Prevention of chronic pyelonephritis

慢性肾盂肾炎的预防

增强体质，提高机体防御能力。积极治疗易发因素，如糖尿病、肾结石和尿路梗阻等。减少导尿及泌尿道器械操作。注意外阴清洁。女性的再发与性生活有关者，性生活后即排尿，并口服一次复方磺胺甲噁唑。更年期可服用尼尔雌醇1～2mg，每月1～2次，可增强局部抵抗力。

Prevention of chronic pyelonephritis

Enhance physical fitness, improve the body's defense capabilities. Actively treat the prone factors such as diabetes, kidney stones and urinary tract obstruction. Reduce catheterization and urinary tract equipment operation. Note the vulva clean. Female recurrence related to sex life, after sexual urination, and take oral compound sulfamethoxazole once. Menopause people can take nylestriol 1 ~ 2mg, 1 or 2 times per month, which can enhance local resistance.

【To walk for 2 minutes after sitting for 1 hour, reduce the risk of early death 】

【坐1小时走2分钟，降低早亡风险】美国研究发现，每坐1小时站起来活动2分钟，能减少死亡风险33%，而对于那些患有慢性肾病的人，甚至能减少41%的死亡风险。研究人员建议，除了起身走动，久坐的人最好每周至少能进行2个小时中等强度的运动。

【To walk for 2 minutes after sitting for 1 hour, reduce the risk of early death 】 the United States study found that each 1 hour sitting to stand up for 2 minutes, can reduce 33% of the death risk, and for those with chronic kidney disease, and even can reduce 41% risk of death. The researchers suggest,except gor stand up and walk around, sedentary people best to take moderate intensity exercise at least two hours per week.

【Kidney disease 、uremia patient diet should pay attention to what?】

The diet is basic condition of human life,and to make people live happy and healthy,full of vigor of and wisdom,not only eat satisfied belly,a reasonable allocation must also consider the diet,ensure all the nutrients needed by the human body balance and adequate intake,and can be fully absorbed bu the human body,and dietary characterastic everyone has a large extent influence on our health.
Unscientific eating will induce disease,aggravate the disease,affect the treatment of disease.Patients with kidney disease,especially the case,and many patients with kidney disease often due to the lack of strict diet and variety of complications or increase the severity of the disease.
1.good qaulity low protein.
Excessive protein intake,can increase the burden on the kidneys,so to control the total amount of protein intake.But the protein as the essential nutrients,the body is not the lack of essential of amino acids so that more should be guarentted and the specific implementation should be .Try the reduce the plant protein,containing purine base large.excessive intake will increase the burden on the kidneys,appropriate to add milk,egg,fish,and other animal protein.
2.Low potassium diet.

High potassium is one of the most common complications of

Creatinine is a product of muscle metabolism

Creatinine is a product of muscle metabolism, is a toxin excreted by the kidney, if your creatinine level in blood higher than normal value, it means that your kidney function is impaired, as we people get injured ,we can not work anymore. But your condition can be completely cured if you take timely treatment, no need worry too much.

Actually ,creatinine increasing is caused by the renal glomerulus impaired.The glomerulus get injured and become sclerosis ,which lead to the GFR(glomerular filtration rate) reducing and can not filtrate the toxins, so the creatinine stay in blood getting high. As long as the sclerosis glomerulus get repaired ,the filtration function recovered ,the complete renal function will recover, then the creatinine will be excreted out naturally. If you do not take treatment ,day by day ,more and more glomerulus will sclerosis and necrosis, your kidney function will disappear, and the dead glomerulus can not be repaired,your disease can not be treated anymore. Now it is the best time for you to take treatment ,the treatment you need now is repairing your damaged gomerulus and recover kidney function.

Shijiazhuang Kidney Disease Hospital take Chinese Traditional Medicine Therapy,which can clean out all the toxins in blood ,and repair the the damaged glomerulars, and improve kidney function.If kidney function recovered ,creatinine will be excreted out natually

What are factors that can cause chronic pyelonephritis into chronic renal insufficiency?慢性肾盂肾炎患者促使发展为慢性肾功能不全的因素有？

①治疗不彻底的再发性或持续性感染;②肾脏发育不全或畸形;③出现进行性免疫性损害;④高血压肾损害;⑤严重膀胱输尿管返流对肾脏的损害;⑥出现合并感染的肾结石

(1) treatment of incomplete recurrent or persistent infection; 

(2) renal hypoplasia or malformation; 

(3) progressive immune damage; 

(4) hypertension renal damage; 

⑤ severe vesicoureteral reflux damage to the kidneys; 

⑥ the emergence of kidney stones with infection.

The Treating for PKD

Polycystic kidney is large and small cysts in the entire kidney, these cysts will grow with increasing age, which can damage the renal structure and reduce the nephron. Later the damaged kidneys can not support the life and the uremia appears.
These food suitable for PKD patients:
1. The vegetables and fruits rich in vitamin.
2. These food dissolving stones, such as agarics.
3. The food with diuretic effect.
4. Alkaline foods are also taken, which plays a supporting role in the treatment of polycystic kidney.
5. These fruits and vegetables rich in iron, such as carrot.
There are much disadvantages for PKD treating. If the disease can not be cured from the root, the patients are advised to receive Chinese medical treatment. The whole concept of traditional Chinese medicine in the treatment of polycystic kidney can regulate swelling, thus thoroughly cure renal cyst.

