There are many factors can influence the timing of dialysis . And the following content will tell your answer for this question .
Dialysis timing selection should be based on the original disease, clinical manifestations, laboratory findings, and economic conditions integrated decision.
Look from the cause to the main renal interstitial damage in patients, although serum creatinine of 600 ~ 700 umol / 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 15 ml / min, often can wait; sometimes in spite of serum creatinine and blood urea nitrogen level is not high, but the clinical rebased (drowsiness, convulsions, nausea, vomiting, bleeding tendency, severe acidosis, a high degree of edema, 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 10 ml / min, (diabetic advance to 15ml/min), other reference index as follows: ① blood urea nitrogen ≥ 28.6 mmol / l; ② serum creatinine ≥ 707.2 umol / 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 one of therapy can instead of kidney work momentarily .It is hard to get rid of Dialysis once you start . You can choose Chinese herbs to treat your kidney disease . There are an efficient therapy named Micro-Chinese Medicine Osmotherapy .If you are in Phase inflammation or fibrosis formation . Our Therapy can reserve your kidney disease . If you are in Stage renal impairment or fibrosis formation there are half of the opportunity to reserve our kidney disease .And If you are in last stage of kidney failure our therapy can prevent from your disease become worsen .
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