Many people are very scared when creatinine rises. They are worried about the rise in various indicators, worried about kidney failure, and worried about uremia . However, in addition to worrying, what should be done is to understand the reasons and harms of the increase and learn how to do so. How to mitigate and control the increase in this indicator.
Creatinine is a product of muscle metabolism in the human body and is mainly filtered and excreted by the glomerulus. Every 20g of muscle metabolism can produce 1 mg of creatinine. When the intake of meat is stable and the body's muscle metabolism does not change significantly, the production of creatinine will be relatively constant.
A creatinine of more than 200 may be the 3rd or 4th stage of chronic kidney disease . Generally, for young male patients with a creatinine of 200, the glomerular filtration rate It may be 30-59 ml/min, which means it belongs to stage 3. But for elderly patients, such as 70-year-old patients, if the creatinine is 200, through the calculation of glomerular filtration rate of , the glomerular filtration rate The pass rate may be less than 30, so it is considered stage 4 kidney disease.
A creatinine of more than 200 indicates elevated creatinine, and the cause of elevated creatinine must be clarified. Elevated creatinine is an important indicator of renal function testing and is the main method for clinical detection of renal function. The higher the value, the more serious the renal function damage is, because creatinine is a metabolite of muscle and is mainly excreted through the kidneys. At the same time, serum creatinine is affected by diet. And the influence of urine output, if you usually eat too much meat, it will easily lead to an increase in creatinine. There are many factors that cause creatinine to increase. The first situation is that people have high pressure in work and life, irregular life, irregular diet, high-protein diet, or recent infection or fatigue. Under these circumstances, the increase may occur. The second situation is when the kidneys have spontaneous renal disease that causes creatinine to rise. The third situation is when there is acute nephritis , or when there is acute kidney injury.
The normal value of serum creatinine
Men are 70~106
Women are 53~88
Creatinine is more than 200. First of all, we must rule out whether it is caused by dietary influence. If not, it means there is a problem with kidney function, and further examination should be carried out.
When creatinine rises to more than 200, what should we do to lower the index?
If it is acute renal failure, the common causes are dehydration, urinary tract obstruction, and the use of drugs that are toxic to the kidneys. The patient needs to be treated according to the cause. For example, dehydrated patients need to rehydrate, and patients with urinary tract obstruction may need surgery to remove stones, tumors and other problems. If exposure to toxic drugs requires the patient to stop taking these drugs immediately, they may also need to be treated with hormones and other drugs. If it is chronic renal failure caused by diabetes , blood sugar needs to be controlled. If it is a patient with chronic nephritis and the quantitative urine protein exceeds 1 gram, the patient may need to be treated with glucocorticoids and other drugs.
The treatment method should be based on the cause of the disease and be controlled in a targeted manner so that the condition can be recovered. Seeking treatment as early as possible can help prevent the condition from getting worse.
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