2017年11月6日星期一

At What Creatinine Level Dialysis Is Necessary

Dialysis is necessary for kidney failure patients when their creatinine value increases to a certain level. However, at what level of creatinine, dialysis is required?

The poor kidney function makes the wastes, toxins and excess fluid accumulate in the body, the creatinine level increases. No matter how much the level of creatinine exceeds the normal level, we will say the condition has become severe. That is because our kidneys have very strong compensatory ability, the creatinine level will not increase until more than 50% of kidney function has been lost, you should note we have left out the dietary influence on the level of creatinine here. In general, patients from America or some European countries take dialysis treatment earlier.
In theory, dialysis is required when creatinine increases to 5, as creatinine 5 means the toxins in the blood has caused serious threatening to our internal organs. However, in fact, many patients do not start dialysis at all even if their creatinine value has increased to a very high level.

Highest Creatinine Level before Dialysis is Required

While we have to say that the level of creatinine has no direct relationship with dialysis. Only a creatinine level is not enough to decide whether dialysis is needed or not. In China, dialysis will be recommended when the creatinine level has increased to about 707umol/L. However, nothing is absolute in this world. We see in the clinical that some cases have not started dialysis even though their creatinine level has already reached 1000umol/L, while some cases have already begun dialysis when their creatinine levels are not that high. In Europe, 18% of Renal Failure patients begin dialysis when GFR level is less than 10ml/min, and 34% when GFR level is less than 5ml/min. In America, 23%-35% of patients take dialysis when GFR level is less than 5ml/min. If kidney disease patients have severe swelling, difficult in breathing, nausea and vomiting and other complications which make them feel not very well or can be life-threatening, then dialysis should be started. Dialysis really can help patients lower the creatinine level and treat some symptoms, however, For Renal Failure Patients, Dialysis Is Not A Long Plan for The Future.


Different people have different opinions toward this topic and kidney failure patients have their own right to decide when they will start dialysis. If you have a very high creatinine and no serious complications, you can live without dialysis, but once your toxins in the blood brings you discomforts like itching skin, nausea and vomit and so on, please start dialysis as early as possible, because these symptoms indicate toxins in tour blood is affecting your other internal organs.

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