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If the routine treatment of these nephropathy is not satisfactory, we can consider plasma exchange, which can still reduce urinary protein and improve the condition.

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Plasma Exchange for Refractory Proteinuria

2019-03-21 17:53

Plasma Exchange for Refractory ProteinuriaWhen it comes to blood purification, many people think of dialysis and uremia. Indeed, hemodialysis is the most common way of purifying blood in blood purification centers, so that the "blood purification room" is also known as the "dialysis center".

However, blood purification technology has been developed for more than half a century, which is not as simple as dialysis. Since the maturity of hemodialysis technology in the 1950s, many new technologies have been applied in clinical treatment. They can not only treat uremia, but also treat refractory nephropathy with normal renal function and urinary protein. Today let’s discuss plasma exchange.

Plasma exchange is to extra blood from the body and then remove toxins from the blood. Afterwards fresh plasma, albumin solution, equilibrium solution and other plasma substitutes are transfused back into patients at the same speed. In this way, we can achieve the purpose of removing pathogenic substances and alleviating pathological damage.

To put it bluntly, it is to take out the "dirty blood" and replace it with "clean blood" and transfuse it back.

Plasma exchange is different from dialysis. dialysis is a means of maintaining life after the loss of renal function. It can only remove small molecular toxins such as creatinine in the blood, but has no effect on treating nephropathy. Plasma exchange has therapeutic effect on nephropathy, and it is a comprehensive elimination of all toxins, including the main culprit of primary kidney disease: immune complexes. Some refractory nephropathy can be improved by plasma exchange therapy.

Which kidney diseases can plasma exchange be used to treat?

Kidney disease that has bad therapeutic effect and high risk of uremia can be treated by plasma exchange.

1. Focal segmental glomerulosclerosis (FSGS). It does not get improved after 16 weeks of steroid therapy.

2. Membranous proliferative nephropathy (MPN). It is characterized by steroid resistance. Immunosuppressive agents are usually ineffective, and there are many complications.

3. Crescent glomerulonephritis. It progresses rapidly and can progress to uremia within six months.

4. Anti-glomerular basement membrane disease. It may have severe proteinuria and hypertension. After treatment, the risk of uremia is still high.

5. And some other refractory nephropathy.

If the routine treatment of these nephropathy is not satisfactory, we can consider plasma exchange, which can still reduce urinary protein and improve the condition. For more information on this treatment, please leave a message below or contact online doctor.

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Our Treatment Effect

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You can take a look at this patient's report. His creatinine was 1028 and urea level was 39.7 on 2018-12-11; creatinine level was reduced to 331 and urea was 16.1 on 2019-1-5. After about 25 days' treatment in our hospital, his creatinine level was reduced by 697, and urea was reduced by 23.6. Hope his condition gets better and better.

Our Treatment effect

Proteinuria is a common symptom of kidney disease

Mouse over the picture, it can be magnified.

It can make your urine foamy. Although it does not make you feel uncomfortable, it can impair your renal function and make your kidney disease worse. Conventional treatment such as steroids and immunosuppressants can hardly make it negative. In our hospital, systemic Chinese medicine treatment can help you turn it negative. Look at this picture, bubbles in urine become less and less with our treatment going on.