2013年12月4日星期三

Of the lives of kidney disease aftercare

A, prevent colds
Nephritis, kidney disease, renal failure patients decreased due to resistance and easy to catch a cold, so a vicious circle caused kidney disease in delay or even aggravate gradually, thus, active prevention and treatment of cold for the rehabilitation and improve the prognosis of kidney disease have very important significance, must not be taken for granted. Chinese often say "cure not ill", "good governance is the fur", prevention is stressing the need to respond, to timely and effective treatment table card, increase in the disease from man.
Kidney patients should keep a good state of mind, avoid overfatigue, ensure adequate sleep time, pay attention to move bowels to chang, according to the change of season and increase or decrease in clothes, at ordinary times should treat pharyngitis and tonsillitis, flu epidemic season, cold patient should be paid attention to actively improve the body resistance and so on all can prevent the happening of the cold. Some patients fear cold, often wear very thick, so even in summer, such easy to cause "sweat out when the wind", it is easy to catch a cold.
Kidney disease patients once caught a cold, should be timely treatment, in order to truncate the course of the disease. Can choose some of the proprietary Chinese medicine to cure a common cold, if afraid of the cold, fever, aches, can be a blunt cold heat granule or heavy feeling spirit tablet, to sweat out evil. If sore throat tightness or pain, but since Chinese globeflower tablet or window heart lotus, to clear the throat. If the body is slight fever with cough, can take SangJu's cold tablet, reducing the wind heat cough. If afraid of the cold diarrhea, fever with ou evil, can take it upright water, in order to nourish, wet and cold. If after the above treatment failed to ease should send for a doctor treated in hospital.
Second, avoid excessive fatigue
Traditional Chinese medicine attaches great importance to the "internal lesion caused by overexertion" etiological factors, the meaning of the meaning of "law" means excessive. The "five laws" in the ancient literature to crack, and the name of "room". Such as "element asked. Declared five gas", said: "the five wounds: long blood, long lie, sedentary injury of meat, long bone injury, long lines of injured muscle." Room's bedroom too, the consequences is the essence of consumption of kidney damage. Kidney disease patients avoid overfatigue, it is to point to avoid manual Labour and mental Labour too, and avoid excessive sexual life. Clinically because of strain and induce or aggravate the cases of kidney diseases are not uncommon, patients should be attached great importance to this cause.
It should be pointed out is to avoid overfatigue is not equal to get out of bed, all day long long lie, changeable and qi stagnation, detrimental to the body rehabilitation and master the activity level of patients with kidney disease, will be introduced below.
Patients with kidney disease should moderate sex life, this to YangXi kidney, strive for an early rehabilitation is necessary and beneficial. In general, the kidney disease clinical manifestations of lighter or recovering from patients, moderately reduce the number of sex than normal. If is renal failure patients or kidney disease clinical manifestations JiaoChongZhe should abstemious sexual life as far as possible, and kidney disease patients had sex pay special attention to the clean health, in order to prevent infection and aggravating illness. It should be pointed out that a small number of patients with kidney disease, see sex as a dangerous road, entirely prohibitive life, so that thought a lot of pressure, it is not appropriate.
Three, activity
For the requirement of kidney disease (CKD) live in patients with depression cannot treat as the same, should be decided according to the patient. Generally speaking, mildly abnormal urine test, recovery, recovery, acute nephritis nephrotic syndrome patients with chronic renal function is not complete compensatory period of don't have to be strictly limited activity, can undertake the activities of the general, but should avoid above moderate intensity physical labor, should be in school student physical education. If the clinical manifestations of the heavier, severe edema, proteinuria, naked eye hematuria attack, heart failure, severe infections, unexpectedly severe renal anemia, end-stage renal failure patients should lie in bed, activities by the strict limit, to facilitate the ease of illness and stability.
Fourth, to guide the lgA nephrosis patient's life
IgA nephropathy in primary glomerular disease incidence was the highest, and occurs in adolescents and its prognosis is large, in this part of the ages of patients involved in school, work, sports, marriage, pregnancy, the aspects of specific issues, patients themselves and their parents thought pressure, at a loss, so life guidance to the lgA nephropathy patients correctly is very necessary.
Here introduced Japan tokai university medical physician 7 according to the level 4 of the lgA nephropathy renal pathological tissue classification, formulate the corresponding life coaching measures, provide the reference for the patients.
Level 1 patient: better prognosis, daily life without limit, can be like normal person to engage in learning and work, to pregnancy and childbirth. But in urine not completely turn Yin, should be prohibited from strenuous exercise for a long period of time, such as the marathon, football, etc. In addition, still should avoid swimming, skiing and so on easy to make the movement of body catch cold catch cold. Diet don't eat spicy food for a long time.
