2014年11月23日星期日

Causes of Edema in Chronic Kidney Disease (CKD)

When long-term edema appears to us, we always worry we suffer from Chronic Kidney Disease (CKD) and that is because edema is one of the common symptoms of kidney disease. Well then, why people suffering from Chronic Kidney Disease have edema? What are the causes of edema in kidney disease?
Edema is caused by the retention of excessive fluid among the tissues. Edema appearing in people suffering from Chronic Kidney Disease can be caused through different pathological process.
First of all, edema in Chronic Kidney Disease can arise from the great loss of large amount of protein. Protein is one of the necessary substances while maintaining our normal activities. When kidneys are damaged, large amount of protein in the blood are leaked out and get out of our body along with urine. Reducing of protein in the blood will lower the solute concentration of our blood. To keep balance of solute concentration between inside and outside of blood vessels, more and more fluid in the blood will ooze and get into tissues and as a result, edema appear.(Swelling and Kidney Disease)
Secondly, edema can result from the decreased glomerular filtration rate. Decrease of glomerular filtration rate means less blood flow can be filtrated by glomerulus. Our kidneys have excretion function and as blood flow filtrated by glomerulus decrease, the fluids discharged by our kidneys decrease therewith.
Thirdly, causes of edema in Chronic Kidney Disease also include the retention of sodium and water in our body. In general, about ninety nine percent of sodium and water will be reabsorbed by renal tubules. However, because of some reasons like increased glomerular filtration rate, much more water and sodium are reabsorbed and leading to the retention of water and sodium in our body and consequently, edema appears.

The causes we mentioned above are the major causes of edema in Chronic Kidney Disease. If there is anything unclear or you want to know more about edema or Chronic Kidney Disease, you can email to me or consult our consultant online, we will try our best to help you.

Can CKD(Chronic Kidney Disease) Cause Back Pain

Can CKD cause back pain? Yes. CKD(Chronic Kidney Disease) can not only influence the renal function, but also leads to the chain reaction in many other part such as back. Back has close relationship with kidney. Many patients with CKD(Chronic Kidney Disease)has different degree of pain. And generally, pain which is caused by kidney disease can be divided into the following kinds.
The first kind is swelling kidney caused by renal parenchyma. It is usually caused by acute renal glomerular nephrtis, progressive nephritis, and so on. The swelled kidney stretches renal capsule, which can lead to continuous dull pain or distendingpain. Some of patients can also have gross hematuria, edema, high blood pressure and so on.
The second kind is infectious kidney disease. It is often seen in nephrapostasis, acute pyelonephritis, which is always due to infections of bacteria. Pain usually takes place in one side of the kidney, which will be more serious if pressed. In addition, infectious kidney disease can also be accompanied by fever, chill. It can be diagnosed by test of blood or urine.
The third kind of pain is caused by renal cyst. With the cysts growing in or outside of the kidney, their size will become bigger and bigger, which will press or squeeze the renal tissues or other normal cells which is located around the cyst. What’s more, some cysts inside the kidney can also grow to renal capsule, stretch kidney capsules, which leads to the continuous bursting pain or dull pain. Cysts in the kidney can be diagnosed by B ultrasound or CT.
The fourth kind of pain is caused by kidney stone. It can be intermittent, which spreads to the perineum. It is sometimes together with vomiting, nausea, and even gross hematuria when it is serious.
The last kind of pain is caused by Diabetic Nephropathy. Pain can be caused by nerve invasion. At the end stage of kidney disease, the adjustment function of kidney is damaged. So in clinic, continuous pain in back comes into being.

Back pain(Back Pain and Kidney Disease) is a common symptom in CKD(chronic kidney disease) patients in clinic. If patients still have other symptoms such as hematuria, proteinuria, edema or high blood pressure, they should have an examination on urine or blood test to make a diagnosis whether patients are suffering from CKD(chronic kidney disease). Once diagnosed with CKD(chronic kidney disease), patients should receive treatment as soon as possible.

Factors Which can Accelerate Development of Chronic Kidney Disease

What can worsen kidney disease? If we have a good knowledge about these factors, we can take some preventive measures and slow down the development of kidney disease. Here experts of Shijiazhuang Kidney Disease Hospital will offer a general introduction according to recent years' clinical observation.
Renal ischemia: factors which can cause inadequate circulatory blood volume, will worsen kidney disease. These factors contain dehydration, operation and so on.
Renal poisoning: in our daily life, the main causation for renal poisoning is medicine which is quite unfavourable to patients' body and aggravate kidney damage.
Infection: infection is a main factor which can affect the progress of kidney disease. All of infections of skin, mucosa or tonsil can cause or aggravate kidney damage with the main symptom of blood in urine. If the infection is quite serious, renal failure may be caused.
Pregnancy: if the blood pressure and renal function of pregnant woman with kidney disease are normal, pregnancy will not cause obvious affection on kidney damage. But if the hypertension and decline of renal function have occurred, pregnancy will cause big affection to patient's disease, even causing other diseases.

i hope the above information can help you. If you have any question, please send email to me . Wish you a good health!

