2017年3月25日星期六

Kidney disease causes diabetes

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.

没有评论:

发表评论