The value of residual renal function is an important index to measure the quality of Kidney Failure and to influence the final prognosis. Therefore, renal function is the most important part in the treatment of nephropathy. Among the factors affecting the progress of renal function, various complications are very important for the prognosis of patients.
Most of the nephropathy patients in the treatment, the most concerned is the quality of the symptoms and the corresponding indicators. Among them, proteinuria and serum creatinine are typical. The higher the creatinine, the higher the level of toxin in the body, the worse the detoxification function of the kidney.
Although these two indicators play an important role in judging the quality of renal function and measuring the progress of the disease. However, in order to maintain long-term stability of renal function, the following four indicators should not be ignored:
1. Blood uric acid
Serum creatinine and uric acid also increased. Both indicators reflect the level of toxins in the body. Uric acid is normally excreted through renal filtration, but when renal function is impaired, the excretion rate can not catch up with the production rate, which will lead to accumulation.
On the one hand, uric acid will directly aggravate the inflammation of kidney, accelerate the formation of renal fibrosis and sclerosis, on the other hand, a large amount of uric acid will deposit crystals in the kidney blood vessels, thus affecting blood circulation, aggravating renal ischemia and hypoxia. In addition, uric acid deposition in the joint is very easy to form gout, further impairing renal function, so reducing uric acid is equally important.
Principle of reducing uric acid: Take urinary drugs such as allopurinol and febristine on time, adhere to a low purine diet, eat more fresh vegetables and fruits, quit smoking and alcohol is the best, pay attention to appropriate exercise to accelerate blood circulation and control weight.
2. Blood potassium
After the decline of renal filtration function, electrolyte disturbance will also be caused, and hyperkalemia in the later stage of nephropathy is one of the typical electrolyte disturbances.
Generally, hyperkalemia can be diagnosed if the blood potassium level exceeds 5.5 mmol/L. Excessive blood potassium will cause many hidden dangers, which will not only aggravate the instability of renal function, but also induce arrhythmia, limb numbness, muscle soreness and so on. The most serious cause is cardiovascular disease. Therefore, all patients progressing to renal insufficiency should pay attention to the monitoring of electrolyte-related indicators such as blood potassium.
Patients with high blood potassium can take diuretics properly, adhere to a low potassium diet, and avoid taking potassium-raising drugs.
Renal insufficiency can lead to the decline of hematopoietic function, which is mainly manifested by the decrease of erythropoietin production in the kidney. According to gender, the hemoglobin of male is less than 120 g/L, that of adult female (non-pregnant) is less than 110 g/L, and that of pregnant women is less than 100 g/L.
Anemia patients need to be injected with erythropoietin in time to stimulate the formation of red blood cells and improve anemia. In addition, anemia patients should pay attention to iron supplementation, and pay attention to the detection of iron. Iron can be injected intravenously or taken orally. Daily diet can also take in more iron-rich foods, such as animal liver, animal blood and red meat.
4. Blood pressure level
About 80% of patients with renal insufficiency have elevated blood pressure, and some of them have hypertension themselves. High blood pressure can affect the blood flow of kidney function, as well as the risk of cardiovascular disease, so attention should be paid to control. In general, the blood pressure of patients with nephropathy should be controlled within 130/80 mmHg. The patients with proteinuria should be controlled within 125/75 mmHg.
Patients with hypotensive nephropathy should adhere to a low-salt diet, take antihypertensive drugs, and pay attention to monitoring changes in blood pressure levels, which is more conducive to delaying renal function.
If you want to know more information, please leave a message below or send the medical reports to us. We will try our best to help you.
WhatsApp/Viber: +86 13503211882