To determine whether the renal function is stable, we often look at indicators such as serum creatinine and glomerular filtration rate. After the condition is stable, the next step is to improve the condition. The extent to which renal function has recovered, whether the indicators are stable after the decline, and the relief of symptoms are all issues that should be paid attention to during the treatment process.
“>if datatrack=”6000” These conditions tend to improve, and one of the next questions that kidney friends are most concerned about is when can they stop taking the drug completely?
Different from other diseases, chronic kidney disease has a long course of disease. In some cases, even after the condition is stable, long-term medication is still required, and the efficacy of some drugs determines the duration of medication. In order to maintain the stability of renal function, some medicines even need to be taken for life.
The common pathological types of chronic kidney disease include more than ten types. Which types of kidney diseases are easy to control, and which types of kidney diseases are difficult to stabilize? Let’s talk about it in detail today.
These types of kidney disease that are easy to control and stabilize can be completely discontinued!
Patients with nephrotic syndrome mainly have a severe immune inflammatory response in the early stage, causing symptoms such as massive urinary protein, high edema, and hypoproteinemia, but generally do not appear Increased creatinine and marked decrease in glomerular filtration rate. Most types of nephropathy have an obvious pathological change, and some pathological types are relatively serious, but the renal function damage is not necessarily serious.
Early and mid-stage minimal disease
Membranous nephropathy stage I-III
Focal segmental glomerulosclerosis early and middle stage
Mesangial proliferative glomerulonephritis early stage
Early mesangial capillary type
80% of primary nephrotic syndrome can be controlled by immunosuppression in time, and the disease can be effectively controlled.
Part of nephritis in the early stage is also optimistic and can maintain long-term stability without recurrence. Including early and middle stages of renal IgA nephritis, early stage of purpuric nephritis, early and middle stages of interstitial nephritis, early stage of occult nephritis, and acute glomerulonephritis. If these are detected in time and controlled and stabilized, the drug can be gradually reduced, and the drug can be discontinued after complete stabilization.
However, for some types of kidney disease, the primary disease is more serious, the kidney function is damaged rapidly, and the overall prognosis is poor. After these types of conditions are stabilized, reducing or stopping the medication too quickly will be detrimental to the condition.
And some types of kidney disease use drugs for long-term use to protect kidney function.
Nephrotic syndrome always recurs
We mentioned above that nephrotic syndrome is curable However, there are also some patients who take hormones and immunosuppressants and experience repeated urinary protein after drug withdrawal, and the condition cannot be completely relieved. It is not a good thing for such patients to forcibly stop the drug, or to stop the drug after the patient.
On the one hand, these patients have serious pathological types, so drugs need to play a long-term control role, such as severe mesangial cell hyperplasia, crescents, short-term The drug withdrawal cannot be achieved within the time period. On the other hand, it is not sensitive to hormones and has a poor autoimmune state, which leads to the fact that even if the drug is maintained, the condition is still not very stable. This situation requires long-term medication maintenance and conditioning at the same time, which is more beneficial to the condition.
nephropathy Severe patients
Some patients have serious primary diseases, which cause persistent damage to renal function. It is necessary to pay attention to renal disease. At the same time, it is necessary to pay attention to the control of the primary disease, and the treatment is relatively difficult.
For example, diabetic nephropathy is a typical type of nephropathy with a clear primary disease. The early stage of diabetic nephropathy is mostly elevated blood pressure and microalbuminuria, and the general symptoms are not very obvious.
The main reason for the development of renal function is that long-term hyperglycemia causes the blood circulation in the kidney to change, accelerates the fibrosis of the glomerulus, and causes the sclerosis of the renal function.
The systemic hemodynamic abnormalities caused by blood sugar are irreversible. To reduce the continuous damage of blood sugar to the kidneys, long-term medication is required to keep blood sugar stable and protect the remaining glomeruli . Such patients are not advised to easily reduce the drug.
patients with elevated serum creatinine
It is well known that creatinine is an important indicator for measuring renal function, especially the change of creatinine after stage 3 renal disease is very important, which reflects the level of blood endotoxin.< /p>
In patients with elevated creatinine, at least half of their renal function has been damaged. Some symptoms at this time, including renal anemia and renal hypertension, will continue to affect the remaining renal function. Stress, which requires long-term stability of some symptoms, is the key to delaying renal failure.
For many people, long-term monitoring of renal function is required after creatinine rises. The repair of damaged kidney cells and the protection of the remaining renal function require long-term medication to maintain, so do not stop the medication too soon after the creatinine drops, so as to avoid the recurrence of the disease.
If you have any kidney friends Kidney problems such as renal failure, high creatinine, and proteinuria need to be answered, Long press the identification QR code and add WeChat, one-to-one free guidance
Click “Watching” if you like it
there is a problemyou can click span>
< p> Read the original text to enter the consultation