Chronic Kidney Disease (CKD, जीर्ण गुर्दा रोग), A silent killer

Chronic Kidney Disease

                                         (CKD, जीर्ण गुर्दा रोग), A silent killer

                              

"KEEP YOUR KIDNEYS SAFE”

Your Kidneys keep your body clean

 make sure they are in good shape

                                   Early detection and prevention of chronic kidney disease.

The kidneys are two bean-shaped organs, each about the size of a fist. They are located just below the rib cage, one on each side of your spine. Healthy kidneys filter about a half cup of blood every minute, removing wastes and extra water to make urine.

Your body is made up of two thirds water and it's job of your kidneys to maintain your hydration level. Your kidneys also maintain your blood electrolyte balance and help flush out toxins from your body. A combination of diet, herbs and good practices will keep them going strong.

Kidney disease is a condition of damaged kidneys when waste & fluids are not getting removed, instead getting accumulated in the body.The severity of kidney disease may differ according to different groups: in India.Over 1,75000 patients are on chronic dialysis and every year about 2,20000 - 2,75,000 new patients need kidney or Renal Replacement  Therapy.

Chronic kidney disease (CKD) is a progressive loss of kidney functioning over a period, months or years. 17% of India's population has chronic kidney disease (CKD). Therefore, screening and early evaluation of kidney diseases are important. Generally caused by uncontrolled diabetes and hypertension. 2.5 lakh people diagnosed with end-stage kidney disease in India each year. Only 10% receive either dialysis or transplant. This is because a shortage of dialysis centres performing transplants, shortage of organs and cost involved. 9000 people in India get a kidney transplant every year. 

Change in the lifestyle is the root cause of C.K.D. Our food has been replaced by new hybridized varieties; use of pesticides and chemical fertilizers has further worsened the problem. Methods of preservation have drastically changed. Due to facilities for packing and transportation, every kind of food item is available across the globe and people are drastically turning from traditional food to fast food and junk food. Food is the most important aspect of the lifestyle. This is because our body tissue (अन्नमयकोश) generate from the food and hence food is a matter of concern for health.

These conditions are preventable with simple lifestyle changes such as cutting down salt and sugar intake, exercising regularly, quit smoking.

“Hypertension + uncontrolled Diabetes = Chronic Kidney Disease”

Introduction

Chronic kidney disease (CKD) is a prevalent and serious health issue affecting millions worldwide. often referred to as  a silent killer. (CKD) progresses unnoticed until its advance stages, leading to the need for dialysis or even kidney transplantation. However by focusing on early detection and prevention individual can significantly reduce the risk of reaching such critical point.

The Importance Of Early Detection

Early detection is a pivotal factor in managing (CKD) effectively. Regular health check ups and routine screening play  a crucial role in  identifying kidney dysfunction to its early stages. Monitoring blood pressure, blood sugar levels and kidney functions markers such as creatinine and glomerular filtrations rate (GFR) can help health care professionals identify CKD before symptoms become apparent.

Longstanding disease of the kidneys leading to renal failure.The kidneys filter waste and excess fluid from the blood. As kidneys fail, waste builds up. Symptoms develop slowly and aren't specific to the disease. Some people have no symptoms at all and are diagnosed by a lab test. Medication helps manage symptoms. In later stages, filtering the blood with a machine (dialysis) or a transplant may be required.

Kidneys are two bean-shaped organs, each about the size of the fist, situated above one's waist and responsible for balancing the fluid contents in one's body. They produce an enzyme called renin that helps control blood pressure and a hormone called erythropoietin that helps to make red blood cells and activates vitamin D to maintain healthy bones. The kidneys adjust the levels of minerals and other chemicals to keep the body working correctly.

Each of your kidneys has about a million tiny filters called nephrons. If the nephrons are damaged, they stop working, for a while, healthy nephrons can take on the extra work, but if the damage continues, more and more nephrons shut down.  After a certain point, the nephrons that are left cannot filter your blood well enough to keep you healthy. When kidney functions fall below a certain point, it is called kidney failure and can be life-threatening.

High blood pressure and diabetes are the most common causes of chronic kidney diseases.

High blood pressure exerts pressure on the arteries that supply blood to the kidneys which weaken them over a period thus affecting their ability to function.

The kidneys are called ‘The mother of organs'. Though they are called as a mother, one should take care of them as children as the name itself indicates, KIDney ! Because of heavy continuous functions, they may easily get tired (this is the reason creator has given the standby!) and bring illness to the whole body.