多囊肾是整个肾脏长满大大小小的囊肿，那些囊肿会随年龄增大而长大，那样会压迫肾脏，使肾脏的结构受到损害，减少产生尿的肾单位数目，到后来肾脏受损害到不能维持人正常的生命，那时会出现尿毒症。 多囊肾患者适合吃的食物： 1.维生素高的水果蔬菜。 2 中医药中能容石化石的食品，如黑木耳。 3 有利 尿作用的食物。 4.多囊肾饮食呈现 碱 性的食品亦多服用，会起到对多囊肾治疗辅 助作用。 5 含铁丰富的水果蔬菜，如红萝卜等。 对于多囊肾手术治疗弊端太多。治疗不彻底。建议使用中医药肾囊消肿方治疗，中药治疗多囊肾遵循整体观，可以控制调理消肿，从而彻底治愈肾囊肿。

NGAL

NGAL检测的作用：NGAL( neutrophil gelatinaseassociated lipocalin，)中文翻译为“中性粒细胞明胶酶相关脂质运载蛋白”，是人脂质运载蛋白家族中的一个新成员，是近年来新发现的一种早期肾损伤诊断的标志物。在急性肾功能损伤时，血、尿NGAL浓度通常会迅速升高，2 小时即可比临界值升高几十至几百倍，较目前常用的传统指标血清肌酐、尿酶等能够更早地发现肾功能损伤。在慢性肾病患者中，血清中NGAL的水平与肾小球滤过率成负相关，与血肌酐相比，NGAL能更好地反应肾小球滤过率的水平，对于早期发现、早期治疗慢性肾脏病是一个敏感、无创、特异性高的生物学指标。例如IgA 肾病是最常见的一种以原发性肾小球损伤伴小管间质改变为特征的肾小球肾炎, 其小管间质性损伤在疾病发展过程中起了重要作用，尿NGAL能够较目前临床上常用尿NAG更早地反映肾病小管间质损伤。在狼疮肾病患者中尿NGAL是优于抗dsDNA 抗体滴度的狼疮肾病诊断指标，是狼疮肾病活动性的可靠的预测因子。在药物损伤导致的慢性小管间质性肾炎中，尿NGAL优于尿mAlb，α1-MG 等标志物，能更好地反映肾功能损伤程度。在常染色体显性多囊肾病中，检测尿NGAL 浓度能够评估肾脏病变严重程度。在2型糖尿病肾病患者中血清和尿中NGAL水平明显升高，且对疾病的进展非常敏感，有助于早期评价糖尿病肾病患者的肾功能。NGAL还是较好的肾脏疾病的疗效指标，可以反映血管球性肾炎等肾脏疾病的临床疗效。

我们的优势：早期NGAL的检测多采用ELISA法，手工操作影响因素多，不适合大量样本的检测，石家庄肾病医院于2012年初在国内外率先采用美国雅培公司生产的Architect　i1000SR 全自动免疫分析仪运用化学发光免疫法测定尿液NGAL，具有全自动程度高、标本容易留取、标本不需手工前处理过程、所需标本量少、可批量测定等优点，更重要的是经过大量的样本检测证实其测定量结果速度快准确高。

Function of NGAL test: NGAL;neutrpphil geatinaseassociated lipocalin, it is a new member in lipid carrier protein family, it is a sign of earlier kidney damage founded in recent years. When the acute kidney function damage, blood and urine NGAL concentration will go up, it can go up to tens and hundreds times than critical value in 2 hours. Compared with traditional index of serum creatinine and urinary enzymes,It can find renal damage earlier. In chronic kidney disease patients, NGAL level in serum blood and glomerular filtration rate is negative correlation. Compared with serum creatinine, NGAL can reflect the level of glomerular filtration rate. It is a biological indicator with features as sensitive, no wound and high specificity for chronic kidney disease early found, early treatment. For example, IgA nephropathy is the most common glomerular nephritis with featured as primary glomerular injury with tubular interstitial change, its tubule interstitial damage effects the disease development. NGAL can reflect on kidney tubule interstitial damage earlier in clinical. In lupus nephropathy patients, NGAL is better than anti-dsDNA on antibody titer in diagnosis indexes. It is an reversible predictive factor for lupus nephropathy activity. Chronic tubules interstitial nephritis caused by medicine damage, urine NGAL is better than mAlb，α1-MG and so on. It can reflect on kidney function damage degree. In Autosomal dominant polycystic kidney disease, checking up urine NGAL can assess kidney lesion degree. In the 2 style diabetic nephropathy patients, serum blood and urine NGAL level go up obviously, and they are sensitive to disease development, which is good to assess diabetic nephropathy patients kidney function. NGAL is also a better curative effects index of kidney disease, it can reflect kidney disease’s clinical curative effects.

Our advantage: earlier NGAL test adopt to ELISA, manufacture operation influence is more, it is not adapt to test of amounts samples. Shijiazhuang kidney disease hospital in early 2012, pioneered in the United States at home and abroad abbott production Architecti1000SR full automatic immune NGAL urine analyzer using chemiluminescence immune analysis, has the automatic degree is high, easy to return, the specimens were not need manual pretreatment process, the required samples quantity is little and can batch determination, more important is through a large number of sample check results confirmed its determination in high speed accurately.