Chronic renal failure (CRF) - Treatment

The first steps are recommended in patients with CRF changes in diet, especially reducing protein intake to slow the accumulation of residues in the body and to limit nausea and vomiting associated with chronic renal failure. Your dietitian can help patients take an appropriate arrangement that takes into account the underlying disease.As kidney function to remove waste from the body is diminished, the result is either a too high concentration of electrolytes (calcium, sodium and potassium) or a premature removal of these items.Regular blood tests to measure these concentrations allow for the detection of a possible electrolyte imbalance.
In terms of the inability of the kidneys to remove excess liquid, fluid intake should be reduced to reduce the effort required kidney. The recommended daily amount of liquid depends on the amount of urine issued the previous day. For example, a person who has given 500 ml of urine into a fairy, will be able to consume 500 ml of liquid in the next 24 hours. Fluid restrictions apply only in serious cases or in case of end-stage IRC.If further deterioration of renal function despite treatment established, recourse to dialysis or kidney graft.
Dialysis supplementation reduced renal function, using a membrane which acts as a filter to remove waste and excess body fluids. Choosing a method of dialysis (peritoneal or hemodialysis) depends on the severity of renal failure.
In peritoneal dialysis, abdominal cavity, natural membrane called the peritoneum, acts as a filter. Using a catheter (small flexible tube) placed permanently in the abdomen, abdominal cavity is inserted into a solution called dialysate. After a while, dializatul (loaded with waste and excess fluid that crosses the peritoneal membrane) is replaced with fresh dialysate. Peritoneal dialysis can be done continuously in cycles. In most cases, is performed at home by the patient or family member. It is done daily, or repeating the cycle every 6 hours or just once a day, introducing the evening and then backing it dializatul morning.
Hemodialysis is an intervention that must be practiced in the hospital. Using a dialysis method (a semi-permeable membrane) to filter blood and eliminate waste and excess fluid. Blood is pumped into the dialysis patient, serving as a filter. Just as with peritoneal dialysis, wastes and excess fluid passes through the membrane and remain on dialysis. Return cleaned blood as the body. Hemodialysis is faster than peritoneal dialysis, and generally, the cycle ends at 4:00. It is repeated about three times a week.
For some patients with CRF, renal graft is the only solution. People who can benefit from a graft are those whose renal failure is caused by hypertension, diabetes or infections. In general, renal graft is performed in patients with heart failure. Kidney graft may come from a living donor, usually a relative, or a person who has died recently and that has agreed to donate their organs. After a successful renal graft and adequate medical care, the patient can lead an active life, relatively normal.