CKD Stage 3 Symptoms

Anemia is a common symptom of kidney disease. Without timely treatment, it can cause a variety of problems. Here are five ways to help you improve it.

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5 Ways to Improve Renal Anemia

2018-12-17 08:35

5 Ways to Improve Renal AnemiaRenal anemia can cause organ ischemia and hypoxia, accelerated heart rate, increased cardiac work, left ventricular hypertrophy, aggravating heart failure and myocardial ischemia; At the same time, long-term anemia can also lead to decreased ovarian or testicular endocrine function; Most importantly, it can lead to poor immune function, which increases the chances of infection and aggravates kidney disease. Then how to improve anemia in clinical practice? Here we list five methods for you.

1. Erythropoietin and iron supplement. The commonly used dose at the initial stage of treatment is 50 ~ 150U/kg, and 3 times a week. After that, it is gradually reduced to 12.5 ~ 25U/kg, and it is better to have hematocrit up tp 33% - 35%, and it takes effect usually in one to three months. Meanwhile you need to supplement iron. Although the effect of erythropoietin is good, it is expensive, so it is not widely used clinically.

2. Iron. Iron supplements are required to take when ferritin is lower than 30 microns /L. Mild anemia patients can be treated with oral iron agent, and severe anemia patients can do ferralia injection due to poor gastrointestinal absorption of iron.

3. Folic acid and vitamin B12.

4. Androgens. It can stimulate hematopoietic cell generation, but the disadvantage is easy to masculinize and liver dysfunction. The most commonly used drug is stazole, 2mg/ time and 3 times/d.

5. Blood transfusion. For very serious anaemia patients, when the mentioned methods can not improve anemia, blood transfusion should be taken into consideration. Hematocrit less than 15% or hypoxia of the brain are generally used as indicators of blood transfusion. But blood transfusion is not a panacea, it has many side effects, such as hyperkalemia, hematocrit rise, hepatitis b, c, and so on.

In different stages of kidney disease, the doctor will choose the most appropriate treatment methods according to the severity of anemia. In addition, you can eat some foods to tonify blood and iron.

Note: The above material is intended for informational purposes only. For specific suggestions on treatment, please consult a physician.

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