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Home > Learn about kidney disease > Kidney Failure

Kidney failure

Renal failure usually include 2 types:acute renal failure and chronic renal failure. For kidney failure,some routine diagnostic methods should be taken to check the renal disease

Basic

Kidney failure,called renal failure,refers to a pathological state that is caused by various chronic kidney disease.The renal function will be reduced even failure.
The classification of renal failure
Renal failure usually include 2 types:acute renal failure and chronic renal failure.The former progresses quickly that is often caused by the short supply of the blood flow to kidneys,such as scratch and burn.Furthermore,the damaged renal function or the toxin may also cause the acute renal failure.On the other hand,with the time and disease development,the long-term lesions may lead to the decline of renal function gradually,and cause renal failure.
Causes
Kidneys are vital organs of the body.Generally speaking,there are 3 factors that cause renal failure.
--Medicine
Some patients with high blood pressure or diabetes is easier to suffer from chronic kidney failure because of the long-term intake of nephrotoxic drugs.
-Traumatic shock
Such as burn,excessive sweating and shock may cause the acute renal failure.Besides,heart attack will damage the kidneys also,and so on.
--Some disease may induce renal failure
Some complications,like high blood pressure or high blood sugar,may increase the renal burden and worsen the renal disease into renal failure.
Diagnosis
For kidney failure,some routine diagnostic methods should be taken to check the renal disease,such as blood routine examination,routine urinalysis,kidney function test,and so on.
Prognosis
There are several factors that influence the prognosis of renal failure.
1.Primary renal disease is closely related to the prognosis.
Various infections are one of the commonest influencing factors,such as respiratory and urinary tract infection.
2.The use of nephrotoxic drugs may also affect the prognosis of patients.
3.High blood pressure will increase the risk of serious complications that influence the prognosis of renal failure.
4.Heart failure that is caused by some reasons.
On the whole,there are many factors that affect the prognosis of renal failure,so it is important to pay attention to patients' daily life.
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Symptoms

Owing to the severity of renal failure,there are more serious symptoms that affect the patients normal life.Renal failure will affect the other organs and makes them fail to work regularly.
In early stage,lesions on digestive system are the earliest and commonest symptom.Such as nausea,emesis,abdominal distension and so on.What's more,fatigue,insomnia and wandered attention appear.
As the time and disease go on,the symptoms become worse and worse.In later stage,lesions may occur in multisystem and multiple organs.
--Anemia is a symptom that the patients with Kidney failure will have,which is caused by the damaged renal function.
--Abnormal urine
Kidneys are damaged so badly that the renal function can not work normally and regularly.urine can not be filtrated effectively and the some nutrient substance in urine also can not be reabsorbed by damaged kidney tubules.So in this case,proteinuria or hematuresis may appear,which means that the renal damage is worse and worse.
--Swelling
Due to the damaged renal failure,the kidneys can not control and discharge the excess water,waste and electrolyte to keep the whole system in balance.
--CVD
What's worse,cardiovascular system will also be damaged,which is the commonest death cause of Kidney Failure.
Besides,with the disease progressing,renal osteopathy, acidosis,endocrine dysfunction and so on may appear,which will increase the renal burden and worsen the disease.
In fact,except the complications caused by renal failure,some replacement therapies may also lead to some side-affects.
1.Dialysis disequilibrium syndrome
It often show as nausea,emesis,dysphoria,etc.More seriously,patients may be convulsive,comatose,even dead.
2.Hypotension
It is one of the most common side-affects.What's more,it usually occurs at the beginning or the later period of dialysis.
3.Heart failure
Heart failure is one of the most dangerous and serious side-affects.
4.Pyrogen reaction
There is no certain treatment to treat pyrogen reaction,so patients often take specific measures to reduce the pyrogen reaction according to the patients condition.

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Diet

Owing to the chronicity of Kidney Failure,diet for patients with renal failure are important.Controlling the diet is a essential treatment to renal failure.It can reduce the urotoxin and keep the balance of electrolyte.On the contrary,some foods may produce toxin and waste which can not be eliminated out of body.So it is important to pay attention to diet to avoid burden.
1.Offer the high-quality protein.
The damaged kidneys can not discharge the metabolic waste,which will worsen the disease condition.Improve the intake of high-quality protein and limit the using of vegetable protein.
2.Take a low-salt and low-sodium intake
The high level of salt or sodium in body will causes the retention of water in body,thus it may lead to deterioration of the disease.Besides,too much intake of salt or sodium may also worsen the condition of edema and high blood pressure.So limit the intake of salt or sodium is necessary.
3.Control the intake of potassium
The accumulation of potassium can cause muscle weakness,which may increase the renal burden and worsen the disease badly.
4.Offer the high-calcium and low-phosphorus diet
The increased blood phosphorus and reduced blood calcium occur among most patients.In this cause,patients may be easier to suffer from renal osteopathy,and so on.The food that is rich in calcium includes milk,green vegetables,etc.
5.Keep the balance of water
If patients drink too much water and their damaged kidneys can not eliminate the water out of body,it may causes the edema or cardiopulmonary failure.So the intake of water should be controlled strictly.
6.Supply vitamin
The damaged kidneys will lead to some severe complications that may effect the patients condition badly.Increasing the supplement of vitamin can slove dyspepsia to some extent and control the disease condition.
7.Besides,to stop smoking and drinking is very important to patients.
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Treatment

