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Polycystic Kidney Disease& Kidney Cysts

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PKD & Kidney Cysts

Polycystic kidney disease (PKD) is a group of disorders that result from the formation and progressive enlargement of cysts in the kidneys without dysplasia, usually leading to renal failure.

At What Point Do You Have to Get Kidney Dialysis

2019-05-15 17:40

At What Point Do You Have to Get Kidney DialysisAt what point do you have to get kidney dialysis? If you do not know, this article will be very helpful for you.

It is very necessary to start dialysis in time, but dialysis needs to be lasted for life time, which can bring discomforts and inconvenience to kidney patients and their families, so they have to bear the risk and burden related to treatment. Therefore, it is very important to decide when to start dialysis, which usually needs to be decided jointly by nephrologists, kidney patients and their family members.

In theory, the best time to start dialysis is: before getting to a critical point, dialysis can not bring any benefit to patients, but beyond it, patients may have to bear certain risks. So this critical point is the best time for dialysis. But in fact, it is not easy to determine the best time. Clinicians need to make a comprehensive judgment according to the condition of kidney patients.

Glomerular filtration rate (GFR) is usually used to measure the detoxification capacity of the kidney.

When the GFR of kidney patients is less than 15 mL/min/1.73 m2, close monitoring should be given. Doctors should evaluate the advantages, disadvantages and risks of starting dialysis.

(1) Uremic pericarditis, serositis and uremic encephalopathy are the absolute indications for the beginning of dialysis treatment, and even need urgent dialysis.

(2) When the nutritional status deteriorates, persistent or refractory water overload, severe fatigue and weakness, mild cognitive impairment, refractory acidosis, hyperkalemia and hyperphosphatemia occur, dialysis is often necessary.

(3) At present, it is not recommended to make dialysis decisions solely based on the level of GFR. If there is no serious complications, kidney patients can postpone dialysis under close observation of doctors. As long as the patients can tolerate conservative treatment, the symptoms associated with renal failure are not serious, and dialysis can be started after GFR < 5 ml/min/1.73 m2, without affecting survival and prognosis. From the prognostic point of view, you have to start dialysis below GFR 5 ml/min/1.73 m2 even if you have no clinical symptoms of renal failure.

At what point do you have to get kidney dialysis? Now you get the answer. Before you have to start dialysis, you can try Toxin-Removing Therapy. This treatment can help repair kidney damage and promote renal function so as to put off dialysis. For more information on such a treatment, please leave a message below or contact online doctor.

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