The definition of CKD( chronic kidney disease) is that is a person has more
than 3 months symptoms such as proteinuria, hematuria, with or without decreased
GFR( glomerualr filtration function), he will be diagnosed with CKD( chronic
kidney disease).From this definition, we can find out that besides acute renal
nephritis and acute urinary tract infection, most kidney diseases can be called
CKD( chronic kidney disease). In China, doctors all follow the following
criteria to get a conclusion how serious the patient’s condition is.
The first stage of CKD( chronic kidney disease) is compensation stage of
renal insufficiency. In this stage, the damdaged renal units are not more than
50%. Serum creatinineis still in normal range for kidney has a strong ability of
compensation. The serum creatinine is 50～80ml/min. Besides increased enuresis
nocturna, there is no other clinical symptoms.
The second stage of CKD( chronic kidney disease) is discompensation stage of
renal insufficiency. The damdaged renal units rose to more than 50%. The serum
creatinine is 50～20ml/min. Serum creatinine is 133～442μmol/L. BUN(blood urea
nitrogen) rose to more than 7.1mm01/L. Patients in this stage can feel weakness,
and a little anemia, and so on.
The third stage of CKD( chronic kidney disease) is renal failure stage. In
this stage, serum creatinine increased to 442～707μmol/L and the serum creatinine
decreased to 20～10ml/min. BUN(blood urea nitrogen) rose to more than
179～286mmol/L. Patients with CKD( chronic kidney disease)have anemia, acid base
disturbance, electrolyte disturbance and so on.
The end stage of CKD( chronic kidney disease) is uremia. In this stage, the
serum creatinine is more than 707μmol/L. The creatinine clearance decreased to
below 10ml/min. BUN(blood urea nitrogen)is more than 286mmol/L. patients have
obvious acidosis, anemia and serious syImmunotherapyatic symptoms.
In China, most people do not have physical examination every year. So, when
they can feel the symptoms such as pain in the back, protein in urine, red blood
cells in urine, the damage has been serious. What’s worse, some may even be
diagnosed with uremia and receive dialysis directly for kidney has strong
ability of compensation, which is scary and should have been attached importance
to. Late treatment also has difficult in treating CKD( chronic kidney disease)
well and the effect may be not so satisfactory. So to assure the effect, people
should have physical examination every year because the earlier, the better.
