Common clinical acute renal failure causes

From acute renal failure (ARF) in the diagnosis and treatment of perspective can be induced acute renal failure causes divided into three categories:
First, the former of the AIIP kidney, resulting in kidney before A11P of the main reasons are:
(1), lack of effective blood volume, common in gastrointestinal fluid lost the use of diuretics, the burn area, such as hypoproteinemia.
(2) heart failure, found cardiomyopathy, heart valve dysfunction, such as cardiac tamponade.
(3) systemic vascular expansion, seen septicemia, allergies, anesthesia accidents.
(4) renal artery contraction caused renal ischemia.
Second, renal parenchymal ARF, ARF lead to renal parenchymal the main reasons:
(1) acute tubular necrosis, acute renal ischemia seen, the use of kidney toxic drugs, heavy metal poisoning, and so on.
(2) bilateral renal cortical necrosis, found in placental abruption, serious shock.
(3> tubulointerstitial disease, found in drug-mediated acute allergic reaction, infection and systemic disease.
(4) renal vascular disease, found in the renal artery embolism and thrombosis, renal vein thrombosis and microvascular disease, etc..
(5) glomerular diseases, resulting in the primary A11F glomerular diseases radical type nephritis, nephritis after infection, IgA nephropathy, mesangial proliferative glomerulonephritis, and other. Secondary nephropathy as lupus nephritis, such as Henoch-Schonlein Purpura Nephritis.
Third, after the kidney of the ARF, ARF result of the kidney after the main reasons include:
(1) ureteral stones such as incarcerated.
(2) prostatic hypertrophy.
(3) urinary tract and urinary tract injury after surgery.
(4) tumor suppression.

Nephropathy patients classified the dialectic method

In recent years, we have adopted a large number of clinical pathological observation, found that the so-called Western medicine in Chinese medicine clinical glomerular diseases are always wet liver stasis spleen, bleeding resistance, hot and humid place, sanjiao unreasonable, renal disorders movements of possession of stolen letters, Among throughout the nephropathy. Therefore, in the course of treatment must have good “kidney” and pathogenesis of disease, can be conducive to the proper treatment early. After years of clinical treatment, the summary will be repeated in the clinical nephropathy classified into the performance of the “Five Card,” “Wu Hou.”

5 card:

Asymptomatic renal possession of stolen letters: Clinical manifestations in the urine qualitative examination, there is always occult blood or urine protein and erythrocyte examination time, the self-inductance no obvious clinical symptoms.

Renal kidney deficiency possession of stolen closure: Apart from the above conditions, but also have the following three are also over. ① lumbar weak acid, or ptosis discomfort; ② tibial knee soft acid; ③ tinnitus, and hearing loss; ④ face edema, or limb edema; ⑤ urine-long or more anti-nocturnal enuresis; ⑥ loose teeth or sparse, alopecia; ⑦ male erectile dysfunction, premature ejaculation and other sexual dysfunction, or Irregular Menstruation.

Liver and kidney deficiency possession of stolen letters: kidney deficiency should have the conditions of both dry mouth, or dizzying, head Shibuya, Shiwumohu, Shehong moss less. Third India positive for India or two positive.

Spleen and kidney deficiency closure possession of stolen: a deficiency of the dialectic conditions both chills, Shiling, obviously edema, or Nadai, stool pond; was pale Shaohua, a tongue-fat Chigen. Sanyinjiao positive. Yam or two is also negative.

Kidney Liver Depression spleen moist possession of stolen letters: with asymptomatic renal loss closure of the clinical examination of both symptoms and the following three symptoms; ① Xiongjinchanman, Lexia pain; ② small abdominal distension, not fresh after SHU, stool Dilute pond; ③ fatigue fatigue, mental poor ④ inverse gas, gas, moss thick white or greasy, claws weakness, positive or three printed two Indian positive.

Wu Hou:

Cold Hou: Wuhan fever, cough, edema, Moss thin or white, and clinical manifestations of most acute.

Wind-heat Hou: not Wuhan fever, sore throat swelling, edema minor Shehong moss yellow veins and a few small clinical most acute stage.

Hygrothermal Hou: fever, mouth hard-limb edema, carpal bulging belly nausea, skin eczema Sores, frequency, a sense of urgency, Moss thin yellow or greasy.

Stagnation Hou: A wrong skin, looking dark, low back pain inalienable, or tongue cyanosis sublingual threads are stasis, high blood viscosity, microcirculation and other tests coagulation.

