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Is Dialysis A Must For ESRD, Or Can It Be Avoided

2019-05-09 14:50

ESRD,DialysisHow long does Chronic Kidney Disease go to uremia? Is Dialysis necessary to develop ESRD? Following this article to get answer, or you can consult ONLINE DOCTOR directly in free.

The final outcome of chronic kidney disease is the end stage of renal failure, but the pathological type, treatment degree and prognosis of different patients are different, the speed of renal function progress is different, and the time of uremia progress is also different.

At present, only 1% to 2% of the nearly 120 million nephropathy patients in China have developed uremia. Diabetic nephropathy is one of the main types of nephropathy leading to uremia. Therefore, there is no need to worry too much about uremia. Even when it comes to uremia, dialysis is not necessary. Whether dialysis can be done or not needs to refer to many indicators. Even dialysis patients have the opportunity to avoid dialysis. How can it be realized?

So although uremia sounds terrible, it is far away from every patient. What we should do now is to try to delay renal failure, reduce the risk of uremia and focus on treatment.

There are three key indicators to delay the development of renal function, but some of them are easily ignored. How about your indicators control?

1. Proteinuria and Hypertension

These two symptoms play an important role in the progress of renal function. Proteinuria occurs in almost all types of nephropathy, and exists in the early stage of nephropathy. It runs through the whole process of nephropathy development. Long-term and sustained leakage of proteins will lead to serious damage of glomerular filtration membrane and then affect renal filtration function.

It is difficult to reverse the impaired renal function and eliminate proteinuria completely. Clinical studies have shown that the long-term reduction of proteinuria to less than 1G has less impact on renal function and lower risk of renal failure. At present, the reduction of protein level is mainly treated by hormone anti-inflammatory, immunosuppressive agents, and assisted with pril, statins and other drugs. Most patients can control it well.

Hypertension is one of the most common symptoms of renal insufficiency. Increased blood pressure in the whole body will change the blood circulation environment and abnormal blood flow in the kidney. Renal artery hypertension will lead to the decline of glomerular filtration function, accelerate the deterioration of renal function and form a vicious circle. Therefore, to stabilize renal function, pressure control is the key. At present, there are six kinds of commonly used antihypertensive drugs, the antihypertensive effect is obvious, patients can choose according to their own conditions. Although pril and sartan antihypertensive drugs are the first choice for nephropathy, they are not suitable for patients with renal insufficiency. Calcium antagonists and other antihypertensive drugs can also be used to reduce blood pressure.

2. 24-hour urine volume

As an important detoxification organ of the body, kidney has the function of filtering and forming urine. Urine is one of the ways for the body to remove garbage from the body. If the amount of urine decreases, it means the increase of "waste" in the body. If the function of kidney stops completely, the amount of urine decreases or even no urine, it means that uremia is getting closer and closer.

Usually the urine volume of patients before stage 3 of renal function will not change much. It is normal to maintain about 1500 ml. When renal failure progresses, some patients will have oliguria (400ml/24h). Maintaining urine volume is the basis of ensuring the stability of renal function.

The key to maintain urine volume lies in dredging kidney blood vessels and keeping symptoms circulating as far as possible. At present, there is no treatment in Western medicine. Traditional Chinese medicine and some characteristic therapies such as moxibustion and medicinal bath have certain effects of dredging blood vessels and removing blood stasis. By accelerating blood circulation, they can help the formation and discharge of urine.

Some patients with renal failure to uremia, there is a reduction in urine, whether early dialysis is a very tangled issue: dialysis urine will only be less and less, but not dialysis toxins can not be discharged, what should be done? To solve this problem, we need to integrate all aspects of the situation, the situation of renal function plays a decisive role.

3. Cardiovascular Diseases

Cardiovascular disease is one of the high-risk complications of nephropathy. Some patients have metabolic diseases such as hypertension, hyperlipidemia and diabetes, and the incidence of cardiovascular disease is higher. Therefore, we should pay attention to this aspect in the course of treatment. In addition, electrolyte disorders caused by hyperkalemia can also lead to heart disease, so patients with high blood potassium should also pay attention to potassium treatment.

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