“Consult a Nephrologist 

What does kidneys do?

●    Make urine

●    Remove waste products like urea, creatinine, uric acid and extra fluid from your blood.

●    Elimination and detoxification of drugs and toxins.

●    Maintaining electrolyte like sodium, potassium and chloride in the blood,

●    Help control your blood pressure

●    Make red blood cells

●    Balance hormones

●    Balance body chemicals

●    Maintain healthy bones.

A chronic kidney disease is a progressive loss of kidney functions over a period of time, due to uncontrolled blood pressure and diabetes, the most common causes. As lifestyle becomes faster- paced stressful and sedentary. The trick is to control diabetes and strictly monitor creatinine levels in the blood.

Once the kidney stone is removed, the patient also needs to adopt a healthier lifestyle and ensure she/he has followed up sessions with the doctor. If you are prone to low hemoglobin or severe anaemia, for instance, it could be because your kidneys are not producing enough of the hormone erythropoietin which hints at the possibility of C.K.D

Effect of renal insufficiency 

In this condition, the kidney may not be able to filter and excrete enough wastes from the blood. When this happens, waste and electrolyte build up in the blood circulation and act like poison. In addition, this condition also leads to the development of other chronic diseases like diabetes, thyroid, blood pressure and infertility by affecting sexual hormones like progesterone or testosterone in women and men respectively. It also causes anaemia due to insufficient production of R.B.Cs.

“Kidneys are filters of your body” 

Nephritic Syndrome

The disease of the kidney generally affects preschool children.

A typical case of a child  between 2 and 6 years whose mother finds that he has the swelling on the face , which is more marked on waking up in the morning. She than realizes that  he has not been

Diagnosis

●    Urine test for routine examination  pus cells, Culture and sensitivity

●    Glomerular filtration rate: (GFR) How well your kidney cleans your blood? Normal 90-130 it may drop as you get older. A value below 60 indicates kidney damage.

●    Urine test: for albumin. 

●    Kidney damage may cause a protein to leak into the urine. This protein is called " albumin". A 24 hours urine test. 

●    Electrolyte measurement: The sodium level in urine and blood examination.  Others include potassium, calcium, magnesium and chloride.

●    Blood pressure normal 120/80 mm

●    Blood Test for 

●    Urea 20-40 mg

●    Creatinine 2-4 mg

●    Blood Glucose (Sugar) Test: Fasting and PP

●    Kidney Biopsy: A tiny piece of kidney tissue is examined under a microscope.

●    Imaging Test:

●    X-Ray/ultrasound to rule our stones

●    CT scan (computed tomography) and MRI (magnetic resonance imaging)

“Sodium restriction 4 g per day for kidney patients”.

Causes of Kidney Failure 

Kidney failure is not  an overnight occurrence. It is the end result of  continuing loss of kidney function. Kidneys are most commonly damaged due to medical ailments such as Diabetes, High Blood Pressure Etc. 

●    Analgesic nephropathy- Drug-induced, regular consumption of strong analgesics (including NSAIDs) 

●    Massive loss of blood

●    Serious burns

●    Ingestion of poisons 

●    Trauma such as a car accident

●    Cancer or prostate problem

●    Chronic glomerulonephritis, pyelonephritis, poly cystic kidney disease 

●    Kidney stones

●    Urinary tract infection

●    The family history of kidney disease

●    Lack of Exercise 

●    During pregnancy

●    Pre-eclampsia or pregnancy-induced hypertension

"Prevention regular kidney function test, blood pressure and blood sugar monitoring ".

Risk Factors

●    High blood pressure

●    Diabetes 

●    The family history of obesity

●    Smoking

●    Obesity

●    Over 50 years of age

“Treatment is proper diet and medication”

Signs & Symptoms

Excess of proteins causes damage to kidneys.

●  Frequent urination

●  Appetite loss

●  Weight loss

●  Swelling over body

●    Swollen ankle

●    Puffiness around the eyes

●    Fatigue

●    Nausea and vomiting 

●    Shortness of breath and cough

●    Difficulty concentrating

●    Decrease appetite

●    Blood in urine and foamy urine.

●    Frequent urination, especially at night

●    Generalize itching

●    Burning sensation all over the body

●    Elevated arterial blood pressure.

