Renal diseases are complex and are often accompanied by multiple complications, such as hypertension, anaemia, cardiovascular diseases and osteoporosis. When dealing with kidney diseases, and in the face of numerous complications, we need to develop treatment strategies based on the priorities of the situation to ensure that treatment is effective and safe.Prioritization of assessmentThe severity of the condition: First, the severity of the kidney disease needs to be assessed, including the degree of damage to the kidney function, the amount of protein urine, blood pressure control, etc.2. Impact of complications: second, which are the most urgent and serious to assess the impact of complications on the overall health and kidney function of the patient.3. General situation of the patient: taking into account the age, gender, nutritional status, psychological state of the patient, as well as his/her willingness to treat and life expectancy.Treatment principles1. Priority in emergencies: Priority should be given to complications that may endanger life, such as severe hypertension, heart failure, infection, etc.2. Priority treatment: Treatment should focus on key factors affecting kidney function, such as large amounts of protein urine and severe hypertension.3. Integrated management: The treatment of other complications should not be neglected in addressing urgent and critical issues and integrated management strategies should be adopted.Treatment strategy1. Control of blood pressure: High blood pressure is an important factor in accelerating kidney damage and priority should be given to control. The use of depressive drugs and the adaptation of lifestyles, such as the restriction of salt intake, the cessation of smoking, the exercise of appropriate quantities, etc.2. Reduction of protein urine: protein urine is a sign of kidney damage and should be reduced by the use of ACEI or ARB-type drugs to protect kidney function.Treatment of anaemia: Anaemia caused by kidney disease affects the quality of life of the patient and may require treatment with erythrocytogen or iron.4. Management of cardiovascular risk: Cardiovascular disease is a common cause of death for kidney patients and cardiovascular risk should be reduced by controlling blood resin, blood sugar and hypertension.Prevention and treatment of infection: Persons with kidney diseases are vulnerable to infection and should take preventive measures, such as vaccination, and timely treatment of any signs of infection.6. Nutritional support: Sound dietary and nutritional support is essential for maintaining kidney function and overall health.Attention1. Individualized treatment: each patient has different conditions and complications. The treatment should be individualized and programmes tailored to the patient ‘ s specific circumstances.2. Drug interaction: In the use of multiple drugs, care is taken to avoid adverse reactions by the interaction of drugs.3. Monitoring and follow-up: periodic monitoring of indicators such as kidney function, blood pressure, haemoglobin and adjustment of treatment programmes to changing conditions.SummaryRenal diseases are accompanied by a variety of complications, and treatment requires prioritization and an orderly and rational treatment strategy. Through priority, priority treatment and integrated management of emergencies, it is possible to effectively control the conditions, slow down the deterioration of kidneys and improve the quality of life of patients. In the course of treatment, patients should work closely with the medical team to address the challenges posed by the disease.
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