2012年12月1日星期六

What should Parents Do If Their Children have Chronic Renal Failure


Chronic Renal Failure describes a progressive loss of renal function over a few months or years, which can result in a permanent renal failure. Those who suffer from renal failure, adults and children alike, would probably experience plenty of complications such as fatigue, weak bones, nausea, vomiting, confusion, inability to concentrate and sleep problems etc.
Children with Chronic Renal Failure may not have any symptoms until more than 80% of their renal functions have been lost. That's why precautions become the first factor of concern.
For children suffering from Chronic Renal Failure, monitoring clinical data (which includes body inspection and blood pressure) along with laboratory test are necessary.
Lab tests include tests in hemachrome, electrolytes, blood urea nitrogen (BUN), creatinine assay, calcium and phosphorus levels and alkaline phosphatase activity. Checking parathyroid endocrine level and bone X-ray picture regularly so that osteodystrophy can be detected in early stage. Chest X-ray can and echocardiogram can help understand cardiac condition. Examining seralbumin, zinc, converted iron, folic acid and iron levels to monitor the children's nutritional quality.
Treatments focus on Chronic Renal Failure in children:
1. Diet
Nausea, vomiting and poor appetite can appear when urea nitrogen higher than 30mmol/L (80mg/dl). It may relieve by reducing protein intake. Children with Chronic Renal Failure still need a certain amount of protein used for their growth, so they should take high quality protein foods such as milk or chicken. But the milk should not be taken too much due to its high phosphorus, instead of taking glucose and other foods to supply caloric. Water-soluble vitamin deficiency may occur and should be replenished as inadequate intake or loss by dialysis. Liposoluble vitamins for example A, E, K need not to replenish.
2. Dealing with water and electrolytes
Most of the children with Chronic Renal Failure can maintain their Na balance through proper diet. Acidosis appears almost in all the children with Chronic Renal Failure, normally, requires no treatment.
3. Renal osteodystrophy
Renal osteodystrophy occurs together with hyperphospheremia, hypocalcemia, increased parathyroid endocrine levels and rising serum alkaline phosphatase activity. aluminium intoxication should also be noticed and monitor serum aluminum levels regularly.
Early detection is important in Chronic Renal Failure. Otherwise, renal damages can be inevitable, and the condition develops to end-stage renal failure (ESRF) just a matter of time. To those who have already developed to ESRF or suffering from serious conditions, dialysis or renal transplantation becomes another options. For further detailed information, u can leave a message in the below or email to khkpcn@hotmail.com.

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