40 Tips For Living With Kidney Disease Patients, Collect Them Quickly!

In today's pandemic, everyone's life has been affected to a certain extent. Whether you plan to lie down or climb this year, as an old friend who accompanies you, what we most hope is that everyone is safe and happy.

Today, we summarize some knowledge to help kidney friends live in harmony with kidney disease confidently and optimistically in the new year.

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10 little things to improve happiness

1. Lasting happiness depends not entirely on external encounters, but more on our attitude towards encounters. Even though the occurrence of kidney disease is unpleasant, you have the ability to regard this unpleasantness as the driving force and opportunity for change, to adapt to the environment, adapt to the encounter, adapt to the disease, and grow into a more mature, tolerant and peaceful person

2. Being alive is a marvel in itself. Don't underestimate the value of your existence because of disease, no one is perfect, your existence itself is already amazing

3. Participate in sports. Numerous studies have shown that aerobic exercise not only promotes health, restores activity, strengthens immunity, and promotes recovery from illness, but it is also a good remedy for depression and anxiety. A healthy mind resides in a positive body. Don't let yourself become a lazy and idle person because of an illness

4. Happiness does not exist in extravagant enjoyment. You feel more "flow" when you focus on tasks that are a little challenging but within your power, like learning something you've wanted to do a long time ago, whether it's a craft, or pruning a tree, or something else "Experience, it's much happier than sitting in a big luxury house, a big car, a big cruise ship, eating and drinking.

5. Get enough sleep and don’t let desire turn you into an anxious and exhausted machine. Happy people tend to live a life of optimism while also having enough time to replenish sleep and restore the serenity of being alone

6. Keep your chest up and give yourself a happy smile and positive hints! When we frown sternly, it's as if the whole world is glaring at us

7. Don’t overestimate what you can do in a day, and don’t underestimate what you can do in a year. Might as well split the target into smaller and smaller

8. Sincerely affirm yourself and others, give a helping hand to those in need, and give roses and leave a lingering fragrance

9. When bored, don't resort to the buzz of social networks. Find a lake or a forest, sit and watch, not across the screen, be patient, and you will be at peace soon

10. Write a little every day, enjoy the tranquility of strokes on paper, be grateful and record what you have

The necessary concept of a beautiful life with illness

1. Don't believe in remedies, don't believe in remedies, don't believe in remedies

2. In the hands of *yin*, there are many hints that "taking my medicine, patients with a creatinine of 200, 300, and 400 can be reduced to normal." Without exception, they are all liars, don't believe it!

3. No responsible nephrologist will make such exaggerated and misleading propaganda. The eviler they say, the more cautious you should be.

4. Don't be carried away by the fear of disease, think calmly: as they advertise, it can reverse kidney failure, repair kidney cells, and repair glomerulosclerosis. Countries still need to spend tens of billions of dollars every year. Is 100 billion in uremia reimbursement? If you are lucky enough to use the "good medicine" that no one else knows about? Don't believe a word of these "vampires"!

5. "I know a friend/my aunt/my uncle who took the remedies/herbal medicine to cure kidney disease." Don't believe these false experiences. Many people don't even understand the basic problem of kidney disease.

6. The "kidney disease is cured" is often said that the symptoms of the kidney disease have disappeared, thinking that "the patient with edema is not swollen, that is, the kidney disease is cured", "people with gross hematuria, if there is no gross hematuria, the kidney disease is cured. ". In fact, anyone with a little common sense of disease knows that the disappearance of kidney disease symptoms means that the kidney disease is cured. A urine test and a kidney biopsy will reveal that chronic kidney injury is persistent

7. Kidney disease is not scary, what is scary is blind panic. Although kidney disease is difficult to cure, it does not mean that there is no cure. Regular treatment can control kidney disease well. You must have confidence and patience.

8. Kidney disease is not a cold, it is a chronic disease. When dealing with chronic diseases, don’t treat kidney disease with a hostile mentality of quick fixes. Be mentally prepared for long-term battles and live in harmony with the disease for a long time.

9. The condition is very unstable at a certain period, and it is often necessary to review and adjust medicines. This is a process that most kidney patients will inevitably go through. Don’t be discouraged, as long as the mentality does not collapse, everything is easy to say.

10. Kidney disease is not a terminal disease. Patients with kidney disease can live a long, long, long, long time. Kidney Line hopes to live with you to the age of an old monster.

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Necessary inspection of common sense

1. The diagnosis and medication plan of nephropathy mainly depend on the test results such as urine examination and blood draw. Some patients with complicated conditions also need to use renal biopsy.

2. Is there any discomfort, low back pain, not much foam, strong sexual function... Use them to judge whether there is kidney disease and whether the kidney disease is aggravating, the symptoms are the most unreliable. It's like relying on pigs to run, relying on trees and trees to fall, and relying on symptoms to bluff people

3. Every non-dialysis patient with renal disease should check blood routine, urine routine, 24-hour urine protein (or urine protein to creatinine ratio), and renal function (mainly blood creatinine) at least every 3-6 months. 1 blood pressure check. If there is a situation, the frequency of review needs to be increased according to the situation

4. Urine protein and blood pressure are the most important indicators of kidney disease. Usually, patients can use urine protein test strips (or urine detectors) and blood pressure monitors at home to conduct preliminary self-management monitoring of the condition

5.24-hour urine protein ≥ 1g is an important factor leading to the development of nephropathy into uremia

6. Urine protein is controlled within 1g, which is basically up to the standard. But if possible, we will require the patient's urine protein to be controlled within a safer range, within 0.5g.

