How to choose the chronic kidney disease treatment

CKD Treatment

For most people with advanced CKD Treatment, dialysis treatment can extend their life. However, the treatment can be demanding and time-consuming and it is usually necessary to make lasting changes to life-style. Most people adapt to this and still manage to lead a fulfilling life. However dialysis is not a cure-all. The CKD Treatment only partly replaces some functions of the kidney. It does not benefit other health problems and indeed may make some of them worse. Because of this, for some people, dialysis may not extend life or improve its quality. This is usually people who have other serious medical conditions or who are generally frail and dependent.  In these circumstances dialysis can become an added burden.

How to choose the chronic kidney disease treatment? I believe that many people want to know, if it is found necessary and timely treatment to avoid delay optimal treatment time, not only increases the difficulty of the treatment also greatly increase the cost of treatment.
(A) general treatment of patients with no edema, hypertension, hematuria and proteinuria is not serious, no renal insufficiency performance, you can take care of themselves, and even engage in light work, but to prevent respiratory tract infection, avoid fatigue, do not use the right kidney toxic effects of the drug. Significant hypertension, edema or renal dysfunction in the short term, should stay in bed, and limit salt intake to 2 ~ 3g. For more protein loss in the urine, renal function can still be who should complement biological titer of animal protein, such as eggs, milk, fish and lean meat, etc., have impaired renal function (creatinine clearance rate of 30ml / min or so), should be appropriate to limit the protein in about 30g, if necessary, add the right amount of oral essential amino acids.
(B) hormones, immunosuppressive therapy
(Iii) treatment azotemia
1. Azotemia or the first time appeared in the short term, or in the near future there should be progressively increased by bed rest, limiting excessive activity.
2. Diet and Nutrition for no obvious edema and hypertension do not have to restrict water and sodium intake, due to increase of water to increase urine output is very important. Mild to moderate azotemia in patients without limiting protein intake to maintain a positive nitrogen balance of the body, especially in patients with more quality protein daily loss should pay more attention. Increase vegetable protein such as soy, etc. When a large number of proteinuria with mild azotemia. Severe azotemia progressive azotemia or in the near future appropriate limit protein intake.
3. About urine osmolality and urine osmolality urine general chronic nephritis patients often azotemia in 400mOsm / L or less, if the daily urine output only 1L, the lack of nitrogen discharged solutes, it should be required urine 1.5L or more, proper drinking water or drink weak tea to achieve this purpose, if necessary, stopped taking diuretics.
4. Control of hypertension and chronic nephritis azotemia and renal hypertension often indicates a poor prognosis, persistent or severe renal azotemia can also increase blood pressure. Although the use of antihypertensive drugs in general reduces peripheral vascular resistance, but not necessarily to reduce glomerular vascular resistance. Glomerular afferent and efferent arteriolar resistance enhancements reduce the glomerular filtration rate.
5. Treatment of chronic kidney disease? Treatment of nephrotic syndrome occurred during treatment of chronic nephritis, nephrotic azotemia type of edema and edema of the GFR is often reduced to varying degrees.