Some argue that the four
stage renal failure patients protein intake can be lower than normal, even less
than 20 g every day to keep nitrogen balance, but must give the higher
nutritional value of protein, which contains rich essential amino acids of
nutrients.
The earliest four stage renal failure patients with digestive system symptoms
include loss of appetite or indigestion. Can appear when aggravation of
anorexia, nausea, vomiting or diarrhea. The occurrence of these symptoms may be
related to intestinal bacteria of the hydrolysis of urea to ammonia urea enzyme,
ammonia stimulation cause inflammation and superficial multiple small
gastrointestinal mucosa ulcer and so on.
Patient breath smell of urine, 'this is because the bacterial decomposition
of urea liquid to sleep because of the formation of ammonia. Serious can appear
in patients with pulmonary edema, cellulose pleurisy or lung calcified lesions,
such as pulmonary edema, hypoalbuminemia and hf, the role of the water retention
of sodium and other factors. Cellulose pleurisy is urea stimulation caused by
inflammation; The lung is caused by calcium phosphate in the lung tissue
deposition.
Patients with dry skin, desquamation, and golden brown. Skin color changes,
previously thought to be the urine increased pigment, but with absorption
spectrophotometer examination, prove skin pigment melanin. The skin exposed
parts, slight trauma can cause skin ecchymosis. Because sweat contains
relatively high concentrations of urea, urea in sweat gland openings white
crystalline, called NiaoSuShuang.
With the increase of disease can appear agitated, muscle tremor, convulsions;
The expression can be developed to indifference, lethargy and coma. Chronic
renal failure due to renal hypertension, acidosis, hyperkalemia, sodium and
water retention, anemia and toxic substances, such as can occur heart failure,
arrhythmia and myocardial damage, etc.
In order to maintain nitrogen balance of four period patients of renal
failure, protein intake should be no significant difference with normal person;
And that, pure pursuit of blood urea nitrogen and to reduce the excessive limit
the intake of protein, protein consumption is overmuch, can make itself and not
harmful to the patient. Urea (may) and uric acid stimulation effect, still can
happen aseptic cp, the area before the heart pain; Physical exams and fibrin
often. Serious when in the pericardial cavity with cellulose and bloody
exudate.
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