Drowning drug Hou: Niaoshao or frequency, especially at night, nausea and vomiting, Nadai, edema urine stench, moving the asthma, skin itching, headache or dizziness poor sleep, anemia, high blood pressure, serum creatinine and urea nitrogen levels.

Clinical nephropathy is the most common, but very treatment, more use of traditional Chinese and western medicine treatment of hormone drugs, clinical considerable side effects, there was a high level of repeatedly. More classical Chinese medicine treatment, and effect is not satisfactory. We basis of the “five card,” “Wuhou” dialectical classified, and established the “fidelity Qingzhuo, Blood Circulation, Shugan Lishi” Clinical treatment ideas. Through clinical repeatedly concluded that the clinical nephropathy to consider not only clinical efficacy is more important to consider the prognosis effect. A large part in the clinical patients for chronic renal insufficiency or renal failure and uremia period period. When questioned history that the vast majority have nephropathy in patients with previous history, has repeatedly issued as a chronic or renal failure and uremia. Early use of these patients basically western medicine treatment so each relapse treatment must be taken to consider how Western medicine treatment, the treatment of relapse in each of our medication principle is that when the urine test is not Guse protein drugs, hematuria, and erythrocyte not hemostatic, renal damage and serum creatinine, blood urea nitrogen, do not use increased diarrhea detoxification method. Followed by Chinese medicine for treatment of the characteristics that the overall concept on the basis of regulating movements to improve renal microcirculation, renal microcirculation resumption of the capillary wall renal microcirculation flexibility and structure of the role of the charge. Cure the root of the problem in order to meet the objective. Kidney patients to the more difficult after recurrence.

Nephropathy can occur with skin fibrosis

United States Centre for Disease Control and Prevention (CDC) recently reported that a small portion of patients with kidney disease in the skin fibrosis patients, and this situation has never been seen in the previous report.

This skin disease is in a California hospital 265 cases of kidney transplant recipients to patients in the first eight cases found. These patients in May 1997 to December 2000 accepted a kidney transplant.

CDC researchers in the January 18 published in the “morbidity and mortality weekly report,” pointed out in an article, “according to clinical examination, patients in the distal limb and trunk are fibrosis skin damage, histological and hardening of the mucus Edema similar, can lead to serious contraction and activities restricted. ”

However, these patients usually have to do with lack of myxedema hardening of the special-shaped protein IgG λ. So far, in the United States and Europe have 49 patients have been diagnosed.

The researchers pointed out that “Although not all patients have shown for kidney disease, but all patients had potential kidney disease; half of the patients received renal transplantation. There is no coherent and effective treatment methods, but there are several cases of illness have improved. ”

CDC epidemiological project leader Dr. Michelle Goveia pointed out that although the reason was unclear, but due to all the patients had kidney disease, “is certain substances may be released or can not be impaired kidney filtration, lead accumulate in the body, thus changing physiological state. ”

She told Reuters the medical reporter, “This is the greatest possibility of the etiology of the disease state is a multi-factor, possibly involving lead to abnormal fibroblast the genetic tendency. In immunosuppression and kidney disease cases, this process have been activated. ”

Dr. Goveia said that although such a state and hardening of myxedema very similar, but there are also some differences. She said: “The kidney disease seen in the skin before, and the typical hardening of myxedema usually associated with the contrary.”

“In addition, this new disease, the distal limb and trunk are usually damaged, histopathology is different, no involvement in the serum of patients with monoclonal IgG λ different types of protein, and the latter with the hardening of myxedema closely related. “

Nephropathy is swollen legs?

Nephropathy is swollen legs?

Some people see a swollen legs on the view that something had gone wrong with kidney, the blind use of diuretic drugs. In fact, lower extremity edema caused the many reasons, to refrain from using diuretics, as it will not only delay treatment, but also caused water, electrolyte imbalance, or even damage the kidneys function.

Lower extremity edema can be a systemic disease symptoms, may also lower extremities is one of the symptoms of the disease locally.

Cardiogenic edema of heart occurred when the right heart failure, due to venous blood back into the left ventricle can not be successful, the increased pressure caused intravenous fluid leakage and enable organizations to enter space, cause edema, first appeared in the ankle, the final throughout the body.

