At least 1 in 10 people on this planet has kidney disease. Most kidney diseases have no obvious symptoms in the early stage. Moreover, chronic kidney disease is prone to recurring attacks. Usually, after kidney cells are damaged, they cannot be repaired, resulting in a continuous decline in kidney function. If the kidney function is damaged by more than 30%, the disease will be difficult to reverse, and dialysis or transplantation is required to maintain life. So, in daily life, how to detect changes in renal function in time? How to measure the possibility of reversal of renal function? Let’s analyze the relevant points now.
The main function of the kidneys is to produce urine, remove excess metabolites and water, maintain osmotic pressure and acid-base balance, regulate blood pressure, participate in red blood cell production, and maintain bone health. Therefore, careful observation of urine, especially the changes in urine when you get up in the morning, can help to detect abnormal renal function in time. Specifically, four indicators are observed. The first is nocturia. If the amount of urine at night exceeds 750 ml, and you often get up more than twice at night, there may be renal tubular damage. Second, look at the color, if the urine turns red, or the color of soy sauce, it may be hematuria. Third, look at the foam, there is a lot of foam in the urine, and it has not dissipated after 5 minutes, which may be the performance of proteinuria. Fourth, smell the smell, the ammonia smell is heavier, indicating that the detoxification ability of the kidneys is decreased.
There are 10 signs that kidney function declines. The first is edema, edema of the eyelids, face, and lower extremities, and in severe cases, persistent systemic edema. The second is loss of appetite and an unpleasant odor in the mouth. 3. Itching. 4. Skin bleeding points, do not fade when pressed. Fifth, anemia. 6. Joint pain. 7. Low back pain, or backache discomfort. 8. Bone pain. 9. Blood pressure rises. 10. Blood sugar fluctuations. If these phenomena are found, it is necessary to do a urine test in time, focusing on the ratio of urinary microalbumin to albumin and urinary creatinine. Blood tests are also done, focusing on changes in serum creatinine and blood urea nitrogen levels. In addition, imaging examinations such as ultrasound and CT are also performed.
Reduced renal function has a complex etiology. Usually, renal function damage caused by seven common reversible factors has a great hope of reversing the disease. The first is renal ischemia. The second is acute tubulointerstitial injury caused by poisons or drugs. The third is infection. Fourth, is obstruction, for example, urinary tract stones. Fifth, is massive proteinuria. 6, is high blood pressure. Seventh, drug-induced glomerular filtration rate decline. This kind of renal function decline, if the cause can be confirmed in time, and measures are taken to solve the incentive, the renal function can be restored to the ideal state.
The damage of the kidneys can only be objectively judged through methods such as kidney biopsy. The technical term, called the fibrotic niche, refers to the lesions that form in the kidneys after the kidneys undergo fibrosis. From a theoretical point of view, it is possible that the renal tissue has undergone complete fibrosis, and the disease is difficult to reverse. If the lesions of renal tissue are only hyperplasia, thickening, and infiltration of inflammatory cells, there is hope of reversing the disease.
Whether kidney damage can be reversed can be judged by three methods. The first is the volume of the kidney. If the kidney volume increases, it is usually due to swelling caused by inflammation, which is a reversible injury. The slight atrophy of kidney volume, although affecting the glomerular filtration rate, is promising for reversal. The second is the previous renal function. If it is an acute disease, it is more likely to be reversed. The third is the creatinine value of the nail edge, because serum creatinine will exist in the nail, and it will exist at the root of the nail and the nail edge for about 3 months. By measuring the creatinine value of the nail edge, the blood creatinine level before 3 months can be calculated. , to help determine the progression and prognosis of renal impairment.
After renal function declines, patients need to strengthen 3 measures and cooperate with treatment to effectively save renal function. The first is to standardize drug use, especially the use of stimulationDuring the treatment of vegetarians, it should be taken strictly according to the doctor’s requirements. The second is to prevent recurrence. Most patients with kidney disease will be accompanied by a decline in immune function, and need to strengthen prevention to prevent respiratory infections, oral infections, urinary tract infections, and intestinal infections. Stick to healthy lifestyle habits and avoid staying up late or overworking. At the same time, strengthen nutrition and physical activity to improve immunity. The third is diet. After renal function declines, it is necessary to strictly follow the dietary principles of low-salt, low-fat, and high-quality protein to ensure nutritional needs, reduce the burden on the kidneys, and prevent abnormal levels of serum potassium and phosphorus, or electrolyte imbalance.
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