Treatment of chronic kidney failure: What you need to know

The article was professionally consulted with Associate Professor, Doctor, Doctor Hoang Dang Mich - Head of Department of Medical Examination & Internal Medicine, Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital.

Chronic kidney failure is a disease that cannot be completely cured, current treatments for chronic kidney failure can only help slow down the progression of the disease and reduce symptoms and complications on the patient's body. . However, the effect will be proportional to the time of detection and treatment.

The warning symptoms of chronic kidney disease are often very vague, so the patient is subjective. In the final stage, the warning signs start to flare up, the patient will feel:
The body is tired. tired, unwell Continuous nausea, weight loss and poor appetite. Urinating more or less than usual, dark colored urine. Eyelids feel heavy, swollen lower extremities. Itching or rash on the skin. As soon as these symptoms appear, quickly go to a medical facility for examination, conduct diagnostic tests and find out a method of treatment for chronic kidney failure in a timely manner. .

“Can chronic kidney failure be cured?” Currently, this question is asked by many people, but to answer this question, it is necessary to consider many factors. There is no cure for chronic kidney failure completely. But timely treatment can help slow the progression of the disease and relieve symptoms, limiting the risk of chronic kidney failure complications for people.

3.1 Treating the cause This is a key treatment for chronic kidney failure, which helps closely control blood sugar and blood pressure with medications as well as exercise, diet, weight loss and living habits of the patient. patient. Treating the cause will help slow down the damage the disease causes.
3.2 Treatment of blood pressure High blood pressure is both a cause of chronic kidney disease and a consequence of the disease. Medically speaking, high blood pressure is partly due to an increased amount of fluid in your blood and organ tissues because the kidneys lose the function of removing fluid (water). Therefore, if left untreated, high blood pressure will continue to damage the patient's kidneys as well as lead to other cardiovascular diseases.
For this method of treating chronic kidney failure, the doctor will prescribe the patient blood pressure medication of the ACE inhibitor or receptor blocker group to both help lower blood pressure and increase kidney function. In case the drug does not bring effective treatment or for some reason the patient cannot use the drug, the doctor will prescribe another group of drugs.

3.3 Control Cholesterol Chronic kidney failure is one of the risk factors for many cardiovascular diseases, so when treating chronic kidney failure, your doctor may prescribe Statins to help reduce the risk. this. This drug will help reduce bad cholesterol and make it impossible for them to stick to the walls of your blood vessels to cause blood vessel blockage problems.
3.4 Treating the problems caused by kidney failure It is impossible to cure chronic kidney failure completely, but the treatment methods will help reduce the problems that the disease causes on the patient's body, specifically. Body:
Fluid stasis: When the kidneys do not work well, it will cause fluid to accumulate in the body, which causes the patient's legs to swell and blood pressure to rise. At this time, the doctor will prescribe diuretics to help the patient get rid of the water in the body through the urine. Anemia: In chronic kidney failure, the kidneys do not produce enough of a substance called erythropoietin (EPO) and the person has fewer red blood cells than normal, which makes the person feel sick. shortness of breath and fatigue. Treatment for chronic kidney failure will now include injections of a substance that acts like EPO (called an EPO inducer), which the patient can take orally or inject. Weak bones: When the kidneys are damaged, the supply of Vitamin D, phosphorus and calcium will be affected and cause bone problems. In particular, if blood calcium levels are too low, it will stimulate the production of parathyroid hormone (PTH), causing calcium loss from bones, over time bones will deform and joints will swell. To prevent these, many patients with chronic kidney failure will be given calcium and vitamin D supplements. Alternatively, they will be prescribed certain medications called phosphate binders, which aim to lower the amount of phosphate in the blood. . Excess acid: In case the kidneys cannot completely remove acid from the body, the body may fall into a metabolic acidosis, an excess of acid in the blood will lead to a number of problems such as arrhythmias. heart attack, coma, convulsions. The patient will now be treated with antacids called bicarbonate salts (banking soda). Too much potassium: When the kidneys aren't working properly, potassium can build up in the blood and cause hyperkalemia, which can lead to arrhythmias, cardiac arrest, and other neuromuscular problems. . The patient will be prescribed diuretics or some other medicine so that the body does not overload the body with fluid and potassium. Determine the diet and activities of people with chronic kidney failure in accordance with the disease stage. 3.5 Treatment of end-stage chronic renal failure In case the treatment of chronic kidney failure does not respond and the kidneys are getting weaker, the patient will enter the end-stage chronic renal failure, which means only remaining 15% of normal kidney function and unable to filter out toxins and excess fluid from the body, the treatment for chronic kidney failure will now be dialysis and kidney transplant.

Cure chronic kidney failure completely is impossible, but the patient should not be too pessimistic, just regular health check-up and treatment according to the regimen given by the doctor will help prolong life and significantly reduce the adverse effects caused by the disease.
Early detection of kidney failure plays an important role in the treatment outcome, so the diagnosis has special significance. Renal function scintigraphy is routinely applied at the Nuclear Medicine Unit, Vinmec Hospital. This is a technique to evaluate kidney function using modern high-precision measuring equipment and radioactive tracer. With good quality images, functional renal scintigraphy has become an indispensable technique to probe kidney function, contributing to improving the efficiency of diagnosis and treatment of kidney and urinary tract diseases.
Currently, International General Hospital uses the SPECT/CT Discovery NM/CT 670 Pro device system, with the most modern 16-series CT of the world's leading medical equipment company GE Healthcare (USA), for imaging High quality images help to diagnose diseases to be investigated early.
Vinmec team of experienced doctors, well-trained at home and abroad, directly advise and provide maximum support to customers during the shooting process, even for foreign customers .