kidneyDuring the development of kidney disease, it is often divided into three different conditions, and it is also the development trend of the disease from mild to severe:
First, the renal function was basically normal. However, there are mild symptoms of proteinuria and occult blood in the urine, and the overall condition is not very serious.
Second, the renal function was slightly abnormal, and the glomerular filtration rate was not significantly decreased. Symptoms such as proteinuria, occult blood, and edema are more serious.
The function of the three kidneys was obviously damaged, the creatinine increased more than 443, and the glomerular filtration rate decreased faster. In addition, complications such as hypertension, anemia, electrolyte imbalance, etc. occur, and the process of renal failure is obvious, and it is necessary to timely control and prevent uremia.
Which stage are you in the above three camps?
The key to distinguishing the three different stages is to look at the damage of renal function, although the severity of symptoms in each stage is different, the changes of indicators are different, and the speed of renal function progress is different. However, some aspects of the treatment process are run-through rather than independent. Systematic treatment can more comprehensively maintain the long-term stability of renal function and slow down the rhythm of uremia.
There are 4 aspects, kidney friends should pay more attention from beginning to end!
Find out the primary disease in time
No matter what stage of kidney disease The primary disease is more instructive for diagnosing etiology and formulating programs. There are many pathological types of nephropathy itself, and the specific type of nephropathy often requires further examination. For common nephropathy such as chronic glomerulonephritis, most of them can be judged clinically through urine protein, occult blood and renal function tests.
However, for IgA nephropathy, membranous nephropathy, minimal change nephropathy, etc., further pathological anatomical analysis is required, and the lesions are examined and analyzed to determine glomeruli, renal tubules, renal interstitium, etc. The condition of important kidney tissue is not just judged by indicators.
The timely judgment of the primary disease is more conducive to adjusting the treatment plan, and the earlier the pathological lesions are identified, the more conducive to the next treatment. And in the later treatment process, the risk of recurrence will be lower, which is beneficial to prevent uremia.
Compliance with norms and individuals Chemotherapy
Many people feel that the treatment plan is prescribed by the doctor, how can it be irregular?
In addition to specific treatment plans, standardized treatment also involves an important point, that is, adherence to follow-up. Some people do not have a good understanding of the disease in the early stage, and the indicators such as urine protein and occult blood are not very serious. Generally, doctors prescribe medicine for a period of time and go home for a period of time, but they often fail to adhere to the review and follow-up. treatment, causing the condition to worsen without knowing it.
For patients who have been clearly diagnosed with the disease, they should insist on communicating with the doctor after choosing to seek medical treatment, and actively cooperate with relevant treatment. The condition that had been on schedule was very stable. However, there are also a small number of people who have heard some patients say that the drug is not bad. I took it for a while and it was good, so I bought it myself, and I didn’t communicate with the doctor.
It must be made clear that even with the same pathological type of kidney disease, due to different stages, different severity of the disease, as well as various problems such as physical age, constitution, tolerance to drugs, etc. Not everyone’s medication regimen is the same, so there’s no need to look up from one mountain to another.
Pay attention to urinary protein, Blood pressure level
Various studies clearly show that the level of urinary protein and blood pressure is directly related to the risk of uremia. People who kept both measures low were less likely to have kidney failure.
For patients with massive proteinuria (greater than 3.5g), pulse therapy with hormones should be administered in a timely manner to reduce the damage to renal function caused by proteinuria. Don’t worry too much about the side effects of hormones, but you will miss the best time for treatment.
Patients with high blood pressure can use sartan or Puli drugs, which can reduce protein at the same time. For patients with renal insufficiency, they can be combined with other antihypertensive drugs to reduce serum creatinine, Risk of elevated serum potassium.
Follow check key metrics
To judge whether the kidney function is good or bad, you can’t just rely on feeling. During the treatment process, there is one indicator that should be paid attention to from the beginning to the end – the glomerular filtration rate. The rate of decline in the glomerular filtration rate reflects the risk of renal failure, as well as glomerular damage.
To prevent renal failure, the less damaged glomerular cells should be repaired in time to prolong the process of renal failure.
Check it out, what areas did you fail to do well, and there was a problem?
class=”content_title” height=”300″ layout=”responsive” sizes=”(min-width: 320px) 320px, 100vw” src=”https://mmbiz.qpic.cn/mmbiz_png/Djp031yQq14gKCY69gDiaTprL1Ju4KrvrNicu5Ddp8p7n3AygaODwub52KhkmXhQyFEErS4SYgMibMF4/”600″>
Click “Watching” if you like it
There is a problemYou can also click
< p>Read the original text to enter the consultation< /strong>