Saturday, August 5, 2017

Kidney disease patients should pay attention to the side effects of drugs



This year the theme of the World Kidney Day is "kidney - life of this: to prevent acute kidney injury." Remind us that all people should pay attention to the kidneys, and actively prevent the occurrence of acute kidney injury, kidney disease patients with particular attention. Reasonable treatment can protect the kidneys, irrational treatment can damage the kidneys. Drug treatment is a double-edged sword, both advantages and disadvantages.


In our country, doctors or patients on the efficacy of drugs generally more attention, and the toxic side effects of drugs are often overlooked. Kidney disease is a refractory disease, often difficult to completely cure. In fact, some patients with nephropathy, a small amount of proteinuria or hematuria, as long as the appropriate attention and moderate treatment, even with life, the quality of life is not much impact, not necessarily kidney failure, uremia. Some patients with kidney disease, even if there are more proteinuria, after a moderate treatment of the disease can also be well controlled, and no excessive active treatment, as Chinese medicine has a famous saying "sick, often Chinese medicine." That is to say that some diseases are not treated, the equivalent of a moderate level of doctor's treatment. Excessive treatment often has a lot of potential risks, but you do not know and do not quite understand. For example, for IgA nephropathy, membranous nephropathy, focal segmental nephritis in the world no effect is very positive treatment program, the domestic famous hospital hospital nephropathy doctors, for the use of hormones and immunosuppressive agents is still more cautious, on the contrary, In some Chinese medicine hospitals, some physicians use hormones and some immunosuppressive enthusiasm is very high. Excessive treatment of the back, often can reflect the doctor's quick success and the patient's impetuous.

Clinically, we can often see that many patients because of the use of hormones and immunosuppressive agents appear side effects, such as diabetes, femoral head necrosis, liver damage and unspeakable pain, so, whether doctors or patients, not to pursue The so-called "radical" and desperate. In fact some of the clinical indicators, not necessarily decide the prognosis. When these indicators to normal, our body has to pay a heavy price, often worth the candle. Therefore, even if the indicators are normal, the quality of life of patients may not be able to be improved, life is not necessarily extended. Treatment is the purpose of retention.

Often people say "Western medicine kidney, traditional Chinese medicine does not hurt the kidney", this view is not correct. Chinese medicine is not non-toxic no side effects, the saying goes, "is the drug three drug". Drug nephrotoxicity is a widespread clinical problem. 1992, Belgium found that traditional Chinese medicine caused by kidney damage incident, has aroused widespread attention around the world. I have been in 1997 from 1982 to 1996, 178 583 cases of Western medicine caused by renal damage in the literature, of which Chinese medicine caused by renal damage in 47 cases, accounting for 8.06%. I believe there are a lot of cases that are not reported. Chinese medicine causes kidney damage are about the following: (1) some doctors arbitrarily increase the dose of traditional Chinese medicine; (2) some prescription drug taste too much, when more than 30-50 flavor, while the dose is still large. (3) the traditional side effects of traditional Chinese medicine. In addition, a variety of drug ingredients of the same or similar Chinese medicine superimposed on the use, may also increase the side effects of drugs. Unfortunately, so far, these phenomena spread the trend and to get control, which is very worrying thing.

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