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மருத்துவத்துறையில் சிறந்த சேவையாற்றியதற்கான வாழ்நாள் சாதனையாளர் விருது மதுரை சிறுநீரக மையம் மற்றும் மாற்றுறுப்பு ஆராய்ச்சி நிலையத்தின் சிறுநீரக அறுவை சிகிச்சை மருத்துவர் மற்றும் பேராசிரியர்
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KIDNEY DISEASE A SILENT KILLER

‘Ways to Win Failure’
Dr.M.Sivakumar, M.D., D.M.,(NEPHRO)
Nephrologist
Madurai Kidney Centre & Transplantation Research Institute
6/6 B-2 Sivagangai Road
Madurai
Ph : 91-(0)452-2584397 (CLINIC) 91-(0)452-2584566, 4392267
Fax : 91-(0)452-4393367
Email : nephshiva@gmail.com, maduraikidneycentre@gmail.com

What is chronic kidney disease? Chronic kidney disease (CKD) means that kidneys are not working as well as they once did. Various conditions can cause CKD.

 Incidence of chronic kidney disease (CKD) has doubled in the last 15 years.1.50 lakh new patients of end-stage  CKD  requiring dialysis or kidney transplant are added to the existing lot in our Country.

 

Diabetes (29.7%),Chronic Glomerulonephritis (19.3%), Hypertension (14%),Chronic interstitial disease and Vesico-ureteral reflux (12.6%), Obstruction and Calculus (9.3%) are the  major culprits of CKD


People with any stage of Renal disease have an increased risk of developing heart disease or a stroke. This is why it is important to detect even mild kidney disease, as treatment may not only slow down the progression of the disease, but also reduces the risk of developing heart disease or stroke.

Step 1 - Who is at risk? Identifying at early stage:

 Who are prone to develop Kidney disease? Kidney screening tests should be done for  Diabetic patients, Patients with high blood pressure, People with a family history of kidney diseases, the overweight or obese population, People over 50,and Smokers. The complaints may be subtle or obvious like - Ankle and leg swelling, leg cramps; Going to bathroom more often at night ; nausea and vomiting ;Weakness, paleness and ; Itching; and  Less need for insulin or antidiabetic medicationsin diabetics. If so, subject themselves for simple tests like  blood pressure checking ,Urine tests to look for protein leak or abnormal cells and blood tests to detect elevated Urea and Creatinine.   
Step 2 – Regular treatment:
If any one comes to know that he has kidney disease, one need not despair, but commit  themselves  to  undertake  lifelong therapy with compliancy. Amazing   medications such as insulin for sugar, angiotensin receptor blockers for  BP control, Statins for  Cholesterol , and moreover kidney disease specific therapy are  within our reach that retards the speed of progression of kidney disease. Most important of all these is motivation of patients   for simple blood pressure checking ,diet control and exercise. Ultimately, patients are ‘Self Managers’. Such approaches will definitely give them extra leash of life.  Finally, consuming pain killers and drugs over the counters  should be abandoned by any cost. 
Step – 3 – Managing Advanced disease

Hemo dialysis, Peritoneal dialysis and Kidney transplantation are three  ways by which an advanced kidney disease patients can be managed for decades. The renal transplantation is the gold standard therapy. But ,Unfortunately,  Only a 5 to 7 per cent of them  are able to get someof these  forms of treatment, while the rest die without getting any definite healthcare intervention.. Believe this ... India is second to
United states in doing more  kidney transplants in the world, inspiteof all these issues . To create awareness among public, the message of  this year World Kidney Day is ‘DONATE - KIDNEYS  FOR  LIFE  - RECEIVE ’. With the knowledge of  this life  saving  measure, doing with in legal frames ,definitely  revolutionise  the  management  this epidemic disease  .  This is  very much relevant in our country  rather than Western Society. Kidney donation  from the first degree relatives  of the patients are very much  feasible ,since they are more attached and concerned in our Indian family setting.Ultimately,Donation  of organs from Cadavers  by the public , to these  ailing people, not only push India to top the   the list of doing more number of kidney  transplants, moreover,  it will revitalize the sufferings.

 
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