ESRD

Once kidney disease develops to ESRD, if any measures are not taken to protect the residual kidney function, it will vanish with dialysis going on. How to protect the residual kidney function in ESRD? 1. Control complications well The follo

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How to Protect the Residual Kidney Function in ESRD

2017-04-07 06:12

Protect the Residual Kidney Function in ESRDOnce kidney disease develops to ESRD, if any measures are not taken to protect the residual kidney function, it will vanish with dialysis going on. How to protect the residual kidney function in ESRD?

1. Control complications well

The following four complications should be controlled well, namely renal artery stenosis, heart failure, obesity, and high uric acid level.

2. Lower high blood pressure

If low blood pressure does not appear, ACEIs and ARBs should be kept on.

3. Do not start dialysis too early

Some people think that the earlier you start dialysis, the better you can protect the residual kidney function. In fact, this is wrong. Some researches show that early dialysis (GFR 10-14) can not reduce death rate compared to late dialysis (GFR 5-7).

4. Dialysis patterns

The residual kidney function reduces more quickly in hemodialysis(0.18-0.33 ml/min/month) than in peritoneal dialysis(0.05-0.303 ml/min/month). Therefore, if health condition is permitted, peritoneal dialysis is preferred. And peritoneal dialysis fluid with neutral pH value and low glucose degradation product is helpful for you to protect the residual kidney function. If you have to do hemodialysis, PS-HF dialyzer is better than fiber dialyzer.

5. Diet

There is not a definite conclusion on how much protein intake is good for dialysis patients. Some studies showed that dialysis patients should eat more protein than other kidney patients, while some showed that protein intake should be eaten less, meanwhile ketosteril can be used to protect the kidneys.

6. Avoid renal toxicity medicine

Dialysis patients especially those on peritoneal dialysis should avoid NSAID, aminoglycosides antibiotics and contrast agent. For hemodialysis patients, before using contrast agent, taking N-acetyl cysteine is helpful for protecting kidney function.

At last, the above suggestions are adjuvant. If you really want to protect the residual kidney function, you can try Chinese medicine. It can help you set up a good blood environment for kidney self-healing. For about one month’s treatment, you can see the effect.

How to protect the residual kidney function in ESRD? It determines whether you can avoid dialysis or not and how long you can live. If you want to know more information on ESRD treatment, please leave a message below or contact online doctor.

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