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显示标签为“serum creatinine”的博文。显示所有博文
显示标签为“serum creatinine”的博文。显示所有博文

2018年1月25日星期四

Why the misunderstanding of creatinine is the key to uremia

I found that many patients with kidney disease although very aware of elevated creatinine, but do not know exactly how serious.
Today we are going to say, what does serum creatinine mean in the end?
creatinine
Causes of elevated serum creatinine
Creatinine is a small molecule substance that is a product of muscle metabolism. Creatinine produced on a daily basis is also essentially fixed due to the relatively constant amount of muscle in our body.
Creatinine flows through the kidneys as it passes through the kidneys, is filtered by the glomerulus, enters the original urine, but does not reabsorb the tubules, so creatinine excretes with the urine.
There are two main reasons for the rise of serum creatinine:
First, eating too much meat or too much exercise, resulting in glomerular filtration of all creatinine too late, so that part of the creatinine back into the blood, causing serum creatinine increased;
Second, the glomerular damage is more serious, inability to filter through all creatinine, will make part of creatinine back into the blood, causing serum creatinine increased.
We often say that patients with renal serum creatinine increased, referring to the second case.

What does serum creatinine mean?
Some people say that although their serum creatinine beyond the normal, but just beyond a little bit, should be okay?
This is a misunderstanding.
Unlike creatinine and occult blood creatinine, mild renal damage does not cause elevated serum creatinine, and only more than half of nephron damage, serum creatinine began to rise.
Therefore, serum creatinine more than 110μmoI / L, does not mean that you can sit back and relax.

Serum creatinine increased how to do?
Many patients with early stage renal failure are confused: more than 700μmoI / L can choose dialysis, but before that? In particular, serum creatinine 500μmoI / L below the kidney disease patients, do not know how to treat.
Currently there are three main ways to reduce creatinine:
First, drugs, such as carbon tablets (love West), proprietary Chinese medicines (uremic clearance), the general effect, better than nothing;
Second, dialysis, here refers to the colon dialysis, that is, traditional Chinese medicine enema, the main method is to use colon decontamination creatinine, the effect is better than the drug;
Third, Chinese medicine treatment, for Chinese medicine, creatinine is "poison evil", Chinese medicine is the way to clean up the evil of qi and blood to improve the body's own ability to detoxify, especially sweating and urination, known as "ghost gate, clean House ". The effect varies from person to person, mainly to dialectical treatment of Chinese medicine is relatively rare.
In addition, should also be combined with diet and lifestyle adjustments, such as reducing meat intake, reduce physical activity and so on. The idea that some patients with kidney disease try to enhance their physique through exercise is good, but exercise produces a lot of creatinine, which is not worth the money for patients with renal insufficiency.

Email: kdtinchina@yahoo.com

Online doctor:008615931093124

Why kidney doctors say urinary protein 1 + and serum creatinine 200 without treatment

"No problem, pay attention to rest, drink plenty of water."
Sometimes we obviously have a very uncomfortable feeling, but why did the doctor say so? What is going on?
kidney patient
Urine protein 1 + without treatment?
The patient found urinary protein 1+ in a physical examination, and with a little general medical knowledge, she immediately realized that she had a problem with the kidneys and came to the best hospital in the city.
Unexpectedly, a few checks to do down, the doctor told her not to treat, go back and pay attention to rest, eat less protein, two weeks later to review.
Patients do not understand is that leakage protein does not mean kidney damage? Do not let it go?

Nephropathy that "no treatment" problem
Urinary protein 1 +, occult blood 2+, renal cyst 3 cm or less, serum creatinine 200 μmoI / L or less
Common abnormalities in these kidney diseases, doctors are always treated with "no treatment."
The reason is that these "abnormal" levels too low, those commonly used drugs, because they have some side effects, it seems a bit "overkill."
Of course, you can also use proprietary Chinese medicines, such as gold Shui Po, urine poisoning and the like, but the results are difficult to satisfactory, it seems "not cost-effective."
More important reason is that these "anomalies" affect the progress of the disease is not large, do not need to "go a long way."

No treatment ≠ no attention
Although no treatment, but all doctors will remind review of things.
As a nephropathy patient, we can also do these things:
1, urinary protein 1 +
Usually 24 hours urinary protein less than 1 gram, in addition to using gold Shui Po, but also began to pay attention to diet, this stage, daily intake of protein, try to control less than 1 gram per kilogram of body weight.
2, urine occult blood 2+
If it has been determined that renal occult blood, in addition to maintaining a light diet, there is no good way, so regular review and attitude adjustment is more important.
3, renal cysts 3 cm below
Have not yet reached the surgical standards, so we need to pay attention to protect the waist, do not do violent bending action, do not mention heavy objects.
4, serum creatinine 200μmoI / L or less
In addition to uremic clearance, Love and other drugs, colon dialysis is also a good choice. In addition, elevated serum creatinine, it is not suitable for exercise, and can play Tai Chi or take a walk.
In short, please try to maintain a state of loose inside the loose, neither panic, nor contempt, to pass this "blank period of safety."

Email: kdtinchina@yahoo.com

Online doctor: 008615931093124

2018年1月22日星期一

Found that serum creatinine, kidney patients should do three things, can help you stay away from uremia

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?
kidney test
Nephropathy treatment of two embarrassing stages
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.

treatment
2, multi-pronged approach to 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.

Email: kdtinchina@yahoo.com

Online doctor:008615931093124

2017年12月25日星期一

What is the relation between serum creatinine level and Nephrotic Syndrome

What is the relation between serum creatinine level and Nephrotic Syndrome? Nephrotic Syndrome is a kind of kidney disease with proteinuria, edema and hypoalbuminemia. It also relates to hematuria and impaired kidney function.

Creatinine is a waste product and should be removed out by kidneys. When there is a kidney damage, serum creatinine level will be higher. So elevated serum creatinine level is an indicator of impaired kidney function.

But high creatinine level does not occur immediately when there is kidney damage in Nephrotic Syndrome patients. Creatinine level will not elevate until at least 50% or even 75% kidney function has been lost. In view of this, serum creatinine level can not be regarded as the final criteria to see if your kidney function has been damaged and the damage degree. In Nephrotic Syndrome, sometimes serum creatinine level does not increase even after you suffer from this disease for years. The obvious symptoms in Nephrotic Syndrome is edema and protein in urine.

When your serum creatinine level increases, you can lower it by Micro-Chinese Medicine Osmotherapy.

In Kidney Therapy China, Micro-Chinese Medicine Osmotherapy is one of the innovations of Chinese medicines. It is to infiltrate micronized Chinese medicines to kidney lesion directly and have the functions of promoting blood circulation, preventing inflammation and coagulation, degrading extracellular matrix and providing nutrients for damaged kidneys. After a period of treatment, injured kidney tissues can be repaired and then kidney function will be improved naturally and effectively. You just need to lie on two medicated bags for this treatment. No pain will occur to you. When your kidney function is improved, your kidneys can discharge extra creatinine out of the body. Besides, your symptoms from impaired kidney function like nausea, vomiting, poor appetite and protein in urine, edema can all get well controlled.

We also have Medicated Bath, Mai Kang Mixture, Foot Bath and Medicinal Soup, etc which are all good for Nephrotic Syndrome. If you want to learn detailed information, you can leave a message below or email to kdtinchina@yahoo.com or Online-doctor:008615931093124 . We will reply you as soon as possible.