why people with kidney disease should do regular examination

why people with kidney disease should do regular examination
Chronic kidney disease refers to a variety of kidney damage or glomerular filtration rate of less than 60ml / min / 1.73m2, as long as the course of more than three months. Chronic kidney disease is a type of slow development of the disease, but also the presence of risk factors for acute exacerbation, the short-term development of uremia. Chronic kidney disease is a type of therapy after a reasonable delay the process of its development, but can not cure the disease. Chronic kidney disease patients need long-term follow-up, to clarify whether the aggravating condition deteriorated, if the short-term condition deteriorated rapidly and require hospitalization to find aggravating factors of disease conditions, and correct, to control disease progression.

Many patients with chronic kidney disease after a period of treatment, one might think the difference between treatment and no treatment effect is unlikely. So stop the treatment, do not go to the hospital referral. If patients Zhu xx, suffering from chronic nephritis, creatinine reached 200umol / L, but after a year of treatment, no significant decrease of creatinine, people do not particularly uncomfortable. So stop all treatment, do not go to the hospital review. A year later due to fatigue, nausea, come to the hospital for a check, and found to have uremia, need long-term hemodialysis treatment. If he is regularly reviewed, generally not so fast developed into uremia. Virtually all patients with chronic kidney disease, regardless of treatment, should be checked regularly.
The reason why patients stop review, mainly because mistakenly believe that the same treatment with no treatment effect (laboratory indicators changed little, as mentioned above, Mr. Zhu, on account of creatinine did not fall, did not reduce urinary protein and stop the review). In fact the majority of chronic kidney disease in patients with chronic renal insufficiency, creatinine did not significantly increased, especially in the glomerular filtration rate is calculated using the formula method reduced by less than 4ml / min per year, shall be considered acceptable treatment. [GFR (ml / min) = (140- age) × weight × 88.4 / 72 × creatinine values, such as for females × 0.85. Where age is the age, weight in kilograms, creatinine value umol / L. Creatinine values as mg / L, then remove the denominator 88.4]. Of course, after treatment, creatinine decreased significantly better.

Secondly, the patients failed to recognize the periodic review of early detection of complications of chronic kidney disease, such as high blood pressure, anemia and calcium and phosphorus metabolism disorders. By controlling these complications can be renal function in patients with chronic kidney disease protection, reduce cardiovascular damage

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