2015年1月30日星期五

Chronic renal failure

description
In the United States, about one in 1000 is treated for ESRD and more than 19 million adults living with some form of chronic renal failure. In Canada, about 1.9 to 2.3 million people are suffering from chronic renal failure.
Renal impairment is an impairment of the functioning of the two kidneys and is more properly filter the blood. It is called acute if the dysfunction is transient, chronic when the destruction is irreversible, no cure. In case of severe renal failure, renal function can be overridden by dialysis or kidney transplant.
Chronic kidney disease does not regress, by definition. It is induced by conditions (diabetes, hypertension ...) that destroy gradually and irreversibly different kidney structures. There are five stages of the disease to end-stage filtration capacity which is less than 15% of normal for the entire kidney. This stage requires to consider alternative techniques of renal function: dialysis and transplantation.
causes
The most common causes of chronic kidney disease in North America are diabetes mellitus (diabetes type 1 or 2) and high blood pressure. The most common cause of end-stage renal disease worldwide is IgA nephropathy (inflammatory disease of the kidney).
One of the complications of diabetes and high blood pressure is the appearance of lesions on the small blood vessels of the body, including those found in the kidneys; this results in a chronic renal failure.
1. pyelonephritis (kidney infection) recurrent;
2. polycystic kidney disease (presence of multiple cysts in the kidneys);
3. autoimmune diseases such as systemic lupus erythematosus;
4. hardening of the arteries, which can damage the blood vessels of the kidney;
5. a urinary tract obstruction and reflux attributable to infections and frequent calculations or congenital anatomic abnormality;
6. excessive use of drugs metabolized by the kidneys.
symptoms
Chronic renal failure, regardless of their severity, does not result in significant symptomatology that is to say, the appearance of symptoms or clinical signs and very clear in great numbers. Usually chronic renal failure are diagnosed incidentally. This is the case for example of a blood and urine balance to try to explain the presence of protein in the urine (proteinuria). This is also the case for the diagnosis of hematuria (blood in urine) or high blood pressure.
Sometimes the diagnosis of failure chronic renal failure is in the control of another disease complicating chronic renal failure departure
diagnosis
First there is the strong increase in proteinuria (high concentration of protein in the urine). It also identifies high blood pressure which significantly reduces life expectancy if untreated. Finally, it was found that smoking helps the progression of renal disease and also that smoking cessation slowed the progression of CKD. In the final stage, fluid intake may prove to be dangerous since there may OAP, patients should strongly limit the drinks.
treatments
In France, the course "classic" of a patient with ESRD usually goes through one or more periods of dialysis and one or more kidney transplants. But there are other treatments for chronic renal failure in China, hemodialysis or peritoneal dialysis is possible at The Kidney Hospital of Shijiazhuang. characteristics Therapy The Shijiazhuang Kidney Hospital Chronic renal failure is Micro-Chinese Medicine Osmotherapy and Immunotherapy.
Characteristic treatments
Micro-Chinese Medicine Osmotherapy
immunotherapy
immunotherapy
complications
1.1 anemia;
2. hypertension;
3. an increased risk of bleeding;
4. increased susceptibility to infections;
5. fluid accumulation (edema);
6. dehydration;
7. electrolyte abnormalities (eg hyperkalemia, increased level of potassium in the blood.)
8. abnormal level of minerals in the blood (eg, hypercalcemia or hyperphosphatemia.);
9. an increase in bone fragility;
10. malnutrition;
11. convulsions.

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