2016年10月21日星期五

How to Distinguish Renal Failure and Uremia Caused by PKD

If Polycystic Kidney Disease can not be controlled or treated effectively, it may develop into Renal Insufficiency, or even Renal Failure and Uremia. Uremia is not a independent disease name. Instead, it is a clinical syndrome of various end stage Kidney Diseases. According to related tests and symptoms as well as increasing physical indexes of serum creatinine and urea nitrogen, etc, disease development can be divided into three stages—Renal Insufficiency compensatory stage, azotemia stage and Uremia stage. Well, how to distinguish these three stages?

In Renal Insufficiency compensatory stage, due to declined renal function, glomerular filtrating rate decreases, but serum creatinine is not more than 178umoI/L and blood urea nitrogen is less than 9mmoI/L. Patients have no symptoms in this stage. When serum creatinine is more than 178umoI/L and blood urea nitrogen is more than 9mmoI/L, and patients still have no clinical symptoms except tiredness, low appetite, and different degrees anemia, it means that this disease has developed into azotemia stage. Uremia stage refers to that glomerular filtrating rate decreases further, and serum creatinine is more than 445umoI/L as well as blood urea nitrogen is more than 20mmoI/L. In this stage, patients have obvious symptoms.


It is terrible if PKD develops into Uremia which is a great threat to human life. Therefore, PKD patients are suggested to receive effective treatment as early as possible, especially in Renal Insufficiency compensatory stage when cysts are still small.

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