In clinical practice, some patients with renal failure cannot use hormone therapy, such as elderly people with multiple complications and patients with high blood coagulation. What should we do about their treatment? It is not in line with the principles of doctors' treatment to watch the massive loss of urine protein and stand idly by.
If kidney failure patients cannot use hormone therapy
If kidney failure patients cannot use hormone therapy, we have many methods to overcome it. For example, cyclosporine can be used alone, which has a very good effect on treating kidney syndrome without increasing the side effects of infection, thrombosis, and blood sugar. For elderly kidney syndrome, it is indeed a good medicine. Persantine, warfarin, or low-dose aspirin can all effectively prevent thrombosis and necrosis of the femoral head.
In childhood, adolescence, middle age, and old age, the use and purpose of hormones and cytotoxic drugs should also differ due to different bodily functions. The physical development of a few year old child, the protection of the patient's gonads without giving birth, and the infection and thrombosis of the elderly are all areas that we need to pay attention to. FSGS is prone to kidney failure, so proteinuria should be minimized as much as possible. Small lesions should pay attention to recurrence. Membranous nephropathy can alleviate itself but is not prone to kidney failure. The treatment of FSGS can be appropriately relaxed.
If patients with renal failure cannot use hormone therapy, it is more important to be "moderate" during treatment. Most of us doctors and patients still cannot understand the taste of it, and if we blindly use it, we must try to solve it quickly. Who knows, this approach has made a big mistake. In front of the Wuhou Temple in Chengdu, there is a couplet that reads: "If one does not judge the situation, both leniency and strictness are wrong. Later on, when governing Shu, one must think deeply." This is how we treat a country and also how we treat diseases.
Hormone therapy is not the only option for patients with renal failure. In China, there are still extensive and profound traditional Chinese medicine to try, and patients and doctors should not be discouraged. If kidney failure patients cannot use hormone therapy, choosing the appropriate method with a positive attitude is the key to kidney disease treatment.