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Archive for May 2020

Can Dialysis Be Temporary?

When you get into kidney disease stage4(kidney failure stage), your glomerulus filtration rate has reduced to 29min/ml. And your kidneys detoxification function is very weak. Meanwhile, the serum creatinine, uric acid, BUN, cystatin C and other items will also increase. A lot of patients is hopeless and just wait for dialysis.

 

 

 

 

 

Actually here is 50% percent to avoid dialysis if you can control it well. As to how long it can be delayed should depend on different patient’s condition. Further, different type of disease also have different dialysis time. For example, diabetic nephropathy patients may take dialysis sooner than common nephritis nephropathy.

How long dose kidney failure develop into dialysis? The key points are:

1. Complications

At kidney failure stage, the glomerular filtration function declined and many complications come out. Besides protein urine,swelling,blood urine and etc, here are also high blood pressure,anemia,high serum potassium symptom, acidosis and etc. The damage to kidney function caused by these complications alone is great, not to mention the development of nephropathy.

If you can control these complications well, the resident kidney function can stay for longer time.

2. Blood circulation

Though kidney failure happen and kidney cells are damaged mostly, the residual kidney cells can get enough blood and oxygen as long as the blood circulation is normal in kidneys. Because the residual kidney function can take function more or less.

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What is Iga Nephropahty

Iga nephropathy is the most common primary glomerular disease which is featured with Iga or Iga deposition on glomerular mesangial region, with other immunoglobin staying or not.

 

 

 

 

 

 

Iga nephropathy can be divided into several types, including focal stage lesion, capillary proliferative lesion, mesangial proliferative lesion, crescent lesion, and sclerosing lesion.

Its clinical symptoms are:① repeated gross hematuria or hematuria under microscope ②different albuminuria degree; ③some patients suffer swelling and back pain. With development of Iga nephropathy, many patients get serious hypertension and renal insufficiency.

Iga nephropathy incidence rate is higher than other illness, especially among male adolescent. As we all know, Iga nephropathy is difficult to be found at early stage, and it develop slowly. So many patients missed the best treatment opportunity. It already comes to the middle or end stage when they feel discomfort.

If they can take proper treatment at the beginning, they may get a satisfied result. Here we appeal to all patients to learn some Iga nephropahty knowledge and pay attention to the original signs as early as possible. The most important is to find the effective treatment. Don’t wait till end stage.

Any confusions or questions,please contact us by email healthbella@kidneyservicechina.com or whatsapp 008615230829917. We are glad to help you!

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Will Diabetic Nephropathy be Treated Well

Diabetic nephropathy indicates that the pathological changes of capillaries caused by diabetes involves the kidney, causing the pathological damage of the kidney. This disease is common among patients with over 10 years diabetes.

 

 

 

 

 

Glomerular sclerosis between capillary is one of the major diabetic microvascular disease, caused by the damaged glomerular basement membrane barrier. It leads to protein leakage into urine. The key point of treatment is to control blood sugar and repair damaged kidneys at the same time.

Our hospital give patient Micro-Chinese medicine osmotherapy(heating kidneys area by herbal medicine) to expand kidney artery, improve partial microcirculation,cut off development of renal injury and provide necessary nutrition for our kidneys like amino acid, vitamin and microelement,etc.As long as the damaged renal pathological tissue get repaired and glomerular basement membrane get recovered,then protein will not leak out.

So can diabetic nephropathy be treated well?

1. Here is still no perfect treatment for diabetes. Almost patients featured with nephrotic syndrome are not advised to take glucocorticoid, cytotoxic drugs.

2. You need to control blood sugar level actively, including diet, oral medicine and injection of insulin. Remember to adjust dosage of insulin and oral medicine based on your blood sugar level when you have azotemia.

3. Limit protein intake.(<=0.8g/day).

4. For the patients who has high blood pressure or swelling and renal function is normal, you can take small dose of thiazide diuretic. Patients with renal insufficiency should take loop diuretic or indapamide tablets.

5. To control your blood pressure under 18.6Kpa. We suggest you ACEI hypotensor which can help reduce protein leakage when control high blood pressure.

6. You had better treat hyperlipemia and hyperlipemia.

7. Apply antiplatelet aggregation and adhesion drugs, such as aspirin or heparin and etc.

8. When your creatinine level is over 707umol/l, you need consider substitution therapy.

Generally, without formal treatment, it will develop to renal failure after 5-12 years. We sincerely hope that you can go to hospital to take systematic treatment and do not miss the opportunity to get recover!

