A major turning point in chronic kidney disease

Author: Leo and Lucy
Key words: nephropathy

Guidance
People's life, there will be some major turning point, these turning points will have a huge impact on life. And the disease is the same. Today, we would like to talk with you openly talk about this topic --- a major turning point in chronic kidney disease where?
A major turning point in chronic kidney disease
Before talking about this topic, we need to know a necessary common sense --- clearly know how much their own glomerular filtration rate!
Many small partners through the previous study (do not know can click ☞ kidney function is good, how to read a text thoroughly read the renal function check) already know, according to the glomerular filtration rate, we divided the chronic kidney disease into five stages The (Glomerular filtration rate unit ml / min / 1.73m2, the following omitted)
Chronic kidney disease 1, glomerular filtration rate greater than 90
Chronic kidney disease 2, glomerular filtration rate of 60 to 89
Chronic kidney disease 3, glomerular filtration rate of 30 to 59
Chronic kidney disease 4, glomerular filtration rate of 15 to 29
Chronic kidney disease 5, glomerular filtration rate of less than 15
Among them, the three cases of chronic kidney disease split apart, for the 3a and 3b period, 3a period of 45 ~ 59,3b period of 44 to 30.
And today we have to talk about a major turning point in chronic kidney disease in the --- 3b period, that is, glomerular filtration rate of less than 45, which is an important kidney disease watershed.
What does this turning point mean?
The reason why the term 3b is the turning point of kidney disease, because in the 3b before and after, regardless of the prognosis of the disease, complications, the rate of decline in renal function, and other aspects of analysis, are showing a completely different trend.
What is the difference in the end?
With some graphics intuitive to show you:
The following chart comes from a large-scale study of more than 1 million people, published in the world's top medical journal "New England Journal of Medicine."
We can see after 3b, the patient's hospitalization rate, cardiovascular complications, mortality rates are suddenly increased.

This phenomenon was also found in a large-scale study of the decline in renal function in Japan.
Once the renal function in the 3b after the decline in the rate of renal function suddenly increased rapidly.

Turning point, give us the warning
Although many kidney friends for their own kidney disease and feel sad, but in fact, if for a point of view, in the early detection of renal function, it is not a good thing.
Early discovery, for ourselves and doctors left more room for this stage of treatment, the condition easier to achieve stability, the effect is generally better.
After all because of kidney disease "silence" in the early and middle there is no uncomfortable symptoms, so it is a pity that many small partners in the kidney function has been in the late, even to uremic dialysis stage, only to find their own kidney disease, Regardless of the treatment effect, the economic burden, quality of life and other aspects, need to pay a greater price.
Chronic kidney disease is not a fatal disease, even to uremic stage, there are still kidney transplantation and dialysis methods.

But found the problem, the sooner the face, do not escape, the sooner the normative management, the better for ourselves!

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