What to do with patients with chronic kidney disease

  Chronic kidney disease is a common chronic disease, with medical, social and economic progress its prevalence is developing rapidly, the prevalence in adults is more than 10%; even with timely and effective treatment, it usually continues to progress, eventually about 20% of patients will enter the end-stage renal failure – uremic phase, requiring dialysis or kidney transplantation, patients who join dialysis if they can get adequate dialysis and drug treatment Patients who join dialysis can survive up to 40 years or more, and kidney transplantation can survive even longer. Therefore, this is a partner (disease) that needs to be accompanied for life and never leave.  1, early prevention and treatment, should understand the risk factors for accelerated progression of chronic kidney disease and intervene. Most studies have found that the factors associated with the progression of chronic kidney disease include gender, age, primary disease, proteinuria, hypertension, hyperglycemia, hyperlipidemia,, hyperuric acid, smoking, pregnancy, and inappropriate drug use. Regular physical examination is very important, when the disease starts, there are no obvious symptoms (such as headache, dizziness, swelling and weakness), but at this time, kidney damage (such as protein in urine test), hematopoietic system damage (such as anemia), hypertension and other “hidden arrows” have been unknowingly damage the kidneys. Therefore, you should go to a regular hospital nephrology specialist for serious treatment.  2, scientific treatment of disease, do not worry excessively. Chronic kidney disease, including glomerulonephritis, gout nephropathy, and hypertension, diabetes is a chronic disease, and is not a “terminal disease”, and most of the treatment effect is very good, after treatment, as normal people can go to school, work, marriage, childbirth, family business, most people can also participate in appropriate physical exercise. Therefore, there will not be much impact on life design, many international celebrities are actually chronic kidney disease or dialysis patients, should not have too much psychological pressure.  3, treatment must be to the regular hospital nephrology, chronic kidney disease treatment is a regular, step-by-step experience to follow, with the times. Do not be in a hurry to get it done. Otherwise, many places to go, spend a lot of money, physical and mental fatigue, or did not achieve the “desired effect”. The patient should not believe in small advertisements, small hospitals, small clinics and other “can cure” prescriptions, the use of non-standardized examination and excessive treatment, ultimately leading to more costly, delayed the best time for treatment, and even take the life.  4, careful use of informal Chinese medicine, traditional Chinese medicine for chronic kidney disease does have a unique therapeutic effect, is also worth research and development. However, you cannot think that Chinese medicine treatment can solve all the problems and give up the treatment of western medicine, the two treatments are not contradictory, and the status of the two cannot replace each other, to take reasonable Chinese medicine under the guidance of regular doctors. Do not believe in the “wandering doctor”, “ancestral medicine”, “special medicine”, “reincarnation of Hua Tuo’s elixir”. You should pay attention to any propaganda. The experience of patients can be referred to, especially the opinions of some old patients, very valuable reference, but no matter who, when it comes to health safety issues, please be sure to go to the regular hospital consultation.  5, establish the patience of long-term struggle with the disease, to understand that medicine also has imperfections, establish the confidence of long-term struggle with the disease, take the medication on time and regular check-ups, do not feel that the disease symptoms have been relieved for a period of time is very obvious, do not follow the doctor’s orders to stop the medication, reduce the medication, the time to do the check-ups do not do the check-ups, that will have unintended serious consequences.  6, dialysis patients also need to cooperate with drug therapy, whether it is hemodialysis or membrane abdominal dialysis is only the function of drainage and detoxification, and does not replace the endocrine function of the kidneys, such as the production of erythropoietin and vitamin D, regulation of calcium and phosphorus metabolism and parathyroid hormone function, so patients need to regularly test these indicators and apply the relevant drugs to adjust, due to the progress of medicine, there is no dialysis can not prevent and control the complications. As long as you actively and courageously cooperate with your doctor, you will have a good quality of life.  As doctors, we will also strengthen the popularization of the prevention and treatment of chronic kidney disease in our future work and do our part. In addition to patients to correctly understand kidney disease, serious treatment of the disease, but also hope that the whole society, including the government, unit colleagues, family members should care for these patients, give them medical support, work support and life support, to believe that they will also provide an important force for the construction and development of our country.