Management Of Kidney Disease Other Than Dialysis?

Afternoons, r nAnd now, my father is 66 years old, at first he had a heart disease, and then he put on aids for his heart, after installing a heart aids he was even having trouble eating, up to 3 days he didn’t even eat much , then I brought him to the hospital again for control, but after being in control he even got kidney disease, and then the doctor said that he had to have dialysis while he wasn’t chronic yet, he said, but my father didn’t want it … r nDo there be any other way besides dialysis? ,,

1 Answer:

Hello, good afternoon Moch Rifky. Thank you for asking HealthReplies.com.

Kidney is an important organ for our lives. This is related to kidney function very much. Some functions of the kidney include:

maintain the balance of electrolytes / salt in the body maintain the balance of acid base filtering blood and substances that are still needed by the body to get rid of 'poisons / waste' and remnants of drugs in the body regulate blood pressure (from the hormones it produces) the formation of red blood cells and many more again Every human being normally has two kidneys, and if there is damage to one kidney, the other kidney can still take over these tasks. However, if the damage has affected both kidneys, then this condition can be life-threatening and requires outside assistance so that kidney function can be compensated (eg transplantation / kidney transplant and dialysis).

Kidney disease itself can be caused by many things, such as urinary tract infections affecting the kidneys, the formation of stones in the kidneys, inflammation of the kidneys, and other systemic conditions that also affect blood circulation to the kidneys. This disorder can result in decreased kidney function, which is referred to as kidney failure.

Kidney failure itself can be divided into two, namely those that occur quickly / acutely and those that occur in the long term / chronic.

Acute kidney failure, where there is a rapid / sudden decline in kidney function within <2 days. Kidney function itself can be seen from the calculation of creatinine levels ('toxins / waste' which should be removed by the kidneys) in the blood. Some of the causes of acute kidney failure are severe dehydration, kidney infection, and stones in the urinary tract that interfere with urine removal. If the main cause is eliminated / treated, then the kidney's condition can be restored to normal. Chronic kidney disease is defined as damage to the kidneys, both in structure and function, with or without decreasing irreversible kidney filtering rate (cannot return to normal perfectly). It is said to be chronic if this disorder has lasted for more than 3 months. Some causes that can lead to chronic kidney failure such as diabetes mellitus, high blood pressure, prolonged urinary tract infections, and others. Some common symptoms that can be felt are a little pee, the body experiences swelling, weakness, and shortness of breath. Chronic kidney disease is divided into 5 classes according to the severity, namely: Stage I, where the kidneys have been damaged but can still 'force themselves' to function so that patients do not experience any complaints Stage II, the symptoms that begin to arise in patients are increasingly high blood pressure / hypertension. Stage III. At stage 3, various complications begin to arise due to decreased kidney function, for example anemia / lack of blood, an imbalance of salt in the body. Stage IV. An impaired acid base balance and an increase in harmful salts in the body (potassium). Stage V, also called end-stage renal failure. This condition can eventually lead to heart failure. Treatment of chronic kidney failure is very dependent on the class, from class I-III, treatment can still rely on drugs orally / taken. However, if the damage has reached class IV, it is necessary to be prepared for dialysis and kidney transplant therapy options. In class V kidney failure, the only treatment option is dialysis and kidney transplantation. Washing the blood will replace the function of the kidneys to filter toxins / waste in the body.

So, for your father's condition, please know more about the extent of his kidney disease journey. Do not hesitate or hesitate to discuss with your internal medicine doctor about your father's current condition and other therapeutic options.

That's all, hope it's useful, and hopefully your dad gets better soon.

Regards,

dr. Sheryl Serelia.

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