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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