2014年1月28日星期二

Treatment for High Blood Pressure in CKD

How should we treat high blood pressure in CKD? And in which way can we get the best and effective results? The patients with high blood pressure in CKD must have cared about this topic very much. Here we will make a detailed explanation for you.
Although different stages have different treatment plans, they are all for the purpose of getting better. The best results we can get after treatment include:
Control blood pressure within less than 130/80.
Make kidney disease get better.
Decrease the rate of heart disease.
If patients with high blood pressure in CKD want to achieve the above goals, they must change themselves in many aspects, such as a healthier diet, more exercising and proper medications.
Now we will describe the specific treatment for it.
The treatment of renovascular hypertension
Renovascular hypertension is always treated by surgery mostly, which is the best therapy. And patients should have a healthy life.
The treatment of renal hypertension
1. Modification of life. Have a healthy diet. In stage 1 and 2, patients should eat more food which is rich in fruits and vegetables, low in sodium and sugar. When kidney function decreases largely, patients should control the intake of things, such as protein, cholesterol, saturated fat, potassium and phosphorus. Besides, patients should take more exercise and lose weight.
2. Anti-hypertensive medications: this medicine can control blood pressure of patients within a normal range. The most commonly anti-hypertensive medications include: ACEI, ARB, beta blockers, calcium channel blockers, diuretic, etc. What is more, you must take the medicine as your doctor advises. Never take the medicine blindly by yourself.
3. Micro-Chinese Medicine Osmotherapy. With the effect of anti-coagulation and extending blood pressure, this therapy can reduce the force of blood against the walls of blood vessels, thus lowering hypertension. Besides, this therapy can also help reverse patients’ kidney damage and improve kidney function.
4. Therapy for CKD. Medicines for chronic kidney disease. Patients use these medicines to slow down the deterioration of kidney function, which can contribute to lowering blood pressure.

In a word, we should combine the treatment of high blood pressure and chronic kidney disease. Only in this way can we get the best and effective treatment for high blood pressure in CKD.

2014年1月27日星期一

What Is End Stage Renal Disease

End stage renal disease is also known as the fifth stage of chronic kidney disease. End stage renal disease means that the kidney function decreases sharply and is completely or almost damaged. And this damaged kidney can’t be recovered forever.
What can cause end stage renal disease?
End stage kidney disease is often caused by high blood pressure and diabetes, which have a very bad influence on the kidney.
Chronic kidney disease can always lead to end stage renal disease. Before the patients with chronic kidney disease develop into end stage renal disease, they always have suffered from chronic kidney disease for 10---20 years.
What are the symptoms of end stage renal disease?
The symptoms include:
Fatigue and weakness
Skin problems, such as itchy skin and dry skin
Weight loss
Loss of appetite
Nausea and vomiting
Headache
Breath difficulty and breath odor
Swelling in every area of body
Concentrating or thinking problems
Muscle twitching or cramps
What kinds of people are easy to get end stage renal disease?
The patients with chronic kidney disease are likely to get this disease.
The people whose kidneys are damaged or injured may get end stage renal disease.
The people who have a large loss of blood are prone to this disease.
How can we prevent and treat it?
The fundamental way is that we should prevent from chronic kidney disease and patients with CKD must have a good treatment to avoid the deterioration of kidney function. We should control the blood pressure and diabetes and follow the good habits like:
Go to see a doctor regularly for a time
Have a low-fat, low-salt, low-protein diet
Get enough calories if you are losing weight
Limit fluids salt, potassium, phosphorous, and other electrolytes
Take more exercise
Don’t drink or smoke
Because the kidney function of patients with end stage renal disease is completely damaged, which means it can’t filter the wastes and fluid. So patients need to do dialysis or a kidney transplant to replace the kidney.

Here is our detailed introduction, hoping it is helpful and useful to you. If you have any question, please contact us freely any time.

