What are the most serious risk factors that can danger my kidney?
?What
are the most common causes that make my kidney in danger
The list of
causes of a failing kidney is extended, but there are common causes of this
serious disease. The most common cause of kidney failure in western countries
is diabetes mellitus, on the other hand, the most common cause in developing
countries e.g. Egypt, is hypertension. However, many other causes have been
included, for example, kidney stones, hereditary diseases, autoimmune disease
and analgesic abuse. The latter cause is common in developed countries like
Sweden. This type of medications is commonly abused to kill all types of pain
particularly with women.
?What
are the most common causes that make my kidney in danger
We can simply
divide these dangers into physiological and pathological causes. I mean natural
causes, most commonly loss of body water that is called dehydration. This is a
serious and simple problem at the same time. Loss of kidney hydration causes
lost blood supply to the kidney, then your urine output starts to be declined
until at the end complete cessation of urine production (anuria) ensues. On the
other hand, certain types of human disease causes on the long run kidney
dysfunction and if persist kidney failure with need for blood purification
process called dialysis. The most common cause of kidney failure in Europe and
the USA diabetes mellitus. Uncontrolled diabetes mellitus may harm your kidney
after five years. So, tight control of your blood sugar is mandatory. Other diseases include hypertension that
means elevated blood pressure (BP) above the normal levels. Uncontrolled BP
causes your kidney to shrunk gradually over years until became rudimentary
non-functioning kidney. Abuse of analgesics is another common unnoticeable
cause of kidney failure. It is common in developed countries like Swedish. Increased
consumption of these drugs causes also gradual loss of kidney function as long
as the subject is utilizing these agents. Another group of congenital diseases
such as polycystic kidney disease, where the kidneys are enlarged and full of
cysts are also included. Kidney inflammations (Glomerulonephritis) are also
common particularly in childhood and teenagers.
?Are
all patients with kidney dysfunction are vulnerable for Dialysis
Before starting
the procedures of dialysis, there is period of follow up and observation called
“conservative therapy”. This type of therapy includes adjustment of blood
pressure, control of diabetes, prevention of harmful medications to the kidney,
improvement of the hemoglobin levels and limitation of extra levels of water
and fluids. In addition, current treatment of any infection involving the
urinary tract. Serial laboratory testing of kidney function, hemoglobin levels,
urine analysis, calcium and phosphorus levels, vitamin D levels and parathyroid
hormone levels. These serial investigations allow the early detection of any
decline in kidney function. Moreover, the roper staging of kidney dysfunction
can be undertaken, so that the suitable therapy can be provided. However, at
certain point of time, this kind of therapy i.e. conservative therapy, will be
useless as kidney function became less than 10-15 % of its normal capacity.
Consequently, kidney patient at this stage has two main therapeutic options: First:
the start of regular dialysis (blood purification) for life. Second:
implantation of new kidney i.e. kidney transplantation, either from relative or
unrelated donor or a kidney (graft) from a cadaveric (dead person) donor. The
latter option (kidney transplant) is by far the best offer for kidney patient
with end-stage kidney disease. However, he will need to suppress his immune
system not to kill the new kidney. This only can be achieved through regular
use of a group of medications called the immunosuppressives drugs. Recently,
many particular regimens have been admitted to make these agents more effective
to keep the graft in safety in less harmful to the patient (recipient) as
regard untoward drawbacks.
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