Friday, August 16, 2013

How uremia experts judge?

See how experts judge uremia? Uremic patients must early discovery uremia uremia strangled in the early cradle.

According to statistics, the incidence of urinary tract infection men 0.23%, 2.37% for females. Men and women can disease, especially married women of childbearing age is common in our country, chronic pyelonephritis is uremia second factor accounted for 21.2%. The so-called uremia, is due to various causes most chronic renal damage, and therefore can not excrete metabolic waste and degradation of some of the various endocrine hormones, resulting in its accumulation in the body caused by toxic effects. Simply put, is the kidney disease, can not play a normal physiological function, and its development up to end-stage is uremia.

Drowsiness, fatigue and this may be an early manifestation, but the most easily overlooked because the cause drowsiness, fatigue causes really too much. Especially those in their careers "full fight", most people put the blame on work stress and fatigue. If a little rest and symptoms improved, even more easily overlooked.

Clinic, uremia is the final outcome of renal deterioration progress. No matter what type of kidney disease caused by uremia are due to renal ischemia, hypoxia, leading to cell damage caused by renal intrinsic renal dysfunction. 15% of hypertensive patients directly into uremia. Our 1998 statistics, hypertensive patients 10% of the total population, that is, every 10 people have a high blood pressure patients, of which there are 1.5 people will become uremic patients.

Kidneys can not rid the body of excess water caused by fluid retention in the body tissue gap caused early only in the ankle and eyelid edema, after the break disappear, if developed to persistent or generalized edema, indicating the already very serious disease. Kidney natriuresis, drainage function, impaired renal function occurs when the body's sodium and water accumulation, in addition, at this time the kidneys secrete a substance causes high blood pressure. Therefore, early uremic patients have varying degrees of hypertension. If high blood pressure coupled with poor blood clotting mechanism easily lead nose or gum bleeding, should pay attention to.

Uremic neuropathy. Common in the glomerular filtration rate <12mL/min after onset of clinical manifestations include: peripheral nerve disease, beginning as restless legs syndrome, leg discomfort, lower extremity deep itching, formication or tingling sensation, dusk increased, activity or to ease walking. 30% of people with diabetes, uremia is a direct outcome of diabetes. Recent statistics show that in our population, the existing 4320 people with diabetes, impaired glucose tolerance were 5,064 people, their sum is 93840000.

Drug-induced nerve damage. Is due to polymyxin E, streptomycin, kanamycin, barbiturates, penicillin, butyrophenones caused by alcohol poisoning, manifested as physical disorders, convulsions, coma, extrapyramidal syndrome, 8 cranial nerve damage and so on. Chronic glomerulonephritis: glomerular lesions due to the continuous long-term damage to the kidneys gradually lose that function. Late nephritis is the most common cause of uremia.

Uremia renal failure is a series of symptoms that occur late in general. Chronic renal failure symptoms mainly caused by the accumulation of harmful substances in the kidney hormone poisoning and reduce the occurrence of anemia combined bone disease. Early most common are nausea, vomiting, loss of appetite and other gastrointestinal symptoms. After entering the late stage uremia, systemic involvement will, heart failure, psychosis, coma and other serious cases, life-threatening.

Metabolic diseases: such as diabetic nephropathy late, due to renal arteriosclerosis, progressive thickening of the glomerular basement membrane, the glomerular filtration function. ESRD gout can also lead to uremia. Interstitial nephritis: such as chronic pyelonephritis, recurrent bacterial infections resulting in renal fibrosis atrophy, loss of kidney function.

Brain debilitating condition; severe mental illness, including depression disorder, manic state, delirium, hallucinations and delusions; awareness barriers; flapping tremor, hand and tongue intention tremor; myoclonus; ataxia, muscle tremors, tetany and so on.

Cerebral vascular accident. Since urea (possibly uric acid) stimulation, can attack aseptic pericarditis, determined to chest pain patients; physical examination Wen and pericardial friction rub. Severe pericardial cavity cellulose and bloody exudate rendering.

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