2017年8月17日星期四
How to Increase Urine for Kidney Failure Patients?
The most basic function of our kidneys is to produce urine so that toxins can be expelled smoothly along with excretion of urine. However, for patients with Kidney Failure, how to increase urine become a difficulty issue. Fortunately, you will find out the available treatments for the condition.
How dangerous is oliguria for kidney failure patients?
In renal failure stage, patients have lost more than 85% renal function which cannot function effectively. Along with decline of renal function, patients are prone to suffer from oliguria. Then, more and more toxins cannot be expelled timely, which can cause further kidney damage, threatening life quality.
Well then, how to increase urine output for renal failure patients?
Actually, if kidneys stop producing urine totally, it is necessary to receive dialysis treatment which can replace parts of renal function to sustain patients’life. However, as a matter of fact, dialysis cannot increase urine output at all because it fails to repair kidney damage and improve renal function. Well then, how to do?
If you can come to Shijiazhuang Kidney Disease Hospital, you will have more treatments that not only can help increase urine output but also can improve life quality. Here below are some unique therapies for your information.
Acupuncture: through stimulating the acupoints around kidneys, the related cells and nerves will secrete elements and produce responses to support the normal activities of kidney. Through stimulating the shenshu acupoint with the needle, many patients has increased their urine volume.
Medicated Bath: the medicines has diffusing function, with the increased blood, patients will urinate and sweat a lot, which is a good way to celan the toxins and wastes in blood.
Micro-Chinese Medicine Osmotherapy: It is an external application of Chinese herbal medicine. About 13-14 kinds of Chinese herbs are super-finely shattered. With osmosis device and penetrant liquid, the effective ingredients can permeate into kidney lesions directly. These ingredients have the function of dilating blood vessels, fighting against inflammation and degrading extracellular matrixes, thus increasing the whole blood circulation. Then, kidneys can get enough blood volume and oxygen to function well. As long as kidney function get well improvement, kidney will continue to produce urine.
2011年11月11日星期五
What causes kidney failure?
Renal failure or kidney failure (formerly called renal insufficiency) describes a medical condition in which thekidneys fail to adequately filter toxins and waste products from the blood. The two forms are acute (acute kidney injury) and chronic (chronic kidney disease); a number of other diseases or health problems may cause either form of renal failure to occur.
Examples of prerenal causes of kidney failure are:
Examples of prerenal causes of kidney failure are:
- hypovolemia (low blood volume) due to blood loss;
- dehydration from loss of body fluid (for example, vomiting, diarrhea, sweating, fever);
- poor intake of fluids;
- medication, for example, diuretics ("water pills") may cause excessive water loss; and
- abnormal blood flow to and from the kidney due to obstruction of the renal artery or vein.
- Sepsis: The body's immune system is overwhelmed from infection and causes inflammation and shutdown of the kidneys. This usually does not occur with urinary tract infections.
- Medications: Some medications are toxic to the kidney, includingnonsteroidal anti-inflammatory drugs like ibuprofen and naproxen. Others potentially toxic medications include antibiotics like aminoglycosides [gentamicin (Garamycin), tobramycin], lithium(Eskalith, Lithobid), iodine-containing medications such as those injected for radiology dye studies.
- Rhabdomyolysis: This is a situation in which there is significant muscle breakdown in the body, and the damaged muscle fibers clog the filtering system of the kidneys. this can occur because of trauma, crush injuries, and burns. Some medications used to treat high cholesterolcan cause rhabdomyolysis.
- Multiple myeloma
- Acute glomerulonephritis or inflammation of the glomeruli, the filtering system of the kidneys. Many diseases can cause this inflammation including systemic lupus erythematosus, Wegener's granulomatosis, and Goodpasture syndrome.
- Obstruction of the bladder or the ureters can cause back pressure because the kidneys continue to produce urine, but the obstruction acts like a dam, and urine backs up into the kidneys. When the pressure increases high enough, the kidneys are damaged and shut down.
- Prostatic hypertrophy or prostate cancer may block the urethra and prevents the bladder from emptying.
- Tumors in the abdomen that surround and obstruct the ureters.
