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The progression and management of chronic kidney disease (CKD) vary greatly among individuals and depend on multiple factors, including the underlying cause of kidney damage, overall health, lifestyle factors, and adherence to medical recommendations. Some people with CKD may never require dialysis, while others may eventually need it to replace lost kidney function.
In the early stages of CKD, treatment focuses on managing underlying conditions, controlling blood pressure, and making lifestyle modifications to slow the progression of kidney damage. With proper management, some individuals can maintain kidney function for many years without needing dialysis.
As CKD progresses, kidney function may decline to the point where dialysis or a kidney transplant becomes necessary to sustain life. The decision to start dialysis is typically based on various factors, including symptoms, level of kidney function, overall health status, and individual preferences. Some common signs that may indicate the need for dialysis include severe fluid retention, high levels of waste products in the blood, uncontrolled electrolyte imbalances, and symptoms such as nausea, fatigue, and difficulty breathing.
Regular monitoring by healthcare professionals, including kidney function tests and discussions about treatment options, is essential for individuals with CKD to manage their condition effectively and make informed decisions about their care. Early detection and proactive management can help delay the progression of CKD and improve long-term outcomes.