Chronic Kidney Disease (CKD)
Treatment
Complete cure of chronic kidney disease is unattainable. Usually
the treatment is done to slow the progression of the disease, to treat complications
caused, to treat underlying causes and contributing factors and to replace lost
kidney functions. A dietary guidelines must be followed in order to slow the
progression of the kidney disease. Proteins and salt must be restricted in order
to control the amount of protein and high blood pressure. Foods which are rich
in calcium, potassium and phosphorus are restricted because it can cause abnormal
heart rhythms. Several medications can be toxic to the kidneys and may need
to be avoided or given in adjusted doses. The patients must avoid smoking, consumption
of alcohol, control their diabetes and blood pressure level.
Hemodialysis : Hemodialysis uses a mechanical membrane (dialyzer) with a special filter that
removes waste and excess water from the blood. The patient is connected to the
machine by a tube running from a conduit created surgically between a large artery
and vein. The blood is circulated through the artificial kidney, which removes
toxins and wastes. The blood is then returned to your body. Hemodialysis typically
takes 3-4 hours and is needed 3 times a week.
Peritoneal dialysis : The peritoneum is the clear membrane that covers the internal organs inside the
abdomen. Peritoneal dialysis uses the lining of the abdominal cavity as a filter
to clean blood and remove excess fluid. A catheter is implanted into the abdomen
by a minor surgical procedure and a fluid (dialysate solution) is infused through
this. The dialysate solution, left for a few hours, capture and eliminate the
waste products from your blood. The most common form of peritoneal dialysis called
continuous ambulatory peritoneal dialysis (CAPD) changes dialysate four times
a day.
Kidney Transplantation : Kidney transplantation offers the best result for kidney diseases. This major
surgery requires a transplant that may come from a related or unrelated donor
or from people who have died of other causes. Transplants from a living related
donor generally have the best results. The recipient can accept only a kidney
that comes from a donor who matches the characteristics of his or her immune system.
The patient's own kidney will be left in same place and the new transplant will
be placed in the groin and connected to the blood vessels that take blood to and
from the leg.
The most important complication that may occur after transplant
is rejection of the kidney.
After Treatment :
A regular follow-up including blood, urine and imaging test
is needed for a chronic kidney disease patient. This disease cannot be prevented,
but can slow the progression of the disease. The natural course of the disease
is to progress until dialysis or transplant is required. Avoid exposure to alcohol,
drugs, chemicals, and other toxic substances as much as possible. The patient
must consult their doctors regularly. Medications, lifestyle changes and dietary
modifications are used to control underlying health problems.
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