2014年7月21日星期一

Kidney Failure patient with High Creatinine 7.1 ,should Dialysis start ?

There is a question from a kidney failure patient .I am a kidney failure patient .My creatinine level is 7.1 . Is dialysis required at creatine level of 7.1 .And I don't want to start Dialysis .

The following is the answer of an kidney expert .

Look from the cause to the main renal interstitial damage in patients, although serum creatinine of 600 ~ 700umol / L, if the patient daily urine output was normal and no obvious danger, such as sodium retention and hyperkalemia can often delay dialysis. However, severe hypertension, diabetes, elderly dialysis patients are advised as soon as possible. If the patient is still generally good, appetite is good, a lot of urine, no sodium retention and heart failure performance, creatinine clearance greater than 15ml/min, often can wait; sometimes in spite of serum creatinine and blood urea nitrogen level is not high, but the clinical manifestations weight (drowsiness, convulsions, nausea, vomiting, bleeding tendency, severe acidosis, high degree of swelling, heart failure), should be early dialysis.

Long-term restrictions due to chronic renal failure patients protein intake, blood urea nitrogen remained at a low level so; patients, especially the elderly and because muscle volume and less activity, can lower serum creatinine, blood urea nitrogen should not be alone and as a strict targets starting dialysis serum creatinine, and creatinine clearance should prevail.

At present, most scholars advocate the initiation of dialysis kidney disease indications as follows: creatinine clearance less than 10ml/min, (diabetic advance to 15ml/min), other reference index as follows: ① BUN ≥ 28.6mmol / l; ② serum creatinine ≥ 707.2umol / l; ③ severe hyperkalemia; ④ severe metabolic acidosis; ⑤ have uremic symptoms; ⑥ there is sodium retention (edema, elevated blood pressure, heart failure, high capacity); ⑦ severe anemia, pericarditis, bone disease, peripheral neuropathy, and drowsiness, coma, convulsions, epilepsy.

Dialysis just can instead kidney to work . Have any therapeutic action . If there are not have any obvious complication of your kidney disease .I suggestion you adopt some Chinese herbs instead of Dialysis .There are a therapy named Micro-Chinese Medicine Osmotherapy . This therapy can make you avoid dialysis . And have a high quality life .

If you want to know more about Micro-Chinese Medicine Osmotherapy . Or if you have any questions about your kidney disease .You can chat with our expert directly at below form .or Contact me through kidney-treatment@hotmail.com .




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