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How to determine the effect of treatment in kidney disease?

2018-01-30 16:53

Although patients with kidney disease don’t understand most of the laboratory sheets, but you should not be strange with urine protein, creatinine and other values, so in many people's view, the effect of treatment of kidney disease, that is the degree to which these numbers are restored to normal. This is actually a misunderstanding.

How to determine the effect of treatment in kidney disease?

The essence of medicine is to deduce the damaged parts and the damaged ways through various abnormalities in the body, and then use drugs, instruments and other means to repair the damaged parts or restrain the damaged ways. For example, urinary protein, most of the causes of urinary protein is the inflammatory reaction, so we use hormones to suppress the inflammatory response, so as to achieve the purpose of eliminating urine protein.

Please note that there is a "derivation" process, including the test, ask history, patients statement three parts. One of the tests, refers to a variety of inspection items; ask the medical history, the doctor tells the patient based on the past treatment process, combined with their own treatment experience to determine the condition of the case; patient statement, is based on the patient's own description of the abnormal situation, to make a secondary judgment. Therefore, the test sheet can only reflect a small part of the patient's condition, most of the remaining illness can not be reflected from the test list.

For example, we often have a feeling of being "uncomfortable". Although this feeling is real, we can not describe it carefully. Go to the hospital for examination, the data are normal, it seems that there should be no problem. This is because, the test sheet can only reflect a small part of the condition, the so-called "uncomfortable" feeling does not reach the pathological changes of the body and therefore can not be reflected in the data.

The same is true for the treatment of nephropathy, which is naturally the most important for patients to reduce urinary protein and creatinine, but it may be important for doctors to increase hemoglobin and albumin. Even sometimes, allowing patients to eat normally, sleep is the focus of the current phase of treatment.

Some of these curative effects are reflected in the test slips, but you may not pay attention to them. Some are just a feeling and are easily overlooked. You know, the kidneys, including more than two million nephrons, as long as 30% of the nephrons to work properly, enough human daily needs. To protect the remaining nephrons is the main task of eliminating urinary protein, creatinine, etc, it is only a regional task. Since the necrotic nephron can not be recovered, in many cases, "no more deterioration" or "no accelerated deterioration" is the best effect.

Those with kidney disease who have been treated for urinary protein 3+ for five or six years should be fortunate to have their serum creatinine not elevated, since some patients have had kidney disease only for a few years and are ready for dialysis. Same as kidney failure patients, and some can only rest in bed all day, while others can still go to work. Therefore, the significance of treatment is not just the number on the laboratory sheet, but also the control of the progress of the disease, it is to improve the quality of life, minimize the impact of disease on life.

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