显示标签为“Hyperlipidemia”的博文。显示所有博文
显示标签为“Hyperlipidemia”的博文。显示所有博文

2014年9月23日星期二

Hyperlipidemia has long been recognized as a complication of Nephrotic Syndrome.

 Nephrotic Syndrome
Hyperlipidemia has long been recognized as a complication of Nephrotic Syndrome. According to a study of 20 nephrotic patients, 70 percent were found to have high cholesterol and 85 percent had reduced ratio of HDL cholesterol to TC. If you are affected by this prominent abnormal lipid metabolism, you can understand your situation well and find an effective solution here.
Why does a person with NS develop hyperlipidemia?
As we all know, NS will cause a large Urine Protein of more than 3.5g of protein lost in the urine each day. This results in a low protein level in the blood, or hypoalbuminemia (serum albumin<3g/100ml).
Due to decreased effective plasma albumin circulation, there is increased hepatic lipoprotein synthesis to maintain plasma oncotic pressure. As a result, high cholesterol and triglycerides can be caused. This hyperlipidemia can manifest as lipids in the urine, seen as oval fat bodies on microscopic urinalysis.
The kidneys are two bean-shaped organs found in the lower back. They are like body's filters, which remove wastes from the blood and returned the cleaned blood back to the body. Each of the kidneys has millions of units to filter blood known as glomeruli, tiny blood vessels. NS occur when the tiny blood-filtering units (glomeruli) in the kidneys are damaged. This causes loss of proteins in the urine, fall in plasma protein levels, and fluid to move into body tissues, causing swelling and bloating of body (edema or oedema).
Is there any comprehensive solutions for NS?
Based on 26 years' experience and expertise in kidney disease treatment, Immunotherapy has been worked out for NS. It is a comprehensive treatment which can gives a good curative effect. Immunotherapy contains Micro-Chinese Medicine Osmotherapy, new immunosuppressants, blood fat purification, which are useful for NS.
Treatment option of hyperlipidemia in NS: blood lipid purification
Long-term high lipid levels can aggravate the kidney damage of NS, thus accelerating the progression to renal insufficiency and Uremia. Besides, patient's risk of heart disease and pancreatitis increase.
Therefore, if we want to treat hyperlipidemia of NS effectively, we must clear up the excess harmful substances in the blood so as to create a clean internal environment and ensure the best treatment effect.
Blood lipid purification is one item of our immune clearance treatment aimed at alleviating high blood lipid levels. With the application of advanced equipment and technology, patient's LDL will be eliminated out of the body.
There are also several things you can do to control your symptoms, such as switch to a low-fat diet, control your weight, do regular aerobic exercise, quit smoking, avoid or limit alcohol, etc.
With the combination of medical treatment and lifestyle modification, hyperlipidemia in NS can be well treated. You can send an email to sjzkidneyhospital@hotmail.com for more information.

2014年9月21日星期日

Specific treatment of nephrotic syndrome depends on the disease's cause

Nephrotic syndrome
Nephrotic syndrome can occur in anyone. The syndrome arises for many reasons, including a condition known as minimal change disease in children and glomerulonephritis (kidney inflammation) in adults. Nephrotic syndrome can also be caused by infection, medication side effects, heredity, cancer, and autoimmune disorders, such as diabetes and lupus.

The role of preventive anticoagulation in nephrotic syndrome has been reported, but there is no proof that it is beneficial.

Hyperlipidemia occurs in nephrotic syndrome, and it can be controlled with lipid-lowering agents. Older studies have reported a predisposition to atherosclerosis in patients with nephrotic syndrome, but there are no data to show that lipid-lowering drugs improve renal or patient outcomes.

Specific treatment
Specific treatment of nephrotic syndrome depends on the disease's cause. In minimal-change nephropathy, glucocorticosteroids, such as prednisone, are used.[35] Children who relapse after successful use of prednisone or who do not respond to prednisone (ie, those with steroid-resistant disease) may be treated with rituximab, an antibody against B-cells. Rituximab has also been used in membranous nephropathy in adults.[36]

In some forms of lupus nephritis, prednisone and cyclophosphamide are useful.

Secondary amyloidosis with nephrotic syndrome may respond to anti-inflammatory treatment of the primary disease.

Diet and activity
The diet in patients with nephrotic syndrome should provide adequate energy (caloric) intake and adequate protein (1-2 g/kg/d). Supplemental dietary protein is of no proven value. A diet with no added salt will help to limit fluid overload.

Management of hyperlipidemia could be of some importance if the nephrotic state is prolonged. Fluid restriction per se is not required.

There are no activity restrictions for patients with nephrotic syndrome. Ongoing activity, rather than bedrest, will reduce the risk of blood clots.

How the Kidneys Work
The kidneys are a pair of bean-shaped organs located toward the back of the abdominal cavity, just above the waist. The kidneys remove waste products and extra water from the food a person eats, returning chemicals the body needs (such as sodium, phosphorus, and potassium) back into the bloodstream. The extra water combines with other waste to become urine (pee).

The main functional units of the kidneys, where the blood filtering happens, are tiny organs called nephrons. Each kidney has about a million nephrons, and each nephron has one glomerulus (singular of glomeruli) — a ball of tiny blood vessels, or capillaries. The glomerulus is the nephron's filter. This is where the process of removing waste products and fluids from the blood begins.

When the glomeruli stop filtering properly, they allow too much protein to leave the blood. Protein helps hold fluids in the blood, so when there is less protein in the blood, the fluids can move to other parts of the body and cause a type of swelling (edema) in the face, belly, hands, arms, and other extremities. When this happens, it's called nephrotic syndrome.

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