Low pressure and high renal insufficiency

There are many causes of renal insufficiency, and low-pressure high-renal insufficiency is one of them. Renal insufficiency is extremely harmful and can easily lead to complications. We must have a full understanding of the symptoms of this disease. In addition to actively receiving treatment, there are many things we need to pay attention to in our daily lives in order to control the treatment to the greatest extent possible. Next, let’s look at the situation of renal insufficiency.

The causes of renal insufficiency can be summarized as follows:

1. Kidney diseases: such as acute and chronic glomerulonephritis, pyelonephritis, renal tuberculosis, acute tubular degeneration and necrosis caused by chemical and biological poisons, kidney tumors and congenital kidney diseases.

2. Extra-renal diseases: such as systemic blood circulation disorders (shock, heart failure, hypertension), systemic metabolic disorders (such as diabetes) and urinary tract diseases (urinary stones, tumor compression), etc.

pathology

According to the latest pathological staging of renal fibrosis, the compensatory stage of renal insufficiency is in the inflammatory response stage, the kidney damage is relatively mild, and there are only mild proteinuria, hematuria and edema symptoms. Experts have observed through years of clinical practice that the symptoms can be completely eliminated through standardized treatment.

The patients are in the decompensated stage of renal insufficiency and the failure stage of renal insufficiency, and are in the stage of renal fibrosis formation. The pathological damage in this stage is more serious than in the early stage, and complications begin to appear, such as increased blood pressure, anemia, dizziness, headache, fatigue, decreased appetite, and increased blood creatinine and blood urea nitrogen. During this period, after the damaged kidney tissue is repaired and kidney function is restored, the symptoms will disappear, blood creatinine and urea nitrogen will return to normal, preventing the disease from progressing to uremia and avoiding dialysis and kidney transplantation. However, if this stage is not taken seriously and treated, the condition will continue to worsen and will develop into end-stage renal disease. In the uremic stage of renal insufficiency, the kidneys are almost scarred and more than 90% of the renal units have lost their functions. During this stage, the only way to relieve complications, extend the dialysis interval to the greatest extent, or get rid of dialysis is through treatment.

Generally speaking, this is the clinically reversible stage of renal fibrosis. As long as the kidney function is prevented from further deteriorating and the kidney function is repaired in time, clinical cure and allowing the patient to achieve benign disease-related survival are completely possible. At this time, the focus of treatment for renal insufficiency is to block it at the source, correct vasospasm, and ensure smooth blood circulation; in addition, various pathogenic inflammatory mediators and nephrotoxic factors are inactivated, and the inherent cells are promoted to reverse to healthy tissues after phenotypic transformation.

Precautions for renal insufficiency

Patients with chronic renal insufficiency should first strengthen self-care, exercise, enhance disease resistance, promptly treat upper respiratory tract infections, clear infection foci, treat primary diseases, diabetes, systemic lupus erythematosus, hypertension, etc., and also prevent drug damage to the kidneys.

Secondly, pay attention to observe certain changes in the body: such as edema, high blood pressure, fever, fatigue, loss of appetite, anemia, etc., and observe changes in urine and the amount of urine. If you have the above discomfort, you should do blood and urine analysis, urine bacterial culture and count, renal function test, and even renal puncture biopsy and renal imaging examination, etc., to clarify the cause of kidney disease, pathological changes and renal function judgment, and provide a basis for the treatment and prognosis of kidney disease.

The treatment of kidney disease is mainly divided into general treatment and special treatment. In general treatment, you should pay attention to rest, and how to rest depends on the condition. According to the different types of diseases and the degree of lesions, appropriate diet therapy should be adopted. Control infection, eliminate primary lesions, treat primary diseases, adjust water and electrolyte balance, enhance the body's disease resistance, etc. In special treatment, different treatment plans are also adopted according to different types of kidney disease.

Prevention and treatment of renal insufficiency in the elderly

With the rapid growth of the elderly population, the number of elderly people suffering from chronic renal failure is also increasing. The disease progresses rapidly, with many complications and a high mortality rate, and the age of onset is mostly elderly patients over 60 years old. As age increases, the small arteries in the kidneys become hyalinized and gradually harden. When suffering from hypertension, chronic glomerulonephritis, diabetic nephropathy, obstructive nephropathy, chronic pyelonephritis, polycystic kidney disease, renal cancer and prostate cancer, the progression of tubular arteriosclerosis and glomerular sclerosis may be aggravated, causing chronic renal failure. Therefore, how to protect the kidneys and delay the occurrence and development of renal insufficiency in the elderly is an extremely important issue in clinical practice.

1. First treat the primary disease, such as hypertension, diabetes, etc. Prevent the aggravation of renal artery and glomerular sclerosis.

2. Actively control infections, especially urinary tract and respiratory tract infections, and prevent dual infections.

3. Actively correct imbalances in water, electricity, acid and alkali.

4. Diuretic and correction of heart failure.

5. The diet should consist of a high-calorie, high-quality, low-protein, low-phosphorus diet with essential amino acids, appropriate vitamins, minerals and trace elements.

6. Avoid cold, damp and overwork, prevent colds, and do not use drugs that damage the kidneys.

7. Adequate and effective dialysis.

8. Complications require comprehensive treatment to correct anemia and prevent gastrointestinal bleeding. Those with hypercoagulable state require anticoagulant treatment. For patients whose condition progresses, it is advisable to switch to blood purification therapy as soon as possible.