Chronic renal failure is a difficult and intractable disease, so we must pay close attention to early and mid-term treatment. What is the relationship between high blood pressure and kidney disease? What are the unique features of Chinese medicine in the treatment of chronic renal failure?
Chronic renal failure is divided into 5 stages:
Stage 1: normal or hyperactive renal function;
Stage 2: mildly decreased renal function;
Stage 3: mild to moderate decline in renal function;
Stage 4: severe renal function decline
Stage 5: Kidney failure.
The overall goal of treatment is to stabilize and slow the progression of renal failure.
General principles of treatment of chronic renal function
1
Diet management
The dietary management of patients with renal failure is mainly reflected in the control of the intake of salt, sodium, electrolytes and other components, as well as the intake of vitamins and the basic nutritional needs of the patients.
①Salt:
The daily sodium intake of patients with kidney disease should be controlled at 3-6 grams.
②Potassium:
Patients with renal failure are prone to high potassium levels. High potassium levels may lead to cardiac arrest and arrhythmia. Therefore, it is necessary to control the intake of yellow fruits such as bananas and oranges.
③Protein:
Patients with renal failure should strictly control the intake of protein, preferably high-quality protein, such as fish, shrimp, beef and other animal protein. High-quality protein has a high proportion of essential amino acids, which can reduce the burden on the kidneys.
Patients with stage 3 renal failure: 0.8g/kg (body weight) per day. For example, a patient with renal failure weighing 50kg can consume 40g of protein a day.
Patients with stage 4-5 renal failure: 0.4g-0.6kg/kg (body weight) per day.
In order to ensure adequate energy intake, it is also necessary to cooperate with drug treatment, such as alpha keto acid.
2
Correction of reversible factors of renal failure
For example, control blood pressure, blood sugar, and uric acid levels, and actively control infection as the primary goal, because infection will aggravate the progression of kidney disease no matter where in the body.
What is the relationship between high blood pressure and kidney disease?
The kidney has the function of regulating water and sodium in the body. Once the kidney function is damaged, the water and sodium that cannot be excreted will be retained in the body, resulting in increased blood vessel pressure and blood pressure. Once the blood pressure rises, it will affect the function of the kidneys; on the contrary, when the kidneys are not good, it will also affect the blood pressure. It is common clinically that kidney disease and hypertension occur at the same time.
So in order to protect the kidneys, the most important thing is to maintain a stable blood pressure and keep the blood pressure below 130/80 mmHg as much as possible. About 17% of hypertensive patients will develop chronic kidney disease, and 97% of uremia patients have kidney disease!
3
Treatment of primary disease causing renal insufficiency
In stage 2-3 of renal failure, active treatment plans are still used, and in stage 4-5, part of the drug therapy must be withdrawn, such as reducing hormone therapy.
4
TCM delays the progression of chronic renal failure
The advantages of traditional Chinese medicine in the treatment of chronic kidney disease are obvious:
Feature 1: Whole-colon dialysis, Hangzhou Nephrology Hospital has a whole-colon dialysis machine, which reduces the burden on the kidneys by metabolizing some “toxins” in the intestines. Patients will also be taught to perform Chinese herbal enemas at home.
Feature 2: The medicated bath can relieve the itching of the patient’s skin. Some people with chronic kidney disease experience itchy skin that is persistent. The TCM physicians in the TCM hospital will be equipped with special medicated baths and medicated bath equipment to provide patients with some treatments and improve their quality of life.
Feature 3: Traditional Chinese medicine acupoint application, according to the kidney disease, different acupoints, different traditional Chinese medicines, combined with drugs, to carry out all-round treatment.
Early detection and early treatment are the top priorities for improving kidney function. Experts recommend no illnessThe average person receives a physical examination once a year, and for patients with chronic kidney disease, a special examination is required every six months.
(The Great National Doctor of Health)