{"id":1593,"date":"2025-11-26T02:44:53","date_gmt":"2025-11-26T02:44:53","guid":{"rendered":"https:\/\/charis.com.vn\/?p=1593"},"modified":"2025-11-26T02:51:59","modified_gmt":"2025-11-26T02:51:59","slug":"chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua","status":"publish","type":"post","link":"https:\/\/charis.com.vn\/en\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/","title":{"rendered":"Serum Creatinine and eGFR Index \u2013 Kidney Health \u201cAlarms\u201d You Cannot Ignore"},"content":{"rendered":"<p>Have you ever wondered: \u201cAre my kidneys still healthy?\u201d Most of us only notice when we see swollen feet, fatigue, frequent urination at night\u2026 By then it is usually too late! Two simple numbers in a blood test \u2013 <strong>serum creatinine<\/strong> and <strong>eGFR<\/strong> \u2013 is the earliest \u201cinformant\u201d to warn you about your kidney health.<\/p>\n<ol>\n<li><strong> What is Creatinine? Why is it important?<\/strong><\/li>\n<\/ol>\n<p>Creatinine is a waste product produced by the muscles every day. Healthy kidneys filter it and excrete it in the urine. When the kidneys are damaged, creatinine \u201cgets stuck\u201d in the blood \u2192 its concentration increases.<\/p>\n<ul>\n<li>Creatinine values are considered normal when they fall within\u00a0<strong>reference range<\/strong>\u00a0printed on your test result sheet. This range may vary between laboratories, but is generally within\u00a0<strong>60-110 \u00b5mol\/L for men and 45-90 \u00b5mol\/L for women<\/strong>. The most important thing is to compare your results with the reference range of the place where you had the test.<\/li>\n<li>The elderly, thin people, pregnant women\u2026 can be a little shorter.<\/li>\n<\/ul>\n<p>If your creatinine is slightly elevated (e.g. 120\u2013150) and you have no symptoms, don\u2019t be complacent! It could be a sign that your kidneys are \u201ccalling for help\u201d in stages 2\u20133, and can still be saved.<\/p>\n<ol start=\"2\">\n<li><strong> eGFR \u2013 \u201cGolden index\u201d to assess kidney function<\/strong><\/li>\n<\/ol>\n<p>eGFR (estimated Glomerular Filtration Rate) = estimated glomerular filtration rate. This is a number that tells you how well your kidneys are filtering your blood (in mL\/min\/1.73m\u00b2).<\/p>\n<ul>\n<li><strong>\u2265 90<\/strong>: Normal kidney function (Stage 1 if there are other signs of kidney damage)<br \/>\n\u2022\u00a0<strong>60\u201389<\/strong>: Mild decline in kidney function (Stage 2 if there are other signs of kidney damage). In the elderly, this may be a physiological decline in kidney function.<br \/>\n\u2022\u00a0<strong>30\u201359<\/strong>: Moderate chronic kidney failure (Stage 3)<br \/>\n\u2022\u00a0<strong>15\u201329<\/strong>: Severe chronic kidney failure (Stage 4)<br \/>\n\u2022\u00a0<strong>&lt; 15<\/strong>: End-stage renal failure (Stage 5)<\/li>\n<\/ul>\n<p>eGFR is automatically calculated from three parameters: blood creatinine, age, gender and race. Just one blood stick is enough to know whether the kidneys are in the \u201cgreen, yellow or red zone\u201d.<\/p>\n<ol start=\"3\">\n<li><strong> Relationship between creatinine and eGFR<\/strong><\/li>\n<\/ol>\n<p>You can imagine it simply like this:<\/p>\n<ul>\n<li>Increased creatinine \u2192 decreased eGFR (like stagnant wastewater in the filtration system)<\/li>\n<li>The higher the creatinine, the lower the eGFR \u2192 the more &quot;tired&quot; the kidneys<\/li>\n<\/ul>\n<p>A common practical example of a doctor: A patient, male, 58 years old, went for a routine check-up and found creatinine 135 \u00b5mol\/L (slightly high), eGFR 52 \u2192 detected stage 3 kidney failure due to 6 years of diabetes. Fortunately, thanks to early detection, the patient controlled blood sugar + blood pressure well,\u00a0<strong>significantly slows disease progression<\/strong>, after 3 years eGFR is still 48, no need for dialysis.<\/p>\n<ol start=\"4\">\n<li><strong> Who is susceptible to kidney failure without knowing it?<\/strong><\/li>\n<\/ol>\n<ul>\n<li>People with diabetes, long-term high blood pressure<\/li>\n<li>Overweight, belly fat<\/li>\n<li>Smoking and drinking a lot of alcohol<\/li>\n<li>Family has someone with kidney disease<\/li>\n<li>Regular use of painkillers (NSAID group), herbal medicines of unknown origin<\/li>\n<\/ul>\n<ol start=\"5\">\n<li><strong> What to do to protect your kidneys today?<\/strong><\/li>\n<\/ol>\n<ol>\n<li>Drink enough water (1.5\u20132 liters\/day, unless restricted by a doctor)<\/li>\n<li>Eat a low-salt diet (&lt;5g salt\/day), reduce fried foods and soft drinks.