2014年1月4日星期六

What is Stage 4 Kidney Disease?

Chronic kidney disease (CKD) happens if your kidneys have been damaged. Kidneys can become damaged from a physical injury or a disease like diabetes or high blood pressure. Once your kidneys are damaged, they are not able to filter blood or do their other jobs well enough to keep you healthy. Some of the important jobs kidneys do:
Filter blood
Balance your body's fluids
Regulate hormones
Help keep blood pressure under control
Keep bones healthy
Help make red blood cells
As kidney function declines waste products build up in the blood causing a condition known as “uremia.” In stage 4 a person is likely to develop complications ofkidney disease such as high blood pressure, anemia (a shortage of red blood cells), bone disease,heart disease and other cardiovascular diseases.
Symptoms that are experienced in stage 4 include:
Fatigue: Feeling tired is common for people with CKD and is often caused by anemia.
Too much fluid: The kidneys may lose their ability to control how much fluid stays in the body. A person may notice swelling (edema) in their lower legs, hands or face around the eyes. With too much fluid someone, could even feel short of breath.
Urination changes: Urine may be foamy if there is protein in it, or dark orange, brown, tea colored or red if it contains blood. A person may urinate more or less than normal, or get up at night to go to the bathroom.
Kidney pain: Most people with CKD do not have kidney pain, but with some kinds of kidney problems, such as polycystic kidney disease (PKD) or infections, they may have pain in their back where the kidneys are located.
Sleep problems: Some people have trouble falling asleep or staying asleep. Itching, muscle cramps or restless legs can keep them awake.
Nausea: Vomiting or feeling nauseated may occur with CKD.
Taste changes: Food may not taste like it usually does, or may have a metallic taste.
Uremic breath: As urea builds up in the blood, it may be detected in the breathing causing bad breath.
Loss of appetite: People in this stage may not feel like eating, and some people report having a metallic taste in their mouth or bad breath.
Difficulty in concentrating: Having trouble balancing a checkbook or focusing on reading the newspaper can happen with CKD.
Nerve problems: Numbness or tingling in your toes or fingers is a symptom of CKD.
At stage 4 it is necessary to see a nephrologist (a doctor who specializes in treating kidney disease). The nephrologist examines the patient and orders lab tests to gather information to recommend treatment.
A healthy diet for stage 4 CKD may recommend:
Including grains, fruits and vegetables, but limiting whole grains and certain fruits and vegetables if blood tests show phosphorus or potassium levels are above normal.
A diet that is low in saturated fat and cholesterol and moderate in total fats, especially if cholesterol is high or if you have diabetes or heart disease.
Limiting intake of refined and processed foods high in sodium and prepare foods with less salt or high sodium ingredients.
Aiming for a healthy weight by consuming adequate calories and including physical activity each day within your ability.
Limiting protein intake to the level determined by the dietitian’s assessment of individual needs.
Consuming the DRI for the water soluble vitamin B complex and C.
Vitamin D and iron may be tailored to individual requirements.
Limiting phosphorus if blood levels of phosphorus or PTH are above normal.
Limiting calcium if blood levels are above normal.
Limiting potassium if blood levels are above normal.

All in all, it is unadvisable to take every promising method while ignore your personal condition and specific root causes. If you want to receive most appropriate treatment, please leave a message below or send us an E-mail kidneytherapychina@hotmail.com .

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