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Renal Disease Stages and Its Characteristics

The stages of chronic kidney disease is according to different renal function index like glomerular filtration rage, endogenous creatinine clearance rate and serum creatinine level and etc.Through these index,we can learn patients’ chronic kidney disease stage,then make sure the prevention and treatment goal and take reasonable treatment measure.

 

 

 

 

 

 

 

The first stage:inflamed injury stage

1. Pathological changes. This stage only means the damage of renal cells, renal tissue’s ischemia and hypoxia. Local changes of glomerulars: mesangial cell proliferation, mesangial matrix increasing, charge barrier injury, permeability enhancement, etc.Once the effective treatment is missed at this stage, the kidney disease will enter the refractory stage.

2. Clinical symptoms: slight eyelid edema in the morning, increased urine foam, unstable blood pressure, occult blood, urine protein, etc., with blood creatinine being higher than 133 umol/L.

The second stage is renal injury

1. Pathological changes: Due to delayed treatment at the stage of inflammed injury, glomerular become sclerosis; tubular shrink and atrophy;and renal tissue fibrosis occurred, which resulted in the gradual reduction of renal units, aggravated progressive renal function injury, and progressive deterioration of the disease.

2. Clinical manifestations: increased blood pressure, dizziness, headache, loss of appetite, anemia and fatigue, cool limbs, edema, increased nocturnal urination, increased foam, etc.Renal volume began to shrink, blood flow of both kidneys decreased, filtration function decreased, excretion function delayed, creatinine clearance rate decreased, blood creatinine being over 186 mol/L, creatinine, urea nitrogen, uric acid and urine protein began to rise, getting azotemia, etc.

Stage 3, renal failure (the advanced stage is uremia)

Due to ineffective control of renal fibrosis and renal damage, glomerular sclerosis is aggravated, glomerular atrophy and necrosis, renal unit depletion, severe renal function loss, and renal failure (uremia in the late stage).

failure, digestive tract hemorrhage, renal bone disease and so on, serum creatinine being over 451 mu mol/L, uremia period even as high as more than 1000 mu mol/L.Creatinine clearance is less than 20 ml/min, even 10 ml/min at uremia period , severe anemia, high blood pressure, electrolyte imbalance and acid-base balance disorders, excretion disorder, no urine, double renal severe fibrosis and so on, a lot of toxic urine retention in the body, harm the body organs.2. Clinical manifestations. Other system appear serious complications, such as heart

If you want to know which stage you are in, you can leave us a message below/ you can send your name, gender, medical conditions to 2110253874@qq.com. We will give you a reply within 24 hours.

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How Can You Stop Dialysis Natually

For many people with kidney failure, dialysis or a kidney transplant enables them to live longer and enjoy their quality of life. However, this may not be the case for everyone and each person has the right to choose how—or if—they want to receive treatment for chronic kidney disease. Without life-sustaining dialysis or a kidney transplant, once a person with kidney disease reaches stage 5 (end stage renal disease or ESRD), toxins build up in the body and death usually comes within a few weeks.

 

 

 

 

 

 

Renal Failure

Kidney failure can be acute (sudden) or chronic (long-standing). Acute renal failure is a sudden loss of the kidney’s ability to remove waste. It can be caused by certain diseases, extremely low blood pressure as a result of illness, injury, surgery, or certain infections. Chronic renal failure is the slow loss of kidney function over time. Chronic kidney disease is usually caused by diabetes or high blood pressure but can be caused by many other diseases as well. The final stage of chronic kidney disease is called end-stage renal disease (ESRD). Patients who find themselves faced with the choice to continue or stop dialysis almost always have ESRD.

When Discontinuing Dialysis Is Considered

Dialysis is a life-sustaining treatment and very beneficial when used appropriately, but it is important to recognize that dialysis also has limitations. It may not be beneficial to prolong life with dialysis if the quality of life suffers dramatically. Prolonging life with dialysis may actually be prolonging the dying process for some patients, which is usually not desirable. It’s generally agreed upon that patients might consider stopping dialysis if:

(1) The patient also has an acute illness that will cause a great deal of disability if he survives (for example, a stroke).

(2) The patient has a progressive and untreatable disease (diabetes, or cancer, for example).

The patient has dementia or some other severe neurological disorder.

What treatment can we provide in our hospital?

Here we mainly use traditional Chinese medicine treatment to repair patient’s damaged kidney cells and improve renal function. For patients whose condition is not too seriously, this treatment will have obvious effect. If you are interested, you can send email to us, our email address is 2110253874, or whatsapp 008615230829917. We will reply you within 24hours.

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What is the Dietary Restrictions Of Kidney Disease

Recently many patients ask about forbidden food for kidney disease. Considering almost patient’s food habits, we give following suggestions for your reference.

 

 

 

 

 

 

1、Avoid seafood, lamb, beef, spicy food, and wine which can easily lead to allergy. You need obey it strictly if you have constipation, sweating and blood urine problems. But the patients with cold limbs and liquid stools can take some lamb and beef.

2、It is better to avoid litchi and chocolate that contains high heat, particularly for chest distress and windy patients.

3、Uremia patients should keep normal bowel movement; sleep early; take rest and avoid getting cold.

4、Patients with high serum potassium should take less food like: banana、potato、tomato、pumpkin、tea、sugar.

5、If you have high blood uric acid, you need avoid eating animal liver, beer, mushrooms、bean and spinach.

6、For high blood phosphorus patients,they should reduce some food intake like: milk products, egg white, ice cream, peanut, seeds, chocolate, and etc.

7、For diabetic dialysis patients, besides high sugar diet, they need also pay attention to several sides:

Due to their good appetite after dialysis, they should add protein and heat quantity from food. Because they will lose 2~3.5g protein in each dialysis. After dialysis, it is best to take 1-1.2g/kg protein everyday. That means they can eat 2 eggs, 500ml milk, and proper fish per day.

To protect your kidney function perfectly, you can also make a diet chart and obey it. You need be autonomic, after all doctors can not be with you in 24 hours. Thanks for reading.

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What is Renal Disease Stages and Its Characteristics

The stages of chronic kidney disease is according to different renal function index like glomerular filtration rage, endogenous creatinine clearance rate and serum creatinine level and etc.Through these index,we can learn patients’ chronic kidney disease stage,then make sure the prevention and treatment goal and take reasonable treatment measure.

 

 

 

 

 

 

The first stage:inflamed injury stage

1. Pathological changes. This stage only means the damage of renal cells, renal tissue’s ischemia and hypoxia. Local changes of glomerulars: mesangial cell proliferation, mesangial matrix increasing, charge barrier injury, permeability enhancement, etc.Once the effective treatment is missed at this stage, the kidney disease will enter the refractory stage.

2. Clinical symptoms: slight eyelid edema in the morning, increased urine foam, unstable blood pressure, occult blood, urine protein, etc., with blood creatinine being higher than 133 umol/L.

The second stage is renal injury

1. Pathological changes: Due to delayed treatment at the stage of inflammed injury, glomerular become sclerosis; tubular shrink and atrophy;and renal tissue fibrosis occurred, which resulted in the gradual reduction of renal units, aggravated progressive renal function injury, and progressive deterioration of the disease.

2. Clinical manifestations: increased blood pressure, dizziness, headache, loss of appetite, anemia and fatigue, cool limbs, edema, increased nocturnal urination, increased foam, etc.Renal volume began to shrink, blood flow of both kidneys decreased, filtration function decreased, excretion function delayed, creatinine clearance rate decreased, blood creatinine being over 186 mol/L, creatinine, urea nitrogen, uric acid and urine protein began to rise, getting azotemia, etc.

 

 

 

 

 

 

Stage 3, renal failure (the advanced stage is uremia)

1. Case changes. Due to ineffective control of renal fibrosis and renal damage, glomerular sclerosis is aggravated, glomerular atrophy and necrosis, renal unit depletion, severe renal function loss, and renal failure (uremia in the late stage).

failure, digestive tract hemorrhage, renal bone disease and so on, serum creatinine being over 451 mu mol/L, uremia period even as high as more than 1000 mu mol/L.Creatinine clearance is less than 20 ml/min, even 10 ml/min at uremia period , severe anemia, high blood pressure, electrolyte imbalance and acid-base balance disorders, excretion disorder, no urine, double renal severe fibrosis and so on, a lot of toxic urine retention in the body, harm the body organs.2. Clinical manifestations. Other system appear serious complications, such as heart

If you want to know which stage you are in, you can leave us a message below/ you can send your name, gender, medical conditions to our whatsapp:008615230829917, or you can send email to our email box 2110253874@qq.com. We will give you a reply within 24 hours.

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Why Do You Get Polycystic Kidney

We all know that polycystic kidney is one gene defect. Kidneys suffer from toxin inside and outside human body and appears multiple cysts. The cysts oppress kidney inherent cells and make it damaged. Polycystic kidney disease is an inherited cystic renal lesion which features are: urine protein, urine blood, high blood pressure and etc.

