2017年4月7日星期五
How Much Do You Know About Renal Osteopathia
Renal Osteopathia, also called as Renal osteodystrophy or Renal Osteopathy, is commonly seen in child patients and patients with congenital bone malformation and the patients with progressive kidney diseases.renal osteopathia in kidney failure
What Is Renal Osteopathia?
Renal Osteopathia is a kind of bone diseases that is induced by the such various factors as metabolic disorders of calcium and phosphorus and Vitamin D, secondary parathyroid glands function hyperaction and the acid-base disorders. The starting mechanism of Renal Osteopathia is the retention of phosphorus(usually at the CKD2). And at the stage of CKD3 and CKD4, there appears the low-calcium symptom, low-activity Vitamin D3 and the rise of parathyroid hormone levels.
Dangers of Renal Osteopathia
Renal Osteopathia nearly involves in all of the patients with end stage renal failure(ESRD). Renal Osteopahtia could induce the severe damage of skeleton, presenting with the diseases such as osteomalacia, osteoporosis, osteoarthritis, etc. And this disease could aggravate the metabolic disorders of calcium-phosphorus, thereby inducing the skin itchy, anemia and harms of nerve and cardiovascular systems.
Treatment for Renal Osteopathia
As for the prevention and treatment for the kidney osteodystrophy, it should be started at the early and mid stage of chronic kidney disease. Specifically, it should be started from these aspects: control the blood phosphorus, supply the calcium salt, and supply the active Vitamin D and adjust the parathyroid glands functional hyperfunction, etc.
Control the Phosphorus
How to Lower High Phosphorus for Dialysis Patients
There are mainly two methods for controlling the phosphorus: prevent the intake of phosphorus and increase the discharge of phosphorus. The former one is the foundation of controlling the serum phosphorus. Due to the intake of phosphorus always exceeds the 800mg in every day diet, so intake of phosphorus should be strictly controlled.
Supply the Calcium Sodium
Calcium salt is a kind of phosphorus agglutinant, so it could effectively reduce the intake of phosphorus by intestinal tract, thereby achieve the aim of treatment for hyperphosphalemia. The use of calcium salt along with the active Vitamin D preparation could better promote the blood calcium levels and control the happening of secondary hyperparathyroidism.
What Should CKD Patients Care In Their Sodium Intake
Supply the Active D and Control the Secondary Hyperparathyroidism
Active vitamin D preparation could effectively boost the intake of calcium in the gastrointestinal tract, and increase the reabsorption of renal tubules to the calcium.
So these are the basic introductions for the Renal Osteopathia. Renal Osteopathia will progress to a detoriating state if not well treated. So our hospital would like to help you if you need the treatment.