Thursday, May 30, 2013

Can Dialysis Cure CKD?

Can dialysis cure CKD? In many countries, when serum creatinine is more than 445 umol/L, chronic kidney disease patients are suggested to take dialysis, for serum creatinine is a kind of metabolism products and toxic, which will damage the body if not cleared away in time.
The reason why creatinine can not be discharged out is that there is damage in the renal intrinsic cells, which causes damage in the renal structure and renal function later accordingly. So from the above, we can get a conclusion that when serum creatinine is high, there must be damage in the kidney.
However, dialysis can not cure kidney disease and it is only considered an assistant method, and the reasons are as follows:
1. Dialysis can clear away the small molecules such as creatinine, urea acid, blood urea acid and so on, the clearance of which is not complete. When kidney is damaged, there are also middle molecules and big molecules which should have been cleared away. Dialysis can not make it and we should make use of other blood purification methods such as blood filtration, blood perfusion, plasma exchange. Especially plasma exchange is necessary in most of time for most kidney diseases are caused by immune problem and plasma can help discharge the immune complex.
2. Secondly, long time dialysis and no repair treatment will make patients with CKD miss the best opportunity to take effective treatment. As we mentioned before, there has been damage in the kidney. If we do not stop it, it will develop for there has been insufficiency of blood and oxygen and there has been immune complex depositing. Delaying the treatment will make the condition deteriorate and CKD patients may develop into the last stage uremia, in which case, the treatment will be more difficult.
Dialysis can not cure CKD fundamentally. What should patients with CKD do then? We would like to recommend a better therapy called immunotherapy in our Hospital, China. This therapy can be divided into 6 steps such as immune diagnosis, immune clearance, immune inhibition, immune tolerance, immune adjustment and immune protection. Immune clearance includes blood dialysis, plasma exchange and so on. In immune adjustment and immune protection stage, Chinese medicine and western medicine are applied, which can repair the damaged intrinsic cells and rebuild renal function at the same time.

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