Sunday, 23 December 2012

How to Deal with Renal Osteodystrophy


Renal Osteodystrophy is a persistent symptoms for patients of Renal Failure, especially the End Stage Renal Failure. Bone pain, joint pain, bone deformation and bone fracture are the clinical symptoms of the Renal Osteodystrophy which brings great inconvenience to patients' daily life. As Renal Osteodystrophy belongs to complications of Renal Failure, the essential method is to treat Renal Failure first and then ease its clinical symptoms.
1. Taking bone pain and joint pain seriously
Renal Osteodystrophy needs a chronic course in developing without apparent symptoms, but the occurrence of bone pain and joint pain may be the signs of Renal Osteodystrophy. They should be taken seriously and treated early. Otherwise, when they develop into bone deformation and bone fracture, it would be difficult not only to cure them but also to treat Renal Failure. So patients with Renal Osteodystrophy must avoid strenuous exercise and tell the doctors their feelings for they will take those symptoms into consideration in treatment of Renal Failure and make the therapeutic effects better.
2. Calcium and vitamin D supplementation after dialysis
It is thought that dialysis five times a week is beneficial to draining out phosphorus, restraining the secretion of parathyroid hormone and preventing bone dissolving, but calcium and vitamin D are also lost in dialysis. So after dialysis, it is necessary to supply Calcium and vitamin D which promotes calcium absorbing and depositing on bone. The common oral medicines are phosphate binders such as calcium carbonate, calcium acetate, sevelamer hydrochloride, or lanthanum carbonate, all of which can increase blood calcium and decrease blood phosphorus. Vitamin D can be absorbed from milk, eggs or salmon. A small dose of Vitamin D taken orally is also a better choice.
3. Supplement of essential amino acid and keto acid
Restriction of dietary phosphate and phosphorus effectively ease the load of kidneys and the dissolving of bone. Many medical researches prove that essential amino acid and keto acid can correct the imbalance of calcium and phosphate, cure hyperparathyroidisme secondaire and relive Renal Osteodystrophy.

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