After the diagnosis of kidney diseases of any kind, many individuals face a lifetime of doctor visits, specialists, laboratory tests, dietary restrictions and fluid changes and the imminent possibility of the need for dialysis or transplant kidney, where the disease is progressing.
Medications and diet will be important to prevent this from happening, which makes it even more important for the patient to pay attention to what was said by the dietitian at eachstage renal disease. While some are fortunate enough to slow or stop the progression of various forms of kidney disease, it is important to note that even if you do everything as it should, the disease may continue and be even more severe.
One of the things you will face is the constant need for many tests, which begins with a sample of blood or urine. In people with severe kidney disease, a door can be positioned so Your doctor may have constant access without having to prick a vein each time. The port can also be used to administer medication and may be more convenient, but can also be problematic because it requires special care of both the patient and the patient's family or, in some cases, a home nurse or support.
Some of the laboratory tests that will have on the course of treatment for kidney disease are:
Serum creatinine: muscle activity of the body creates> Creatinine, a waste product normally removed by the action of the kidneys. This tends to be one of the waste products before proceeding with the backup of blood vessels, which marks the start of kidney problems.
Glomerular filtration rate (GFR): This rate determines how well the kidneys. A GFR below 30 indicates a problem and justify the need for a nephrologist (a kidney). Any glomerular filtration rate below 15 indicates that the problem is serious and thereis the need for dialysis, and may indicate the urgent need for a kidney transplant.
Blood urea nitrogen (BUN): when the body breaks down proteins, not just the food we eat, but a normal metabolism and, urea is formed. standard deviation of this product is usually filtered from the blood by the kidneys and may increase if the kidneys fail, or if the patient is to eat more protein than the body can handle. The BUN may fall if thepatient is eating too little protein, too.
Urine Protein: Protein is an essential macronutrient, which is used by the body to a wide range of systems and functions. Your body also creates some forms of the proteins of other forms to be used for other reasons. The kidneys filter and protein-protein in the blood when functioning properly, but when they are, they accumulate proteins in the urine. Although there are other cases in which the protein can be detected in urine, persistent levels of detectable protein in the urine is an early sign of kidney disease or imminent harm.
Microalbuminuria: those who are at increased risk of kidney disease, including those with other conditions like high blood pressure or family history of very severe renal disease, this test is used to detect even very small amounts of protein in the urine before the amount is high enough to be detected by the test less sensitive.
Proportion of protein> Creatinine: For some patients, the doctor will ask a sample of 24 hour urine, which will show the amount of protein in the urine every day. This test can be tricky because it relies on the collection of patients of all urine for 24 hours, the storage container in the refrigerator and then taken to the laboratory the next day for testing. Instead, the doctor may choose to use the protein / creatinine ratio, which estimates the amount of proteinwhich is excreted in the urine instead.
serum albumin: the body uses proteins from food to create other types of proteins, amino acids, hormones and enzymes. Albumin is one of these proteins in the body. Low levels of this blood can be caused by not getting the right amount of protein in the diet or enough calories. It is also important to note that the body can not store protein, and the need for new sources every day. Even a small amount of albumin in the blood can cause serioushealth problems, including the inability to fight infection.
NAP protein nitrogen appearance: This test is often used by the doctor to see if you are eating enough protein or, in some cases, too. This test is performed by collecting urine samples and blood, and you may be asked to keep a food journal.
Subjective Global Assessment (SGA): This test can be requested by the nutritionist instead of the kidneys and is used to controlsymptoms of nutritional problems. The test is done by asking questions about diet, conducting weight control and verification of the amounts of fat and muscles in the face, arms, hands, shoulders and legs.
Hemoglobin, the blood is composed of many parts, such as hemoglobin, the red blood cells that work to carry oxygen from the lungs to the body. A low hemoglobin indicates anemia. Treatment for anemia and iron includes a specifichormone.
Hematocrit: This is the measure of the amount of red blood cells of your body is doing. A low value of this test also indicates anemia.
TSAT and serum ferritin: these tests is to measure iron in the body.
PTH parathyroid hormone: an imbalance of calcium and phosphorus in the body can cause high levels of PTH and may cause bone disease.
Football because football is crucial for bone health and may be leached during some forms of kidney disease,level will be reviewed.
Phosphorus: a high level of this mineral can lead to weak bones. The doctor and dietitian can put on a diet to limit phosphorus, and can even be given a medicine that will join the rest of phosphorus in food.
Potassium: This mineral is necessary for the body so that the heart and other muscles are working properly. The potassium level should be balanced, otherwise the muscles weaken and can lead to heart irregularities.
Blood and urine, BuenaFood supplements and proteins: a case study
Dave has a kidney disease. At this point, do not need dialysis, however, comes very often in laboratory blood tests and give a urine sample. I had to do urine collection 24 hours once or twice, and he is glad that the doctor has switched to using the protein / creatinine ratio in place. His diet was very healthy, but the nutritionist suggested change their consumption of healthy fatsOmega-3 fatty acids on the other, unless he was eating healthy fats and to increase the amount of protein and calcium in your diet. It includes a protein supplement because it has a lower appetite lately.
After searching the protein shakes, Dave began using a new supplement. Why is so small it can be consumed in seconds. Although it has only 100 calories per serving, Dave gives a high amount of digestible protein. He pointed to two servings a day and then triesincrease in vegetable protein in a healthy diet for the rest of the day. On days when you just can not eat healthy, to maintain their employment levels.
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