Chronic Kidney Disease Dubai
All Services
- Diabetic Kidney Disease
- Hypertensive Nephropathy
- Kidney Biopsy
- Hemodialysis
- Management of Lupus Nephritis
- Management of Acute Kidney Injury
- Conservative Management of Chronic Kidney Diseases
- Urinary Tract Infection
- Glomerular Disease
- Kidney Stones
- Pediatric Nephrology
- Kidney Transplantation
- Nephrotic and Nephritic syndromes
- Pre & Post Renal Transplant Patients
Chronic Kidney Disease
Chronic Kidney Disease (CKD) is a progressive and long-term condition characterized by a gradual decline in kidney function over months or years. Unlike Acute Kidney Injury, which occurs suddenly, CKD develops slowly, often with few noticeable symptoms until the disease is advanced. The kidneys’ primary role in filtering waste products and excess fluids from the blood becomes impaired, leading to a buildup of toxins and imbalances in electrolytes. CKD is commonly caused by underlying conditions such as diabetes, hypertension, or glomerulonephritis, and can also result from prolonged use of certain medications or exposure to toxins.
The progression of CKD is categorized into stages based on the level of kidney function, measured by the glomerular filtration rate (GFR). In the early stages, the decline in kidney function may be subtle and asymptomatic, but as the disease progresses, symptoms such as fatigue, swelling, frequent urination, and changes in urine color may become evident. Advanced CKD can lead to complications including anemia, bone disease, and cardiovascular issues, which significantly impact overall health and quality of life.
Management of CKD focuses on slowing progression and mitigating complications. This typically involves controlling blood glucose levels in diabetic patients, managing blood pressure with medications such as ACE inhibitors or ARBs, and following a kidney-friendly diet that restricts protein, sodium, and potassium intake.
Treatments for Chronic Kidney Disease (CKD)
Management of Underlying Conditions
- Control Diabetes: Maintain blood glucose levels within target ranges using medications, lifestyle changes, and regular monitoring
- Manage Hypertension: Use antihypertensive medications, such as ACE inhibitors or ARBs, to control blood pressure and reduce kidney damage.
Dietary Modifications
- Limit Protein Intake: Reduce dietary protein to decrease kidney workload.
- Restrict Sodium: Lower sodium intake to manage blood pressure and reduce fluid retention.
- Monitor Potassium and Phosphorus: Adjust intake based on blood levels to prevent complications.
Medications
- Phosphate Binders: Use to control elevated phosphorus levels in the blood.
- Erythropoiesis-Stimulating Agents (ESAs): Administer to address anemia associated with CKD.
- Diuretics: Prescribe to manage fluid overload and swelling, if applicable.
Lifestyle Changes
- Regular Exercise: Promote physical activity to support cardiovascular health and overall well-being.
- Smoking Cessation: Encourage quitting smoking to improve kidney health and reduce risk of complications.
Monitoring and Follow-Up
- Regular Check-Ups: Schedule frequent visits to monitor kidney function, blood pressure, and other health markers.
- Adjust Treatment: Modify medications and dietary plans based on progress and changes in kidney function.
Preventive Care
- Vaccinations: Ensure vaccinations for influenza, pneumonia, and hepatitis, as CKD patients are at higher risk for infections.
- Foot Care: Monitor for and manage foot problems, as CKD increases the risk of infections and poor healing.
Preparation for Advanced Stages
- Dialysis Planning: Discuss and plan for potential dialysis if CKD progresses to end-stage renal disease (ESRD).
- Kidney Transplant Evaluation: Consider evaluating for a kidney transplant if dialysis becomes necessary.
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