2016年8月7日星期日

Chronic renal failure to do inspections?

Chronic renal disease need to be checked in time, which would allow the patient to determine the disease, so that the use of methods for treatment. Thus, timely diagnosis is very important, not only for the treatment of post-helpful, but also allow the patient to a speedy recovery.

Current medical experts say, in general clinical, chronic renal failure check, its need for blood, urine, renal function, blood biochemical examination. This is chronic renal failure test items, the following is a detailed introduction to the first aspect of the blood is, obviously anemia, normal cell anemia, normal or elevated white blood cell count. Platelets, small cell sedimentation rate accelerated. Followed by kidney function tests, the indicators are in decline. In addition, blood biochemistry, plasma albumin decreased, low blood calcium, phosphorus increased, blood potassium and sodium with the disease.

In addition to the above requirements, there is chronic renal failure patients the most important thing is to carry out routine urine, with the primary disease differ.

The common denominator is that
① urine osmolality decreased more in 450mOsm less per kg, the low weight, mostly in 1.018 less severe fixed between 1.010-1.012, as concentrated urine dilution test is greater than the nocturnal urine output, urine specific gravity each time more than 1.020 specific gravity difference between the highest and lowest of less than 0.008.
② decreased urine output, mostly in 1000ml or less daily.
③ increased urinary protein excretion, glomerular late because the vast majority have been destroyed, however, reduced urinary protein.
④ urinary sediment detection, ranging from the number of red blood cells, white blood cells, epithelial cells and granular casts, waxy casts the most sense.
And other items seized detection, X-ray and KUB radiography, renal isotope map, kidney scan, kidney biopsy puncture detection, diagnosis of the cause for help.

Under normal circumstances, after the diagnosis of chronic renal failure patients, it can be effectively treated, the current therapies for chronic renal disease, patients may choose surgery, kidney transplantation. Kidney transplant is to implant a healthy kidney patients in the right lower quadrant of the iliac fossa. Because the right iliac fossa vascular shallow, easily connected with the new kidney vascular surgery. After more generally selective internal iliac artery anastomosis, if the inner lumen of the right iliac artery atherosclerosis occurs, the lumen is small, after the fear of insufficient blood flow, patients may also external iliac artery anastomosis, vascular anastomosis, release all resistance broken blood vessel forceps, to be the new kidneys good blood supply, then sutured abdominal wall, to complete the operation. Kidney transplant is not a new kidney and exchange old kidney.

Chronic renal failure do what check? Above is how chronic renal disease are introduced to check, while its treatment methods were explained, in order to be able to better help patients with this disease.

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