2015年2月26日星期四

How to identify serum creatinine?

Creatinine indicators in the blood serum is one of the most important uremia governance indicators, and patients tend to improvement in the level of serum creatinine as a sign of whether the treatment is effective.
Can not be used as a serum creatinine to assess whether the sole criterion for the treatment of kidney disease?
The level of creatinine in the blood serum of the value is to look at patients with severe renal disease. Serum creatinine and total body muscles are closely related, and less susceptible to the influence of food. It can filter creatinine small molecules through the kidneys ball very little absorption in the renal tubules, creatinine body produces daily, almost all with urine, and generally are not subject to the influence of the amount of urine. Clinical detection of creatinine in the blood serum is one of the main ways for a common understanding and renal function. Creatinine in normal blood in every hospital serum are not the same measure, the average of renal Hospital and standard serum creatinine: 40- 120umol / L, mean renal injury when creatinine began in the blood serum of more than 120umol / L, to enter into renal failure stage.
Serum creatinine can on one hand response in patients suffering from kidney damage, but not a sensitive indicator. Glomerular filtration rate dropped to a normal 1/3, and increased serum creatinine significantly. This is because the ability of the metabolism of human kidney, and a general feeling of unease is not clear when kidney damage is light, a lot of people when the real nausea, vomiting, dizziness, in fact, the kidney was seriously injured, and this time serum creatinine also significantly rise . Serum creatinine of more than 707umol / L, uremia, savings serum creatinine in the body causing great damage to the human to the human body, and often the symptoms of nausea, vomiting, and can not lie down at night, then the most logical option is to take dialysis in timely and appropriate, will excrete toxins from the body, and then in a timely manner to determine the appropriate treatment of kidney, and repair the damaged kidney function, and ultimately reduce dialysis.
Many patients who suffer from the symptoms of high serum creatinine and kidney treatment laundering has taken, and creatinine in the blood serum of these patients, the most up-to 1000umol / L, serum creatinine has a high mean kidney damage is very serious, and this period Patients that require temporary dialysis to stay alive, but the lead dialysis in the long term to various complications continue for life-threatening and life-dialysis still useful? Therefore, for the treatment of serum creatinine, serum creatinine, serum creatinine high rate of injury in the kidney, kidney problems, high simple serum creatinine, there may be overactive thyroid gland, acromegaly. When serum creatinine should be Rose importance of other checks on the kidneys, so as to avoid misdiagnosis or delayed diagnosis. Serum creatinine to minimize the common pregnancy, pests muscle weakness and atrophy of the liver.
Uremic patients in addition to the above symptoms, and often have little urine or non-existent (the normal amount of urine from 1000 to 2000 ml / day, an average of 1500 ml / day), drinking water and urine (normal urine, but no color and smell like boiling water, which is a manifestation of serum creatinine and other toxins due to the secretion of an obstacle). And kidney damage this strongly, the most direct expression and excretory function was greatly damaged. So in the near future (usually about 7 days), and you're in the assessment of their condition did not improve after treatment, should not not look at creatinine levels in the blood serum did not improve, it should be noted that the amount of urine, and urine color, materials, liquid urine in the urine the smell has not changed.
If patients few original urine after ion treatment of Chinese medicine, began the amount of urine to increase, muddy urine, and a lot of fine, or even a large amount of floc sediments, began to smell of urine from the display to thicken, creatinine urine began to increase, suggesting that medicine ion the beginning of treatment, and the deposition of immune complexes in the kidney, metabolism, necrotic tissue began to drop and discharge, and began to function renal excretion of human metabolic waste to recover. Original boiling water in the urine of patients, and the same is true: You should pay close attention to changes in urine color, odor, which is deposited, and urine creatinine.

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