慢性肾功能不全(CKD)知识讲座.ppt

KNOWLEDGES ON CRF POPULARIZE SCIENCE KNOWLEDGE 1.the structure and function of kidney 2.the basic knowledge on CKD 3.the treatment of CKD The structure and function of kidney 1.forming urine and eliminating it 2.mantinance the water-electrolyte 3.secreting renin etythropoietin The diagnosis of CKD CKD (chronic kidney disease) when there is the presence of kidney damage or a decrease in kidney function (glomerular filtration rate 60 mL/min/1.73 m2, albuminuria with albumin to creatinine ratio 30 mg/g) for 3 or more months, regardless of cause GFR categories in CKD GFR category GFR(mL/min/1.73 m2) Term G1 ≥90 Normal or high G2 60-89 Mildly decreased G3a 45-59 Mildly or moderately decreased G3b 30-44 Mlidly oe severely decreased G4 15-29 severely decreased G5 15 kidney failure GFR:glomerular filtration rate Symptoms tired,soreness of waist,urinate several times during night water-electrolyte disturbance hypertention,heart failure,atherosclerosis shortness of breath,pulmonary edema loss of appetite,nausea,vomiting,intestinal ulcers,bleeding mineral and bone disorder Treatment CKD 4 CKD 5 CKD 3 CKD 1 CKD 2 1.hemodialysis 2.peritoneal dialysis 1.daily life 2.nutrition therapy 3.drug therapy Daily life 1.avoid burnout 2.avoid supertension 3.moderate exercise Nutrition therapy 1.choose the quality protein:milk eggs fish 2.CKD 1-2 0.8g/kg/d 3.CKD 3-4 0.6g/kg/d α-Keto Acid Drug therapy 1.high blood pressure 2.high blood glucose 3.infections 4.anemia 5.calcium-phosphorus metabolism disorder Dialysis 1.hemodialysis 2.peritoneal dialysis