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2106講稿
2106講稿
The two main associated problems with CKD are systemic hypertension and diabetes.
To manage hypertension, medications such as ACE inhibitors or ARBs are given to
patients under 55, while calcium channel blockers are for those 55 and older or of
African/Caribbean origin. Lifestyle changes include controlling LDL cholesterol,
sodium intake, and regular exercise.
For diabetes management, metformin is used for type II diabetes, while insulin
injections are for type I. Lifestyle changes involve a low-calorie, low-fat diet for type II
diabetes and low sugar intake with regular exercise for type I diabetes.
Dialysis is a treatment for stage 4 and 5 chronic kidney disease (CKD) used to remove
excess fluid and waste from the bloodstream. The two main methods are peritoneal
dialysis, where the peritoneum in the abdomen acts as a filter, draining out small
waste particles like urea and toxins. Electrolyte concentrations, like bicarbonate and
potassium, are controlled in the solution to address electrolyte imbalances.
and hemodialysis, where blood is filtered externally by a machine before returning to
the body. This prevents the of waste and fluid, which can cause uremia and edema.
Dialysis treats stage 4-5 CKD by removing excess fluid and waste from the
bloodstream. Two methods are peritoneal dialysis, using the peritoneum as a
filter to drain waste out, and hemodialysis, filtering blood externally by
dialyzer before returning it to the body, preventing uremia and edema.
Kidney transplants replace damaged kidneys with healthy ones from living or
deceased donors, usually for stage 5 CKD patients. Effective management of
etiological factors is essential afterwards .