The prognosis of chronic renal failure and prevention

Core tip: the development of chronic renal failure is a progressive disease with irreversibility, mostly poor prognosis.According to foreign reports, when Scr > 442 mu mol/h, progress to end-stage uremia for an average of 10.8 months, the higher the Scr illness development faster, the shorter the survival, the shorter the time of need for dialysis and transplant.
Chronic renal failure is a rapidly progressive disease is irreversible, mostly poor prognosis.According to foreign reports, when Scr > 442 mu mol/h, progress to end-stage uremia for an average of 10.8 months, the higher the Scr illness development faster, the shorter the survival, the shorter the time of need for dialysis and transplant.
The course and prognosis of chronic renal failure is associated with two factors
One is closely related to the fundamental cause, such as for 10 months in chronic glomerulonephritis, without obstructed pyelonephritis for 14 months, diabetic nephropathy is the worst, only 6 months, polycystic kidney for 18 months.
2 it is related to various complications and intensifying factor, in all kinds of complications, to merge the worst prognosis of hypertension;Various factors such as age, diet
Infection, such as heart failure and improper dehydration or treatment can lead to deterioration of renal function and influence the prognosis.But as quickly to the above disadvantages and nutritional anemia, metabolic problems, problems such as reasonable and correct treatment, still can make the condition part of the reverse.
In the late 1970 s, foreign CRF was found the patient's condition, according to certain trend gradually develop into end-stage and found by the reciprocal of the serum creatinine level 1 / Scr (mg/dl) as the ordinate, in course of months as the abscissa, under the influence of external factors, worsening renal function
The degree of deterioration with time linearly related to progression health search.This view, in recent years in theory and practice have been confirmed by many scholars, and speculated that the residual nephron has gradually damage the stability of the speed, and no matter what the reason has a deepening process.After entering dialysis, because kidney excretion and endocrine function, dialysis treatment is primarily to replace the function of discharge, therefore, for the patient to the comprehensive observation and treatment, try to make the patients after dialysis, quality of life improved.
Prevention:
How to early prevention, the patients with chronic renal failure and delay the progression of chronic renal failure 鶒, has become one of the focuses of the national fire pot.The current level 3 prevention and follow-up measures are put forward.
Primary prevention is also called the early prevention.
Is kidney disease or may cause the CRF 鶒 primary causes, such as chronic glomerulonephritis, pyelonephritis, such as diabetes, high blood pressure for early census and timely and effective treatment, in order to prevent the possibility of chronic renal insufficiency.
Secondary prevention
Which prevent chronic renal failure continues to progress and sudden increase in patients with chronic renal failure 鶒, correction of lipid metabolic disorders, into high quality low-protein diet, control of high blood pressure, avoid exacerbating factors, optimum cold temperature, cold wind
Avoid diseases, infections. At the same time pay attention to diet and rest, to effectively prevent disease progression, promote disease recovery.
Tertiary prevention
Is positive to work into end-stage kidney failure patients treatment health search, in case of a life-threatening complications, such as high potassium hematic disease, heart failure, severe metabolic acidosis, etc to extend the survival period of our country such a populous developing country, should strengthen the early prevention and delay CRF progression, attach importance to the development of the dialysis treatment, improvement and promotion.Dialysis and transplant therapy should be used when saving lives.
follow-up
Chronic renal failure patients must be regular follow-up visits frequency shall be decided according to the illness, such as have high blood pressure, heart failure and residual speed for deterioration of renal function and so on.All patients with cupping network at least once every three months to see a doctor, the doctor should ask medical history and physical examination, and make the necessary laboratory examination, such as blood routine, routine urine and blood urea nitrogen, creatinine concentrations and the electrolyte, serum protein, parathyroid hormone, ferritin, C - reactive protein, etc., according to the condition actively symptomatic treatment.Chronic renal failure

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