10 Methods to Help You Protect Residual Renal Function
Kidney Failure occurs when Chronic Kidney Disease progresses to less than 10 percent of normal kidney function. At this time, the remaining part of kidney function is the so-called residual renal function. The less the residual renal function, the more serious the disease will be.
1. Control of primary disease by symptomatic treatment
Among dialysis patients, the proportion of dialysis patients due to diabetes mellitus complicated with nephropathy is more than one third. Therefore, treatment should be paid attention to in the early stage of Diabetic Nephropathy, which is of great significance for the protection of residual renal function.
For end-stage renal disease (ESRD) caused by Lupus Nephritis, chronic pyelonephritis, Polycystic Kidney Disease (PKD) and renal arteriosclerosis, the treatment of such primary renal disease should not be abandoned to protect the renal function.
2. Select appropriate dialysis regimens
In order to protect the residual renal function, it is best to do hemodialysis twice a week. However, the residual renal function of hemodialysis patients declines faster than that of peritoneal dialysis patients. Therefore, when conditions permit in all aspects, the treatment of hemodialysis can be adopted.
3. Using dialysis membranes with good biocompatibility - polymer synthetic membranes
The use of biocompatible dialysis membrane can prevent renal damage caused by sudden change of osmotic pressure in dialysis, and is of great benefit to protect residual renal function and reduce dialysis complications.
4. Avoid excessive ultrafiltration dehydration
Excessive and rapid ultrafiltration dehydration per unit time will occur in patients with renal failure during dialysis, which will lead to the loss of residual renal function. For such conditions, dry weight should be strictly controlled, especially the weight gain during dialysis should not be more than 5% of the dry weight of the body.
5. Stabilize and control high blood pressure
Hypertension is a factor promoting the progression of renal disease in any patient. For patients who have already undergone dialysis, attention should be paid to the selection of antihypertensive drugs with less damage to the kidney to protect residual renal function.
6. The application of drugs for renal protection
According to the actual situation, patients can consult professional doctors to use angiotensin converting enzyme inhibitors (ACEI) or angiotensin II receptor antagonists to protect kidney function and reduce blood pressure at the same time.
7. Prevent hypotensive reactions during dialysis
If a patient with renal failure has hypotension, this can lead to insufficient effective blood volume in the body, leading to renal ischemia and aggravating renal damage. When patients have both urine volume and mild water retention but cannot tolerate ultrafiltration, oral diuretics can be taken, which can not only increase the removal of water and solute, but also prevent hypotension in dialysis to protect residual renal function.
8. Appropriate use of diuretics
This point is mainly for the patients with peritoneal dialysis and urine. Diuretics can be taken appropriately, which is also very helpful for the protection of residual renal function.
9. Reasonable diet
Kidney patients need to take proper amount of high quality protein every day to replace the lost part. Avoid eating high potassium, high phosphorus and other foods, and for patients with low potassium and low phosphorus, pay attention to the appropriate supplement of potassium, phosphorus content in the body.
10. Avoid the application of nephrotoxic drugs
In this regard, it has been emphasized that antibiotics such as aminoglycosides, antipyretic and analgesic drugs, and Chinese herbal preparations containing aristolochic acid should be treated with caution, because such drugs will reduce the glomerular filtration rate and harm the residual renal function.
The above 10 methods can help you protect residual renal function and prolong your lifespan. For more information on kidney failure treatment, please leave a message below or contact online doctor.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***