- Kidney stones. Usually, kidney stones affect only one kidney and do not cause kidney failure. However, if there is only one kidney present, a kidney stone may cause the lone kidney to fail
2011年10月15日星期六
Acute kidney failure
Kidney failure; Renal failure; Renal failure - acute; ARF; Kidney injury - acute
Last reviewed: August 31, 2010.
Acute (sudden) kidney failure is the sudden loss of the ability of the kidneys to remove waste and concentrate urine without losing electrolytes.
Causes, incidence, and risk factors
There are many possible causes of kidney damage. They include:
Acute tubular necrosis (ATN)
Autoimmune kidney disease, including:
Acute nephritic syndrome
Interstitial nephritis
Decreased blood flow due to very low blood pressure, which can result from:
Burns
Dehydration
Hemorrhage
Injury
Septic shock
Serious illness
Surgery
Disorders that cause clotting within the kidney's blood vessels:
Hemolytic-uremic syndrome
Idiopathic thrombocytopenic thrombotic purpura (ITTP)
Malignant hypertension
Transfusion reaction
Scleroderma
Infections that directly injure the kidney, such as:
Acute pyelonephritis
Septicemia
Pregnancy complications, including:
Placenta abruptio
Placenta previa
Urinary tract obstruction
Symptoms
Bloody stools
Breath odor
Bruising easily
Changes in mental status or mood
Decreased appetite
Decreased sensation, especially in the hands or feet
Fatigue
Flank pain (between the ribs and hips)
Hand tremor
High blood pressure
Metallic taste in mouth
Nausea or vomiting, may last for days
Nosebleeds
Persistent hiccups
Prolonged bleeding
Seizures
Slow, sluggish movements
Swelling - generalized (fluid retention)
Swelling of the ankle, foot, and leg
Urination changes:
Decrease in amount of urine
Excessive urination at night
Urination stops completely
Signs and tests
Many patients have generalized swelling caused by fluid retention. The doctor may hear a heart murmur, crackles in the lungs, or signs of inflammation of the lining of the heart when listening to the heart and lungs with a stethoscope.
The results of laboratory tests may change suddenly (within a few days to 2 weeks). Such tests may include:
BUN
Creatinine clearance
Serum creatinine
Serum potassium
Urinalysis
A kidney or abdominal ultrasound is the preferred test for diagnosing kidney failure, but abdominal x-ray, abdominal CT scan, or abdominal MRI can tell if there is a blockage in the urinary tract.
Blood tests may help reveal the underlying cause of kidney failure. Arterial blood gas and blood chemistries may show metabolic acidosis.
Treatment
Once the cause is found, the goal of treatment is to restore kidney function and prevent fluid and waste from building up in the body while the kidneys heal. Usually, you have to stay overnight in the hospital for treatment.
The amount of liquid you eat (such as soup) or drink will be limited to the amount of urine you can produce. You will be told what you may and may not eat to reduce the buildup of toxins normally handled by the kidneys. Your diet may need to be high in carbohydrates and low in protein, salt, and potassium.
You may need antibiotics to treat or prevent infection. Diuretics ("water pills") may be used to help the kidneys lose fluid.
Calcium or glucose/insulin will be given through a vein to help avoid dangerous increases in blood potassium levels.
Dialysis may be needed, and can make you feel better. It is not always necessary, but it can save your life if your potassium levels are dangerously high. Dialysis will also be used if your mental status changes, you stop urinating, develop pericarditis, retain too much fluid, or cannot eliminate nitrogen waste products from your body.
Support Groups
The stress of having an illness can often be helped by joining a support group where members share common experiences and problems.
See: Kidney disease - support group
Expectations (prognosis)
Acute kidney failure is potentially life-threatening and may require intensive treatment. However, the kidneys usually start working again within several weeks to months after the underlying cause has been treated.
In some cases, chronic renal failure or end-stage renal disease may develop. Death is most common when kidney failure is caused by surgery, trauma, or severe infection in someone with heart disease, lung disease, or recent stroke. Old age, infection, loss of blood from the intestinal tract, and progression of kidney failure also increase the risk of death.
