2011年12月21日星期三

FSGS Patients


FSGS stands for Focal Segmental Glomerulosclerosis. It is a relatively common form of kidney disease, especially in the US. Although there are several known risk factors, we don’t yet know why most people develop FSGS. In order to be diagnosed with FSGS, you must undergo a kidney biopsy.
FSGS is named for the scarring, or “sclerosis”, that can be found in the kidney of people with this disease. When looked at under a microscope, everyone’s kidneys contain millions of tiny filters called “glomeruli”. These filters work much like a colander that you might have in your kitchen. Blood is “poured into them” as it circulates through the kidney, and the water-like part of the blood drains through. This becomes your urine. When these filters are damaged they become scarred. They are no longer able to filter blood appropriately. This is called “glomerulosclerosis”.
The word “focal” is added because in FSGS, only some of the filters are damaged. “Segmental” is included because often only parts of the filters are scarred. So Focal Segmental Glomerulosclerosis is a very descriptive name for the disease. Some segments of kidney filters are scarred.
But Which Food is Suitable for FSGS Patients?
Firstly, patients with FSGS (Focal Segmental Glomerulosclerosis) should take in more protein, which lies in lean meat, milk, and so on. Remember that the protein which they take in should be high quality. Although beans contain much protein, patients are not suggested to take if for in the process of metabolism, beans will produce more nitrogen, which can give kidney more burden compared with lean meat and so on. In this case, patients with FSGS (Focal Segmental Glomerulosclerosis) can gain enough protein because much protein is lost together with urine.
Secondly, patients with FSGS (Focal Segmental Glomerulosclerosis)should take in food which is low in salt.
Thirdly, patients with FSGS (Focal Segmental Glomerulosclerosis) should avoid meat rich in fat.
Fourthly, patients with FSGS (Focal Segmental Glomerulosclerosis) should also avoid sea food and spicy food, which can stimulate body.

kidney disease and diabetes


Diabetes mellitus, often simply referred to as diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).
All forms of diabetes increase the risk of long-term complications. These typically develop after many years (10–20), but may be the first symptom in those who have otherwise not received a diagnosis before that time. The major long-term complications relate to damage to blood vessels.Diabetic retinopathy, which affects blood vessel formation in the retina of the eye, can lead to visual symptoms, reduced vision, and potentially blindness. Diabetic nephropathy, the impact of diabetes on the kidneys, can lead to scarring changes in the kidney tissue, loss of small or progressively larger amounts of protein in the urine, and eventually chronic kidney disease requiring dialysis. Diabetic neuropathy is the impact of diabetes on the nervous system, most commonly causing numbness, tingling and pain in the feet and also increasing the risk of skin damage due to altered sensation. Together with vascular disease in the legs, neuropathy contributes to the risk of diabetes-related foot problems (such as diabetic foot ulcers) that can be difficult to treat and occasionally require amputation.
Diabetic Nephropathy is one of diabetes complication. It due to kidney disease, What are kidney disease.Chronic kidney disease includes conditions that damage your kidneys and decrease their ability to keep you healthy by doing the jobs listed. If kidney disease gets worse, wastes can build to high levels in your blood and make you feel sick. You may develop complications like high blood pressure, anemia (low blood count), weak bones, poor nutritional health and nerve damage. Also, kidney disease increases your risk of having heart and blood vessel disease. These problems may happen slowly over a long period of time. Chronic kidney disease may be caused by diabetes, high blood pressure and other disorders. Early detection and treatment can often keep chronic kidney disease from getting worse. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a kidney transplant to maintain life.
Now there is a question : Kidney Disease from Longterm Diabetes: Symptoms, Prevention and Treatment. (It is from http://www.diabetes-kidney.org)
What are the common symptoms of Diabetic Nephropathy(Kidney Disease)
1. Proteinuria
Proteinuria, or protein in urine, is a typical symptom of Diabetic nephropathy. Increased protein output in urine indicates damaged glomerular basement membrane caused by high blood sugar. The amount of protein in urine increases with more and more renal intrinsic cells damaged.
While microalbuminuria(30-300mg/24h) appears in preclinical stage of Diabetic Nephropathy, heavy proteinuria(>3.5g/24h) indicates that the disease has entered Clinical Stage and will deteriorate into end-stage rapidly if not treated.
2.Swelling
Prevention and treatment
1. Controlling risk factors
2. Proper diet
3. Combination of traditional Chinese medicine and stem cell transplant.
IF you have kidney disease, You need pay attenton to kidney .

