answers to some common questions about creatinine-lowering treatment as follows. For your reference:
1. Is there a high creatinine mean renal insufficiency?
serum creatinine has a very big difference for everyone, and it may not be that they are renal insufficiency if they are high. For example, men with long-term exercise habits have developed muscles and creatinine is generally between 120 and 130. Friends who have no exercise habits and whose creatinine level rises to above 130 need to further check the glomerular filtration rate to excrete chronic kidney disease .
2. How high is the creatinine? dialysis ?
When creatinine increases, renal function decreases, and the risk of renal failure and uremia is increased, so the risk of dialysis is increased. For specific dialysis, in addition to the creatinine level, it also depends on the glomerular filtration rate. If the creatinine exceeds 707, the glomerular filtration rate is between 5 and 10, dialysis should be considered. But it is not absolute. If conservative treatment reduces creatinine, the glomerular filtration rate will rebound, and it can also be temporarily not dialyzed.
3, I urine protein 3+, creatinine 118, why don’t the doctor prescribe creatinine-lowering medicine?
There are not many drugs that effectively reduce creatinine. Most of them are auxiliary therapeutic effects, such as uremia , kidney failure, and Haikun Shenxi. Use these creatinine 1 and 200, and still use these at 5 or 600.
So it’s not that the doctor doesn’t prescribe it. Currently, it is necessary to improve damaged renal function when reducing creatinine. Therefore, medication is a systematic medication, not a single medication. This must be clarified.
To say something more, long-term urine protein will lead to renal function decline, so lowering urine protein at this time is more important. The high creatinine has already indicated that the kidneys are beginning to be damaged, and it must be taken seriously to improve glomerular damage to prevent further renal function decline.
4. Can I take traditional Chinese medicine to reduce creatinine?
The key to treating creatinine in traditional Chinese medicine is to improve kidney blood circulation. It can work with multiple Chinese medicines to jointly play the role of promoting blood circulation and removing blood stasis , which can improve renal function and reduce creatinine. But two points should be paid attention to. The first point is that simply drinking one or several Chinese medicines into water will not have a fundamental therapeutic effect. The second point is that in addition to oral Chinese medicine, traditional Chinese medicine also has related external therapies, including acupuncture, moxibustion, foot bath, external application, medicinal bath, etc., which can help patients reduce creatinine.
5. How to stage renal function with serum creatinine?
Internationally, renal function stages are usually performed according to glomerular filtration rate. We all know that creatinine and glomerular filtration rate are closely related, so they can generally be used as one of the basis for renal function stage.
creatinine 105-177 belongs to the 1st stage of renal failure, creatinine 186-442 renal failure stage 2, creatinine 443-707 is the 3rd stage of renal failure, and if more than 707 is the 4th stage of renal failure.
But there are many differences in individual creatinine in each person. Some elderly people have more than 200 creatinine, which may be in the 4th stage of renal failure. Therefore, now it is more accurate to do the renal filtration rate in the stage.
6. The faster the creatinine rise, the harder it is to treat?
After chronic renal function injury, the rapid increase of creatinine needs to be clarified. If it is chronic development, the increase of creatinine is getting faster and faster, it means that the progress of renal function is accelerating rapidly, which is not a good phenomenon. If the damaged glomerulus is improved and treated in time. If it is chronic development, it encounters acute inducing factors such as infection, ischemia, drug damage, etc., which causes a short-term increase in creatinine, and it is easier to detect the cause in time at this time.
The faster the creatinine rise, the lower the less it is, and it is difficult to treat it. Seize the opportunity to find the right patient to recover quickly.
7. The creatinine is not high, but is the renal filtration rate dropping by only 60% severe? When the creatinine rise is not high, further look at the glomerular filtration rate drops to 60, excluding physiological factors such as age, premature aging, etc. At this time, renal function has initially declined and substantial damage, but it is due to the initial progress stage. Timely correcting blood circulation for damaged glomerulus and other tissue cells can basically control the development and achieve clinical cure.
8. Creatinine has risen to more than 800. Can dialysis be escaped from dialysis for half a year?
creatinine is more than 800, which has reached the level of uremia, but you can't stop after dialysis. uncertain.Specifically, we need to look at reversible factors, including blood pressure, electrolyte level, glomerular filtration rate, and some conditions include urine volume, kidney size, and whether there are complications of heart failure.
After correcting these reversible factors that affect renal function, systemic toxin levels are improved and the internal pressure of the kidneys is reduced, even if the creatinine is increased to a condition that is already dialyzed. And after dialysis, after renal function has been improved, dialysis can be stopped and conservative treatment can be continued.
9. Will uremia necessarily occur if the creatinine cannot be reduced?
High creatinine is just a sign of the decline in renal filtration function. Whether it will develop into uremia needs to be further looked at the subsequent development of renal function. If the kidney blood flow can be continuously stabilized and the kidney function does not deteriorate further, the condition may not develop into uremia.
If renal function damage has been confirmed, it is necessary to pay attention to the treatment of kidney damage itself, instead of just focusing on the creatinine value, not pursuing how low creatinine is, but stabilizing renal function, stabilizing creatinine level, and preventing electrolyte disorders caused by high toxin levels, , gastrointestinal disorders and other conditions.
10. Can you still eat meat after creatinine increases?
Cretinine is a product of muscle metabolism. People who have the habit of exercising and exercising will have higher creatinine than ordinary people. After kidney disease patients, in order to reduce the metabolic burden of the kidney, they need to control urine protein, hyperlipidemia, , hypertension, and other indicators, and need to have a balanced and nutritious diet, a combination of meat and vegetables, and they cannot eat too much meat, especially red meat. Eating less
does not mean not eating. Meat contains high-quality protein . For patients who need to supplement protein, you can eat it. It is enough to control it to 1-2 taels per day. It has little effect on creatinine.
But if you eat a lot of meat every day and don’t have any meat, it will not only affect creatinine, but also affect urine protein, and even the overall condition is stable.
If kidney friends have nephritis, kidney syndrome, high creatinine, kidney damage and other kidney problems, they can leave a message in the comment area!
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