How to deal with renal anemia ?
Anemia is a common complication of impaired renal function . We understand that anemia will not only bring the patient 's face change will seriously affect the patient 's health. So my friends want to improve such patients anemic state , then how do deal with renal anemia ?
Under normal circumstances, our kidneys secrete erythropoietin promote blood function , but impaired renal function in chronic renal impairment to the stage , kidneys produce erythropoietin , or uremia feet high plasma creatinine Some toxic substances interfere with red blood cell (RBC) formation and metabolism will cause renal anemia . We call renal renal anemia normally .
Treatment of chronic renal failure renal anemia methods are the following:
1 recombinant human red blood cells and promote (RBC) erythropoietin (rHuEpo): rHuEpo is a glycoprotein hormone , efficacy site in the bone marrow to make red blood cells early development (RBC) increase in the number and improve renal anemia , the effective rate was 90 % or more , the hemoglobin can be increased to 100g / L or more.
2 cobalt chloride : Every 20 ~ 50mg, 2 ~ 3 times a day, orally. Taking cobalt chloride gastrointestinal reactions, can be applied to enteric-coated capsules or add services to protect the drug .
3 transfusion : usually high creatinine uremic patients with renal anemia tolerance is very strong, there are too many dangerous blood transfusion , so only hemoglobin 70g / L or less , with renal anemia heart recession , angina pectoris , or gastrointestinal tract and giving blood transfusions in patients with intracerebral hemorrhage , the best selection of freshly prepared blood red blood cell concentrate (RBC). Every blood transfusion should not be excessive , excessive red blood cell transfusion inhibit pro (RBC) LH secretion, causing red blood cells (RBC) generating fewer .
4 other drugs : for lack of essential amino acids , essential amino acids should be given medical treatment . Because vitamin B6, vitamin B12, folic acid, ascorbic acid deficiency patients can be appropriately supplied . If chronic blood loss , should supply iron.
5 androgens : testosterone propionate , 50mg daily or every other day intramuscular injection , or a fluorine- hydroxymethyl derivatives of testosterone , 10 ~ 30mg per day orally. Or Nandrolone 25 ~ 50mg, twice weekly , intramuscularly. After improving renal anemia , can be applied to maintain the amount of intramuscular injection every two weeks or monthly testosterone propionate 100mg.
6 medicine to heal kidney failure : After Chinese characteristics, Chinese medicine treatment, after penetration of traditional Chinese medicine to cure kidney failure purpose of anemia caused by kidney failure that doubt was resolved.