Unfinished journey (162)
(section one hundred sixty-two, Depok, West Java,
Indonesia, December 14, 2014, 5:54 pm)
Hemo dialisis |
Kidney Failure: Causes, diabetes / high blood
Saturday, December 13th 2014 yesterday I started dialysis
in the hospital Dr. Esnawan Antariksa does not directly enroll in the enrollment of
patients. But right in the emergency room (ER) hospitals.
That I do, because since dialysis Wednesday last weeks,
my body felt weak, and stagger (like fall) so I suspect low blood levels of HB
as when I have twice in hospitalization In Tugu Ibu Hospital, Depok, having
3 bottles of blood transfusions twice. (enambotol) because my HB low (5-6).
However, after checking my blood HB declared good (9) so
I do not need blood transfusions, are welcome to continue to the laundry room
blood (hemo dialysis.
I was just given a prescription to add nutrients to the
kidney, I limp and stagger (road would fall) because of suspected kidney (body)
my lack of nutrition.
Using a wheelchair, I entered the room in dialysis,
apparently there has been no head of a hospital room nurse Eta, who was
receiving a group of doctors, he said of the RSCM / Univeristy of Indonesia,
which is reviewing hospital dialysis room.
Dialysis patients in the hospital esnawan antariksa operates more than 20 years ago, patients ranging from a 80-year-old
grandfather, who lived in Jonggol, West Java, which do dialysis using buses and
public transportation (public transportation) to the hospital, until there is a
new 23-year female graduate (s1).
There is still an active police officer, a retired air
force colonel, there are three doctors, one a professor, teachers, and other
workers who are still akif.working patients who are still actively working there
who dialysis afternoon shift (evening) days.
PREVENTING DIABETIC KIDNEY DISEASE: 10 ANSWERS TO
QUESTIONS
Diabetic kidney disease is a decrease in kidney function
that occurs in some people who have diabetes. It means that your kidneys are
not doing their job as well as they once did to remove waste products and
excess fluid from your body. These wastes can build up in your body and cause
damage to other organs.
What causes it?
The causes of diabetic kidney disease are complex and
most likely related to many factors. Some experts feel that changes in the
circulation of blood within the filtering apparatus of the kidney (the
glomerulus) may play an important role.
Are some people more likely to get diabetic kidney
disease?
Yes. The following risk factors have been linked to
increased risk of developing this disease: high blood pressure, poor glucose
(sugar) control, inherited tendency and diet.
I have diabetes. How do I know if my kidneys are
affected?
In the early stages, there may not be any symptoms. As
kidney function decreases further, toxic wastes build up, and patients often
feel sick to their stomachs and throw up, lose their appetites, have hiccups
and gain weight due to fluid retention. If left untreated, patients can develop
heart failure and fluid in their lungs.
Are there tests that can be done to tell if I have kidney
disease?
Yes. The diagnosis is based on the presence of abnormal
amounts of protein in the urine. A wide variety of tests can be done to tell if
a person has kidney disease. The most widely used are serum creatinine and BUN
(blood urea nitrogen). These are not very sensitive tests because they do not
begin to change until the patient develops more severe disease. Other more
sensitive tests are: creatinine clearance, glomerular filtration rate (GFR) and
urine albumin.
In patients with Type I (juvenile-onset or
insulin-dependent) diabetes, a diagnosis of early kidney disease can be based
on the presence of very small amounts of protein in the urine
(microalbuminuria). Special methods are needed to measure these small amounts
of protein. When the amount of protein in the urine becomes large enough to be
detected by standard tests, the patient is said to have "clinical"
diabetic kidney disease.
How long does it take for kidneys to become affected?
Almost all patients with Type I diabetes develop some
evidence of functional change in the kidneys within two to five years of the
diagnosis. About 30 to 40 percent progress to more serious kidney disease,
usually within about 10 to 30 years.
The course of Type II (adult-onset or
non-insulin-dependent) diabetes is less well defined, but it is believed to
follow a similar course, except that it occurs at an older age.
What can I do to prevent kidney disease?
There is evidence that careful control of glucose (sugar)
helps to prevent kidney disease in people with diabetes. You should follow your
doctor's orders carefully regarding diet and-medicines to help control your
glucose levels.
If my kidneys are already affected, can I keep them from
getting worse?
It may be possible to prevent or delay the progression of
kidney disease. Since high blood pressure is one of the major factors that
predict which diabetics will develop serious kidney disease, it is important to
take your high blood pressure pills faithfully if you do have high blood
pressure. Your doctor may also recommend that you follow a low-protein diet,
which reduces the amount of work your kidneys have to do. You should also
continue to follow your diabetic diet and to take all your prescribed
medicines.
Are there any new treatments that can help me?
Yes. Some studies suggest that a group of high blood
pressure medicines called ACE inhibitors may help to prevent or delay the
progression of diabetic kidney disease. These drugs reduce blood pressure in
your body, and they may lower the pressure within the kidney's filtering
apparatus (the glomerulus). They also seem to have beneficial effects that are
unrelated to changes in blood pressure. Patients who take these medicines may
have less protein in their urine. You may want to speak to your doctor to see if
these medicines could help you.
How many people with diabetic kidney disease develop
total kidney failure?
About 30 percent of the people with Type I diabetes and
about 10 to 40 percent of the people with Type II diabetes will eventually
develop end-stage kidney failure, requiring treatment to maintain life. Certain
population groups, such as African Americans, Hispanic Americans and American
Indians, have a higher risk of developing kidney failure from Type II diabetes
than Caucasian Americans.
If my kidneys do fail, what can I do?
If your kidneys fail, you can receive dialysis treatments
or you may be a candidate for a kidney transplant. Two types of dialysis are
available - hemodialysis and peritoneal dialysis. Your doctor will discuss
these treatment options with you. The decision about which treatment is best
for you will be based on your medical condition, your lifestyle and your
personal preference.
If you would like more information, please contact us.
© 2014 National Kidney Foundation. All rights reserved.
This material does not constitute medical advice. It is intended for
informational purposes only. Please consult a physician for specific treatment
recommendations.
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