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what Kinds Of Conditions In Kidney Failure Are Called Uremia

2018-12-31 15:11

For patients with Kidney Disease, they often fear uremia. There are many related terms on the Internet which are easy to confuse, such as renal insufficiency, Renal Failure, Uremia and so on. Creatinine is elevated. Is it Uremia?

Chronic Kidney Disease (CKD) has a well-recognized definition and stage.

That is, there have been kidney function (mainly hematuria laboratory tests) or kidney structure problems, and these problems lasted for more than three months, that is, chronic kidney disease.

According to the level of Glomerular Filtration Rate staging are the follows.

CKD Stage 1: GFR > 90 ml/min

Stage 2: GFR 60-89 ml/min

Stage 3: 30-59 ml/min

Stage 4: 15-29 ml/min

Stage 5: <15 ml/min

For male patients, age 30, serum creatinine 133 umol/L. According to MDRD, eGFR is 55 ml/min, which is the third stage of CKD. So is CKD3 uremia?

Chronic Renal Failure was divided into four stages according to the degree of renal impairment:

(1) Renal reserve capacity decline period, also known as compensatory period of renal insufficiency, the GFR in this period is 35%-70% of normal, about 30-60 ml / min;

(2) Azotoxemia, also known as decompensation of renal insufficiency, when the GFR is normal 21%-35%, about 25 ml/min;

(3) In the stage of renal failure, the GFR was 11% - 20% normal, about 10-15 ml / min.

(4) In the uremic stage, the GFR was below 10% of the normal level, i.e. less than 10 ml/min.

Only patients with CKD5 are traditionally uremic.

Therefore, the eGFR of a male patient, like the one just now, is below 15 ml/L only when the serum creatinine is above 400 umol/L. This stage can be called uremia.

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