Friday, August 30, 2013

Do you know what checks do kidney failure

What do you know that kidney failure check it ? Here are kidney specialist hospital expert analysis made on the matter , I hope for your help .
When the glomerular permeability, low molecular weight proteins or plasma excessive , these proteins will be poured into the primary urine , when more than the tubular reabsorption capacity , it generates proteinuria. The former is called glomerular proteinuria, which is known as plasma resistance ( or overflow ) proteinuria.
Azotemia can not stand alone as a diagnostic tool , due to renal function is normal gastrointestinal bleeding patients urea nitrogen can be increased. Increase in serum creatinine , blood urea nitrogen / creatinine ≤ 10 is an important diagnostic indicators. In addition , urine / blood urea <15 ( normal urinary urea 200-600mmol/24h, the urine / blood urea > 20 ) , urine / serum creatinine ≤ 10 also has diagnostic significance.
The most common symptoms are gastrointestinal side abnormal, such as nausea , vomiting, loss of appetite, sometimes accompanied by diarrhea, mouth and face exudes even urine odor . Second, there may be blood abnormalities , the patient pale and trembling , palpitation , shortness of breath , dizziness , malaise, the typical symptoms of anemia. Some also have nose bleeding , bleeding gums , purpura and other symptoms.
Urine tests: oliguria , urine output ≤ 17ml / h or <400ml / d, low specific gravity , < 1.014 and even fixed at 1.010 or so, urine acidic urine protein characterization ~ , urine sediment microscopic examination shows coarse granular casts , a few red , white blood cells. Quantitative urine sodium > 30mmol / L. Filtration fractional excretion of sodium (FENa) determination , the Act on the etiology of some significance . FENa = The value > 1 by acute tubular necrosis, non- oliguric acute tubular necrosis and urinary tract obstruction . Its value is <1 , serving prerenal azotemia and acute glomerulonephritis.
Uremic pericarditis symptoms: onset of severe left chest pain with breathing increased, such as blood pressure, pulse pressure is reduced, poor peripheral circulation , consider pericardial tamponade. Kidney failure and sometimes cause insomnia , memory loss, inability to concentrate attention and other nervous system abnormalities, severe cases there may be visual hallucinations , auditory hallucinations , convulsions , coma and other mental abnormalities.
Protein in urine qualitative and quantitative examination , diagnosis of kidney disease is a coarse sieve test . If there are some patients with renal failure or renal failure condition uncertain , in need of treatment , when the above two checks should be done to determine the condition, giving regular symptomatic treatment.
Kidney disease, urine routine examination can not be ignored , many kidney disease can occur early proteinuria, or urinary sediment visible components appear . Proteinuria is the urine than the normal amount of protein . Renal failure in the regulation of acid-base balance of the body , such areas as water and electrolyte disorders, while the body for excretion of metabolic waste subject to different degrees. It is a threat to human life, one of the main symptoms .
Blood tests: red blood cells and hemoglobin decreased , leukocytosis , and thrombocytopenia. Serum potassium, magnesium, phosphorus increased, normal or slightly reduced sodium , serum calcium , carbon dioxide combining power is also reduced. According to the survey , the incidence of renal failure is very high , so we have to much attention. Clinical manifestations of renal failure varied and intricate hair mixed .
What do you know that kidney failure check it ? Renal failure as a threat to human life, one of the main symptoms , be sure to cause the patient's attention. To kidney hospital once diagnosed , appropriate treatment promptly .

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