Two days ago, I met a patient in the outpatient clinic. When I came in, I said, "My creatinine is now 400μmol/L, isn't it difficult to reduce it?" I heard that will be dialyzed with in a few years?"
I said that your creatinine level is indeed very high now, and you are basically entering the early stage of renal failure. Whether it can be reduced or to what extent it will be further evaluated and then a treatment plan is adopted. Heard? Who did you hear?
He also said that I searched online and added kidney friend group. The people in it are like this. The creatinine was dialysis just a few years after it increased.
Hearing this, I felt helpless. With such a developed network now, various news is everywhere. Some patients, especially when they first discovered the condition, their inner fears are easily misled by some irregular news. So much so that we have entered the misunderstanding of treatment and have taken many detours. Moreover, some patients are prone to extreme emotions due to the long-term treatment, and they believe that kidney disease is an "incurable disease" and are too sensitive to words such as high creatinine and uremia . It may affect your judgment of the condition and follow-up treatment.
Will dialysis be performed after a few years when creatinine is high? This is something many patients are worried about!
is not that extreme. Objectively speaking, there may be a small number of patients with these conditions. , and dialysis within a few years, these patients usually have several conditions:
1, poor pathology type. For example, if diabetic nephropathy is stage 5, creatinine is 300μmol/L, it will have renal failure and progress quickly, which is prone to complications and high dialysis airflow.
2. Both kidneys are severely atrophy. The creatinine is not very high, but the monitoring of renal function has severe atrophy. It often occurs in elderly patients with a long history of chronic diseases, and the renal function itself has a certain physiological decline.
3. Passive treatment, the condition repeatedly caused the renal cell sclerosis to accelerate and eventually lose control.
Except for these very few cases, the creatinine will decrease after the initial stability of the disease after the increase of creatinine.
If your creatinine has just reached 4 or 500μmol/L and has not been actively treated, someone advises you to dialysis as soon as possible, then you have to be careful, and stay away from this person quickly and conduct standardized treatment in time!
Some patients also wonder: Is the higher the creatinine, the harder it is to reduce?
In general, the higher the creatinine level, the higher the blood endotoxin level, which indirectly reflects that the kidney filtration rate and detoxification function are damaged, and the corresponding glomerular filtration rate decreased significantly. To reduce creatinine, it is necessary to actively improve the kidney blood circulation, and at the same time, to restore and improve the mildly damaged kidney cells as much as possible. Due to the overall damage to renal function, the progress is rapid, and timely medication will still develop slowly. Compared with the early stages of kidney disease, it does progress faster, with less decline, and takes longer to maintain.
But in some cases, even if the creatinine is increased, it is not that bad. As long as the medication is taken in time, the creatinine can be lowered. There is no chronic injury of renal function, which is mostly manifested as acute progress:
1. Dehydration causes a decrease in blood flow, and blood concentration increases creatinine rapidly increases
2. Acute infections such as fever and cold lead to imbalance in the glomerular tubular function, causing transient creatinine.
3. Drug-induced interstitial damage, causing damage to the renal tubules, and the ability of to reabsorb decreases and the excess substance leaks out.
4, Hypertension , anemia, etc., cause blood circulation, which leads to an increase in creatinine. These indicators of stable creatinine will also drop.
So patients with nephropathy must remember that after the increase of creatinine, the influence of all chronic and acute progress factors must be fully considered, and the evaluation of their own conditions including primary disease, glomerular filtration rate, urine volume, whether there is heart failure , etc. Generally speaking, even if the creatinine rises to above 1,000, these situations can still be reduced after being controlled, so it is relatively more difficult to reduce the higher the creatinine.
Here again, the creatinine value is divided into three stages, early detection and early attention should be paid to early treatment!
creatinine does not exceed 150 clinical cure reaches 95%, and more than 200 creatinine is cured. By actively improving the primary disease and damaged renal function cells, more than 200 creatinine can be reduced to below 150 or even restore the normal range to achieve clinical remission.
creatinine exceeds 440, which is the renal failure period, and 707 is the uremia period. If you want to reduce creatinine, the key is to see which cause it, is it primary glomerulonephritis, or underlying diseases such as hypertension, diabetes, , etc., or simply high creatinine but normal urine volume and kidney size, it is possible to understand the cause early.
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