When and How to Choose Renal Replacement Treatment

All kinds of primary or secondary chronic kidney disease could cause kidney damage. When the kidney disease progresses to certain degree where their kidney functions have just 25 percent left, their kidney function would deteriorate further to kidney failure, even if their basic disease has stopped activity.

With the kidneys' functions of filtering the toxins declining progressively, the toxins would build up in the body. Long-term retention of toxins would pose irreversible damage to other vital organs such as heart, lung, nerve system and bones, bringing about catastrophic consequences.

According to scientific studies, the health of these organs are the most important factors that influence the life span and life quality of the patients on dialysis. That is, for kidney patients who have entered uremia or are even on dialysis, it is crucial to lessen the damage to organs such as heart, lung. So it makes great sense for kidney patients with uremia to receive renal replacement treatment to clear the toxins produced in the body.

At present, renal replacement treatment includes hemodialysis, peritoneal dialysis and kidney transplantation. Internationally, when the kidney patients are at CKD stage 4, they should receive the relevant education about the treatments, comprehend the pros and cons of each treatment method and prepare for the treatment. When the patients reach CKD stage 5, the kidney physicians would start the renal replacement treatment after evaluating all of the patient’s conditions, including the primary disease, complications, uremia, blood pressure, past medical history, age and other factors. In some cases, even the patients’ GFR is above 15, their treatment should be started earlier.

Kidney transplantation

Kidney transplantation is a surgery where a “normal” kidney is transplanted into the patient’s body to work for the patients, so it is the most effective treatment. But this surgery is very demanding and before the transplant, kidney patients would go through a series of tests to determine whether they are fit for kidney transplantation or not. For example, if the kidney patients are having active hepatitis B, TB, gastric ulcer, serious diabetes, they are not recommended to do kidney transplantation.

Haemodialysis

Haemodialysis is widely used for patients with kidney failure, which includes conventional hemodialysis, hemofiltration and HDF(hemodiafiltration). But hemodialysis is not fit for patients with shock, severe cardiac insufficiency or coronary heart disease, severe high blood pressure, severe hemorrhagic tendency and cerebral hemorrhage.

Peritoneal dialysis

Peritoneal dialysis does not depend on machines, is easy to operate and relatively cheap. Patients with following conditions should consider peritoneal dialysis as their priority: 1.senior citizens. 2.patients with poor cardiovascular functions. 3. patients who fistula is hard to build. 4.patients who have abundant urine.

An alternative option for kidney patients

In Shijiazhuang Kidney Disease Hospital,China,we use Micro-Chinese Medicine Osmotherapy,which is a brand-new treatment method that processes and utilizes Chinese medicines in a new way, and Immunotherapy transplant that is in the leading position in the world, among other treatment methods to treat kidney disease and diabetes. We have helped serious kidney patients avoid kidney dialysis successfully.


If you still have questions , feel free to send emails to kidney-treatment@hotmail.com. We are ready to do whatever we can to help you ,according to your specific conditions.