What is Polycystic Kidney Disease

Polycystic Kidney Disease means that there are many cysts developing in the kidney. And cysts can be growing and increasing the time. Cysts are noncancerous round sacs containing water-like fluid. The kidney function is to filter the wastes and fluid from blood to urine. When the cysts grow in the kidney, your kidney will become larger, which leads that the cysts can replace the normal structure and damage the organs. And cysts have a very bad and profound influence on the kidney, which eventually can lead to kidney failure. Besides, cysts don’t only form in the kidney, but also can develop in the liver and other organs, which causes many other problems. Polycystic kidney disease will cause many complications, such as high blood pressure and kidney failure.
Polycystic kidney disease is mostly divided into two inherited kinds, which are called autosomal recessive PKD and autosomal dominant PKD. But there is Non-hereditary polycystic kidney disease, too. Now let’s see the detailed introduction as following:
Autosomal dominant PKD:
90 percent of patients with PKD are suffering from autosomal dominant PKD. Autosomal dominant PKD is the most common type, which is because a defective gene from one of parents is inherited by the child. This disease usually shows up in the adulthood between 30 and 40 of the age, so it is but some can develop in the childhood.
Autosomal recessive PKD:
The rate of autosomal recessive PKD is rare. The patient with autosomal recessive PKD must inherit two faulty genes from each of his parents. And this disease develops very early, usually after birth, even in the womb.
Non-hereditary polycystic kidney disease:
Non-hereditary polycystic kidney disease means that it is developing due to mutation of the genes, not affected by parents. The patients with Non-hereditary polycystic kidney disease don’t need to worry that their children inherit the disease.

In a word, polycystic kidney disease has many varieties according to its severity, and some complications can be preventable. Good life habits and timely medical treatments may contribute to reducing damage to your kidneys. From the above, we can get a general understanding of Polycystic Kidney Disease, which can be helpful for patients with PKD.

2014年1月26日星期日

Symptoms of Stage 4 Kidney Disease

Kidney disease is divided into five stages according to the development. The previous two stages are almost similar in the symptoms and characteristics, which are not very obvious and less serious. As for stage 3, half of kidney function is lost, which is serious compared with the previous stages. However, when kidney disease develops to stage 4, the kidney function decreases sharply and kidney disease becomes very severe. Here we will discuss about stage 4 of kidney disease, especially about symptoms of it. Hope that patients with kidney disease can realize if his disease condition is becoming much severe.
What is stage 4 of kidney disease?
First of all, we should understand the definition of stage 4. Stage 4 means that your kidney function declines largely with your Glomerular Filtration Rate (GFR) falling to 15-30ml/min. A large amount of wastes build up in the body, which can lead to uremia. And erythropoietin can’t be produced enough for red blood cells, which can cause anemia. Besides there are many complications coexisting with kidney disease, such as high blood pressure, bone disease,heart disease and other cardiovascular diseases.
What are the symptoms of stage 4?
We can judge the development of the disease from the symptoms, which contributes to our treatment very much. Symptoms of stage 4 can fall into two categories as non-specific and specific symptoms.
Non- specific symptoms:
these symptoms can also be found with other patients of CKD or even of other diseases. Still, they are very useful indicators to test your condition.
Including:
1. Fatigue. Patients always feel tired easily.
2. Kidney pain: Most people with CKD do not have kidney pain, but with some kinds of kidney problems, such as polycystic kidney disease (PKD) or infections, they may have pain in their back where the kidneys are located.
3. Nerve problems. Early symptoms mainly include insomnia, poor concentration and memory decline. In some cases, the patients experience tingling, numbness, coma, insanity, etc.
4. Difficulty of concentrating. They can’t focus their attention and mind on what they are doing.
5. Nausea. The patients always feel nauseated.
6. Insomnia. Patients can be very hard to fall asleep because of Skin itching, restless legs or muscle cramps
Specific symptoms:
These symptoms are considered to be strong indications of the presence of stage 4
Including:
7. Urine changes. Urine can become very cloudy with full of foam.
8. Bad appetite. Patients don’t want to eat things and there is a metallic taste in their mouths.
9. Cardiovascular diseases. They are more likely to tend to heart failure, arrhythmia, myocardial damage, or smoothing like that, because of high blood pressure, water and sodium retention, anemia and toxic substances.
10. Too much fluid: The kidneys may lose their ability to control how much fluid stays in the body. A person may notice swelling (edema) in their lower legs, hands or face around the eyes. With too much fluid someone, could even feel short of breath.
The above is the symptoms of stage 4 of kidney disease.

Here is our introduction for symptoms of stage 4, hoping it is helpful for you. If you have any question, please contact us freely any time through email or phone.