Complications
Chronic (long-term) kidney failure
Damage to the heart or nervous system
End-stage kidney disease
High blood pressure
Loss of blood in the intestines
Calling your health care provider
Call your health care provider if your urine output slows or stops or you have other symptoms of acute kidney failure.
Prevention
Treating disorders such as high blood pressure can help prevent acute kidney failure.
Last reviewed: August 31, 2010.
Acute (sudden) kidney failure is the sudden loss of the ability of the kidneys to remove waste and concentrate urine without losing electrolytes.
Causes, incidence, and risk factors
There are many possible causes of kidney damage. They include:
Acute tubular necrosis (ATN)
Autoimmune kidney disease, including:
Acute nephritic syndrome
Interstitial nephritis
Decreased blood flow due to very low blood pressure, which can result from:
Burns
Dehydration
Hemorrhage
Injury
Septic shock
Serious illness
Surgery
Disorders that cause clotting within the kidney's blood vessels:
Hemolytic-uremic syndrome
Idiopathic thrombocytopenic thrombotic purpura (ITTP)
Malignant hypertension
Transfusion reaction
Scleroderma
Infections that directly injure the kidney, such as:
Acute pyelonephritis
Septicemia
Pregnancy complications, including:
Placenta abruptio
Placenta previa
Urinary tract obstruction
Symptoms
Bloody stools
Breath odor
Bruising easily
Changes in mental status or mood
Decreased appetite
Decreased sensation, especially in the hands or feet
Fatigue
Flank pain (between the ribs and hips)
Hand tremor
High blood pressure
Metallic taste in mouth
Nausea or vomiting, may last for days
Nosebleeds
Persistent hiccups
Prolonged bleeding
Seizures
Slow, sluggish movements
Swelling - generalized (fluid retention)
Swelling of the ankle, foot, and leg
Urination changes:
Decrease in amount of urine
Excessive urination at night
Urination stops completely
Signs and tests
Many patients have generalized swelling caused by fluid retention. The doctor may hear a heart murmur, crackles in the lungs, or signs of inflammation of the lining of the heart when listening to the heart and lungs with a stethoscope.
The results of laboratory tests may change suddenly (within a few days to 2 weeks). Such tests may include:
BUN
Creatinine clearance
Serum creatinine
Serum potassium
Urinalysis
A kidney or abdominal ultrasound is the preferred test for diagnosing kidney failure, but abdominal x-ray, abdominal CT scan, or abdominal MRI can tell if there is a blockage in the urinary tract.
Blood tests may help reveal the underlying cause of kidney failure. Arterial blood gas and blood chemistries may show metabolic acidosis.
Treatment
Once the cause is found, the goal of treatment is to restore kidney function and prevent fluid and waste from building up in the body while the kidneys heal. Usually, you have to stay overnight in the hospital for treatment.
The amount of liquid you eat (such as soup) or drink will be limited to the amount of urine you can produce. You will be told what you may and may not eat to reduce the buildup of toxins normally handled by the kidneys. Your diet may need to be high in carbohydrates and low in protein, salt, and potassium.
You may need antibiotics to treat or prevent infection. Diuretics ("water pills") may be used to help the kidneys lose fluid.
Calcium or glucose/insulin will be given through a vein to help avoid dangerous increases in blood potassium levels.
Dialysis may be needed, and can make you feel better. It is not always necessary, but it can save your life if your potassium levels are dangerously high. Dialysis will also be used if your mental status changes, you stop urinating, develop pericarditis, retain too much fluid, or cannot eliminate nitrogen waste products from your body.
Support Groups
The stress of having an illness can often be helped by joining a support group where members share common experiences and problems.
See: Kidney disease - support group
Expectations (prognosis)
Acute kidney failure is potentially life-threatening and may require intensive treatment. However, the kidneys usually start working again within several weeks to months after the underlying cause has been treated.
In some cases, chronic renal failure or end-stage renal disease may develop. Death is most common when kidney failure is caused by surgery, trauma, or severe infection in someone with heart disease, lung disease, or recent stroke. Old age, infection, loss of blood from the intestinal tract, and progression of kidney failure also increase the risk of death.
