Chronic kidney failure currently faces certain difficulties in treatment, with the fundamental reason being that the diagnostic methods for kidney failure are not yet mature and cannot be diagnosed from an early stage, delaying the timing of treatment. The early prevention of chronic kidney failure has increasingly attracted the attention of experts and scholars, achieving a combination of prevention and treatment. The measures for early prevention of chronic renal failure mainly include the following three aspects:
(1) Strengthen follow-up: regular follow-up is very beneficial to delay the progress of renal failure, which can enable patients to carry out treatment and receive guidance in a planned way, and help patients reduce or avoid some incentives that aggravate renal failure, such as drug damage, dehydration resulting in hypovolemia, hyperlipidemia, hypercalcemia, hypokalemia, urinary obstruction, infection, massive bleeding, etc.
(2) Reasonable diet: Numerous experimental studies and clinical observations have shown that a low protein and/or low phosphorus diet can slow down the progression of most chronic kidney failure patients, or even temporarily stop the progression of kidney failure. A low protein diet or the addition of essential amino acids can alleviate the high filtration state of chronic kidney failure and help prevent the progression of chronic kidney failure. The main measure to control hyperphosphatemia is a low phosphorus diet, such as taking phosphorus binders.
(3) Controlling blood pressure: The control of renal or primary hypertension can prevent the progression of glomerulosclerosis. The former mainly controls high glomerular perfusion, while the latter mainly relies on the application of antihypertensive drugs. Low dose angiotensin-converting enzyme inhibitor (captopril) can be used to control hypertension (or diabetes nephropathy), which can reduce glomerular pressure and relieve hyperfiltration.
Since it is difficult to treat renal failure in the later stage, we need to approach adjuvant treatment from another perspective: early prevention refers to starting prevention before the occurrence of chronic kidney failure. This includes early examination of the kidneys and active control and treatment of kidney diseases to prevent the occurrence of chronic kidney failure.