Current kidney medical profession, for renal syndrome edema main reasons
there are two views, the traditional "filling without feet" hypothesis that
urinary albumin since lost cause hypoalbuminemia, since intravascular fluid into
the interstitial. Stimulate the kidneys to reduce plasma volume of water and
sodium retention. Final plasma colloid osmotic pressure and interstitial
hydrostatic equilibrium, edema and stability.
So reducing plasma volume is the key to stimulate the kidneys Shuinazhuliu.
Clinically also observed in some patients with renal syndrome reduces plasma
volume, plasma volume expansion after hypotension and reduced cardiac output
corrected; arterial capacity is not increased foot mark fluids such as plasma
renin activity, aldosterone and catecholamine levels. After the expansion, such
as albumin or flooding injection therapy can increase GFR and filtration
fractional excretion of sodium.
Patients with renal comprehensive adrenergic nerve activity increased perhaps
the most early signs. However, in recent years, as some patients exhibit, edema
of renal syndrome in patients with normal or elevated blood volume, and even
high blood pressure and plasma renin activity decreased plasma albumin not
necessarily reduce edema. Kidney patients often have a comprehensive filtration
fraction decreased, while arterial filling feet should not be increased
filtration fraction, so the hypothesis put forward over filling. The first
hypothesis is that the kidney retention of water and sodium, and the reason has
nothing to do with the body. Renal sodium retention in plasma volume expansion,
plasma volume filling excessive leakage to interstitial edema formation.
Hypoalbuminemia accelerate edema formation.
Why renal comprehensive patient can have two completely different capacity
and fluid parameters, this may be a completely different reason these types of
kidney disease patients, GFR, systemic disease, hypoalbuminemia extent and
application of diuretics .
In short, when the distal renal syndrome renal tissue is the primary site of
sodium reabsorption, in some cases, not the same and based on sodium retention
state, may also participate in the proximal tubule sodium reabsorption kidney
disease type.
When renal comprehensive patient showed edema, renal comprehensive medicine
dialectical treatment is essential. My website belongs nationwide kidney
specialist kidney hospital kidney survey He Ruiqi hospital director said that
the Board has both the root causes of renal comprehensive treatment advantages,
to achieve the purpose of cure does not rebound.
