduce the effective volume of blood loss, which led to the following changes in the body: the capacity receptors to increase antidiuretic hormone (ADH), so that renal tubular reabsorption of water increased; Angiotensin - aldosterone system, resulting in secondary hyperaldosteronism, the renal tubular reabsorption of sodium increased; inhibition of natriuretic factor production, so that renal excretion of sodium decreased. So the body of water, sodium retention, further aggravating the edema.

没有评论:

发表评论