Renal failure signifies the the partial or complete loss of renal function in later stage of various renal disease.It includes 2 types:ARF(acute renal failure) and CRF(chronic renal failure).
For ARF,keeping the balance of water,electrolyte and acid-base.is important to relieve the symptoms and improve the renal function.What's more,preventing the complications are also highly significant of reducing the renal burden.
Due to the different reasons between ARF and CRF,there are other methods to treat CRF.
1.Pharmacotherapy
Pharmacotherapy often be used to control the inducing factor,delay renal failure progression and adjust the balance of water,electrolytes,acid-base or other metabolism which can keep the stable internal environment.In addition,to prevent and control the complications and protect the function of the residual nephron is to improve the survival rate as far as possible.
2.Replacement therapy
Dialysis and renal transplant are the advanced Western therapies to treat the renal failure in modern society.
Dialysis can replace the part of renal function to filter and eliminate the excess water and metabolic waste.What's more,dialysis can also keep the balance of acid-base and electrolyte.However,dialysis has many severe side-affects that may increase the renal burden and worsen the disease condition.
renal transplant is a good way to slove the renal problems.But a right kidney can be reachable but not willable.Except the exorbitant price,rejection reaction will have a huge impact on patients after operation.
3.Micro-Chinese Medicine Osmotherapy
Micro-Chinese Medicine Osmotherapy is a kind of characteristic therapy that includes external Chinese medicine.Compared with Western Medicine,Micro-Chinese Medicine Osmotherapy reduces the many side-affects largely and relieve the symptoms as far as possible.What's more,TCM plays an important role in controlling the patients condition and improving the health condition.
4.Dietotherapy
Apart from the necessary drug therapy,dietotherapy is also important to control the patients condition and improve the living quality of patients.Healthy diet can relieve the renal burden and be beneficial to the renal repair.

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Healthy Living

Healthy living plays an important role in controlling the disease process except the necessary drug therapy.
For ARF,keeping the balance of water,electrolyte and acid-base.is important to relieve the symptoms and improve the renal function.What's more,preventing the complications are also highly significant of reducing the renal burden.
1.Drug guidance
In early stage of Kidney Failure,patients usually take western medicine to control their disease process.there are several points need attention:avoid nephrotoxic drugs and follow the drug taboos.Besides,traditional Chinese medicine are made by natural herbs that have less side-effects.Taking TCM therapy can relieve the symptoms and improve the patients condition efficiently.At the same time,patients should not change or stop their medication without specialists' guidance.
2.Daily life guidance
In later stage of disease,some severe complications occur,such as anemia,fatigue,etc.Ventilate the ward and ensures a fresher, healthier environment.If the patients condition is improved,patients can take proper exercise.Besides,sexual activity should not be frequently in order to protect kidneys.Of course,moderate sexual activity is permissible under the doctor's guidance.
3.Basic nursing
It is necessary to slove or relieve some complications.For example,skin itching need medicinal bath.In addition,careful mouth care can reduce some symptoms in mouth.Moreover,changing patients' underwear frequently.
4.Diet nursing
Keeping a healthy diet makes a great difference in controlling patients condition.To reduce the intake of salt and water can relieve the edema and lower the blood pressure.What's more,limit the intake of protein and offer the high-quality protein.Furthermore,take the specific measures to control disease condition.That stop smoking and drinking is beneficial to improve patients condition.
5.emotional nursing
Traditional Chinese doctors believe that seven emotions can affect its corresponding viscera directly.They may confuse and disorder qi and blood,which will cause the illness or worsen disease.The long-term and serious condition may make patients be depressed and pessimistic.So encouraging patients keep a optimistic mentality can strengthen the patients' disease-resistant ability.
In general,healthy living is good for patients condition.If you are doubtful of your prevent condition,you can talk to live doctor about your disease to get the professional guidance freely.

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