●    A backache

●    Frothy, acidic urine

●    Splitting headaches (sign of hypertension)

●    Unintentional weight gains due to fluid accumulation

●    Frequent hiccups

●    Regular bouts of fever and body ache

●    Pallor due to Anemia 

 “Uncontrolled Diabetes is the leading cause of kidney failure”.

Lifestyle 

●    Stay active and exercise regularly

●    Monitor and maintain blood sugar and blood pressure

●    Eat healthily and include plenty of fruits, vegetables, and whole grain foods in your diet

●    Reduce intake of salt and processed foods

●    Quit smoking

●    Lose weight if you are obese

●    Limit alcohol intake

●    Avoid taking over the counter medication

●    Maintaining a healthy body mass index

●    Make dals and gravies as thick preparations to avoid excess intake of liquids

●    Judiciously include condiments and spices to improve palatability

●    Choose whole fruit instead of juices

●    Include iron-rich foods like green leafy vegetables, gingerly seeds and dates in preparations at least once a day in any form.

●    Include milk, curd and paneer to get high-quality protein

●    Include carbohydrates rich foods like potato, sweet potato, sago, arrowroot in your diet.

●    Include egg white only as it contains first-class proteins. Avoid egg yolk.

●    Include more of salads and fruits to make your diet rich in fiber and antioxidants.

●    Have small and frequent meals at regular intervals.
* To void urine after meals.

“For healthy Kidneys quit smoking and alcohol, intake of refined sugar and salt and maintain a healthy weight.”

Exercise

A brisk walk daily for 30-45 minutes and maintain ideal body weight.

“Maintain hygienic conditions around you and also ensure to take plenty of fluids”.

Yoga

Dhanurasana

Garudasana

Halasana

Ardha Matsyendrasana

Pawanmuktasana

Uttanapadasana

Pranayama

Anulom Vilom It is Alternate nose breathing.

“Diabetes and Hypertension  are the leading cause of kidney failure”.

Marma points

Pasharva Marma (पाशर्व  मर्म)

●    Location:It is located at the back at a junction of vertebral column and ribs. Two in number. 

●    This Marma helps to stimulate the functions of adrenal glands and kidneys.

●    Stimulation:By keeping both the hands on the waist, fingers in front and thumbs at the back. The pressure is given with the help of thumb 18 times for 8 seconds.

Mudra

Kidney Mudra

Shankh Mudra

Apana Mudra

Apana Vayu Mudra

This mudra can save a person from 'heart attack', hence a mudra is called Sanjeevani Mudra, one that gives life to a dying person. This mudra gives instant results and the pain is reduced immediately.

Formation :

This is combination of two Mudras Vayu and Apana. From Vayu mudra by placing the tip of index finger at the base of the thumb and then form Apana Mudra by joining tip of the thumbs with the middle and ring fingers.

Effects :

There is combined effect of Vayu mudra and Apana Mudra. Vayu mudra relieves the pain instantly and Apana mudra maintains space to reinforce blood circulation to the heart. 

Benefits: 

• If urination is blocked this mudra relieves the problem and within 10-15 minutes block os removed.and the person passes urine.
• 
  

Perform Apana Vayu Mudra-

1. When there is sleeplessness.
2. When there is over exertion.
3. When there is stress.
4. When climbing staircases and hills.
5. When there is crises.

Shakti Mudra

This Mudra  is in honor of Shakti, the Goddess of life energy.This mudra brings relaxation to the pelvic region.

Formation :

Place thumb of each handing middle of the palm and bend the index and middle fingers on the thumbs loosely. Join the little finger and ring finger of each hand to the  corresponding fingers of other hand.

Effect :

There is a calming effect on the pelvic region because of the bent thumbs, index and middle fingers.

Benefits :

• Counteracts spasms in the intestine and menstrual pains.
• Relieves prostrate gland problems.
• Increases the dept of respiration in the lower chest area.
• Helps fall sleep at night
• Slow urination is rectified..
• Creates a pleasant relaxation in the pelvic region.

“Diet should be low potassium, low proteins, low sugar and cholesterol. Greens should be washed in water for 20 minutes and then only be used.”

Diet

●    Eat a simple home made food of chapatti , dal and vegetable

●    Take buttermilk with lunch

●    Milk is good in this condition and can be consumed

Fruits

●    Dry fruits: Pistachio, almond and Chilgoja (chicory) are used to tone up weak kidneys.

●    Fresh fruits: Mango is useful to remove weakness of weak kidneys. Fresh pineapple 60 grams daily is used for the cure of kidney stone.

