2014年12月30日星期二

Prevention of chronic renal failure

As early prevention in patients with chronic renal failure and slow the progression of chronic renal failure, has become a national issue of great concern.

1. Primary prevention, also known as early prevention.

It is the existing kidney disease or can lead to CRF primary disease, such as chronic nephritis, pyelonephritis, diabetes, hypertension, etc. For early detection and timely and effective treatment to prevent possible chronic renal failure.

2. Secondary prevention

That is, to prevent the constant progression of chronic renal failure and sudden increase in patients with chronic renal failure, and actively correct dyslipidemia in the low protein diet quality, Controlling high blood pressure, to avoid aggravating factors, proper cold temperatures, winter shelter. Avoid exogenous infection, while attention to proper diet and rest, in order to effectively prevent progression of the disease, and promote recovery from illness.

3. Tertiary prevention
It is entering end-stage renal failure patients on active treatment of health seeking to prevent life-threatening complications such as hyperkalemia, heart failure, metabolic acidosis serious, to prolong the survival of our country a developing country as settlement should be strengthened to prevent and delay early CRF progression, emphasis on the development of non-dialysis treatment, improvement and promotion. Dialysis and Transplant treatment should be used when saving lives.

4. Trace tracking

Patients with chronic renal failure should be regular monitoring visits, according to the frequency of the disease should be decided, otherwise hypertension, heart failure and speed of deterioration of residual renal function and so on. All patients required at least once every three months of treatment, treatment should be asked about the history and physical examination, While doing the necessary laboratory tests, such as blood, urine, blood urea nitrogen, creatinine and electrolyte concentration, serum proteins, parathyroid hormone, ferritin, C-reactive protein, according to the active disease and symptomatic treatment.

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