Diabetics patients and Donate Blood


A blood donation occurs when a person voluntarily has blood drawn and used for transfusions or made into medications by a process called fractionation.
In the developed world, most blood donors are unpaid volunteers who give blood for a community supply. In poorer countries, established supplies are limited and donors usually give blood when family or friends need a transfusion. Many donors donate as an act of charity, but some are paid and in some cases there are incentives other than money such as paid time off from work. A donor can also have blood drawn for their own future use. Donating is relatively safe, but some donors have bruising where the needle is inserted or may feel faint.
Potential donors are evaluated for anything that might make their blood unsafe to use. The screening includes testing for diseases that can be transmitted by a blood transfusion, including HIV and viral hepatitis. The donor is also asked about medical history and given a short physical examination to make sure that the donation is not hazardous to his or her health. How often a donor can give varies from days to months based on what he or she donates and the laws of the country where the donation takes place. For example, in the United States donors must wait 8 weeks (56 days) between whole blood donations but only three days between plateletpheresis donations.
But Is It Possible for Diabetics to Donate Blood. (It is from http://www.diabetes-kidney.org/)
We all know that patients with heart disease, hepatitides, infectious diseases and AIDS are not allowed to donate blood, then what about diabetics?
For the question, all countries require that your diabetes is well controlled, you are not suffering from any acute disease and feeling well. Due to the risk of CJD, most people who have used beef insulin are deferred from donating blood.
Are those on insulin injection allowed for blood donation?
Generally speaking, those on insulin injection for reducing blood sugar level are not allowed to donate blood. That's because the compositions of the medicines remaining in the blood is not good for the receptors.
Comparatively, for those who are controlling their disease through dietary therapy and exercise, if there exist no diabetic complications such as eyes, kidneys and their blood vessel related problems, blood donation is allowed.
So if you have diabetes, You can not Donate Blood.

2011年12月12日星期一

Diet for Diabetes Patients

Scientific diet is very important to Diabetes patients. Starting from the daily diet, the patients should take preventive measures to reduce risk factors. Well, what kinds of food can reduce risk factors for Diabetes?
Breakfast. A new study shows that people who eats breakfast every day will have less risk of suffering from obesity and Diabetes. Insulin resistance makes the body’s insulin sensitivity lost, which is often a precursor to Diabetes. Researchers followed up 2681 young people between 25-37 years old for eight years, during which they came down with various health problems, including insulin resistance and obesity. The results showed that the risk of suffering from obesity and insulin resistance will be reduced to 35% to 50%, compared with those who eat breakfast less than twice a week.
Black beans. Black beans contain protein which can slow down the rate of fat metabolism in liver and adipose tissue, reducing a variety of fatty acids and cholesterol. If fat in the body reduces, Diabetes is unlikely to occur. That’s why black beans have become a traditional medicine for treating diabetes in Asia.
Spinach root. Spinach root belongs to the category of red food, which has a good therapeutic effect. Spinach root has rich nutrition, containing cellulose, vitamins and minerals and it also can prevent Children Diabetes.
Spinach itself is nutritious and rich in carotene, vitamin B, folic acid, iron, potassium, riboflavin, vitamin C, calcium and magnesium. Before cooking, blanch spinach in boiling water quickly, whicn can remove the vast majority of oxalic acid on it. Spinach is good, but the children can’t eat too much..
Eat more carrots. Carrots contain nine kinds of amino acids and a dozen of enzymes, as well as many essential minerals, of which, calcium, phosphorus are the main component of bone; copper and iron are essential for synthesis of heme; fluoride can enhance the corrosion resistance of the teeth; crude fiber can stimulate gastrointestinal peristalsis, which is good for digestion. It is found by Modern Chinese Medicine study that carrots have the effect of reducing blood pressure and cardiotonic, anti-inflammation and anti-allergy.
Apple. The aroma of apples can contribute to sleep. In fact, apples can do good to insomnia and also can prevent Diabetes. Apples contain chromium, which can increase Diabetic patients’ sensitivity to insulin. And malic acid can stabilize blood sugar and prevent Diabetes of old age. Therefore, Diabetes patients should eat sour apples.
Mango. Australian researchers found that eating a mango a day may prevent Diabetes and high cholesterol. Some component of the mango can activate or inhibit the so-called peroxisome proliferator and activate receptor of PPARs to play the role of prevention.

