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How Long Does Kidney Disease Go To Uremia

2019-03-21 10:22

Kidney Disease,UremiaHow long does Kidney Disease go to Uremia? How to judge and predict the speed of development of their illness? Following this article to get answer, or you can consult ONLINE DOCTOR directly in free.

24-hour urinary sodium and potassium

The concentration of sodium and potassium in 24 hours urine was measured. Sodium ion and potassium ion are irreplaceable minerals in human body. They play an important role in maintaining electrolyte balance and osmotic pressure in human body.

Why can these two indicators predict the development rate of nephropathy?

It was found that the higher the sodium intake, the faster the decline of glomerular filtration rate (GFR). The increase of 24-hour urinary sodium excretion was positively correlated with the decrease rate of glomerular filtration rate (GFR). When more potassium is ingested, it will penetrate into the excretion of sodium, thus reducing the effect of sodium on glomerular filtration rate, reducing the burden of kidney metabolism, and helping to stabilize blood pressure, thus playing a role in delaying renal function.

Another study was to observe renal function by analyzing the ratio of 24-hour urinary sodium to urinary potassium K. Facts show that the higher the ratio, the greater the risk of renal function deterioration, and the faster the progress. These studies mainly focus on patients before stage 4 of nephropathy, but there is no study on uremic or dialysis patients.

Patients may have a good understanding of 24-hour urinary protein quantification, but little attention has been paid to 24-hour urinary sodium and 24-hour urinary potassium. This study also demonstrates the rationality of the low-salt diet we usually recommend for nephropathy patients.

In understanding these two indicators, patients insist on doing well in three points, perhaps away from uremia:

1. Salt intake no more than 5g per day

High sodium diet is prevalent in China, which is very harmful to the protection of kidney health. Too much salt intake will not only increase the incidence of chronic cardiovascular diseases such as hypertension, but also directly increase the metabolic burden of the kidney, resulting in damage to renal function. Hypertension can also damage the kidneys.

The World Health Organization stipulates that adults should not consume more than 5 g of salt per day, which translates into less than 2 g of sodium per day. For patients with impaired renal function but without edema or hypertension, normal intake is generally acceptable, but if edema or hypertension occurs, daily salt intake should be reduced by half, and intake should not exceed 3G.

2. Appropriate intake of potassium-containing foods

In addition to high sodium salt, low potassium diet is also a habit of our diet. Appropriate intake of potassium-containing foods is conducive to promoting sodium metabolism. Usually, hypertensive patients recommend a low-sodium and high-potassium diet. Foods with high potassium content include grains such as buckwheat, corn, sweet potatoes, oats, etc., potatoes such as potatoes, yam in vegetables, and green leafy vegetables such as spinach, celery, rape, cabbage, etc. Fruits are most abundant in potassium content of bananas, as well as oranges, apricots, peaches, lemons and so on.

For patients with hypertension and hyperkalemia, a high-potassium diet is not recommended, but a low-salt diet is also required.

3. Check the indicators regularly and communicate with doctors.

Timely follow-up is also a part of nephropathy treatment. In addition to the common indicators of urinary protein, 24-hour urinary protein quantification, serum creatinine and uric acid, patients should also actively understand other indicators of renal function, such as glomerular filtration rate, electrolytes, etc., which also contribute to the treatment of the disease.

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