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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.

Three Indicators Together Determine the Progression of Kidney Disease

2019-01-18 16:38

Three Indicators Together Determine the Progression of Kidney DiseaseChronic kidney disease is a complex disease, so many patients do not know how to control it well and ask such a question frequently: will my kidney disease progress into kidney failure? In this article, we will introduce three indicators. These three indicators together determine the progression of kidney disease. Now go on reading to learn more information.

1. Blood pressure

For CKD patients, the most critical indicator is not urine protein or creatinine, but blood pressure.

Sixty percent of kidney patients have hypertension.

Blood pressure is the first major factor that determines the survival time of kidney patients, the second major factor that leads to the occurrence and progression of kidney disease, and the first clinical indicator to judge the difficulty and risk of deterioration of renal disease.

Kidney disease, if accompanied by hypertension, then it is often difficult to reduce the urine protein. Even with medication, the therapeutic effect is not ideal, and the risk of kidney failure or uremia is greater. Unstable blood pressure in dialysis patients increases the risk of cardiovascular disease, the leading cause of death in uremia patients.

Blood pressure is not up to the standard as long as you take antihypertensive drugs. Kidney patients with elevated blood pressure should measure their blood pressure at home every day, and report to the doctor to adjust the medication.

2. Proteinuria

Urinary protein is the most common indicator of nephritis and Nephrotic Syndrome, and also the first major cause of the development of chronic kidney disease. Long-term urinary protein of more than 0.5 g for 24 hours tends to activate multiple pathways leading to renal interstitial tubule fibrosis, resulting in progressive renal function in kidney patients.

The main drugs used for the treatment of urinary protein are steroids, immunosuppressants, traditional Chinese medicine, ACEI/ARBs blood pressure lowering drugs, statin lipid-lowering drugs, fish oil, various Chinese patent medicines made of cordyceps sinensis, etc., also have the function of assisting in lowering protein in urine. In 60% of patients with Nephrotic Syndrome, there is no significant relief of urinary protein after steroid therapy or recurrence after remission. These patients need Chinese medicine to reduce the recurrence rate, which can further increase the efficacy and reduce the side effects of western medicine.

3. Anemia (Hemoglobin)

Renal anemia is a common complication in patients with elevated creatinine and impaired renal function. Every organ in our body needs a blood supply to function, and the effects of anemia and blood pressure on people with kidney disease are systemic.

When anemia occurs, not only does it directly affect kidney function, but the heart also pumps blood to pump more blood to the body, and over time, heart function is impaired. In addition, impaired heart function can be a drag on the kidneys, and can make certain kidney medications unusable.

When you correct anemia, your kidney disease treatment wins half success.

Although the treatment of kidney disease is complex, the most important indicators are only these three. Communicate with your doctor about these key indicators, and give timely feedback when changes occur. I believe your kidney function can be stable for life.

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