Chronic kidney failure


Can chronic renal failure be cured by dialysis?
Patients with chronic renal failure can undergo dialysis treatment to sustain life and improve quality of life. However, dialysis merely uses artificial means to excrete accumulated metabolic wastes and fluids in the body, regulate the internal environment, and simply substitutes for the function of the kidneys. Dialysis has no therapeutic value for renal failure itself. Therefore, patients with chronic renal failure should not expect dialysis to restore kidney function. Nonetheless, as a renal replacement therapy, dialysis can provide patients with a relatively good lifespan and quality of life. Dialysis treatment is necessary for patients with uremia.


Chronic renal failure anemia treatment
Patients with chronic renal failure generally have anemia combined with stage three or above of chronic kidney disease (CKD). When the hemoglobin falls below 100 grams per liter, it is necessary to start treatment to correct anemia. At this point, relevant lab tests should be conducted to check for abnormalities in folate, vitamin B12, ferritin, and serum iron levels, and specific treatments should be administered accordingly. Treatments generally include iron supplements, erythropoiesis-stimulating agents, folate, and vitamin B12 to help correct anemia.


Is stage five chronic kidney failure serious?
Strictly speaking, there is no condition called "chronic renal failure stage five," but there is a term "chronic kidney disease stage five." Chronic kidney disease is divided into five stages based on the glomerular filtration rate (GFR). Stage five chronic kidney disease indicates that the patient's GFR is less than 15 milliliters per minute, which is about 15% of normal kidney function and is essentially equivalent to uremia. Therefore, chronic renal failure or chronic kidney disease stage five is very dangerous and can cause many complications. Moreover, this type of kidney failure is irreversible and incurable, and the patient may need to undergo dialysis or a kidney transplant.


Chronic kidney failure is not contagious.
Chronic kidney failure is not contagious. Strictly speaking, chronic kidney failure is not an independent disease; it is a state of disease. It refers to various causes that damage the kidneys, leading to the loss of kidney tissue, and ultimately, the kidneys lose their ability to perform excretory functions. This state is called chronic kidney failure. Chronic kidney failure itself is not contagious. Contagious diseases involve some type of pathogen, whereas the common causes of chronic kidney failure include chronic nephritis, diabetes, kidney diseases, hypertensive nephropathy, etc. None of these diseases are contagious, hence chronic kidney failure is also not contagious.


What are the symptoms of chronic kidney failure?
The symptoms of chronic kidney failure are related to the severity of the condition; the more severe the kidney failure, the more symptoms the patient will have. In the early stages, patients may not feel uncomfortable or show any symptoms. Some patients may experience swelling in the lower limbs and facial area. Others may display clinical signs such as elevated blood pressure and visible blood in the urine. As kidney failure progresses and blood creatinine levels exceed 442 umol/L, patients may experience fatigue, which is due to renal anemia. Some patients may also experience a loss of appetite, nausea, vomiting, and other gastrointestinal symptoms.


Why does chronic renal failure cause vomiting?
Patients with chronic renal failure who experience vomiting generally indicates that their condition has become very severe. Typically, from stage four of chronic kidney disease onwards, a large amount of metabolic waste accumulates in the body, and patients may have severe metabolic acidosis, among other issues. These conditions can cause edema of the gastrointestinal mucosa, and these metabolic wastes can also irritate the gastrointestinal tract, leading to symptoms like nausea, vomiting, and loss of appetite. Of course, besides these reasons, other gastrointestinal diseases such as chronic gastritis, gastric ulcers, and even gastric cancer should also be ruled out.


Chronic Renal Failure Replacement Therapy
Chronic kidney failure is the irreversible loss of nephron units and kidney function caused by the progressive progression of chronic kidney disease, leading to a clinical syndrome characterized by the retention of metabolic products and toxins, disturbances in electrolyte and acid-base balance, and endocrine disorders. Chronic kidney failure often progresses to end-stage kidney disease, and the late stage of chronic kidney failure is called the uremic stage. After entering the uremic stage, renal replacement therapy is often required, with the main methods being hemodialysis, peritoneal dialysis, and kidney transplantation.