2013年10月30日星期三

what is the treatment for ckd?

Controlling blood pressure will slow further kidney damage.
Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) are used most often.
The goal is to keep blood pressure at or below 130/80 mmHg

Other tips for protecting the kidneys and preventing heart disease and stroke:
Do not smoke.
Eat meals that are low in fat and cholesterol.
Get regular exercise (talk to your doctor or nurse before starting to exercise).
Take drugs to lower your cholesterol, if needed.
Keep your blood sugar under control.
Avoid eating too much salt or potassium.

Always talk to your kidney doctor before taking any over-the-counter medicine, vitamin, or herbal supplement. Make sure all of the doctors you visit know you have chronic kidney disease.

Other treatments may include:
Special medicines called phosphate binders, to help prevent phosphorous levels from becoming too high
Treatment for anemia, such as extra iron in the diet, iron pills, iron through a vein (intravenous iron) special shots of a medicine called erythropoietin, and blood transfusions
Extra calcium and vitamin D (always talk to your doctor before taking)

You may need to make changes in your diet. See: Diet for chronic kidney disease for more details.
You may need to limit fluids.
Your health care provider may recommend a low-protein diet.
You may have to restrict salt, potassium, phosphorous, and other electrolytes.
It is important to get enough calories when you are losing weight.

Different treatments are available for problems with sleep or restless legs syndrome.

Everyone with chronic kidney disease should be up-to-date on important vaccinations, including:
H1N1 (swine flu) vaccine
Hepatitis A vaccine
Hepatitis B vaccine
Influenza vaccine
Pneumococcal polysaccharide vaccine (PPV)

When the loss of kidney function becomes more severe, you will need to prepare for dialysis or a kidney transplant.
When you start dialysis depends on different factors, including your lab test results, severity of symptoms, and readiness.
You should begin to prepare for dialysis before you need it. Learn about dialysis and the types of dialysis therapies, and how a dialysis access is placed.
Even people who are candidates for a kidney transplant may need dialysis while waiting for a kidney to become available.

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