Doença renal crônica
9 min de leitura
認識慢性腎臟病五個分期：用病人聽得懂的方式看懂 eGFR 檢驗報告
第一次拿到「eGFR」報告時我完全看不懂。這篇文章用病人聽得懂的話，解釋腎臟病五個分期與每個階段該注意的事，幫你和醫療團隊一起做長期規劃。
Conhecimento compartilhado por um paciente, para pacientes
From understanding your lab report to managing life with kidney disease — health information you can actually use.
Built from patient experience and grounded in medical evidence: health knowledge, practical tools and multilingual medical resources.
Start here
- Understand my lab reporteGFR, UACR, creatinine, potassium — what the numbers mean
- Manage daily healthBlood pressure, diet, potassium/phosphorus, weight, exercise
- Segurança de MedicamentosAnti-rejection interactions, painkillers, contrast, nephrotoxic drugs
- Medical travel & dialysis planningDialysis units abroad, pre-trip planner, phrase cards, medical passport
“A doença talvez tenha mudado a sua vida, mas também lhe deu tempo para repensá-la.”
Find information by stage of the journey
Each stage lists the most relevant existing articles and tools. Content is compiled by a kidney-transplant patient with sources cited; it is not medical advice.
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1
Newly diagnosed · CKD
Understand stages, numbers and which drugs need care
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2
Preparing for dialysis
Replacement options, how to choose, vascular access
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3
Living on dialysis
The first month, diet, exercise, dialysis abroad
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4
Após transplante de rim
Anti-rejection drugs, vaccines, infection, follow-up
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5
Life after transplant
Skin-cancer prevention, painkillers, mental health, strength training
The tools that matter most
All toolsEverything runs in your browser — nothing is uploaded; every cut-off cites a public source.
- Understand My Lab Report26 common tests explained for patients: what they measure, example ranges, confounders, when to ask — plus a visit question list
- eGFR CalculatorCKD-EPI 2021 equation: age, sex and creatinine → eGFR with G-stage explanation
- UACR (Urine Albumin) ReaderAlbumin-to-creatinine ratio → KDIGO A1–A3 category and next steps
- Kidney Lab TimelineCreatinine, eGFR, UACR, K, P by date; trend and comparison; CSV export (local only)
- Blood Pressure Log & TrendHome BP log, 7-day average and trend; explained against 2017 ACC/AHA and KDIGO 2021
- Anti-rejection Interaction LookupEnter a drug to see combinations to watch
In-depth guides
Ver tudoChosen for completeness and usefulness, not by publish date.
Doença renal crônica
10 min de leitura
腎性貧血完整指南：為什麼腎友容易貧血？先補鐵還是先打針？HIF 口服新藥是什麼？
一直很累、爬樓梯就喘，可能不是「老了」而是腎性貧血。本文依 KDIGO 與國際腎臟團體整理：腎性貧血的定義與症狀、為什麼治療前一定要先查鐵、ESA 血色素目標為何不是「越高越好」、HIF-PH 抑制劑口服新藥的證據與疑慮、哪些人要特別小心，以及回診可以直接拿來和醫師討論的問題清單。
Hemodiálise
15 min de leitura
Hemodialysis vs. Peritoneal Dialysis: Principles, Procedures, Pros and Cons
Both types of dialysis effectively remove toxins and fluid, but the methods, lifestyles and risks differ sharply.
Hemodiálise
10 min de leitura
血液透析第一個月：沒有人告訴我的 12 件事
剛開始洗腎的那個月，我手足無措。這是我希望當時有人告訴我的事：從乾體重、抽筋、到該帶什麼去洗腎室，外加一些根據國際指引整理的補充說明，幫你比較快進入自己的節奏。
Transplante de rim
24 min de leitura
Anti-Rejection Drug Interactions: The Complete List of Foods, Medicines and Supplements to Watch — Grapefruit, Pomelo, Paxlovid, NSAIDs, Herbs and Vaccines (v1.1, updated 2026-10-13)
What "fights" with tacrolimus, cyclosporine, sirolimus, mycophenolate and azathioprine after a kidney transplant?
