When to start dialysis for chronic kidney failure patients? Is dialysis inevitable for chronic renal failure patients? Talking of dialysis, many patients are rather afraid and wonder whether they will be unable to get off dialysis once they start it. To begin, we need to know why dialysis is needed at end-stage renal failure.
Why renal failure patients need dialysis?
You may understand that renal failure refers to severe kidney injury and sharp kidney function decline. At this time, a large part of kidney units are lost or severely impaired, for which kidneys can no longer perform its normal functions of secreting hormones, regulating balance of erythrocytes and uric-acid and maintaining stability of internal environment. Thereby, overall metabolism turned into a disorder and patients can experience multiple complications, such as vomiting, nausea, poor appetite, skin itching, short breath, weakness, combined heart disease and so on.
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Those combined factors are quite dangerous for renal failure patients, so dialysis is needed at this time. Through artificially remove accumulated wastes and toxins, dialysis can help to alleviate discomforts and complications.
So when to start dialysis for renal failure patients?
General indications for starting dialysis are:
1. Endogenous creatinine clearance rate 10ml/min
2. Blood urea nitrogen more than 28.6mmol/l
3. Serum creatinine more than 707mmol/l.
However, in clinical practice, whether dialysis can be started depends much on the specific illness condition.
Diabetics with renal failure are usually advised to start dialysis much earlier than others. That's because diabetics are usually faced with complications both from end-stage kidney disease and diabetes. Due to higher risks of infections and low immunity, the situation is more difficult to be handled than others.
Must I Take Dialysis If I Have A High Creatinine Level?
Compared with serum creatinine and blood urea nitrogen levels, serum creatinine clearance rate is a more effective indication for dialysis. The reason why we need dialysis is to decrease life risks, therefore, if there exist severe complications, dialysis should also be taken into consideration. Such complications mainly include anemia, pericarditis, hypertension, gastrointestinal bleeding, renal osteodystrophy, peripheral neuropathy, central nervous system symptoms, hyperkalemia and metabolic acidosis.
Is dialysis the best choice for renal failure patients?
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While dialysis can make patients feel much relieved, it can bring some acute and chronic complications, such as arrhythmia, infections, hypotension, imbalance syndrome and so on. Cardiovascular diseases, sodium and water retention, and severe malnutrition are all life-threatening factors for those on longterm maintenance dialysis. While undergoing dialysis, therapies to repair the kidneys are needed for renal failure patients.