Diagram showing human polycystic kidney disease illustration

 

 

 

 

 

 

 

 

 

But how dose human body get this disease? Because the human body that has gene defect get many sorts of bad life habit. It makes toxins accumulating inside and outside of our body that level beyond our ability to resist inflammation. The balance of anti-inflammatory and inflammatory cells in the body continue shifting to inflammatory. Renal tubular epithelial cells has a phenotypic transformation and proliferation abnormally under the repeated stimulation from infection and (or) injury. They block renal tubules and turned to be cyst lining cells.

These lining cells secrete a lot of cyst fluid, making the cyst grow bigger and bigger which oppress damaged kidney inherent cells. Then red cells and plasma proteins leak into urine, forming urine blood and urine protein. At this moment, patients would have clinical symptoms of swelling, high blood pressure, decreased renal function and ett. We can say that the patient gets polycystic kidney disease.

Traditional Chinese medicine believes that polycystic kidney is due to congenital deficiency of kidney and hot, humid gas invasion to kidney collaterals. They are difficult to be removed out and develop seriously, causing wet toxins、hot toxins that block blood further and stasis toxin come out. Wet gas, hot gas and stasis toxins take effect together, damaging kidney cells, thus urine foam, blood urine and blood pressure goes high up and etc.

So please don’t worry, although polycystic kidney disease is gene problem, you can still take effective method/treatment to slow down its progress and live a high quality life.

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How long you can live if your creatinine level is 1000umol/L

As we all know, creatinine is the most sensitive item of kidney disease. It indicates that our kidneys have been damaged for at least over 50%, even more. So if your creatinine level is 1000umol/l, your kidneys should have had high degree of fibrosis.

At this time, without dialysis, you are very easy to have some complications like vomiting, nausea, brain pain, short breath and etc which can threaten your life. Meanwhile, a lot of metabolic waste can not be excreted by your kidneys which result in toxins deposition in your body. Gradually patients will have metabolic acidosis and liquid equilibrium status. Then the endocrine function will get disordered which brings many complications and even death.

Many patients are upset because they cannot find the effective method. They can just hope on dialysis machine to survive.

 

 

 

 

 

 

 

But how long you can rely on dialysis?

We all know that dialysis is a replacement therapy which cannot repair your kidney cells radically. Moreover, with the disease development, the dialysis time and frequency is more and more, leading to less healthy kidney cells, even kidney cell death. Finally they can just wait for transplant.

In addition, it also depends on how serious of your complications like angiocardiopathy, infection, anemia and other symptoms. It will threaten your life if it develop too fast.

As how long you can live with creatinine 1000umol/l, the key point is psychological problem that brought by dialysis. Because dialysis can increase patient’s burden of body and mind.

Relevant investigation shows that about 53% patients has depression and anxiety reactions. The clinical symptoms are: depression feeling, pessimism, low self-evaluation, self-accusation and etc. Some serious cases will have sleep disorders, poor appetite, social withdraw, less activity.

But it is far from enough to just rely on dialysis. Our experts advise that for kidney failure treatment, you need combine Western medicine and Chinese medicine to promote and improve kidney cells microcirculation. Therefore, your kidney can discharge toxins rapidly and its function will get improved gradually.

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What Symptoms do You Have When You Get Polycystic Kidney Disease(PKD)

Polycystic kidney disease(PKD) is a genetic disease which is caused by abnormal differentiation and proliferation of kidney cells. The most obvious feature is clusters of cysts develop within your kidneys, causing your kidneys to enlarge and lost function over time.

 

 

 

 

 

 

You should have known some symptoms if you have suffered PKD for many years, though some patients don’t have symptoms until their lives finish. Cysts typically grow 0.5 inches or larger before a person starts noticing symptoms. While we think it is necessary to learn about it more carefully if you are just diagnosed by this disease.

So what basic symptoms of polycystic kidney disease? Here you can find some useful information.

1. Liver cysts.

It is one important complication of PKD. Generally speaking, over 50% middle-aged patients have this problem. Liver cysts develop slowly and usually appear 10 years later than PKD.

2. Polycystic kidney disease symptoms also include:

· Blood pressure. With cyst growing up, it will oppress kidneys tissues and damage kidney function, causing high blood pressure.

· Back or side pain. It is also related to burden of cysts.

· A feeling of fullness in your abdomen.

· Increased size of your abdomen due to enlarged kidneys.

· Blood in your urine when cysts rapture or urinary infection.

· Kidney stones. This is complication of cysts.

· Kidney failure till cysts’ pressure is too high to kidneys and do further damage to kidney cells.

3. Children with autosomal recessive PKD may have symptoms that include:

· high blood pressure

· UTI

· frequent urination

Though PKD is not very common seen, it harm our life very much. For patients, you need learn PKD information as much as you can and take effective treatment early to prevent advanced kidney failure.

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