Nephrologist: Creatinine in patients with kidney disease more than 100, do not rush to treatment, pay attention to these things
We all know that elevated serum creatinine usually means that renal function problems, but those creatinine more than 100, just beyond the reference standard of renal disease patients, in the end to be active treatment?
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| high creatinine |
Creatinine is a product of muscle metabolism. Creatinine produced daily is essentially constant and metabolized by the kidneys, excreted with urine. If creatinine is not excreted, it will return to the blood, causing elevated serum creatinine.
In general, the rise of serum creatinine for the following reasons:
① renal failure
Creatinine relies almost exclusively on the metabolism of the kidneys, so serum creatinine increases when the renal filtration is impaired.
② body dehydration
Strenuous exercise, continuous diarrhea, drinking too little, there will be dehydration, leading to blood concentration, but also may appear elevated serum creatinine situation.
③ too tired
Long-term work overload, so that the body is over-consumed conditions, may also lead to elevated serum creatinine.
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| kidney test |
What should I do if I found a rise in serum creatinine?
Found that serum creatinine increased, the first thing to do is to find the reason.
Renal failure is indeed the main reason for elevated serum creatinine, but other causes of elevated serum creatinine is no longer a minority, can not blindly follow the treatment of renal failure.
In fact, almost all clinical manifestations of kidney disease have this situation.
Such as urinary protein, may also be the reason of exercise, diet and even body position;
Such as urinary occult blood, may also be the cause of urinary tract infection, stones, tumors or even leave.
Therefore, doctors always take the trouble to let the patients do all sorts of examinations in order to put an end to misdiagnosis.
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| kidney patient |
If it is determined that renal failure caused by serum creatinine more than 100 patients with kidney disease should be how to treat it?
Divided into two levels:
① row of creatinine
Serum creatinine has just been elevated, is not to use dialysis, usually using drugs such as Ai Xit, nifedipine, renal failure rather, the common feature of these drugs is the part of creatinine excreted through the stool.
② improve microcirculation
In fact, commonly used in patients with kidney disease Jinbao, Bailin and other proprietary Chinese medicines, is to improve renal microcirculation.
No matter what type of kidney disease, there will be blocked the kidneys capillaries, renal ischemia and hypoxia, the situation further accelerated renal failure.
Improve microcirculation, the purpose is to protect the residual renal cells, delay the development of kidney disease, so that patients later enter the uremic period.
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