Swelling of acute and chronic kidney nephritis, or kidney disease, renal blood flow due to the reduced sodium and water retention, increased capillary permeability, urine loss caused by too much protein colloid osmotic pressure in plasma decreased, organizations can make space humoral aggregation caused edema. Although common in lower extremity edema, but first emerged in the eyelid and face, leg and then spread to the body, accompanied by Niaoshao or nocturnal enuresis, polyuria.

Hepatic edema was mainly due to cirrhosis of the liver damage, the portal venous drainage and doors blocked by the increased static pressure, but malnutrition, liver failure, also have low serum albumin, swelling from the ankle and started spreading upward , but the most obvious significant ascites, rarely spread to the head and face and upper limb.

Malnutrition nutritional edema obstacles to a decrease in plasma albumin edema, first appeared in the lower extremities, and gradually spread throughout the body upward. Edema, prior malnutrition, absorbing barriers or chronic wasting disease.

More localized lower extremity edema due to lower extremity venous, lymphatic fluid into the tube leading to disruption caused by space organizations, such as the lower extremities embolization of phlebitis, lymphangitis, filariasis, pelvic tumors or lower extremity venous pressure, edema often seen in the unilateral lower limb, normally does not spread body.

Low back pain should beware of nephropathy

People back pain is one of the most common symptoms. Some young people a reason to back pain, especially activity of low back pain, as well as weakness, Niaoshao phenomenon, we should pay attention to, probably early nephropathy signal, particularly to consider the possibility of nephritis, or kidney stones. Therefore, timely diagnosis and treatment to the hospital for an examination.

The relationship between low back pain and kidney disease? Nephropathy violations often targeted those with the disease appear, and no history of nephropathy, but immunocompromised people, such a person is susceptible to tonsillitis, upper respiratory tract infection, such as mumps. The disease is the main cause of external bacterial or viral respiratory invasion of the body after it produced the opposite sex, as well as water-kidney antibody caused by too few.

In the hospital out-patient encounter can be such a sick of the usual minor notalgia not draw attention, after a low back pain intensified, a shower of swelling, anaemia, dizziness, to the hospital for an examination found that hypertension, a B-show, such as stone , urine check-protein, red blood cells, white blood cell, this treatment has been delayed. So peacetime attention to the physical training and enhance the body’s resistance to disease and avoid common cold. When you for no reason at all, the name of the low back pain, we must first consider the possible kidney disease should be promptly to the hospital for examination.

What uric acid nephropathy clinical performance?

Uric acid nephropathy is due to excessive uric acid excretion or reduction of hyperuricemia induced renal damage. There are two kidney damage: ① formation of urinary stones; ② uric acid induced renal parenchymal damage.

Both renal damage will be able to coexist, and the clinical performance of the following three:

(1) Chronic hyperuricemia: more common in middle-aged and older men. More with gout or gouty arthritis stone; early renal damage showed mild proteinuria, a small amount of red blood cell concentration and urinary dysfunction; late hypertension, renal dysfunction, leading to a small number of uremia. Renal medulla that live frugal with radial needle crystallization of uric acid and renal interstitial chronic inflammatory changes.

(2) acute uric acid nephropathy: rapid onset, was particularly prevalent in myeloproliferative diseases and cancer radiotherapy, and chemotherapy. Clinical manifestations oliguria or anuria, and the rapid deterioration of renal function (ie, acute renal failure). This shows that a large number of urinary uric acid crystal and erythrocytes. If not promptly treated, the condition continues to worsen, the patient eventually died of renal failure.

(3) uric acid stones: Multi asymptomatic hematuria can happen, with or without renal colic, the translucent stone, abdominal plain film showed that no more often to go through IVP can be found. Urine Shicheng into uric acid or its salts.

Clinical manifestations IgA nephritis

Often in the typical cases of respiratory tract infection after a few hours to two days, a gross hematuria, usually lasting a few hours to a few days, some up to one week. The total number of such patients accounted for about 40% ~ 50%, slightly higher than in children. Individual can have serious back pain and Futeng may be related to the gastro-intestinal IgA vasculitis. Another common manifestations of the disease is asymptomatic hematuria and / or proteinuria, or about 30% of the total to 40 percent. 20% to 25% of cases may occur in the course of one or several gross hematuria.
Nephrotic Syndrome can be found in 5% to 20% of the patients in the cases of children and young people more often is a diffuse proliferative with or without glomerulosclerosis. In addition, sometimes mesangial mainly IgA deposition phenomenon can also occur in the foot process integration to the characteristics of minimal change nephropathy.
Some can be less than 10% of the patients with acute renal failure performance, usually self-mitigation. 20% to 25% may need dialysis, because they have more crescentic glomerulonephritis. Activities in the course of a period of retention of nitrogen are not uncommon, accounting for about 25 per cent. At the onset of hypertension that is 10% of the total, ran in the 30-year-old who later onset was significantly increased with the extension of the course, with hypertension, more than 40 per cent.

