The doctor said: For kidney disease, how is the treatment effect judged?
When many patients with nephropathy gave me messages, they always complained about their own treatment for many years. Major hospitals ran through them but they had no effect. However, after I carefully asked for treatment experience, I found that there was a lot of misunderstandings.
In the end the treatment of kidney disease is how to determine it?
This is actually a kind of misunderstanding. This must be started from the significance of the inspection.
The essence of medicine is through the body's various anomalous manifestations, deducing the damaged parts and ways of damage, and then using drugs, instruments, etc., to repair the damaged parts, or inhibit the damage.
For example, urine protein, most of the urinary protein produced by the reason is an inflammatory reaction, so we use hormones to inhibit the inflammatory response, so as to achieve the purpose of eliminating urine protein.
Please note that the "derivation" process here includes three parts: testing, asking history, and patient self-reporting.
The laboratory tests referred to various inspection items;
To ask for a medical history, doctors use the patient's previous treatment process and their own treatment experience to judge the condition of the patient.
The patient's self-reporting is based on the patient's description of the abnormal condition of the patient and assisted judgment.
Therefore, the test form can only reflect a small part of the patient's condition, and most of the remaining condition cannot be reflected on the test form.
Let me give you an example. You understand:
We often experience a feeling of "uncomfortable". Although this feeling is real, it will be carefully described but it will not be able to tell. Go to the hospital to check it, the data is normal, it seems there should be no problem.
This is because laboratory tests can only reflect a small part of the illness. The so-called "uncomfortable" feeling does not reach the pathological changes of the body and cannot be reflected in the data.
Some of these effects are reflected on the lab sheet, but you may not pay attention; some are simply a feeling and are easily overlooked.
It should be noted that the kidney includes more than two million nephron units, and as long as 30% of the nephron units can work properly, it is enough for the daily needs of the human body.
Protecting the remaining nephron is the main task. Eliminating urinary protein, creatinine, etc. are only branch tasks.
Since necrotic kidney units cannot be recovered, many times, "not worsening" or "will not accelerate deterioration" is the best effect.
Those patients who have been treated for 5 or 6 years and still have urinary protein 3+ should be thankful for not having elevated serum creatinine, because some patients have already had dialysis for only a few years after getting kidney disease.
Similarly, patients with renal failure, some can only stay in bed all day, and some can still go out to work.
Therefore, the significance of treatment is not only the number on the laboratory sheet, but also the control of the progress of the disease. It is to improve the treatment of life and to minimize the impact of disease on life.
For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)
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