2011年12月9日星期五

What Is the Clinical Features of IgA Nephropathy

In the early stages of the disease, many patients have no obvious symptoms and are unaware of any problems. In these patients, IgA nephropathy may be suspected only during routine screening or investigation of another condition. However, some patients may present with aggressive disease.
In general, there are few characteristic clinical signs; however, microscopic hematuria and proteinuria may be persistently or intermittently detected for many years. It is important that patients undergo further investigations at an early stage, despite the tendency of many physicians not to act until renal function is severely impaired. A definitive diagnosis of IgA nephropathy can be made only by renal biopsy and immunohistologic examination. Up to 20 percent of patients with IgA nephropathy present with severe azotemia that represents long-standing disease that differs from the classic presentations, either because the patient's condition did not come to early medical attention or because the patient was referred late without an established diagnosis.
The decision by a nephrologist to recommend renal biopsy in a patient without symptoms who has microscopic hematuria and mild proteinuria varies from region to region and remains a matter of debate even when IgA nephropathy is highly suspected. This relates in part to the lack of effective treatment in the early stages of the disease and the realization that none may be necessary. Moreover, although some mild cases progress to renal failure, there are no consistent genetic, immunologic, clinical, or morphologic markers that predict progressive disease in a patient without symptoms who has minor urinary abnormalities.

Chinese Medicine for Polycystic Kidney Disease

Chinese Medicine for Polycystic Kidney Disease

Is Chinese medicine better for treating polycystic kidney disease? Polycystic kidney disease is a genetic disorder characterized by fluid-filled cysts that form in the nephrons of both kidneys and eventually lead to kidney failure in the majority of patients. Polycystic kidney disease symptoms may include: high blood pressure, frequent urination, backache, and blood urine, etc.

Is Chinese medicine better for treating polycystic kidney disease? Micro-Chinese medicine osmosis is based on the original creation of Shijiazhuang Kidney disease hospital-traditional Chinese medicine micro-processing technology. The core of this technology- to make the original medicine molecules into the micro-Chinese medicine osmosis particles that is more than 1000 times smaller than the diameter of the former.

Through this, to let the effective components of traditional Chinese medicine overflow, thereby, improving the penetrability of the medicine and make it infiltrate through renal foci rapidly. Compared with western medicine, traditional Chinese medicine is tardive in therapy effect. A certain part of the traditional Chinese medicine is effective in the treatment of kidney, but walk with difficulty. The reason lies in that these methods cannot release the effective component of the medicine, that is to say, the speed of treatment cannot catch up to that of the deterioration of kidney.

In additional, micro - Chinese medicine osmosis is characterized by non-suffering, painless, and short-term courses.

Why Should the Chronic Kidney Disease be Treated Slowly

Why Should the Chronic Kidney Disease be Treated Slowly
Kidney disease is a difficult disease with a long course. It is also a lingering disease with slow progress, and difficult in treatment. The patient must be constantly taking the medicine. Even if the good effect has been made, consolidated treatment is needed at least one or two years or more. Refractory renal diseases need longer time.
Chinese medicine treatment of kidney disease has certain advantages. It is to repair kidney organizations and improve kidney function, through differential treatment, so that kidney disease can under control. But if the patient wants to get a good effect, it takes some time. Because chronic disease of years or even ten years, can’t be effective treated overnight. Therefore, only by adhering to the medication, effect can be seen. One or two routine urine is not telling anything. In the course of treatment, it is inevitable that kidney disease repeat or recurrent caused by cold, fatigue, mood swings, poor diet, etc. Some patients do not understand this point. As seeing disease appear repeatedly, increase of urine protein or red blood cells, they fight back out, so that they falls short of success in the last stage. Some patients also have taken some medicine for a period. When the checks are normal, they stop medicine self-assertive. Not long after the results of urine protein and red blood cells appear again. Then the disease is repeated like this, even years. So, some disease that could be well controlled actually miss the best treatment opportunity.
In clinical, we found that many patients or families of patients is easy take two extremes in treatment of the disease.
First, some patients pay inadequate attention to the condition and prognosis. There are no treatment goal, no medication persistence, then, the time delays. So, the disease eventually become incurable.
Second, the mental burden of some patients is too heavy, and even some patient buy a lot of books related to kidney disease himself. They read every day, and visit kidney specialists everywhere. As if himself has become an expert of kidney disease. When they receive treatment, they always suspect the doctor's treatment plan and don’t cooperate with the doctor treatment. As everyone knows, any expert’s diagnosis and treatment of disease have an understanding process, while the effect is also a stage of moving from quantitative to qualitative changes. Frequent replacement of doctors is taboo of medical diagnosis and treatment of diseases. Some patients also are tired because of running around, making the disease worse. Some patient are surprising for subtle changes of the urine tests and even they buy a test strip to detect their own. Virtually, they make a big psychological burden themselves, which is very unfavorable to the treatment of kidney disease.
So, we remind family members of kidney patients and patients, it is necessary to attach great importance to the kidney and active accept treatment. But they should not be impatient. They should adhere to treatment, until complete recovery.

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