"Medical" heart is old | renal function assessment "gold standard" -renal functional portrait

For the elderly, the decline in kidney function is affected by aging and disease. Chronic diseases such as hypertension, diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, etc. are all closely related to renal function. The elderly's resistance decreases and is prone to various infections. And aging reduces the threshold of kidney injury.

Kidney is the main organ for excretion of metabolic waste and drugs, and it is also an organs that are vulnerable to drug damage.

There are many chronic basic diseases in the elderly, and there must be more related drugs taken. Elderly patients taking 5 or even more than 10 drugs are not a small number of elderly patients. The elderly's common disease combined with renal dysfunction increases the complexity of the medication, and the adverse reactions of the drug have increased the risk of renal injuries. Accurately assessing renal function can help individual chemotherapy. Adjusting the dose and use of the renal function can avoid organ damage and adverse reactions.

Therefore, renal function, treatment, and drugs affect each other. Subject to the renal of the elderly may be physiological changes, or there may be pathological factors. Nephrine disease is called "silent killer". Because of its hidden symptoms, patients often cause patients to be late, and lack monitoring and control before entering the end of the end. If the pathological factors can be found in the early stage and are targeted, it can help delay renal dysfunction.

"Early screening, early intervention, early diagnosis, and early treatment" Chronic kidney disease integrated therapy mode ", correctly assessing renal function is the basis for the prevention and treatment of chronic kidney disease, especially for diabetes, hypertension, hyperurice, hyperlipidemia Patients with high risk factors such as obesity have seriously affected patients' prognosis. The accurate assessment of renal function is the reference basis for formulating related disease diagnosis and treatment measures, and the state function status also affects the efficacy and scope of some drugs.

How to evaluate kidney function? At present, the most simple and commonly used indicators for renal function are serum creatinine. The more accurate indicator is to estimate the glomerular filtration rate, and the "gold standard" is a renal function. Accurate renal functional assessment is a clinical symptoms binding to serum creatinine, cystin C, estimated GFR, nuclein appearance, and comprehensively evaluating the renovation and endocrine function of the renal tube. Therefore, seeking the help of a specialist in kidney is the most direct way.

Author: Xiang Haiyan

Ph.D. in Medicine, Director of Nephry Medicine of the Sixth Hospital of Wuhan City.

It has rich experience in primary glomerular disease, diabetic nephropathy, autoimmune disease kidney damage, renal failure, and various difficulty renal diseases. It has rich experience and is good at the establishment of hemodialysis pathways and complications.

Outpatient time: Tuesday

Source: Wuhan Science and Technology News

Edit: Zhao Jiaying

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