In the Department of Nephrology clinical, whether it is nephritis, nephrotic syndrome or renal failure uremia, creatinine is a very important indicator, once creatinine rise, many people's nerves will tighten up! The examination found that the serum creatinine is high. What should I do? What drugs do I use to reduce creatinine? How does it react to renal function? During the treatment of kidney disease, these questions are often asked by patients. Here's a detailed introduction.
Renal function refers to the ability of the blood to filter through the kidneys, as measured by "glomerular filtration." The measurement of glomerular filtration function, that is, glomerular filtration rate of plasma fluid, the same need to determine a specific indicator. In this case, a special marker is needed that is both filtered from the kidney and not reabsorbed, secreted or metabolized by the renal tubules.
Creatinine is such a "marker" role, once the renal filtration function damage, creatinine will be concentrated in the body, blood creatinine at this time has become an indirect evaluation of renal function.
Behind the creatinine is the function of the kidneys, not the numbers and arrows on creatinine alone. Nowadays hormone and dialysis are more commonly used method to reduce creatinine. This method is more effective, but there are obvious side effects, taking dialysis, it is easy to produce dependence, but also to accelerate renal atrophy. And this treatment is a temporary solution, the possibility of recurrent disease is very large.
Glomerular filtration performance problems are the essential cause of creatinine. So, want to really achieve the purpose of reducing creatinine, glomerular filtration to solve the problem is the key. At this time we should pay attention to the following two aspects:
By degradation, the scar-forming necrotic tissue in the kidney was removed in vitro to avoid further damage to other kidney tissues. Renal tissue that has not yet been scarred to the greatest extent can be repaired to supply necessary proteins, amino acids, and other substances necessary for renal repair.
For these two aspects, more should be done in the way of traditional Chinese medicine, so as to achieve the maximum reversal of renal function. In addition, the diet should pay attention to low salt, low potassium, low phosphorus, avoid alcohol and tobacco, do not eat fried, greasy food.
Serum creatinine is not a perfect marker. Some creatinine can be excreted through non-renal pathways, such as increased extrarenal excretion when kidney function is impaired, so that kidney damage is not detected as early as possible; tubular reabsorption will occur, or secretion of creatinine.
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