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Chronic Renal Failure Chronic renal failure

 

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Kidney failure Renal failure

There are two types of kidney failure, acute renal failure acute renal failure and chronic renal failure chronic renal failure. And kidney failure in general is a shortage in the work of the College and functions, leading to an imbalance in the human body. And we will address each of the two species in some detail.

Chronic Renal Failure Chronic renal failure in most cases of chronic renal failure crashing a large number of Alinveron Nephron (Unit kidney function) and the rest is not enough to do college work, and often be the result of kidney injury for a long period of time.

Causes chronic kidney failure ..

Kidney inflammation Glomerulonephritis
Does not know the real cause of this injury, but the injury to the body with microbes leads to an imbalance in the immune system of the body of the device consists antigens antigen As a result, the body composition of antibody antibodies to leak resulting in the membranes of the renal glomeruli glomerule.
Blockage of the urinary tract as the existence of kidney stone in the ureter or bladder or urethra and Ktdkhm Alberstadth has already been explained in the subject of acute renal failure.
High blood pressure, diabetes, Hypertension & Diabetes
The small percentage of cases of hypertension and diabetes ending injury kidney injury lead to kidney failure. But human infection with high blood pressure or diabetes lead over time to narrow the arteries feeding the college and thus gets atrophy in the cortex area of ​​the college, leading to the injury of kidneys, chronic kidney failure.

Excessive use of some drugs
The excessive use of drugs, particularly painkillers (used for a long period and high doses) of the main reasons leading to kidney failure as it affects the overall marrow, which flows into the overall basin, leading to her death Here are some of the most important drugs that cause injury to the total failure:
Sedating medications such as paracetamol and aspirin and phenacetin and others.
Rheumatic drugs such as Alfinobrovin and indomethacin and naproxen, and others.
Some antibiotics are the most important derivatives Alomanocalaakozaad Aminoglycosides.
Special dyes used in radiology.
Drugs used to treat cancer
Drugs used in anesthesia.
Chronic total basin Chronic Pyelonephritis

And usually it occurs as a result of the urine rise to the ureter (the result of a birth defect can be treated surgically or if the imprisonment of urine intentionally several times and for long periods), and from him to college basin leading to a repeat of microbial infections, which in turn destroy the fabric of the college swimming and Nkhaaha and end up with kidney failure.

What are the symptoms and signs of illness?

The patient may not feel any symptoms for a long time, but the most important symptoms associated with the disease are:

Feeling tired physical and mental exhaustion
Lack of appetite
breathing difficulties
ED
Itching or
Frequent urination (especially at night).

The patient may develop anemia in the blood or high blood pressure, inflammation of the peripheral nerves (numbness) and as a result of vitamin D deficiency as orally active patient Blaine gets in the bones.

Questions directed by your doctor or discussed with him:

– Do you follow a proper diet. Does this system have been explained clearly to you ?
– What level of energy and activity in your body? does he changed since your last visit ?
– Do you have a lack of appetite or decrease in weight or nausea or vomiting?
– Do you have trouble sleeping at night?
– Do you find it difficult to concentrate or weakness in your memory?
– Do you have pain in the chest or in the self-Palace?
– Do you feel itchy skin?
– Do you feel cold ?
– Do you urinate more or less than usual?
– Are you taking your medications or disposal of any medications without a prescription?
– Is renal disease who suffer from hereditary? Should family members of test?
– Do your best to do anything to curb the progression of the disease?
– Do you need kidney dialysis?
– Are you in need (and whether it can become eligible) because you are being sown for college? How can put you in a list of them grown College? Can you donate a family member in one of his kidneys? Can you donate a partner (or partners), or one of your friends at the Faculty of you?

The doctor may examine the parts of your body or the following functions:
– Heart rate, and blood pressure, and weight
– Eyes
– Neck veins
– Pulse
– The heart and lungs
– Abdomen (to see if it was painful when pressed gently)
– Ankles and legs (to detect swelling)
– The degree of attention and focus

The doctor may order you to conduct laboratory tests and the following research:
– Blood tests to measure levels of minerals and salts (such as sodium, potassium, chloride, bicarbonate, calcium, magnesium, and phosphorus)
– Kidney function tests (such as urea nitrogen and serum creatinine)
– Complete count of the number of red blood cells (to detect anemia)

– Compilation of urine over 24 hours (for the detection of creatinine and protein (on a regular basis only))

How diagnosed chronic renal failure?

The diagnosis of kidney failure from the previous clinical tests disease mentioned with some lab tests, such as the high rate of urea urea and creatinine in blood creatinine and the creatinine clearance of plasma level is reduced to 30 ml out of 120 ml.

The doctor needs to diagnose kidney failure and the degree of severity (by taking a sample from the College of the patient to be tested) in order to decide whether the patient is at an advanced stage and whether to require kidney dialysis or a kidney transplant to whether or not the process.

What is the treatment of chronic renal failure?

