2014年9月23日星期二

What can I do to slow the progress of Chronic kidney disease ?

The stage 4 ,5 CKD can't be cured completely . If you are in stage 1 or stage 2 you should find ways to slow the progress of CKD .The following content will tell you the method .

Blood pressure control

Study after study has confirmed that good blood pressure control can help slow the rate of kidney disease. This is especially true in people who have diabetes and protein in the urine (proteinuria). In addition to helping prevent kidney failure, keeping blood pressure under control also helps preventheart disease and stroke.
According to National Kidney Foundation (NKF) guidelines, you should strive to keep your blood pressure at or below 130/85 if you have kidney disease. If you have diabetes and/or proteinuria too, their suggested target blood pressure is 125/75.
Keep your blood pressure at 130/85 or lower if you have kidney problems but not diabetes.
Keep your blood pressure at 125/75 or lower if you have diabetes and/or protein in your urine.
Lifestyle changes such as losing weight, exercising, meditating, eating less salt and drinking less alcohol can help lower your blood pressure. Smoking is a risk factor for faster progression of kidney disease, so stopping smoking can also help slow progression.

Blood glucose control

If you have diabetes, strict controls of your blood glucose levels can help slow the progression of kidney disease.
Keep your hemoglobin A1c, which measures blood glucose control over the last two to three months, to less than 6.5%.
To reach this level of strict glycemic control, you will need to monitor your blood glucose closely to avoid hypoglycemia.
You may need to use frequent insulin injections or an insulin pump. Talk to your doctor about your diabetes treatment options.
Diet and lifestyle
Ongoing research continues on dietary changes and drugs that may help to slow the progression of kidney disease. Examples include:
Fish oil for IgA nephropathy
Pirfenidone (an anti-fibrotic drug) in the treatment of focal segmental glomerulosclerosis (FSGS)
Dietary intake of antioxidant or anti-inflammatory vitamins and foods
Some studies have shown that limiting protein and phosphorus in the diet can help slow kidney disease progression. Talk to a renal dietitian about your CKD non-dialysis diet and recommendations to prevent kidney failure.

Repairing kidney damage

In some cases, the kidney disease itself can be treated. If you have an obstruction that blocks your urine flow, surgery may help. If you have an infection, antibiotics may clear it up.
If your kidney damage is due to the effects of prescription or non-prescription medicines, your doctor may be able to suggest a different drug that is less harmful to your kidneys. If you have kidney disease and are prescribed antibiotics talk to your doctor about the effect it may have on your kidneys. Painkillers (even over-the-counter medicines) can cause damage your kidneys. Talk to your doctor about all medicines you take. Sometimes diagnostic lab testsare ordered with contrast dye. It may be necessary for you to have the test, but first find out if there are alternative methods as contrast dye can be harmful to kidneys.
Some diseases, such as IgA nephropathy, glomerulonephritis, and lupus can cause kidney damage when your immune system overreacts and inflammation occurs. It is sometimes possible to slow the disease process by controlling the immune system with steroids and/or other medicines.
Talk with your doctor to find out what you can do to help to slow the progress of your kidney disease.

Hope these method can help you slow the progress of CKD .In totally , treat early of kidney disease is most important .

If you still have any questions about kidney disease . Contact me through kidneyfailuretreat@hotmail.com .


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