FIVE CLINICAL STAGES OF DIABETIC NEPHROPATHY

In clinic, according to the symptoms, Diabetic Nephropathy can be divided into mainly five stages. At early stage, it is easier to be treated. In this passage, we will mainly introduce the five stages and its specific symptoms and hope patients can seize the best opportunity to adopt effective treatment to recover.
The first stage of Diabetic Nephropathy is characterized by increased GFR(glomerular filtration rate) and increased kidney size. Glomerular filtration rate (GFR) is the volume of fluid filtered from the renal (kidney) glomerular capillaries into the Bowman's capsule per unit time. If glomerular filtration rate increases in this stage, it proved that some glomeruli are damaged due to insufficiency of blood and oxygen, etc, so the remained renal glomeruli will do more work to replace what the having damaged ones did before. Luckily, in this stage, patients’ condition is reversible. After Diabetic Nephropathy apply insulin, they can recover.
In the second stage, the albumin in urine is normal. But the structure of some renal glomeruli begins to change. UAE will increase after patients with Diabetic Nephropathy take exercise. They can also recover after having a rest.
In the third stage, the discharge rate of albumin is 20--200μg/ min. In addition, the blood pressure can also increase, and some renal glomeruli become deserted. Kidney disease symptoms begin to appear, so we can also call this stage early stage of Diabetic Nephropathy.
The fourth stage is called clinical Diabetic Nephropathy or dominant Diabetic Nephropathy. The characteristic of this stage is a large amount of proteinuria(Proteinuria and Kidney Disease), edema and high blood pressure. Edema is relatively serious in this stage. Patients with Diabetic Nephropathy have bad reaction to diuretic.
In the last stage, patients with Diabetic Nephropathy will develop into the advanced stage of kidney disease, which can also be called uremia stage. In this stage, the filtration function declines, which leads to renal failure. In addition, patients can also have secondary nerve lesion and heart disease. These above mentioned complications are often the real reason why patients with Diabetic Nephropathy lost their life.

The above mentioned are about manifestations of the different stages of Diabetic Nephropathy. Generally, people should have physical examination once a year. Once diagnosed with Diabetic Nephropathy, patients should take effective measure as soon as possible. As for the treatment, we recommend the combination of Chinese medicine and western medicine, which is called Micro-Chinese Medicine Osmotherapy and Immunotherapy. In general, Micro-Chinese Medicine Osmotherapy help create a clean inner environment and then Immunotherapy can repair the damaged islet beta cells and damaged intrinsic cells in kidney.

Which Factors Lead to Diabetic Nephropathy

Diabetic Nephropathy can not be found out at early stage. Once it is found, it has often been in advanced stage and has deteriorated. So which factors lead to Diabetic Nephropathy? They are as follows:
The first factor is the abnormal renal haemodynamics. Renal haemodynamics plays a critical role in the coming into being of Diabetic Nephropathy. When the blood sugar is high, the pressure in capillary wall will increase, which leads to the extension of mesangial area, the fusion of foot process of epithelial cells. The epithelial cells drop from renal basilar membrane, which leads to the ultrafiltration and ultraperfusion. Basilar IV collagen messenger increase, which leads to the increased thickness of basilar membrane. At last, diffusibility and nodositas will come into being, leading to sclerosis. With the increasing of dynamic pressure of renal blood flow, the filtration of protein increases, which leads to the increase of matrix. Nodositas renal glomerular sclerosis comes into being.
The second factor is high blood sugar. In most cases, the occurrence of Diabetic Nephropathy is related to high blood sugar. When the sugar in the blood is not controlled well, high blood sugar and increased adanced glycation end products can lead to the proliferation of mesangial cells and increased matrix. The mesangial area will extend, which can lead to the occurrence of Diabetic Nephropathy.
The third factor is high blood pressure. High blood pressure has no direct connection with Diabetic Nephropathy. But in the high blood pressure(High Blood Pressure and Kidney Disease) stage when there is microalbunminuria, the high blood pressure can lead to the deterioration of renal function, which causes Diabetic Nephropathy.
The fourth factor is genetic factors. People whose parents have had Diabetic Nephropathy are more likely to have Diabetic Nephropathy compared with those whose parents do not have Diabetic Nephropathy.
The fifth factor is the increased blood viscosity and the block of micro-circulation. Blood viscosity and the block of micro-circulation can lead to thrombus easily. Once thrombus comes into being, renal unites will be in the insufficiency of blood and oxygen. Protein in urine will increase and renal function will decline.
The sixth factor is high protein diet. It is also a factor which can bring more burden to the kidney, and cause vicious circle. So for patients with Diabetic Nephropathy, the intake of protein should not be more than 40g.

