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How far from chronic nephritis to uremia?

2017-12-15 16:32

Many of the patients is the beginning of a slight urine protein, because do not pay attention to the treatment, themself feel good, long time of renal function worsened, cause uremia; also that although symptoms of nephritis is very serious, but manage leak protein significantly, renal function can maintain long-term stability. The same is the outcome of chronic nephritis there is a world of difference, how far from chronic nephritis to uremia?

How far from chronic nephritis to uremia?

Proteinuria. Urine protein in patients with kidney disease is more serious, the progress of renal function will be faster, and the average level of proteinuria during treatment than the initial proteinuria with the prognosis of kidney has a stronger correlation. If urinary protein is maintained at 0.5g or less, the risk of uremia will be low.

Initial renal function. The key to chronic kidney disease is early detection and early treatment. The initial renal function level will affect the therapeutic effect to a large extent. At this time, we should focus on creatinine.

Anemia. Once the hemoglobin is lower than 105g/L in nephrotic patients, it is a risk factor for uremic disease. It is suggested that hemoglobin monitoring should be carried out and the level of hemoglobin should be maintained at 110-130 g/L..

Hypertension. Hypertension is closely related to kidney disease. The blood pressure of patients with kidney disease should be controlled below 130/80, which is one of the major precautions to stay away from uremia.

Living habit. We should pay attention to the restriction of high protein and high salt diet to avoid infection and fatigue. Especially when infection occurs, we should find infected lesions and conduct targeted treatment in time. Especially, we should pay attention to oral, anal, ear, nose and laryngeal occult infections.

In fact, from nephritis to uremic patients, only a small number of patients are in the nephrotic population. It is not very difficult to control the relevant indicators of kidney function, persist in long-term management of their own diseases, do not dialysis for life, and do not transplant.

 

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