Friday, April 4, 2008

Chronic renal failure opened the mask

Chronic renal failure is a wide variety of clinical manifestations, but the early (pre-uremic) is not obvious clinical manifestations, often weakness, dizziness, headache, increased nocturia and varying degrees of anemia, when her illness became more serious, entering Advanced (uremia late), the whole system will be a corresponding symptoms: (1) digestive system: uremia gastritis, colitis, anorexia, nausea, vomiting, diarrhea and mouth such as a Ni Wei. (2) cardiovascular system: hypertension, arrhythmias, heart failure, pericarditis, there will be some sick pericardial effusion. (3) respiratory; breath a Anwei, slightly faster and deep breathing, there will be serious uremia pneumonia, pleural effusion. (4) hematopoietic system: anemia and bleeding tendency most common. (5) the nervous system: easy fatigue, memory decline, irritability insomnia; late, there may be lethargy, delirium, coma and manic, etc.. (6) skin and mucosa: If pigmentation, itching and other skin. (7) water, electrolyte, acid-base balance disorders: When kidney function decreased concentration, there may be more nocturnal enuresis; and glomerular filtration rate can lead to the decline Niaoshao. Restrictions on the use of diuretics sodium or hyponatremia, there may be inappropriate or hypokalemia, the terminally ill, there will be increased serum phosphate, calcium and lower high potassium, and so on, and with a corresponding symptoms. Should arouse the attention of the friends of chronic renal failure is not to be fooled by the illusion, due to chronic renal failure (CRF) in the early performance not typical, and there may be no symptoms of a system, therefore, easily misdiagnosed as a single system diseases, especially those who do not have the obvious in patients with chronic kidney disease, such as a weakness, fatigue, physical decline, abdominal pain, diarrhea, vomiting or symptoms of gastrointestinal bleeding friends, as well as general weakness, looking pale, anemia, pruritus symptoms to a doctor, often can be mistaken for gastrointestinal disease, cancer, aplastic anemia and peripheral neuritis, and other diseases, treatment delays, missed the best time of life and remorse. If the above symptoms, the approach should be to find a hospital specialist expert advice, to do a more systematic examination, the diagnosis is not difficult. Should be confirmed as soon as possible after treatment.

No comments: