Kobayashi is a child's mother and a patient with advanced uremia. After being diagnosed with uremia, Kobayashi has been dialyzed for two years. He regrets when he recalls the situation when he was sick. It is because of his ignorance that he has irreparable consequences.

Kobayashi is a child's mother and a late-stage uremia patient. After being diagnosed with uremia , Kobayashi has been dialyzed with for two years. When she recalled the scene when she was sick, she regretted it because of her ignorance that caused irreparable consequences.

Kolin's unit requested a physical examination, so he went to the hospital. However, during the physical examination, he found that urine protein 2+ was normal, and there was no edema, and his blood pressure was normal. The doctor told him that because he had not had urine test before, he did not know what the cause of urine protein 2+ was, so he suggested that he check on time.

Because he did not have any discomfort in his body, a year passed, and when Kobayashi went to the hospital for examination, he was diagnosed with chronic nephritis. Since the child had to go to school and had to work, he never continued to treat it. It was time for the physical examination again. After the physical examination results came out, Kobayashi's urine test sheet showed urine protein 2+, blood pressure 140/90 mmHg, and creatinine 123μmoI/L.

Only after the doctor's explanation did he realize the seriousness of the problem and quickly went to the nephrology department for treatment. B ultrasound showed mild atrophy of both kidneys. The doctor suggested that it was no longer suitable for renal biopsy, and only through current medical means to delay the speed of renal failure.

1

First of all, let’s learn about what is renal failure?

renal failure is the result of damage to renal function and progressive deterioration due to various reasons, manifested as metabolites of renal function, water retention, electrolytes, acid-base balance disorders, and diseases that lead to renal failure include chronic nephritis, chronic pyelonephritis , IgA nephrosis, diabetes nephrosis , hypertensive nephrosis, gouty nephrosis , lupus nephrosis, polycystic kidney , etc.

renal failure has different clinical manifestations at different stages. In the early stage of renal failure, patients may have no symptoms, or simply general fatigue, waist aches and discomfort, and increased number of urination at night. A few patients may experience loss of appetite. However, as the condition progresses, renal failure, middle and late stage patients will experience nausea and vomiting, smell of urine in their mouths, and will also have neuropsychiatric symptoms, dizziness, memory loss, numbness of the limbs, and even significant increase in blood pressure.

heart failure and laboratory examinations include moderate to severe anemia, blood urea nitrogen, serum creatinine significantly increased, carbon dioxide binding decreased, and acidosis was manifested as dry skin, desquamation, itching, prone to bone diseases, low calcium, high phosphorus, and even hyperkalemia .

renal failure includes acute injury and chronic renal failure . acute renal injury refers to a clinical syndrome caused by a variety of causes, and the renal function suddenly declines in a short period of time, and the renal function declines. It can occur in patients without kidney disease, or in patients with chronic renal disease who have been stable. Suddenly, the renal function deteriorates sharply. According to serum, creatinine value and urine volume, it is divided into AKI stage 1, AKI stage 2, and AKI stage 3.

Chronic renal failure refers to chronic renal disease. The glomerular filtration rate of is severely reduced, and the metabolic disorders and involvement of the systemic system. It is the main manifestation of clinical syndrome. According to the glomerular filtration rate, it is divided into G, G, G, G, G, and G phases.

Chronic renal failure represents the decline of GFR in the chronic kidney to the decompensation stage, mainly in the stage of CKD stage 4 to 5, that is, the stage of GFR <>

2

32-year-old mother suffers from uremia and lives by relying on dialysis! Can uremia only rely on dialysis to survive?

uremia patients do not need to be dialysis. Some patients can use drugs for treatment in the short term, or consider renal transplantation. If the urine volume of uremia is normal, there is no serious electrolyte disorder, acid and base imbalance, and difficult to correct hypertension or anemia, drug conservative treatment can be performed, so not all uremia patients must undergo dialysis.

uremia patients will continue to progress, and ultimately they cannot maintain the balance of the internal environment. They need to undergo alternative treatments such as hemodialysis or peritoneal dialysis . In addition, in addition to choosing dialysis, patients with uremia may also consider renal transplantation if they have a suitable matching type.

Uremia is the end stage of kidney disease caused by various reasons. The kidney function at this stage is already very poor and cannot meet the body's metabolism needs. Moreover, it cannot restore kidney function through treatment. Severe can endanger life. For some complications of uremia, such as anemia and calcium and phosphorus metabolism disorders, it cannot be solved by dialysis alone. It is necessary to use drugs to treat them under the guidance of a professional doctor.

If uremia patients do not choose dialysis to maintain their lives, the lifespan of dialysis in uremia patients will be uncertain, and they will be complications of hyperkalemia, gastrointestinal bleeding, arrhythmia , and may die in a short period of time. Hemodialysis is one of the treatment methods for uremia patients.

mainly removes toxins in the body, such as urea creatinine, and excretes excess water, corrects the electrolyte acid-base balance disorder. Once dialysis is stopped, electrolyte acid-base balance disorders may occur, such as hyperkalemia, metabolic acidosis, and malignant arrhythmia, which may cause death in a short period of time.

1 Stop dialysis urea accumulation, which may gradually appear digestive tract symptoms, such as nausea and vomiting, loss of appetite, and severe gastrointestinal bleeding, water cannot be discharged, and edema, heart failure, acute pulmonary edema and other deaths. Although these conditions do not occur quickly without acute complications, they seriously affect the patient's quality of life and may die within a few days to months.