The treatment of chronic renal failure includes diet, medications, dialysis, or kidney transplantation.

Diet
The most important thing in the diet for a patient of kidney failure is to reduce the amount of protein (found in eggs, meat and legumes) covered and compensated for sugars and starches or fats, as well as reduce the amount of food and the potassium salt (found in nuts, bananas, oranges, tangerines and grapefruit).

pharmaceutical
The patient is given the following medicines:
Vitamin (d) vitamine D to compensate for the deficiency.
Syrup aluminum hydroxide Aluminium hydroxide in order to prevent the absorption of phosphate, which is a high rate of patients with kidney failure.
Erythrobiotin EPO injections for the treatment of anemia.
Lowering blood pressure medications.

Dialysis (enforcement) or (Dialysis Dialysis)
It is a blood purification process of toxic substances to treat him with the means of enforcement solution dialysing fluid (plasma-like composition) Installation. There are two types of dialysis:
Enforcement Alberotona (Alkhalba) Peritoneal dialysis, which is used by the peritoneum (located in the abdominal cavity as a cover for the abdominal wall and viscera) as the separator between the means of enforcement and blood are the way as follows:
Spears in the lower abdomen (below the navel and suprapubic) special catheter canula after local anesthesia, then leaking fluid enforcement of which (one liter or two liters) into the abdominal cavity and leave for a few hours (4-5 hours) As a result of focus groups among the means of enforcement and blood implemented toxic materials into the liquid through the capillaries in the abdominal cavity (in Alberton membrane) and then the liquid discharged into the outside and this process is repeated several times a day, taking into account the process should be stopped during the patient’s sleep.

This method is characterized by undemanding and low cost and lack of need for complex machines, the patient does not need to diet or to hospitalization where training can be the process by himself at home.
Among the most important and the most serious disadvantages of this method (which makes them not widespread, but in Europe and America) is the possibility of occurrence of inflammation Beritobe for the patient as they require a high degree of sterilization and train patients on them.
Enforcement bloody (dialysis) or Dailzah blood haemodialysis this way are to bring the patient’s blood from his body and passed through enforcement to disinfect the device is then returned to the patient’s body. And enforcement device contains a thin membrane called Almnfaz dialyser which separates the blood and the means of enforcement, also contains a semipermeable membrane Semipermeable which allows the passage of certain substances from the blood to the means of enforcement.

The machine has a pump to pump the blood in the enforcement system and then return it to the patient, and also contains a trap bubbles in the blood that can cause serious complications for the patient if they returned to circulation. It also contains several alarms to alert if something goes wrong in the enforcement department has happened.

It features high efficiency of this method to get rid of the accumulated toxins in the body. A disadvantage of high cost and the need to work in the hospital two to three times a week, every time the patient is motionless for a period of between 4-5 hours remains as the patient feels weak physical, sexual, and that this method is considered the main factor in the transfer of the virus that causes hepatitis C (b) b and (c) C.

Kidney transplantation of kidney transplant
do you know that :
About 50-60 people of every million people in the world to complain about the final kidney failure, which requires dialysis or kidney process of transfer.
The cost of the process of kidney transplants in America around thirty thousand dollars
More than nine thousand kidney transplant performed annually in America alone.
The first attempts to sow the college has started since the beginning of the twentieth century, but all ended in failure as a result of the body’s rejection of the College cultivated that has been initiated in the discovery of drugs used to prevent the body from cultivated college Immuno-suppressants rejected at the beginning of the sixties, such as prednisolone Prednisolone, azathioprine Azathiopurine and cyclosporine Cyclosporine as it reduces the body’s immunity.

These operations have spread beyond The success rate after one year for the operation of up to about 95 per cent if the donor’s neighborhood is a relative of the patient and about 80 per cent if the total of the deceased person.
It is a fortunate this process, it improves the level of the patient’s life compared to the dialysis process, which should be linked to a enforcement three times a week, he can count that travel more freely and increases the ability to work and production, and restores its ability or physical ability, sexual and improve the psychological condition, and also if we look at the the cost of a kidney transplant and the cost of dialysis in the long term process of process we find that the final cost to the process of dialysis is higher than the cost of kidney transplant.

How to choose the patients and donors for kidney transplantation

Selection of patients
The patient must be suffering from kidney failure final
To be above the age of five years and less than sixty
To be free of certain diseases such as cancer that has not been brought under control or AIDS
Should not be the cause of kidney failure has resulted from immune diseases

Donor selection
Be donated severe and over the age of sixty and be his general health was good.
To be donated in its entirety voluntarily without pressure on him, preferably a patient’s relatives or close friends.
To be his kidneys kidneys.
The donor does not have or have diabetes or blood cancer or a carrier of infectious disease such as AIDS or hepatitis and other inflammatory pressure.
Undergo certain tests, such as blood testing and examination of tissue match.
If the donor of the dead they meet the same previous conditions as well as the deceased it may be recommended by the consent of the heirs or take on it.

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