Will kidney disease eventually develop into uremia? This is a question that many kidney disease patients have, fearing that once they get into kidney disease, they will never be able to get rid of it again. In fact, there are two ultimate outcomes of developing kidney disease: one is timely and effective treatment, which leads to clinical cure; The second is to develop into uremia.
For patients with kidney disease, differences in pathological conditions are important factors leading to uncertain prognosis. Let's take a look at the prognosis of various kidney diseases (possible course or outcome of the disease) together:
1. Acute nephritis
Acute nephritis is mostly associated with viral infection and inflammation. Therefore, as long as the cause can be identified and eradicated within three months, acute nephritis can be cured without developing into uremia. The vast majority of acute nephritis can be completely cured, with only a small number experiencing recurrent episodes and developing into chronic nephritis. Here we remind people to be vigilant and grasp the clues of kidney disease. After upper respiratory tract infection or other acute infections, once there is excessive edema, hematuria, or foam when urinating is too much and not easy to disappear, they should go to a regular kidney hospital in time.
2. Progressive glomerulonephritis
Progressive glomerulonephritis is a clinical syndrome characterized by hematuria, proteinuria, and progressive renal dysfunction. It is the most severe type of glomerulonephritis, and renal biopsy pathology typically presents as crescentic nephritis. The prognosis of rapidly progressive nephritis is relatively poor.
Progressive glomerulonephritis is divided into primary and secondary, with uncertain primary causes, which may be due to severe viral infection or antigen sensitization; Secondary diseases are inherent in the body, such as purpura, lupus erythematosus, and some primary glomerulonephritis. Progressive glomerulonephritis has an acute onset and rapid development, with the fastest possible duration being several hours. It usually takes several weeks to several months to develop into acute renal failure and uremia.
3. Chronic nephritis
The prognosis of chronic nephritis is good, but it requires a sustained and stable condition. Chronic nephritis often develops into chronic kidney disease due to persistent edema and proteinuria caused by influenza, overwork, hypertension, etc., which may not improve over and over again.
Due to the difficulty in treating chronic kidney disease and the lack of effective methods for clearing blood toxins in Western medicine, the condition of chronic nephritis persists and progresses slowly. The body becomes worse and worse under the suppression of hormones, and the burden on the kidneys becomes heavier. Eventually, it may develop into uremia and chronic kidney failure. The progression rate varies greatly among individuals, with pathological types being an important factor, but it is also related to whether attention is paid to protecting the kidneys, whether treatment is appropriate, and whether deterioration factors are avoided. However, with the combination of traditional Chinese and Western medicine, it is still possible to restore a relatively normal state.
4. The prognosis of podocyte disease varies
Minimally degenerative kidney disease and mild mesangial proliferative nephritis generally have a good prognosis, while severe mesangial proliferative nephritis has a 50% chance of developing into uremia.
Membranous nephropathy may develop into uremia, but the course of the disease can be very slow (over ten years). If effectively controlled during this period, the path to uremia can be blocked.
Over the past decade, 60% of patients with focal stage glomerulosclerosis have developed uremia.
5. An increase in cases of secondary kidney disease developing into uremia
Secondary kidney disease has always been a treatment challenge, characterized by the ability to achieve results only by controlling the primary disease. At present, the combination of traditional Chinese and Western medicine has made remarkable achievements in the treatment of kidney disease, with research levels ranging from cellular level to molecular enzymology and molecular biology level, and research scope ranging from simple drug therapy to overall regulation and improvement of microcirculation. The combination of traditional Chinese and Western medicine has certain advantages in the treatment of secondary kidney disease and its complications, with stable efficacy, no toxic side effects, regulating the internal environment of the body, and improving physical fitness. Especially, the treatment effect for secondary kidney disease complications is significant.
At present, the drugs used to treat secondary kidney disease in each hospital are different. Although each hospital has its own theory, in order to control the patient's condition, it is still necessary to choose carefully. The treatment plan of Beijing Lianke Traditional Chinese Medicine Nephropathy Hospital is more comprehensive, making up for the ambiguity in traditional Chinese medicine's understanding of the condition, location, prognosis, and other aspects. Moreover, the development of renal diseases often follows a chronic process, fully leveraging the advantages of Western medicine in controlling infection, lowering blood pressure, diuresis, lowering blood sugar, correcting acidosis, and electrolyte metabolism disorders, thus truly implementing the principle of exorcism first.
In recent years, the prognosis of hypertensive nephropathy, diabetes nephropathy, lupus nephritis and other secondary nephropathy is getting worse, especially diabetes nephropathy. However, the prognosis of purpura nephritis is good.
However, although pathological factors are a key factor in determining whether uremia is present, they are also an effective means for us to control the condition in a timely manner:
As long as we promptly understand the pathological causes, prescribe appropriate medication, and adopt corresponding methods according to the stage of kidney disease to save the damaged intrinsic cells of the kidney, achieving the goal of effectively controlling the condition and blocking the development path of uremia, there is a great possibility.