Two or three hundred serum creatinine, how to stay away from uremia? Nephrologist said 3 things
Nephropathy patients all know that elevated serum creatinine, usually means that renal function decreased until the serum creatinine rose above 707μmoI / L, is the so-called uremia.
So, we found that serum creatinine has just begun to rise, how should patients with kidney disease do?
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| kidney test |
In the treatment of nephropathy, there are two stages is more embarrassing, one is 24 hours urinary protein in less than 1 gram, the other is serum creatinine in more than 130μmoI / L, 700μmoI / L or less (diabetic nephropathy is 500μmoI / L or less) .
Although the former is urinary protein, but has not yet reached the level of hormones can be used; the latter although renal failure, but not yet reached the level of dialysis.
Most doctors are attuned to these two stages: waiting.
Of course, waiting is not nothing, or will use some proprietary Chinese medicines, but overall, the effect is not satisfactory.
What should I do if serum creatinine has just risen?
A patient gave me a message, said he had just been found serum creatinine more than 200, the doctor told him that the disease simply no way, only after dialysis increased creatinine.
His question is: Do not really do anything now, watching creatinine rising?
In fact, there are still many things you can do.
1, to ascertain the cause of increased creatinine
Renal failure can cause elevated serum creatinine, but incomplete serum creatinine because of renal failure.
Just as one of the signs of uremia is serum creatinine more than 707μmoI / L, but serum creatinine more than 707μmoI / L is not all entered the uremic period.
Once there was a membranous nephropathy two patients, a review found that serum creatinine 230μmoI / L, was not panic. But since he had just discovered urinary protein has been treated here, his situation is clear, although the protein control is not ideal, but the kidney function has been no problem. So tempted to ask, and sure enough, there have been some cases of fever and diarrhea.
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| treatment |
In fact, in addition to hemodialysis, there are still many ways to reduce serum creatinine, but the effect is not as good as hemodialysis.
The most common is the urine drug particles, this proprietary Chinese medicine is the use of the effectiveness of spleen Qi, defecation to reduce serum creatinine, which is the same principle of colon dialysis (traditional Chinese medicine enema).
In Western medicine, Love is more commonly used drugs, this carbon film, mainly through its own adsorption to reduce serum creatinine.
In addition, some vasodilator drugs, such as ACEIs and certain traditional Chinese medicines that promote qi and blood circulation can restore the "detoxification" function of the kidney to a certain extent by improving renal microcirculation, Reduce the role of serum creatinine.
3, adjust the mentality
This very few doctors will say, but I think this is the most important.
Although there is no test confirmed, but found in many clinical practice, anxiety state of serum creatinine increased significantly positive correlation.
In addition, it is important to remind that patients with renal failure please do not exercise, take a walk, playing Tai Chi is still possible, but moderate exercise such as long distance jogging, can cause elevated serum creatinine, because creatinine is muscle Metabolic products.
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