<\/li>\n<li>Good control of blood sugar (HbA1c &lt; 7%) and blood pressure (&lt; 130\/80)<\/li>\n<li>Exercise regularly 30 minutes\/day<\/li>\n<li>Regular health check-ups every 6-12 months, creatinine + eGFR test even if you don&#039;t feel tired<\/li>\n<\/ol>\n<p><strong>Conclusion<\/strong><\/p>\n<p>The kidneys do not speak when they are in pain, they just \u201csilently\u201d weaken. Creatinine and eGFR indexes are the \u201cvoices\u201d of the kidneys. Do not wait until you urinate less, have edema, or have difficulty breathing to rush to the doctor. A blood test can help you save on the high cost of dialysis and keep your healthy life for another 10-20 years. Healthy kidneys \u2013 A new, complete life!<\/p>\n<p>Dr. TRAN PHUONG THAO, USMLE Step 3, specializing in General Internal Medicine, Gastroenterology and Hepatobiliary Medicine.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>B\u1ea1n c\u00f3 bao gi\u1edd t\u1ef1 h\u1ecfi: \u201cTh\u1eadn m\u00ecnh c\u00f2n kh\u1ecfe kh\u00f4ng?\u201d H\u1ea7u h\u1ebft ch\u00fang ta ch\u1ec9 \u0111\u1ec3 \u00fd khi \u0111\u00e3 th\u1ea5y ph\u00f9 ch\u00e2n, m\u1ec7t l\u1ea3, ti\u1ec3u \u0111\u00eam nhi\u1ec1u l\u1ea7n\u2026 L\u00fac \u0111\u00f3 th\u01b0\u1eddng \u0111\u00e3 mu\u1ed9n! Hai con s\u1ed1 \u0111\u01a1n gi\u1ea3n trong x\u00e9t nghi\u1ec7m m\u00e1u \u2013 creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 ch\u00ednh l\u00e0 \u201cng\u01b0\u1eddi th\u00f4ng tin\u201d [&hellip;]<\/p>","protected":false},"author":3,"featured_media":1594,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ec9 s\u1ed1 Creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 \u201cB\u00e1o \u0111\u1ed9ng\u201d s\u1ee9c kh\u1ecfe th\u1eadn b\u1ea1n kh\u00f4ng th\u1ec3 b\u1ecf qua - Charis Healthcare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/charis.com.vn\/en\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ch\u1ec9 s\u1ed1 Creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 \u201cB\u00e1o \u0111\u1ed9ng\u201d s\u1ee9c kh\u1ecfe th\u1eadn b\u1ea1n kh\u00f4ng th\u1ec3 b\u1ecf qua - Charis Healthcare\" \/>\n<meta property=\"og:description\" content=\"B\u1ea1n c\u00f3 bao gi\u1edd t\u1ef1 h\u1ecfi: \u201cTh\u1eadn m\u00ecnh c\u00f2n kh\u1ecfe kh\u00f4ng?\u201d H\u1ea7u h\u1ebft ch\u00fang ta ch\u1ec9 \u0111\u1ec3 \u00fd khi \u0111\u00e3 th\u1ea5y ph\u00f9 ch\u00e2n, m\u1ec7t l\u1ea3, ti\u1ec3u \u0111\u00eam nhi\u1ec1u l\u1ea7n\u2026 L\u00fac \u0111\u00f3 th\u01b0\u1eddng \u0111\u00e3 mu\u1ed9n! Hai con s\u1ed1 \u0111\u01a1n gi\u1ea3n trong x\u00e9t nghi\u1ec7m m\u00e1u \u2013 creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 ch\u00ednh l\u00e0 \u201cng\u01b0\u1eddi th\u00f4ng tin\u201d [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/charis.com.vn\/en\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\" \/>\n<meta property=\"og:site_name\" content=\"Charis Healthcare\" \/>\n<meta property=\"article:published_time\" content=\"2025-11-26T02:44:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-26T02:51:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/charis.com.vn\/wp-content\/uploads\/2025\/11\/Charis-Healthcare-4-e1764125015328.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1763\" \/>\n\t<meta property=\"og:image:height\" content=\"1172\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"info@charisvn.com\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"info@charisvn.com\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\"},\"author\":{\"name\":\"info@charisvn.com\",\"@id\":\"https:\/\/charis.com.vn\/#\/schema\/person\/07e636bead2a726313dd6f9c173d5711\"},\"headline\":\"Ch\u1ec9 s\u1ed1 Creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 \u201cB\u00e1o \u0111\u1ed9ng\u201d s\u1ee9c kh\u1ecfe th\u1eadn b\u1ea1n kh\u00f4ng th\u1ec3 b\u1ecf qua\",\"datePublished\":\"2025-11-26T02:44:53+00:00\",\"dateModified\":\"2025-11-26T02:51:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\"},\"wordCount\":1091,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/charis.com.vn\/#organization\"},\"image\":{\"@id\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/charis.com.vn\/wp-content\/uploads\/2025\/11\/Charis-Healthcare-4-e1764125015328.png\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\",\"url\":\"https:\/\/charis.com.vn\/chi-so-creatinin-huyet-thanh-va-egfr-bao-dong-suc-khoe-than-ban-khong-the-bo-qua\/\",\"name\":\"Ch\u1ec9 s\u1ed1 Creatinin huy\u1ebft thanh v\u00e0 eGFR \u2013 \u201cB\u00e1o \u0111\u1ed9ng\u201d s\u1ee9c kh\u1ecfe th\u1eadn b\u1ea1n kh\u00f4ng th\u1ec3 b\u1ecf qua - 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