Post Date December, 03 2023
Renal failure can be divided into acute and chronic conditions. Acute renal failure progresses rapidly, usually due to insufficient blood supply to the kidneys (such as trauma or burns), or due to certain factors blocking the kidneys, causing functional damage or being injured by toxins, resulting in acute renal failure. The main cause of chronic renal failure is long-term renal lesions. With time and disease progression, renal function gradually decreases, resulting in the occurrence of renal failure.
In recent years, reports on chronic renal failure have constantly appeared in the media. Careful people can easily find that the disaster of renal failure often occurs in middle-aged women between the ages of 30 and 50, and the onset is sudden. When many people first visit a hospital, they have reached the late stage of having to undergo dialysis for kidney replacement. Experts on kidney said that the main causes of chronic renal failure are chronic glomerulonephritis, interstitial nephritis, which is mainly chronic pyelonephritis, and other self diseases, as well as systemic diseases such as hypertension and diabetes. Among them, interstitial nephritis, which is mainly chronic pyelonephritis, is the most likely to be misdiagnosed. This disease ranks second in the incidence rate of chronic renal failure.
Urinary tract infection is a common disease among women. Relevant survey data indicate that more than 30% of women have experienced urinary tract infection more than once in their lifetime. In this segment of the population, most patients do not recur after regular treatment, while some patients with poor physical fitness who do not receive regular treatment have recurrent episodes, which may develop into chronic pyelonephritis in a year or two. Therefore, gynecological experts emphasize that urinary tract infection, a minor disease considered as "small intestinal fire," should not be ignored. The typical symptoms of acute urinary tract infection are frequent urination, urgency, and astringency, or the occasional sensation of urgency and difficulty in urinating. Atypical patients only experience heat and astringency when holding their urine. At this time, you should rest in bed, drink more water and urinate frequently. Visit the urology department of a regular hospital in time, and receive sufficient antibiotic treatment under the guidance of a doctor. Patients with urinary tract infections for the first time should receive two weeks of antibiotic treatment, and those with recurrent infections should receive long-term low dose treatment for 6 to 12 weeks. For recurrent sexual activity related authors, urination should be performed immediately after sexual activity.
Chronic pyelonephritis generally occurs in middle-aged women who have a history of urinary tract infections. Because the disease does not have the common symptoms of edema associated with kidney disease, it is difficult to attract attention. Even if it has developed into the early and middle stages of chronic renal failure, symptoms such as mild anemia, hypertension, and polyuria are not easy to attract attention, and are often misdiagnosed as hypertension or other diseases. Therefore, doctors call it a "hidden killer". When typical symptoms such as nausea and vomiting occur, it is often at the end of irreversible renal failure. It can be seen that this type of renal failure caused by pyelonephritis appears to be coming with a fierce momentum, but in fact, it has a slow progression process ranging from one to two years to several years. After investigating the cause, the culprit should be a urinary tract infection that occurred several years ago.
For those suspected of chronic pyelonephritis and early renal function damage, gynecological experts say that there is often a misconception that urine routine testing is normal as long as it is okay. In fact, normal urine routine does not mean that there is no chronic renal function damage or normal renal function. The reason is that the domestic routine urine examination generally uses the test paper method, which is mainly used to measure large and medium molecular albumin, and has diagnostic value for diseases such as glomerulonephritis and nephrotic syndrome. However, it is difficult to detect the microglobulin in the urine of patients with pyelonephritis and early renal injury, which can easily mask the true condition and delay treatment. The correct method is to go to the isotope room for a urine radioimmunoassay (RIA) test.
Chronic kidney diseases of various etiology often present irreversible progressive renal damage until they develop into end-stage renal failure. Therefore, chronic renal failure
Early prevention is very important. The so-called early prevention, also known as "primary prevention", refers to the intervention treatment of relevant factors before the occurrence of chronic renal failure. We must actively treat the primary disease, and actively treat various acute and chronic glomerulonephritis, lupus nephritis, purpura nephritis or diseases that may affect the kidney (such as hypertension, diabetes) to prevent the occurrence of chronic renal failure. To avoid or eliminate certain risk factors, the use of drugs that are toxic to the kidneys, severe infections, dehydration, urinary tract obstruction (such as stones, prostate hypertrophy), trauma, and other factors can often exacerbate existing kidney diseases, worsen renal function, and promote renal failure. In fact, regular, high-quality follow-up can reduce or avoid the occurrence of these risk factors, or early detection and correction. Moreover, it is necessary to have a reasonable diet, as the protective effects of low protein, low phosphorus, and low fat diets on renal function in chronic kidney diseases have been confirmed in the laboratory and clinical.