Causes of skin itching with CKD

Many patients with CKD always complain about skin itching. And the research shows that the more serious CKD is, the more serious skin itching is, especially in stage 4 and 5 of chronic kidney disease. Then what are the causes of skin itching? And how can we prevent and treat it? Here we will make a detailed explanation, hoping it is useful and helpful for you.
What is skin itching?
Skin itching means that there is only itching on your skin, but no primary skin lesions. And skin itching is divided into two categories as systemic and limitations according to the scope and part of itching.
What is the cause of skin itching with CKD?
Skin itching is one of clinical manifestations of chronic kidney disease. As the kidney function decreases, wastes can be gathered in the body, which makes our body in a disordered condition. And these wastes can stimulate our skin, leading to itching. Skin itching with CKD has four specific causes as following:
1 Nitrogen metabolites retention can stimulate skin, leading to itching. Sebaceous gland and Sweat glands atrophy can make skin dry, which causes skin itching.
2 Because electrolyte metabolic disorders of patients with CKD, calcium is deposited on the skin, which leads to skin itching.
3 some patients with CKD are prone to allergic reactions, which can cause skin itching.
4 Because of Uremic neuropathy
Skin itching is very common and severe in stage 4, in which CKD is serious enough to threaten the life of patients. And much Urea nitrogen builds up in the blood and causes high blood urea nitrogen level. Urea nitrogen stimulates patient’s skin, thus it causes itch itching.
What is the impact of skin itching with CKD?
When we sleep in the night, skin itching can make us feel uncomfortable, which makes us have a bad sleep. And we can’t concentrate on the thing we should do in the day. So skin itching affects our normal life and lowers the quality of our life.
How should we prevent and treat skin itching with CKD?
First of all, we should improve the condition of kidney, which is the fundamental factor. For example, we should decrease the wastes in the body, and limit intake of protein. We must try our best to treat chronic kidney disease,which is the most effective method.
Secondly, we should properly use some antipruritics under the doctor’s advice.
Besides, bath treatment is a very necessary method to relieve skin itching. The patients should soak themselves in the baking soda bath for 15-30 minutes, which can excrete your toxins in your body.

You can understand the causes of skin itching with CKD and get a whole knowledge of skin itching with CKD through the above contents. Here is our introduction for your reference and hope it can be useful. If you have any question, please contact us freely by email or phone.

2014年1月25日星期六

How does chronic kidney disease cause renal anemia

CKD have the very high risk of causing renal anemia. And CKD is related to renal anemia very closely. Then you may ask why and how CKD can cause renal anemia? Here we will make a detailed introduction for you, hoping it is very helpful for you.
What factors can make patients with CKD suffer from renal anemia?
Renal anemia is caused due to kidney damage. With the worsening of chronic kidney disease, kidney damage is more serious. When Serum creatinine value is greater than 308μmol/L because of very serious kidney, renal anemia is much more possible to occur.
When your kidney function decreases, the number of hemopoietin caused by secretion of kidney can’t meet the need of body, which is one of the most main causes of renal anemia. Besides, patients with chronic renal insufficiency and uremia have a large number of metabolic toxins staked in the body, and survival time of red cells drops with the less intake of iron or iron loss, leading to lack of red blood cells. Patients with CKD always control the intake of protein, while urine protein is still losing continually. And patients with CKD are very prone to bleed.
Above are the factors that cause renal anemia.
How can renal anemia be treated and slowed down?
After we know the causes, you may want to ask how to treat and avoid it.
It is divided into three ways as Chinese tradition medicine, Western medicine and combination of Chinese and Western medicine.
1 Chinese tradition medicine
It can promote erythropoietin by traditional Chinese medicine active substances to treat renal anemia.
2 Western medicine
By Pharmaceutical drug
By blood transfusion
By dialysis
3 Combination of Chinese and Western medicine
RecombinantEPO is the main method of treating renal anemia.

In a word, chronic kidney disease contributes to causing renal anemia and affects it very much. You should pay attention to diet and exercise to avoid renal anemia.

