Stages of Kidney Failure
With chronic kidney disease, the kidneys don’t usually fail
all at once. Instead, kidney disease often progresses slowly over a period of years.
The
National Kidney
Foundation
(NKF) created a guideline to help doctors identify each level of kidney disease. The
NKF divided kidney
disease into five stages.
Where you are placed into CKD stage 3 or
higher, it usually depends on an estimate of kidney function.
Glomerular Filtration Rate (GFR)
Glomerular filtration rate (GFR) is the best measure of kidney
function. A math
formula using the person’s age, race, gender, and serum creatinine is used to calculate a GFR. A doctor will order a blood test
to measure the serum creatinine level. As kidney function slows, blood levels of creatinine
rise.
Even
with a normal GFR, you may be at increased risk for developing CKD if you have diabetes, high blood pressure,
or a family history of kidney disease. The risk increases with age: People over 65
are more than twice as likely to develop CKD as people between the ages of 45
and 65.
Stage
of Chronic Kidney Disease
|
eGFR
(estimated Glomerular Filtration
Rate) ml/min/1.73 m
|
Stage 1: the eGFR shows normal
kidney function but you are already known to have some kidney damage or disease. For example, you may have some protein or blood in your urine, an abnormality of your kidney, kidney inflammation, etc. The goals of treatment are to slow the progression of CKD and reduce the
risk of heart and blood vessel disease.
|
90 or more
|
Stage 2: Mildly reduced kidney
function AND you are already known to have some kidney damage or disease. Continue treatment to reduce the
risk of other health problems.
|
60 to 89
|
Stage 3: Moderately reduced kidney
function. (With or without known kidney disease. ) Anemia and bone problems become more common. Work to prevent or treat these complications.
|
45 to 59 (3A)
30 to 44 (3B) |
Stage 4: Severely reduced kidney
function. (With or without known kidney disease.) Continue following the treatment for complications of CKD.
|
15 to 29
|
Stage 5: Very severely reduced
kidney function. This is sometimes called end-stage kidney failure or
established renal failure.
|
Less than 15 or On Dialysis
|
*
All GFR values are normalized to an average surface area (size) of 1.73m2
Suffixes:
- p suffix: the addition of p to a stage (e.g. 3Ap, 4p) means that there is significant proteinuria (more info)
- T - the addition of T to a stage (e.g. 3AT) indicates that the patient has a renal transplant.
- D - the addition of D to stage 5 CKD (e.g. 5D) indicates that the patient is on dialysis
Stage
|
Allopathic
Treatment for Kidney Failure
|
|
1
|
Steroids,
Suppresses Symptoms, Doesn’t Control Progression, Complications like Heart,
Bone problems
|
Curable with Ayurveda, Disease
removed from roots, No side effects, Control Complications
|
2
|
Steroids,
Suppresses Symptoms, Doesn’t Control Progression, Complications like Heart,
Bone problems, Other Side effects
|
Curable with Ayurveda, Disease
removed from roots, Control Complications, No side effects
|
3
|
Steroids,
Suppresses Symptoms, Doesn’t Control Progression, Complications like Heart,
Bone problems, Side effects like Puffiness on face
|
90% Curable, Controlling
progression of the disease, Control Complications
|
4
|
Dialysis,
May ask for Transplant
|
90% Curable With controlling
progression of the disease, Stop Dialysis, No need for Transplant
|
5
|
Dialysis,
Transplant
|
80% Curable, Manageable With
Controlling Progression of disease, Stop Dialysis, No need for Transplant
|
My
stage keeps changing: It is normal for measurements of creatinine and therefore
GFR to change a bit from one measurement to the next. In some patients, these
changes may seem large, and enough to move you from one stage to another and
then back again. As long as things aren't getting progressively worse, it is
the average that is important.
For more info please watch the video
HOW MANY MONTHS ONE HAS TO TAKE TREATMENT TO GET RID OF DIALYSIS?
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