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When kidney disease develops to uremia, most people choose dialysis to control the elevation of creatinine level. But some people are afraid of side effects of dialysis, so they do not want to start dialysis.

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Do You Have to Start Dialysis with Uremia

2017-06-24 04:00

Do You Have to Start Dialysis with UremiaWhen kidney disease develops to uremia, most people choose dialysis to control the elevation of creatinine level. But some people are afraid of side effects of dialysis, such as anemia and low blood pressure, so they do not want to start dialysis. Do you have to start dialysis with uremia?

Whether you have to start dialysis or not depends on three aspects: associated symptoms, kidney function, and descending speed of kidney function.

Generally speaking, when you enter uremia stage (Scr>=708 umol/L and Ccr=<9ml/min), you can start dialysis. But this is not definite. You should make sure it according to your illness. For example,

If you are with kidney failure caused by Diabetic Nephropathy, because of fast progression, high blood pressure, retinopathy, renal microvascular disease and other complications, dialysis is started earlier than other kidney patients. Even when Ccr>=9 ml/min, dialysis is suggested. In general, Ccr=<15 ml/min, dialysis should be taken into consideration.

For some other patients, even if your serum creatinine level does not reach 707 or Ccr does not reach the dialysis standard, but you have severe swelling, no urine output accompanied by heart dialysis, or lung swelling or cerebral edema, dialysis should be started immediately.

And for those middle or old aged renal patients, because their metabolic capability declines, and their kidney function is poor, their body can not discharge toxins out, so they can only depend on dialysis to filter those wastes out.

The earlier you start dialysis, the better your prognosis. Right?

No. You should choose the correct time to start dialysis so as to remove massive waste products and reduce complications as well as improving living quality. If you start dialysis in the early stage of kidney damage, it is not helpful for you to preserve the residual kidney function. But if you start dialysis too late, a lot of severe complications may present to affect your living quality or even threaten your life.

Do you have to start dialysis with uremia? Now you get the answer. In our hospital, we can help you avoid dialysis. For more information on our hospital and our treatment, please leave a message below or contact online doctor.

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