In the process of diagnosis and treatment for many kidney patients, the most worrying question is often whether the condition will worsen, will it develop into uremia? The biggest concern is whether the condition is serious and whether it can be controlled and improved.
Whether the condition is serious at the initial diagnosis is an important factor affecting the initial treatment strategy, and it is also one of the important factors determining whether the renal function can be improved.
Dr. I have stage 3 kidney disease and my creatinine is 210. They told me it might be stage 3a. What does this mean? Is it serious?
Many patients are accustomed to looking at the creatinine value to stage the disease, and they often think that the higher the creatinine value, the more serious the damage to renal function. But sometimes creatinine actually loves to “deceive”.
Clinically sometimes encounter such patients, just discovered the disease, the creatinine does not seem to be very high, about 180 is less than 200, it is initially identified as stage 3 renal disease, However, further examination found that the filtration rate was lower than 30, and it had reached the point of renal failure.
Therefore, when the creatinine rises, the severity of the disease cannot be just stared at the blood creatinine.
The most important indicator to look at is the glomerular filtration rate.
The third stage of nephropathy is the stage of renal insufficiency. This stage develops relatively long and varies greatly. It is also at this stage. Some patients have improved and stable conditions, while some patients with kidney disease are always unstable and continue to progress.
Therefore, according to the glomerular filtration rate, the stage 3 of renal disease, namely the stage of renal insufficiency, is divided into stage 3a and stage 3b.
How serious is stage 3a kidney disease?
In stage 3a nephropathy, the glomerular filtration rate is usually lower than 45-60ml/min. Under normal circumstances, the creatinine is usually below 320.
Although creatinine should be increased and glomerular filtration rate decreased in stage 3a renal disease, it does not mean that the disease must be very serious. Most of the patients at this stage have just discovered the damage of renal function and the damage is relatively minor. If it can be detected in time and actively diagnosed and treated, the probability of reversibility is high.
Nephropathy stage 3a is a transitional stage between renal decompensation and renal insufficiency. If maintained in this stage for a long time, not only the risk of uremia is very low, but most patients have their own disease. The quality of life is also guaranteed, basically the same as normal people.
At this stage, to maintain a stable condition for a long time to prevent recurrence or aggravation of the condition, there are two aspects that need to be paid more attention.
The first aspect: always pay attention to immunity and prevent infection
At this stage, the renal inflammatory reaction is relatively severe, resulting in the presence of urinary protein, which becomes one of the main factors threatening renal function. To maintain a low level of urinary protein, we must pay attention to improving our own immunity. Drug application is one aspect, and infection prevention is also very important.
Usually some patients take hormones and immunosuppressants to maintain the protein within 1g, which looks pretty good. But after a while, the infection recurred. Repeated urinary protein will cause damage to the remaining glomerular cells, which is not conducive to maintaining the stability of the disease.
Infection prevention can be done by timely injection of vaccines, and on the other hand, by strengthening all aspects of exercise and physical fitness. Form its own immune barrier to keep the disease stable for a long time.
Second aspect: Pay attention to stable renal blood flow and protect renal cells
Some patients with stage 3a nephropathy begin to experience elevated blood pressure, electrolyte imbalance, etc., usually not very Severe, but it also reflects the increase in the internal pressure of the kidneys, and the weakening of the role of regulating the balance of substances in the body. At this time, the living space of the remaining kidney cells is compressed, and more and more factors are disturbed.
Pay attention to monitoring the blood circulation in the kidneys, control symptoms such as hypertension and edema, and reduce intrarenal arterial hypertension. At the same time, it is the key to delay renal failure to correct the renal cells with less damage to the kidney and protect the remaining intact renal cells.
The overall development of kidney disease is a long process. If the opportunity is seized at an early stage, the risk of uremia will naturally be lower.
If you have kidney problems such as kidney failure, high creatinine, etc., you need to answer them
You can long press the identification QR code and add WeChat, Free one-to-one instruction
=”300″ layout=”responsive” sizes=”(min-width: 320px) 320px, 100vw” src=”https://mmbiz.qpic.cn/mmbiz_png/Djp031yQq14gKCY69gDiaTprL1Ju4KrvrNicu5Ddp8p7n3AygaODwub52KhkmXhQyFEErS4SYMibMFc5PlDq4iaFjg/640″ width=”600″>
If you like it, click “Watching”< /strong>
> < span>There is a problemYou can also click
Read the original text to enter the consultation