What is the HPV infection should be reviewed?

Netizen: cervical HPV infection-blowing, when vaginal colposcopy and intact, not erosion. This is how the case? It should be three to six months after the inspection, should now pay attention to what? HPV positive, the absence of effective Chinese medicine therapy? Whether that has been positive HPV carcinogenesis?

WU Yu-mei: human papilloma virus infection from the current inspection did not lead to cervical lesions occurred on the equivalent of Hepatitis B virus carriers in the same. We both know that many people, and Austria-positive and did not cause liver function abnormalities, the reason is the same. Pathogenic virus on the body they have to look at the resistance of the body, that is to say a virus infection does not necessarily lead to cervical lesions and even cervical cancer. It may continue with the body in a state of infection, but it is not pathogenic.

In addition it may be infected with HPV related to the type of high-risk HPV infection and low-risk type. The so-called high-risk people to say this led to relatively easy cervical cancer. If infection is low-risk type of HPV, the future may lead to cervical cancer lesions, or condyloma acuminata the possibility of this type of lesion relatively large, leading to the possibility of cancer relatively small number.

Married women should be six months to the hospital to make a film, the censorship of cervical scratch. In ordinary life, we must focus on improving their own resistance. Second to avoid cross-contamination between the husband and wife, the best sex life wearing condoms as a barrier.

Whether Chinese or Western HPV infection has no cure. Main treatment is to increase the body immunity, immunity. So now from the perspective of Western medicine treatment, which is used to increase local resistance. For example, this type of interferon drugs. Chinese medicine is through the implementation of the auxiliary treatment.

HPV-positive cancer not to the extent of further recommendations do colposcopy, in the colposcopy from cervical biopsy, further diagnosis.

Leucorrhea sudden increase in marriage

Ms Ng call Advisory: her marriage Leucorrhea suddenly increased, and fishes with blood, which is why?
　　
Is not caused by dirty vagina.
　　
According to Yang doctor judgement, Ms Ng had cervical erosion is likely, a married women is very common gynecological diseases.
　　
It is mainly induced by the spouses roommates, dirty no relationship with the vagina. Leucorrhea for increased symptoms, fishes and blood roommate bleeding, and with low back pain, stomach pain.
　　
Cervical Erosion is not really a piece of rotten meat, but organization has changed, the outside is a cervical squamous cell looks very smooth, but inside of the cervix comparison-like tongue, a lot of things above, the rough processes, if cervical squamous cell outside for some reason, such as mechanical stimulation, childbirth, abortion or damaged some of the surgical trauma, and then with some of the vagina pathogens, such as viruses, trichomonas, fungal infection, we will see of the cervix, Gegedada climb out of things looks red, like erosion, is a kind of pseudo erosion.
　　
Most married women have won such a gynecological disease.
　　
Treatment of cervical erosion is not so difficult, as long as one or two of the microwave therapy can be cured, and not relapse.
　　
But there are many women can not understand the cervical erosion and waste treatment, and ultimately lead to cancer, deteriorating into cervical cancer, and cervical cancer now have shown a younger age trends.
　　
So Yang doctor suggest that married women from the age of 30 onwards, each doing the best a “cervical scraping film” or “optical biopsy” to their own health care.

Serious cervicitis will become cervical cancer?

Q: serious cervicitis will become uterine cervical cancer or erosion?

Answer: cervicitis divided into several types, such as our common cervical erosion, cervical cyst, some bleeding cervical edema, etc. In such a situation we will be collectively referred to the clinical cervical inflammation. But cervical cancer depends on whether there will be any loss of the inspection, the inspection organization, and follow-up inspections, does not mean that cervical erosion will occur in the cervical cancer, cervical or depend on the evolution of the type of cervical, and HPV infection, the relationship between it and cervical cancer, is only a manifestation of erosion, but also for further examination and biopsy of the inspection further identified.