Transplante de rim
9 min de leitura
腎友與移植者的疫苗完整攻略：哪些能打、哪些要避開、什麼時機最划算
「移植後完全不能打疫苗」是常見誤解。真正需要避免的是活性減毒疫苗；其他多數是不活化或重組疫苗，對免疫力較弱的腎友反而更重要。本文依 KDIGO 2024、AST 2019、IDSA 與 CDC 等公開指引，整理 CKD／透析／移植三個階段較常被討論的疫苗、活性疫苗清單、重組帶狀疱疹疫苗與 B 肝高劑量策略、接種時機與家人接種重點，協助你跟照護團隊一起做決定。
Doença renal crônica
9 min de leitura
腎友止痛怎麼辦？NSAID 為什麼危險、acetaminophen 安全嗎、貼布算不算、以及「三重打擊」
頭痛、關節痛、感冒，隨手一顆止痛藥對腎友可能是急性腎損傷的開始。本文依 KDIGO 慢性腎臟病指引與國際衛教資料整理：哪些是 NSAID（含許多感冒複方）、指引在什麼 eGFR 建議「避免」、ACEi/ARB＋利尿劑＋NSAID 的三重打擊風險、acetaminophen 與外用藥的大致安全邊界，以及生病日的用藥原則與就醫警訊，協助你和醫療團隊一起擬定個人化的止痛策略。
Patient experience
The founder’s first-person account from dialysis to transplant. Personal experience, not a medical conclusion.
Why Did I End Up on Dialysis?
A difficult birth, shock and oxygen deprivation damaged both my kidneys. As a teenager I skipped my medication. At 26, a single glass of orange juice sent me straight to the emergency room. This is how my dialysis began.
After Rebirth: From Dialysis Patient to Health Educator — Choosing to Return to the Ward
Shock at birth led to chronic glomerulonephritis; dialysis began at 26; a kidney transplant came on Christmas Day at 32. After the transplant I walked into a hospital with gratitude and became a health educator for diabetes and kidney patients — because I know fear comes from not understanding.
Evidence check
Common claims checked against the evidence, with original studies cited.
- 查核：「抽血肌酸酐正常，腎臟就沒問題」是真的嗎？不成立。單一血清肌酸酐「在實驗室正常範圍內」並不能排除慢性腎臟病，評估需以肌酸酐帶入 eGFR 公式，並結合尿檢及臨床情況；在肌肉量少、高齡、女性、慢性病患者等族群中特別容易低估腎損傷。
- 查核：「止痛消炎藥（NSAID）只要不是天天吃就不會傷腎」是真的嗎？結論：不成立。大型研究與國際指引都指出，即使短期或間歇使用 NSAID，也與急性腎損傷風險增加有關，尤其在本來就有腎病、年長、合併用利尿劑或血壓藥者風險更高。
- 查核：「移植多年後腎臟已經是自己的，抗排斥藥可以自己減量或停掉」是真的嗎？不成立。現有指引與研究都指出：多數腎臟移植病人一輩子都需要維持免疫抑制藥，擅自減量或停藥與排斥及移植腎衰竭風險增加有明顯關聯，尤其與不規則服藥有關。
More health sections
Beyond the kidney: dental, aesthetic & medical travel, rehabilitation, skin care, eye health, global disease and outbreak data.
About us & editorial principles
The author is a kidney-transplant recipient and former integrative-health care manager — not a physician. Sources and update dates are shown; we never claim a clinician review that did not happen.
Criado por um antigo gestor de saúde hospitalar que viveu pessoalmente a doença renal crónica, a hemodiálise e o transplante renal. Combinamos prática de gestão de saúde, experiência pessoal e literatura médica para organizar conhecimento de saúde entre órgãos — do rim ao coração, fígado, pulmões, ossos, cérebro, metabolismo e saúde oral.
- Informação de saúde em linguagem clara
- Prioridade à literatura médica, guias clínicos e fontes oficiais
- Experiência real de doentes e perspetiva do dia a dia
- Fontes, datas de atualização e limitações indicadas
O conteúdo destina-se à educação e informação em saúde e não constitui diagnóstico nem aconselhamento terapêutico personalizado. Para sintomas, medicação ou decisões de tratamento, fale com a sua equipa de saúde.
