Kidney disease, kidney of various diseases. Between the human organs, the
environment and the outer environment are maintained between the dynamic
balance. Internal and external a variety of pathogenic factors if the
destruction of the body's balance, resulting in viscera qi and blood disorders,
disease and kidney, then cause kidney disease. Chronic kidney disease (CKD) is
defined as a variety of causes of chronic kidney structure and dysfunction
(kidney damage history greater than 3 months), including renal GFR normal and
abnormal pathological damage, abnormal blood or urine composition, and imaging
Check the abnormal, or unexplained GFR decline (<60ml / min 1.73m2) more than
3 months, that is CKD. Diseases that cause chronic kidney disease include a
variety of primary, secondary glomerulonephritis, renal tubular injury and renal
vascular lesions. According to GFR can be divided into five cases of chronic
kidney disease, early detection and early intervention can significantly reduce
the complications of CKD patients, significantly improve the survival rate, for
CKD treatment, including the treatment of primary disease, a variety of risk
factors Treatment and delay the progress of chronic renal insufficiency, when
CKD patients progress to 5, should be timely renal replacement therapy.
Full-year 2006 data show that 39% of patients with peritoneal dialysis in the
hospital are diabetic-induced kidney disease, which accounts for only 5% of the
1990s and 10% of this century, and diabetes is now out of the hypertensive
kidney Damage, interstitial nephritis and other nephropathy factors, only after
the chronic nephritis.
Diabetic nephropathy population rose sharply
"Chronic nephritis in the past firmly occupy the first factor in the
incidence of kidney disease, the peak reached 60% to 70%, and now only 40% to
50%, while the diabetic patients caused by a significant increase in kidney
disease, the proportion has exceeded the row before it Hypertension Kidney
damage, interstitial nephritis and other pathogenic factors. "Professor Yu
Xueqing detailed to reporters, in 2006 rough statistics, 15% to 20% of patients
with kidney disease in Guangdong Province caused by diabetes, and this data in
the 90s of last century only 5 %, Only 10% of the beginning of this century. And
the hospital last year, 140 patients with peritoneal dialysis, but up to 39% of
patients with kidney disease caused by diabetes. "In Europe and the United
States and other countries, diabetes-induced nephropathy has accounted for the
proportion of nearly half of the kidney population." He said that many Western
countries, high blood pressure and diabetes crowd, followed by a large group of
people suffering from kidney disease.
"This shows that the rapid onset of the incidence of diabetes, which part of
the development of kidney disease." Yu Xueqing introduction, relative to other
factors, diabetes-induced nephropathy more difficult. He said that patients with
diabetes is characterized by: their own blood vessels easy to hardening, the
organ has different degrees of injury, easy to infection, caused by the rapid
development of nephropathy, survival time is shorter.
Patients with urinary nephropathy to encourage peritoneal dialysis
He suggested that early detection of diabetic patients with kidney disease
should give priority to peritoneal rather than hemodialysis, "because the poor
blood vessels in patients with poor blood conditions, may directly lead to
dialysis effect is not ideal, if the choice of hemodialysis is also likely to
cause vascular damage, the more But he also pointed out that, but he also
pointed out that if there is abdominal adhesions, abdominal surgery done, the
skin infection, abdominal tumor, chronic obstruction of the lungs, polycystic kidney disease is too large, etc., is not suitable for peritoneal , You can
consider transplantation and other treatment options.
Yu Xueqing introduction, for the early inspection is still how much to retain
some of the body of urine production, focusing on encouraging the selection of
dialysis this dialysis way, so that the reduction of urine slowed down.
"Although the peritoneal dialysis, hemodialysis and other methods are less than
their own kidney function is sound, but the focus is also encouraged to bring
early with autologous urine of the crowd peritoneal, kidney will decline every
day, but hemodialysis may be half a year or A year can not generate their own
urine, and abdominal penetration can help people to maintain two to three years
to five or six years. "He said that because the urine can effectively take away
part of the body of toxins, once the human body peritoneal loss function,
Produce urine, toxins can not be discharged, the treatment must be selected to
dehydrate more drugs, and will use high concentrations of sugar instead of low
concentration of sugar to help the body dehydration. "But the high concentration
of sugar on the human side effects is greater than the low concentration of
sugar." Yu Xueqing said. He pointed out that the abdomen can delay the arrival
of anuria time, during which the patient drink water, drink soup and other
restrictions will be relatively less, and hemodialysis or anuria patients, too
much water will lead to heart unbearable and other adverse reactions appear.
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