Complications
Chronic (long-term) kidney failure
Damage to the heart or nervous system
End-stage kidney disease
High blood pressure
Loss of blood in the intestines
Calling your health care provider
Call your health care provider if your urine output slows or stops or you have other symptoms of acute kidney failure.
Prevention
Treating disorders such as high blood pressure can help prevent acute kidney failure.
2011年10月14日星期五
Do you know what are kidney failure or uremia
Renal failure or kidney failure (formerly called renal insufficiency) describes a medical condition in which the kidneys fail to adequately filter toxins and waste products from the blood. The two forms are acute (acute kidney injury) and chronic (chronic kidney disease); a number of other diseases or health problems may cause either form of renal failure to occur.
Renal failure is described as a decrease in glomerular filtration rate. Biochemically, renal failure is typically detected by an elevated serum creatinine level. Problems frequently encountered in kidney malfunction include abnormal fluid levels in the body, deranged acid levels, abnormal levels of potassium, calcium, phosphate, and (in the longer term) anemia as well as delayed healing in broken bones. Depending on the cause, hematuria (blood loss in the urine) and proteinuria (protein loss in the urine) may occur. Long-term kidney problems have significant repercussions on other diseases, such as cardiovascular disease.
Do you know uremia? End-stage kidney disease is uremia in some country, Eg.China.But many country people don't know uremai.There are only kidney failure or renal failure.
Uremia or uraemia (see spelling differences) is a term used to loosely describe the illness accompanying kidney failure (also called renal failure), in particular the nitrogenous waste products associated with the failure of this organ.[1]
In kidney failure, urea and other waste products, which are normally excreted into the urine, are retained in the blood. Early symptoms include anorexia and lethargy, and late symptoms can include decreased mental acuity and coma. Other symptoms include fatigue, nausea, vomiting, cold, bone pain, itch, shortness of breath, and seizures. It is usually diagnosed in kidney dialysis patients when the glomerular filtration rate, a measure of kidney function, is below 50% of normal.[2]
Azotemia is another word that refers to high levels of urea, but is used primarily when the abnormality can be measured chemically but is not yet so severe as to produce symptoms. Uremia can also result in uremic pericarditis. There are many dysfunctions caused by uremia affecting many systems of the body, such as blood (lower levels of erythropoietin), sex (lower levels of testosterone/estrogen), and bones (osteoporosis and metastatic calcifications). Uremia can also cause decreased peripheral conversion of T4 to T3, producing a functionally hypothyroid state.
Renal failure is described as a decrease in glomerular filtration rate. Biochemically, renal failure is typically detected by an elevated serum creatinine level. Problems frequently encountered in kidney malfunction include abnormal fluid levels in the body, deranged acid levels, abnormal levels of potassium, calcium, phosphate, and (in the longer term) anemia as well as delayed healing in broken bones. Depending on the cause, hematuria (blood loss in the urine) and proteinuria (protein loss in the urine) may occur. Long-term kidney problems have significant repercussions on other diseases, such as cardiovascular disease.
Do you know uremia? End-stage kidney disease is uremia in some country, Eg.China.But many country people don't know uremai.There are only kidney failure or renal failure.
Uremia or uraemia (see spelling differences) is a term used to loosely describe the illness accompanying kidney failure (also called renal failure), in particular the nitrogenous waste products associated with the failure of this organ.[1]
In kidney failure, urea and other waste products, which are normally excreted into the urine, are retained in the blood. Early symptoms include anorexia and lethargy, and late symptoms can include decreased mental acuity and coma. Other symptoms include fatigue, nausea, vomiting, cold, bone pain, itch, shortness of breath, and seizures. It is usually diagnosed in kidney dialysis patients when the glomerular filtration rate, a measure of kidney function, is below 50% of normal.[2]
Azotemia is another word that refers to high levels of urea, but is used primarily when the abnormality can be measured chemically but is not yet so severe as to produce symptoms. Uremia can also result in uremic pericarditis. There are many dysfunctions caused by uremia affecting many systems of the body, such as blood (lower levels of erythropoietin), sex (lower levels of testosterone/estrogen), and bones (osteoporosis and metastatic calcifications). Uremia can also cause decreased peripheral conversion of T4 to T3, producing a functionally hypothyroid state.
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