7. Blood pressure ≥140/90 is an important factor leading to the development of nephropathy into uremia

8. The blood pressure is controlled within 140/90mmHg, which is basically up to the standard. But if possible, we will ask the patient's blood pressure to be controlled in a safer range, within 130/80, or even lower

9. Serum creatinine is still the best indicator for evaluating the renal function at present. If the increase exceeds the baseline value by 20%, communicate with the doctor in time (tested in the same hospital). However, it is worth noting that some drugs with renoprotective effects, such as RAS blockers (*sartan, *April), SGLT2 inhibitors (*gliflozin), have Serum creatinine can be increased, do not stop the drug because of panic, the mild increase does not need to stop the drug

10. To stay away from uremia, regular review is essential. Many patients think that the urine protein has dropped and the blood pressure is normal.

Necessary common sense of medication

1. Because kidney disease is a chronic disease, most patients need to take medicine for many years, or continue to take medicine for life. Just like diseases such as hypertension and diabetes, it is not because of drug dependence that you take medicine for many years, but chronic diseases are not easy to cure and require long-term medication control to keep them within the scope of not causing complications and harming the body.

2. Before kidney disease is stable, it is possible to take relatively more medicines. After stabilization, the dosage of many patients will be reduced to one or two kinds of medicines and can be controlled. "I just want to eat some elixir, it's better to be completely healed in a few months", the liar only deceives patients with this mentality

3. The drugs that can treat kidney disease are as follows. It is said that it can be cured, not by any doctor's own words, nor by any famous doctor's personal experience, but by well-designed research evidence to confirm that it is effective in protecting kidney function:

RAS blockers (*Sartan, *Puri)

SGLT2 inhibitor (*gliflozin)

Glucocorticoids (prednisone, etc.), immunosuppressants (cyclophosphamide, tacrolimus, cyclosporine, mycophenolate mofetil, etc.)

Immunomodulators (such as hydroxychloroquine)

Biologics (rituximab, etc.)

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4. The patient’s preferred and main treatment plan should be an exact and effective treatment method confirmed by reliable research, rather than an unproven plan

5. Scientific and standardized treatment does not guarantee that every kidney friend will not suffer from uremia. Some patients' conditions are indeed very difficult and complicated, which cannot be solved by existing medical methods, but kidney friends should not lose confidence in scientific research because of this. . Scientific research cannot solve everything, but following a standardized treatment process must be the best and most reliable solution you can get based on current research evidence

6. Some patients with kidney disease are mildly ill and can stop taking the drug gradually, do not need drug treatment at the beginning, and only need regular review. At this time, don't look for medicine everywhere because of panic. Don't take the medicine and hurt the kidney. Under the premise that the disease can be controlled, it is great protection for the kidneys to simplify the medication as much as possible.

7. In the process of gradually understanding kidney disease, patients should not only understand the positive effects of each drug, but also understand the side effects of drugs, cooperate with doctors to monitor drug reactions, and actively participate in drug management

8. Low-salt, low-protein diet, infection prevention, a combination of work and rest, adequate sleep, and mental pleasure are all healthy lifestyles that are beneficial to more fully exert the efficacy of drugs

9. Abstinence, tonifying the kidney, avoiding tofu, and avoiding exercise are all kinds of bizarre and unconventional kidney disease taboos that do not conform to logic and common sense. Don't believe it. No matter how hard you try, it will not help kidney disease.

10. Doctors cannot figure out a suitable regimen for you from the beginning. Sometimes, you have to carefully increase the dose and adjust the medication until you finally reach a suitable drug regimen for you. Getting it right is hard, so patience is important.

11. Eating Cistanches deserticola often helps relieve the symptoms of kidney disease. From the perspective of health care effect, Cistanche deserticola has many unique features, which can nourish the kidney and strengthen the yang. However, it does not have the fiery "character" of velvet antler, Morinda officinalis, and Epimedium. Therefore, regular use will generally not cause dry mouth, swollen teeth, etc. to get angry. But the four seasons are different. If it is taken in summer, an appropriate amount of yin-tonifying medicines, such as Ophiopogon japonicus, lily, etc., can be used to eliminate the discomfort caused by the season. Cistanche tonifies the kidney without hurting the yin and moistens the intestines without hurting the body. It is not like rhubarb, mirabilite, and senna, but it increases the osmotic pressure in the intestine, reduces the absorption of water, and promotes the intestinal tract. Peristalsis makes the stool soft and wet and slowly excreted, so it is suitable for the treatment of constipation in pregnant women, the elderly, and the infirm. Another feature of Cistanche deserticola is that it has no obvious toxic side effects. It is a popular, safe, and effective traditional Chinese medicine. Long-term use of Cistanches deserticola can enhance kidney function and has a good relieving effect on the symptoms of kidney disease.

I wish all kidney friends all over the world can live a beautiful life with illness, these 40 good words are for everyone!

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