12.07.2015 Views

Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

Prevention of CKD in patients with renal stone disease - โรงพยาบาล ...

SHOW MORE
SHOW LESS
  • No tags were found...

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Natural Course <strong>of</strong> DN1. Renal Hypertrophy & Hyperfiltration- GFR > normal 20-50%2. Normoalbum<strong>in</strong>uria- Mesangial matrix expansion and GBM thicken<strong>in</strong>g3. Incipient nephropathy (microalbum<strong>in</strong>uria)- Ur<strong>in</strong>e album<strong>in</strong> / Cr (A/C) ratio 30-300 300 mg/g,persistent 2 <strong>of</strong> 3 times <strong>in</strong> 6 month period4. Overt nephropathy (macroalbum<strong>in</strong>uria)- Ur<strong>in</strong>e album<strong>in</strong> / Cr (A/C) ratio > 300 mg/g5. End-stage <strong>renal</strong> <strong>disease</strong> (ESRD)- GFR < 15 cc/m<strong>in</strong>/1.73 m 2 , need for long-term RRT

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!