Patients with secondary: daily life usually don't have to limit, but shall confirm the serum creatinine is normal. Pregnancy and childbirth allowed in principle, but if insufficient kidney wear take living tissue for the first time, should repeat renal wear, identified as the secondary before pregnancy and childbirth. Can be like normal person to study and work, can take part in mild exercise, but focus on training and competition is prohibited.
Level 3 patients, this group of patients both fluent speaking and written prognosis, and have poor prognosis. Study and work should be to sitting posture, avoid long standing if renal function is low, should be quiet and stay in bed for 1 hour during the day. Pregnancy are not allowed in principle, if patients with strong hope to birth, the doctor should careful consideration and study, to confirm its reluctance to pregnancy, also should explain to the patient and family to have a miscarriage and risk for deterioration of renal function. Dietary respect, began to do daily salt, proteins, and then according to adjust blood pressure and renal function.
Level 4 patients: inevitably will progress to this group of patients with chronic renal insufficiency, the rate of progress is not the same, but the prognosis is poor. For this period of patients should be first adopt conservative treatment, try to keep the patient's physical strength, should make the patient to keep quiet in the largest scope, dietary respect should adjust according to the diet of chronic renal insufficiency, efforts to control high blood pressure, and maintain a good body condition. On this basis, the slowly to dialysis and renal transplantation patients and their families of education, in order to obtain the patient's cooperation.
Five, can maintain defecate chang
TCM holds that; "The large intestine, conduction officer." This refers to the discharge by e. shit. "Lung and large intestine list", defecate can chang is closely related to the lung qi transforming, lung interpromotion, internal indicates lag in lung and stomach. According to this theory can maintain defecate chang, be helpful for the prevention and treatment of lung and stomach indicates attack on thermal throat, this to control pharyngitis, tonsillitis, and help prevent colds.
Most patients with urinary tract infections associated with stool stem node, wears, damp and hot accumulate knot and hardness, the more difficult to speed, and thus maintain defecate can chang, and hardness of hot way, this to alleviate urinary tract infection is very helpful.
Under normal circumstances, urea nitrogen in urine excreted by 75%, 25% from the eduction in feces, maintain normal making blood urea nitrogen levels. Chronic renal failure patients with end-stage, greatly reduced from the eduction in urine urea nitrogen, thus maintain defecate to chang, is conducive to the degradation of creatinine and urea nitrogen levels in the blood.
In order to maintain defecate can chang, patients should be more at ordinary times into fibre content at least much food such as vegetables, honey can runchang can then. Moreover can reserve some HuanXie proprietary Chinese medicine such as maren runchang pill, forsythia defeat poison pill, etc. Such measures are still not unobstructed stool, should send for a doctor treated in hospital.
Six, ensure a good night's sleep
Sleep is a normal physiological phenomenon, a good night's sleep can rise to eliminate fatigue, protect the brain, enhance immunity, promote development, capacity and other aspects of good effect for symptoms. Qi inverse chaos conversely, distracted, upset, memory loss, blood pressure to rise, decreased immunity, for kidney disease patients, night disturbing can make blood pressure, at the same time also is bad for calming nerves rest and get well soon.
In order to ensure a good night's sleep, unfavorable eat before sleeping, drinking lots of water and drink coffee or strong tea; At the same time also should pay attention to the aftercare of modern, avoid by all means is concerned. For patients with insomnia should send for a doctor modulation. At ordinary times oneself can spare a few nerves yangxin proprietary Chinese medicine, such as pop, sedative bushing bushing Dan capsule, nourishing blood sedative tablet and cedar seed yangxin pill, etc.
Seven, women should avoid pregnancy in patients with renal involvement
For the women of kidney disease patients should be the difference between the nature of the pregnancy, deliberate processing, patients should get the doctor agreed to rear can pregnancy, and in the case of always observe the urine pregnancy loss index, blood pressure and renal function.
In general, the kidney pathological type is lighter, damage degree and the scope of the lighter, not high blood pressure, kidney function is normal, mildly abnormal or converted to normal urine test, response to treatment is good, good mood of patients with remission, the influence of pregnancy on kidney is not too big. Nephritis hematuria patients in stable condition 6 ~ 12 months, the effects of a pregnancy and childbirth.

If the kidney pathological damage of heavier, diastolic blood pressure over 12600 mpa (95 MMHG), renal function, low creatinine clearance is lower than 50 ml/min, albuminuria than 3 ~ 5 grams per day, poor response to treatment, the treatment of patients with active, should avoid or delay pregnancy, because of the effect of pregnancy on kidney is great, original kidney function not plenary session further deterioration, and will add to earlier urine test, at the same time is to merge the pregnancy poisoning, mortality is higher in the perinatal period, the incidence rate of premature and low birthweight is higher also. So female kidney disease patients avoid pregnancy appropriate problem, should be has drawn great attention of the patient and family.
http://www.pkdclinic.org/living-healthy/

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