What causes elevation of blood pressure in CKD

Elevation of blood pressure often follows patients with CKD. If elevation of blood pressure continues very seriously, the blood is forced against the blood vessels and extra fluid in the body increases the amount of fluid in blood vessels and makes blood pressure higher. The high blood pressure can cause many diseases and affect the kidney function in turn, which is very harmful. And the more serious CKD is, the higher blood pressure is. Then you may ask why and what causes this phenomenon. Here we will make a detailed introduction for you, hoping it can be useful to you.
CKD affects high blood pressure
Elevation of blood pressure is one of the most main symptoms of CKD.
There are two ways leading to high blood pressure in CKD.
Firstly, glomerular filtration rate of patients with CKD decreases, and the absorption of sodium through kidney tubules increases, which leads to water and sodium retention. As blood volume expands, blood pressure elevates.
Secondly, renin secretion and angiotensin Ⅱ synthesis can increase in CKD. AngiotensinⅡcan make blood vessel shrink, leading to high blood pressure and stimulating aldosterone secretion. Finally water and sodium retention will increase, so high blood pressure occurs.
So we can know that the water and sodium retention is the leading cause of elevation of blood pressure.
High blood pressure affects CKD
Besides, the kidneys play a key role in keeping a person's blood pressure in a healthy range, and blood pressure, in turn, can affect the health of the kidneys. High blood pressure, also called hypertension, can damage the kidneys and lead to chronic kidney disease, too.
High blood pressure makes the heart work harder and, over time, can damage blood vessels throughout the body. If the blood vessels in the kidneys are damaged, they may stop removing wastes and extra fluid from the body. The extra fluid in the blood vessels may then raise blood pressure even more. It's a dangerous cycle.
From the clinical research, we can find that the more serious the kidney is, the higher blood pressure is. CKD relates to blood pressure with each other closely.

Above is the introduction we do for you, which can be helpful to you. If you have any question, please contact us freely by email or phone.

2014年1月24日星期五

what are the symptoms of Chronic Kidney Failure?

Chronic kidney failure is an unobvious but very serious disease for patients. So how can we realize that we suffer from it in the daily life? The answer is judging from the symptoms of chronic kidney failure. Here we will make a specific introduction to solve your doubts, hoping it is very helpful to you.
The definitions of symptom and chronic kidney failure
First of all, you should understand what the definitions of symptom and chronic kidney failure are. Symptom means that when you have a disease, it can lead to some outer or inter changes of your body. These changes are the symptoms of the disease, some of which can be found by patients, while others need to be detected by doctors. Chronic kidney failure describes that your kidney function decreases due to some cause, which is a slow process, but your kidney can still work somehow. And the more serious kidney failure is, the more noticeable symptoms are. So you should go to see a doctor as soon as possible, which makes you get the best opportunity of treatment.
The symptoms of Chronic Kidney Failure
Now you may ask what the symptoms of chronic kidney failure are. The symptoms including:
Anorexia
Sudden change in bodyweight
abdominal distension
Nausea and vomiting
Pain on the side or mid to lower back
Protein in urine
Headaches with unknown reasons
Muscle twitches
Continuing itchy skin
Heart failure
High blood pressure
Chronic adhesive pericarditis
Uremia bronchitis
Pneumonia and pleurisy
Endocrine disorders
Infection
…………………….
What causes symptoms of chronic kidney failure?
The kidney can filter the blood and excrete the wastes, so our body has the persistent metabolism to maintain our health. But if kidney has problems, it can’t work as usual. Many diseases can lead to chronic kidney failure, including:
Illegal drug abuse
Malaria and yellow fever
Certain toxins
Kidney diseases
Obstructed urine flow
Diabetes
High blood pressure
How can we prevent and treat chronic kidney failure?
1Diet
Eating more high- quality low protein such as eggs, milk and lean meat
2 Drug treatment
The purposes of drug treatment include:
Alleviate the symptoms of chronic kidney failure
Reduce or eliminate pain of patients
Improve the quality of life
3 Dialysis treatment and kidney transplant
When CFR of patients with chronic kidney disease is 6~10ml/min and there are obvious Uremia clinical manifestations, they should prepare for dialysis treatment. After patients have done dialysis for a period of time and the disease is in a stable condition, then they can consider kidney transplant.

From above, we can get a general understanding of symptoms of Chronic Kidney Failure. And for patients with chronic kidney failure, it is very helpful to their daily life. If you have any question, please contact us anytime by phone or email.

what are the commonly used medicines for CKD patients?

