Chronic renal failure is a progressive development disease, and has a character with irreversible, and most with poor prognosis. The report said: when the Scr>442umol/h, become terminal uremia just need 10.8 months, Scr is higher and the condition of developing is faster, the life time is shorter, need to take dialysis and the time of transplant is shorter.
The disease course and prognosis of chronic renal failure are related with two factors.
The first is fundamental cause, chronic glomerulonephritis is 10 months, no obstructed pyelonephritis is 14 months, diabetic nephropathy is the worst, only 6 month, and polycystic kidney is 18 month.
The second is all kinds of complications and intensifying factors, in the complication, the worst is hypertension; all kinds of intensifying factors like age、diet.
Infecting heart failure、dehydration or malpractice will lead to kidney function deteriorates and affect prognosis. But if taking reasonable treatment and correction aimed at above disadvantages and the problem with nutrient、 metabolism、anemia rapidly, can still turn the part of condition around.
How to take early prevention for chronic renal failure, and delay the development of chronic renal failure have been become the main problem for many countries. Now the expert gives us three preventions:
1、Primary prevention, also called as early prevention
For the patients have had kidney disease or may cause CRF, , such as chronic nephropathy、pyelonephritis diabetes、high blood pressure, take early census and effective treatment to prevent chronic renal failure.
For preventing chronic renal failure developed continuously and aggravated suddenly, correct lipid disorder actively、take fine protein, control high blood pressure, avoid intensifying factors.
Avoid external infection、infection, at the same time pay attention to reasonable diet and rest to prevent the development of condition and promote the recovery of condition.
For the terminal stage of renal failure to take active treatment to prevent the occurrence of complications, like hyperkalemia、heart failure、metabolic acidosis, should strengthen early prevention for CRF and delay the development of disease course, and attach importance to the development、improvement and promotion of non-dialysis treatment. Dialysis and transplant should adopt in the life saving.