So quickly by uremia “catch up”, the fundamental reason lies in these 4 things kidney friends do too slow
Although the vast majority of nephropathy will not develop into uremia, but all kinds of chronic kidney disease is still likely to develop into uremia, but the possibility of “large and small” problem, or the development rate of “fast and slow” problem.Patients with IgA nephropathy with minimal proteinuria are less likely to develop uremia;Prone to high edema of the small lesions of nephropathy, patients almost will not progress into uremia;From the discovery of elevated blood glucose, to gradually progress into diabetic nephropathy end-stage renal disease (uremia), usually need more than 10 or 20 years;The development of uremia in patients with membranous proliferative nephritis, in which proteinuria has not been controlled, may take only a few years;And some chronic kidney disease, from the discovery of kidney disease to uremia may take decades;And so on.Why the big difference?Or, why some kidney disease so quickly by uremia “catch up”?The kidney comes first, and the root cause is that the kidney is too slow to do these four things.1. The existing exception late in diagnosis of young find high blood pressure, poor hypoglycemic effect of diabetes for many years, suddenly or gradually appear edema, urine bubble significantly increased after a cold or fever, presenting with macroscopic haematuria and gouty arthritis, etc., often attack patients only give general fall blood pressure, fall blood sugar, swelling, fever and pain treatment,They don’t go to the hospital for a full diagnosis, and miss the chance to catch kidney disease early.From these abnormalities, further examination can confirm the diagnosis of chronic renal insufficiency (complicated with renal hypertension), diabetic nephropathy, nephrotic syndrome, chronic nephritis, IgA nephropathy, uric acid nephropathy, or hyperuricemia secondary to chronic kidney disease.Patients who are already abnormal but cannot be diagnosed tardily will be more likely to be “caught up” with uremia.2. Reluctant to normative treatment has a definitive diagnosis, but many patients is always better than “slow” many others, should first go to the hospital to see a specialist, because the patients did not obviously uncomfortable, also don’t think uremia will befall myself, so delay treatment or slow norms, can lead to the development of illness in imperceptible in gradually.Perhaps, some kidney disease treatment will slowly develop, but if delayed treatment or non-standard treatment, its development rate will be much faster.Timely standardized treatment, it may take decades to develop into uremia;However, if delayed treatment or non-standard treatment, it may only need ten years or years to develop uremia.This is often the case with diseases such as hypertensive kidney damage and diabetic nephropathy.Therefore, delayed normative treatment, it is easier to be “caught up” with uremia.3. It is not enough for all indicators to be delayed by light treatment. Relevant indicators must be corrected in place as soon as possible, otherwise, no matter how standardized the treatment plan is, it is useless.In the case of nephrotic syndrome, if the patient’s urine protein is still a lot of proteinuria after treatment, then the patient will also quickly develop chronic renal failure and uremia;Take hypertensive kidney damage as an example, if the patient’s hypertension is not controlled to the standard after treatment, then the patient will soon develop chronic renal failure and uremia;Diabetic nephropathy can also be an example, if the patient’s blood glucose, blood pressure and urinary protein indicators have been in the obvious abnormal range after treatment, then the patient will soon develop chronic renal failure and uremia.This requires patients to correct the indicators in place as soon as possible after treatment, otherwise patients are easy to be “caught up” with uremia.4. The treatment effect of some patients is really good, and the indicators have been corrected to the normal range or basically normal. If such treatment effect is seen, patients generally will not develop uremia, or its development rate is very slow.However, no matter how good the treatment effect of kidney disease, patients must have regular check-ups and return visits on time.This is because, in the process of regular examination and return visit on time, the treated doctors and patients themselves can find abnormal conditions and potential diseases in time, including abnormal indicators and physical abnormalities, so that they can adjust drugs and change treatment plan in time.Otherwise, those patients themselves do not feel abnormal indicators, will also harm kidney function, leading to the development of chronic kidney disease or accelerated development.Therefore, those who only know to take medicine and do not check kidney patients, also easy to be uremia “catch up”.Chronic kidney disease patients, from abnormal to diagnosis, and then to standard treatment and correction of relevant indicators, and finally must be regularly checked and on time, etc., these can not be “late” and “slow” or “delay”.Only in this way, the treatment effect will not be poor, kidney disease is not easy to be uremia “catch up”, or not easy to be so fast uremia “catch up”.With the same name “kidney first” wechat public number synchronous first, the article for Zhou Xun original.Shall not be reproduced without authorization.