【If you control it well, you will not have uremia】How long will I have uremia? A patient who came from out of town asked me at the outpatient clinic.
I told him clearly that if he was well controlled, he would not have uremia.
He is 57 years old. He has been taking painkillers (antipyretic analgesics) for a long time because of headaches since he was young. 11 years ago, he was found to have high serum creatinine when he was 46 years old. The ball filtration rate was 61.8 ml/min. At that time, I didn’t realize that the renal damage was related to painkillers, so I took painkillers for a few more years, and stopped taking them at the reminder of other doctors for the first two years. The recent physical examination found that the serum creatinine was higher than before, so I came to find me from other places.
Check blood pressure is slightly higher, no urine protein, re-examination ECT, glomerular filtration rate has dropped to 48.63ml/min, commonly known as moderate renal failure.
Glomerular filtration rate is kidney function, and serum creatinine value is only a reference. Normal glomerular filtration rate is more than 90ml/min, if it is less than 15ml/min, it is called uremia.
Chronic kidney disease, kidney function is declining year by year, but if the annual decline rate of glomerular filtration rate is controlled within 2ml/min, there is no need to worry, if it exceeds 5ml/min, it is Rapid decline and rapid disease progression.
His glomerular filtration rate decreased by 13.2ml/min in 11 years, with an average annual decrease of 1.2ml/min, which is within the controllable range, don’t worry.
So I told him that if I don’t use drugs indiscriminately in the future, I usually have a low-salt, low-fat, high-quality, low-protein diet, and use sartans or prickle-type antihypertensive drugs to control blood pressure at 130/80mmHg Under the age of 80, uremia will not occur.
Kidney function is irreversible, but aggressive treatment can slow the decline.
