What Is Involved in Making a Diagnosis of Edema?

Kidney edema is the most common clinical symptom and one of the common symptoms of kidney disease. Edema can be caused by many causes, and different edemas have different characteristics. Edema caused by heart disease is called cardiogenic edema or cardiac edema; edema caused by liver disease is called hepatic edema or hepatic edema; similarly, edema caused by kidney disease is called renal edema. Nephrogenic edema is a type of systemic edema. It is a common symptom of glomerular disease. It is caused by the retention of water and sodium in the body due to kidney disease, which causes different degrees of edema in the loose tissue.

Nephritis edema

Kidney edema is the most common clinical symptom and one of the common symptoms of kidney disease. Edema can be caused by many causes, and different edemas have different characteristics. Edema caused by heart disease is called cardiogenic edema or cardiac edema; Edema caused by liver disease is called

The glomerular filtration rate is reduced and water and sodium retention.

The capillary permeability of the whole body is increased, so that the liquid can easily enter the tissue space from the blood vessel.

The mechanism of nephritic edema is mainly caused by sodium-water retention caused by bulb-tube imbalance. The essence is a significant decrease in glomerular filtration rate without a corresponding decrease in renal tubular reabsorption. Because of glomerular vascular endothelial cells and

Edema has three significant characteristics: it is "concave"; its nature is soft; its mobility is relatively large.

Edema occurs first in loose tissues, such as the eyelids, face, and ankles. It is obvious in the morning, and in severe cases, it can involve the lower limbs and the whole body.

(1)

1,

Chinese medicine believes that the organs most closely related to the metabolism of water and fluid are the lungs, spleen, and kidney. The dysfunction of these three organs is the key to causing edema. Therefore, traditional Chinese medicine treats edema with Xuanfei,

1. Bed rest, lying on the bed can increase renal blood flow, improve glomerular filtration rate, reduce water and sodium retention, bed rest and activities of patients with mild edema alternately, the amount of activity should be limited, severe edema bed rest, and lift High edema limbs are beneficial to blood reflux and reduce edema.

2. Diet. Limit intake of sodium and protein

(1) protein intake, low protein diet can slow the development of renal impairment, protein intake in patients with severe edema with hypoproteinemia, 1g per kilogram per day, more than 60% of high-quality protein, moderate to mild edema patients Daily protein is 0.5-0.6 / kg, and more than 60% is high-quality protein such as eggs, lean meat, fresh milk, etc. While ingesting protein, you must have sufficient calorie intake, 126-147KJ / kg per day.

(2) Water and salt intake, mild edema, urine output> 1000ml / d, do not limit water excessively, sodium salt is limited to 3g / d, including sodium-containing foods and beverages, such as sausages, bacon, canned food, etc., serious The daily water intake of edema with oliguria is limited to 1000ml. Enter a salt-free diet. Season the mouth with sugar, vinegar, and onions to increase appetite.

3.Protect skin from edema and prevent skin damage

(1) Patients should wear wide anti-soft cotton clothes, keep the bed flat and dry, and often turn over to avoid skin pressure on the bone process.

(2) Without violating the principle of diet, try to eat nutritious foods as much as possible to improve the body's resistance, which is conducive to repairing damaged skin.

(3) Regularly wipe the bath or shower with warm water, change your underwear frequently, rinse your mouth before and after meals, and rinse the perineum once a day to keep your skin clean and prevent infection.

If it is common edema alone, you can take the following actions:

1. It is recommended to choose a comfortable pair of shoes for yourself. It is best to choose a comfortable and soft one, which can effectively reduce the fatigue of the feet, because the edema and the feet are much fatter than before, if you wear too tight shoes, it will be very sad. Tips: It is best not to choose air-tight shoes, because it will make puffiness worse.

2. Eat vegetables and fruits that diuretic and swelling: such as watermelon, red beans, onions, mint, garlic, eggplant, celery and other foods. Helps relieve edema!