Medicines play an important role in the treatment of CKD, which can slow down the deterioration of CKD and give the more time to treat the disease. All the patients with CKD almost take medicine to treat the disease. So what medicines patients with CKD take is very significant. Patients should take different medicines for different stages, and take them as the instructions requested. Then what are the commonly used medicines for patients with CKD? Here we will introduce it for you, which can help you a lot.
The medicines for patients with CKD can almost fall into three categories:
1 Medicines for high blood pressure
Patients with CKD always have the symptom of high blood pressure. And the higher blood pressure is, the worse kidney disease is. We should control the blood pressure, before it gets worse. The medicines which patients with CKD take including:
Diuretics.
Vasodilators.
Direct renin inhibitors
Beta-blockers.
Calcium channel blockers.
ACE inhibitors.
Angiotensin II receptor blockers (ARBs).
Beta-blockers.
Calcium channel blockers.
When you take the medicine, you should make sure that there is no serious side effect, which is very important. So you should take the doctor’s advice.
2 medicines for symptoms and other complications of CKD
Patients with CKD always have many other complications, which must be treated to slow down the deterioration of CKD. Medicines for symptoms and complication include:
Medicines for electrolyte imbalances
Diuretics to treat fluid buildup caused by chronic kidney disease
ACE inhibitors
Erythropoietin (rhEPO) therapy and iron replacement therapy for anemia
3 Medicines for dialysis
Dialysis is the treatment for end-stage kidney failure, which is a very vital treatment. So the medicines used during this period are more important, deciding the fate of patient. Medicines for dialysis include:
Vitamin D which can help bones be strong
Iron therapy which can help increase levels of iron of body when rhEPO therapy alone is not effective.
Erythropoietin (rhEPO)which helps production of red blood cells and reduces blood transfusions. This therapy may also be started before dialysis is needed, when anemia is severe and causing symptoms.
Besides, when patients with CKD take the medicines, something below should be especially remarkable:
You should tell the doctor what you are allergic to and if you have immunization disease, or something like that.
You should ask the doctor what side effects the medicine has, making sure it is not bad for you.
You should tell the doctor when and how you get the disease as precisely as possible, which can make the doctor get a whole understanding of your condition.
The last important thing is that you must follow the doctor’s advice and can’t take any medicine by yourself.

The commonly used medicines above are for your reference and you can have a general understanding. Here is our introduction, hoping it is helpful to you. If you have any question, please contact us freely by email or phone.

Skin problems in Chronic Kidney Disease

Patients with chronic kidney disease always suffer from skin problems, which are related to chronic kidney disease very closely. Skin problems have an enormous and bad influence on patients, especially on patients with chronic kidney disease. Why are patients with CKD prone to skin problems and how should we prevent it? Here we will make a detailed introduction for you, hoping it is helpful to you.
What are skin problems?
Skin problems are diseases related to skin, which can affect patients’ health very much, such as leprosy, scabies, fungus and bacterial skin infections, etc. when internal and external factors of body have changed, skin problems always occur. The incidence of skin problems is very high, but most of which is much less serious, only a few of which can threaten life.
What can skin problems in Chronic Kidney Disease cause?
Pallor
Ichthyosis
Porphyria cutanea tarda
Onychomycosis
Acquired perforating dermatosis
Onychomycosis
Angular cheilitis
Influences that chronic kidney disease has on skin problems
Patients with skin problems are associated with underlying kidney disease, especially with uremia directly or indirectly. Patients who have done dialysis can have skin problems, prevalence of which is 100 percent. Patients with chronic kidney disease always complain about their skin problems. And one of the main causes which can lead to skin problems is kidney disease.
Why do patients with chronic kidney disease have skin problems?
Most of skin problems are the external performance of visceral disease. In other words, the fundamental cause of skin problems is internal organs. As your kidney is damaged, your internal system is disordered, which leads to skin problems. So we can know that patients with chronic kidney disease are very prone to skin problems.
How should we prevent and treat skin problems in Chronic Kidney Disease?
Medicine for external use is the most main treatment. If it isn’t used correctly, skin problems can be ineffective or even worse. And we should pay attention to the following aspects:
The same medicine has many different forms.
The different forms have different functions and indications. So we should choose to use medicine according to different clinical symptoms.
At present, the best way to solve the skin problems is laser cosmetic treatment. The most common is ruby laser spot. Besides, dye laser can be used to treat Vascular splash and hemangioma.

Skin problems are very common for patients with chronic kidney disease, which affects patients’ health and quality of life very seriously. Here is our introduction we do for you and we hope it is useful for you. If you have any question, please contact us freely any time through email or phone.

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