Translations:Chronic kidney disease/10/ja: Difference between revisions

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Created page with "==診断== {{Anchor|Diagnosis}} thumb|upright=1.4|CKDと重度の電解質不均衡のある人の12誘導心電図： [[hypocalcemia/ja|低カルシウム血症（1.6mmol/L）を伴う高カリウム血症（7.4mmol/L）である。T波がピークに達し、QT間隔が延長している]] CKDの診断は、主に病歴、physical..."
 
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Latest revision as of 12:21, 26 February 2024

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Message definition (Chronic kidney disease)
==Diagnosis==
[[File:Combined hyperkalemia and hypocalcemia.png|thumb|upright=1.4|A 12-lead ECG of a person with CKD and a severe electrolyte imbalance: [[hyperkalemia]] (7.4 mmol/L) with [[hypocalcemia]] (1.6 mmol/L). The [[T wave|T-waves]] are peaked and the [[Prolonged QT interval|QT interval is prolonged]].]]
Diagnosis of CKD is largely based on [[medical history|history]], [[physical examination|examination]], and [[urine dipstick]] combined with the measurement of the serum [[creatinine]] level (see above). Differentiating CKD from [[acute kidney injury]] (AKI) is important because AKI can be reversible. One diagnostic clue that helps differentiate CKD from AKI is a gradual rise in serum creatinine (over several months or years) as opposed to a sudden increase in the serum creatinine (several days to weeks). In many people with CKD, previous kidney disease or other underlying diseases are already known. A significant number present with CKD of unknown cause.

診断

CKDと重度の電解質不均衡のある人の12誘導心電図： 低カルシウム血症（1.6mmol/L）を伴う高カリウム血症（7.4mmol/L）である。T波がピークに達し、QT間隔が延長している

CKDの診断は、主に病歴、診察、および血清クレアチニン値の測定と組み合わせた尿検査に基づく（上記参照）。CKDと急性腎障害（AKI）の鑑別は、AKIが可逆的である可能性があるため重要である。CKDとAKIの鑑別に役立つ診断の手がかりの1つは、血清クレアチニンの急激な上昇（数日から数週間）とは対照的に、血清クレアチニンの緩やかな上昇（数ヵ月または数年間）である。多くのCKD患者では、以前に腎臓病を患っていたことや他の基礎疾患が既に知られている。原因不明のCKDも相当数存在する。

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