The last factor is hyperlipidemia, which is common among those with Diabetic Nephropathy. Hyperlipidemia can promote the renal glomerular sclerosis and accelerate the development of Diabetic Nephropathy.

Overstrain Can Induce IgA Nephropathy

IgA Nephropathy is a typical chronic kidney disease and nearly 70% patients suffer from this due to long term fatigue and over work. Whatever you are a filmstar, showman or common people, long term overburden has become one of the most important factors to cause IgA Nephropathy. Then what is the link between overstrain and IgA Nephropathy and how to prevent its aggravation to worse condition?
When we are exhausted, together with high work pressure and mental pressure, our immunity will be quiet low and we can easily get upper respiratory tract disease, swelling on his limbs or face, proteinuria and even high blood pressure, faint or other discomforts. All these conditions contain massive immune reaction and massive immune complex can be produced. However, these symptoms are usually neglected by people and they do not monitor their blood pressure and do not see their doctor, because most people think they can recover naturally after a rest. Consequently, their condition aggravate into severe general swelling, hematuria and severe renal impairment.
Massive cases show that IgA Nephropathy is a quite common kidney disease and usually have an occult development, so it is hardly detected in early stage. Many patients did not know when they begin to be attacked by this disease. When they see their doctor due to severe discomforts, their statement is usually overstrain in recent days. Therefore, for those people who have too much mental stress and feel fatigue easily, they should take early precautions and balance work and rest. Especially for those entertainers, they usually have work in special conditions, so they need keep warm and avoid cold. If cold and other discomforts appear, much attention should be given, they should take early rest and proper treatment. And for those people engage in tight work, they should take enough nutrition and take proper exercises so as to improve immunity. Once there is swelling on limb or limb, decreased urine volume, faint and other condition which might indicate renal impairment, patients should take early and proper treatment in professional hospitals to avoid big health problems.
Treatment cases show that early prevention can effectively avoid IgA Nephropathy aggravating into severe condition, and the more mild condition is and the more prompt treatment can give, patients can surely to reduce the occurrence of Uremia and live a longer time. Patients can take below precautions in early stage: patients can take exercise half hour every day and heart beat plus age equals to 170 is the standard. At the very beginning, patients should take exercise step by step, and patients can take walking, jogging, Taiji and other mild exercises. Many people think patients with renal failure should not take exercise, because they think exercise can aggravate illness condition. Illness might frustrate when you just take exercises but as long as you take consistently, your constitution can surely get improved. Besides, patients should pay attention to diet. When renal failure happens, most toxins mess up in human body and poison human body. These toxins are the metabolic products of proteins so patients need control diet intake properly.

Patients need have scientific recognition about IgA nephropathy and take precautions at early time so that the aggravation speed can be reversed properly. For additional information, you can email me.

2014年11月22日星期六

What Are the Reasons for Foot Rot Resulted by Diabetes

Is the diabetes bound to induce Diabetic Foot (DF)? And is the inducement of Diabetic Foot caused by rot foot? So what are the reasons for rot foot for the patients of diabetes? And how much do we really know about the reasons for Diabetic Foot?
When the foot fester occurs, the patients of diabetes would have such symptoms as the feeling of limb numb, pain, the loss of consciousness, edema or the drop in the temperature of foot skin, etc. Diabetic angiopathy could divide into the vein vascular lesions and arterial disease, the appearance of which could result the lesion on body organs and tissues, thus lead to the stagnation and obstruction of the blood flow; so the blood supply in body extremities could be limited and then result the foot necrosis and deteriorate into fester. The diabetic neuropathy could also happen in the patients of diabetes, as a result of the neuropathic functional disorders or something else, so bad result would occur such as the loss of aesthesis and limb numb, etc.

Diabetic Foot is a very serious problem, but many patients are not aware about that, so they neglect the control of blood sugar in their daily lives, day by day, the open wounds in foot skin could develop into ulcer due to the local neural vascular lesions, if this situation is in prolonged unhealed, the treatment could be so difficult when it comes into the middle and late stage. So, for the patients of diabetes, it is very important to understand that how the hinder of diabetes appear, and accordingly to take precautionary measures to against it.

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