Chronic kidney disease silently progresses, difficult to recognize early

HƯƠNG SƠN |

Chronic kidney disease can progress for many years without patients having obvious symptoms.

MSc.BS. CKI Tran Quoc Phong, Head of Urology Unit, An Binh Hospital, not only leads to end-stage kidney failure, chronic kidney disease also increases the risk of myocardial infarction, stroke, anemia and bone and mineral disorders, and also increases the risk of cardiovascular death. Many chronic kidney patients may experience cardiovascular events before progressing to the stage where the kidneys are completely discharged. When severe edema, fatigue, nausea or shortness of breath appear, kidney function may have significantly declined.

Chronic kidney disease is identified when structural or functional abnormalities of the kidney last for at least 3 months. In many cases, chronic lesions cannot be completely restored to their original state.

However, if the cause is detected early and treated correctly, patients can significantly slow down the process of kidney function decline, and even maintain stability for many years.

Therefore, instead of just asking the question "can the disease be cured", it is important to determine how much kidney function remains and how long it can be preserved.

Also according to Dr. Tran Quoc Phong, good control of risk factors is the foundation to slow down the progression of chronic kidney disease.

Patients need to control blood pressure, blood sugar, reduce albuminuria, limit salt, do not smoke, maintain weight and exercise appropriately. At the same time, it is necessary to avoid drugs that are potentially toxic to the kidneys, treat urinary tract obstruction and periodically monitor kidney function through eGFR and UACR indicators.

Some drug groups such as renin-angiotensin inhibitors, SGLT2 inhibitors and other kidney protection drugs can help slow down the progression of the disease in appropriate patients. However, drug use needs to be prescribed and monitored by a doctor depending on the case.

HƯƠNG SƠN
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