I. ¸¸¼º½ÅºÎÀüÀÇ Á¤ÀÇ(CRF, ESRD)
- GFR < 30ml/min : Á¤»ó GFR(120ml/min)ÀÇ 1/4 ÀÌÇÏ
- 3°³¿ù ÀÌ»ó ȸº¹µÇÁö ¾Ê´Â »óÅ·ΠÁö¼Ó
- 3A : azotemia, anemia, acidosis
- contracted kidney (À§Ãà½Å) cf) diabetic, amyoidosis¿¡¼´Â ÀÛ¾ÆÁöÁö ¾Ê¾Æ
1. ¸¸¼º½ÅºÎÀüÀÇ º´±â
1) early phase : 10 < GFR < 30 - Ưº°ÇÑ Áõ»ó ¾ø¾î. ÇÇ·Î. ¾ß´¢Áõ
2) late phase : 5 < GFR < 10
3) terminal phase : GFR < 5
- À½½Ä, ¾à¹°Ä¡·á·Î ÁÁ¾ÆÁöÁö ¾Ê¾Æ
- RRT(renal replacement therapy) - dialysis, transplantation
2. ¸¸¼º ÁøÇ༺ ½ÅÁúȯÀÇ 3 stage
1) diminished renal reserve : renal tissue<25%, GFR<50%, Ưº°ÇÑ ÀÌ»ó¼Ò°ß ¾øÀ½
2) renal insufficiency(failure) : azotemia ¾à°£ Áõ°¡. homeostasis´Â À¯Áö
3) uremia : azotemia ½ÉÇØÁ® Àü½ÅÀûÀ¸·Î uremic syndrome
GFR < 6ml/min (>10ml/min¿¡¼µµ ³ªÅ¸³¯ ¼ö)
3. ¸¸¼º½ÅºÎÀüÀ» ¾ÇȽÃÅ°´Â ¿äÀÎ
- ÀϹÝÀûÀ¸·Î 4-5³â °É¸®Áö¸¸ ´ÙÀ½°ú °°Àº ¿äÀο¡¼´Â ±Þ¼ÓÈ÷ »¡¶óÁü
1) volume abnormality : contraction or overload
2) uncontrolled hy¡¦(»ý·«)
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