How To Determine The Stage In Chronic Kidney Disease?

Illustration of How To Determine The Stage In Chronic Kidney Disease?
Illustration: How To Determine The Stage In Chronic Kidney Disease?

Good morning, …. I was just hospitalized in a hospital because my body condition dropped. I could not eat at all. Nausea default. From the lab results (creatin 9.7) and ultrasound results “show a picture of chronic chronic disease. The doctor said that stage 5 kidney failure (according to my husband and I). One month ahead I will only be drug therapy. Next, I will be given an overview. about HD, interruptions and transplants, I was shocked and hit, I was 43 years old, my BB was 43 from before in the range of 53-57. How much did I experience ??? With the stadium that he said was already in stage 5. I really wanted to know Stage 5 is determined based on the creature ???? Mhn explanation about this disease in detail, thank you

1 Answer:


Thank you for the question on,

Chronic kidney disease or chronic kidney failure is a medical condition characterized by a gradual decline in kidney function. This is caused by damage to kidney tissue and kidney structures that function to maintain fluid and electrolyte balance in the human body, one of which is also a place of urine production to remove substances that are not needed by the body. Both kidneys in the human body filter about 120-150 liters of blood, and produce about 1-2 liters of urine every day.

In the condition of kidney failure, we can monitor kidney function by observing the ability of urine production, whether there are abnormalities in the urine such as urine mixed with blood, reduced urine volume, or can be identified by ureum and creatinine examination as parameters of kidney function. Some of the symptoms that can be experienced in patients with kidney failure include nausea, vomiting, loss of appetite, recurring complaints of itching even though there are no skin lesions, weight loss, swelling of the extremities, blood in the urine, chest pain, shortness of breath, increased blood pressure, sleep disorders, muscle cramps, pale.

To establish a diagnosis of kidney failure, it is advisable to consult a doctor related to examination and management, and additional examinations can be carried out such as:

Blood test.This test is to determine the work of the kidneys by looking at levels of waste in the blood, such as creatinine and urea.

Urine test. This examination is done to find out abnormal conditions that indicate kidney damage. In this test, albumin and creatinine levels in the urine are checked, as is the presence of protein or blood in the urine.

Scanning. This scan aims to see the structure and size of the kidney, and can be done by ultrasound, MRI, and CT scan.

Kidney biopsy. Biopsy is done by taking a small sample of kidney tissue, which is then analyzed in a laboratory to determine the cause of kidney damage.

The results of creatinine examination can be used to estimate glomerular filtration rate which is a parameter for assessing overall kidney function. From the calculation of glomerular filtration rate we can determine the stage of kidney failure as follows:

Stage 1, LFG values ​​above 90.
Stage 2, LFG values ​​60 to 89.
Stage 3, LFG values ​​30 to 59.
Stage 4, LFG values ​​15 to 29.
Stage 5, LFG value below 15.

Damage to the kidneys and glomerulus cannot be returned to normal conditions. The goal of treatment is to relieve symptoms and prevent further damage to kidney tissue. And several treatments that can be used to reduce symptoms in patients with kidney failure include diuretic drugs, hypertension drugs, drugs to reduce symptoms of anemia, corticosteroid drugs or vitamin D and calcium supplements. In the condition of advanced renal failure, hemodialysis or dialysis can be considered, or a kidney transplant is performed. The treatment method chosen will be adjusted to your condition by a specialist after a thorough examination.

It is recommended not to take self-medication without a doctor's instructions, follow a treatment regimen recommended by a doctor, be able to discuss with the doctor about treatment if there are things that you are still confused about, maintaining a healthy diet, activity and rest.

Hopefully this information can help you,


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