●    Coconut water is very efficacious in urinary troubles

●    Jamun Seed powder is very useful to relieve diabetes and polyuria

●    Pomegranate Outer fruit skin dried in shade, powdered and taken 4 gms with water twice a day for 10 days cures polyuria . Rice diet must be avoided

●    Banana- taking banana along with Amla juice with sugar cures urinary and spleen troubles.

●    Amla-Juice of green fruit 50 gms with honey is good for urinary troubles.

●    Bel-Take a fresh pulp of ripe bel mix with water add some milk and sugar and drink after straining. This will relieve retention of urine in no time.

●    Grapes/ Munakka - Take Three raisins and remove their seeds then enclose one black pepper in each of them. This should be taken at bedtime for few days.

Vegetables

●    Leafy Palak , Kulfa  saag  , chukka , Amaranths

●    Carrot juice good for kidney troubles

●    Reddish Leaves and small-sized root should be eaten

●    Onion bulb Juice is beneficial

●    Flower of drumstick is highly efficacious as the cure for kidney disorders

●    Snake cucumber seeds are efficacious in curing urinary and kidney diseases

●    Pumpkin pulp is slightly warmed after crushing and then applied to relieve painful kidney problems 

●    Seeds of muskmelon and cucumber ate efficacious in urinary troubles

●    Make use of flavors such as fresh lime juice, onion flakes, mango powder (amchur), vinegar, tamarind pulp, kokum, garlic - ginger and green chilli .

●    Chose to grill, a steam method of cooking.

●    Prefer freshwater fish instead of seafood.

●    Fruits like apple, pineapple, guava, and pear are comparatively low in Potassium. These fruits can be taken

●    Vegetables and dal can be leached to reduce their potassium content (peel, soak in a large amount of warm water and rinse before cooking).

Manage your fluid intake

●    Extra fluid affects your blood pressure and can increase the workload on your heart. Do not exceed the fluid restrictions recommended by your doctor.

●    The fluid includes- water, milk, fruit juices, non-alcoholic beverages, buttermilk, jelly, soups, dals, gravies, hot drinks etc.

●    Keep a record of what you are drinking. Drink from a small cup or a glass.

Calcium (CA) and Phosphorus (P)

●    With kidney functioning being impaired, calcium is absorbed from bones. This could lead to weaker bones and may cause itching. To prevent this, increase dietary calcium and restrict phosphorus.

●    Food like milk and cheese, dried beans, peas, colas, nuts and peanut butter are high in phosphorus. However, incorporate milk and its products in the prescribed amounts as it provides good quality proteins and calcium.

●    Restrict intake of leafy vegetables to prevent phosphorus intake

●    Use of Phosphate binders is recommended

Avoid

●    Avoid stress, obesity and sedentary lifestyle

●    Avoid potassium-rich foods citrus, banana, coconut water, chocolate

●    Refrain from tobacco smoking and alcohol

●    Avoid ready to eat foods to avoid excess sodium intake

●    Avoid fruits like chikoo (Sapota ), apple, banana, mango and grapes

●    Avoid dried, salty and fried foods as they increase thirst

●    Salt restriction- Do not add salt in menu items like chapattis, rice, salads, soups

●    Avoid papad, chutney, pickle, chips, masala, sauces, bread and baked items, cheese and paneer.

●    Prepare meals without using Ajinomoto, baking soda and ENO powder

●    Do not consume red meat items (mutton, pork, beef etc.)

●    Diabetic should avoid black gram preparations like idli , Dosa , Uttapam , curds, pickles, poha, excess use of tomatoes. And should drink a minimum quantity of water that will satisfy thirst.

●    Avoid stress

●    Potassium restriction food like apricot, avocados, beetroot, kiwi, melons orange, potatoes, spinach, sweet lime, coconut water and figs.

“Get blood sugar, blood pressure and kidney functions test annually.”

Herbs

●    Punarnava (Boerhavia diffusa): Herb of choice commonly called ‘hogweed' and it is a very useful herbal diuretic. It relieves painful micturition. Helps in removing excess of water from the body. Can help dialysis patients.

●    Varuna (Crataeva nurvala): commonly known as ‘Caper’ used for urinary tract infections and to break down renal stones. Varuna helps in relieving swelling and excess fluid accumulation due to kidney failure.

●    Gokshura ( Tribulus terrestris): It is used as a diuretic and herbal tonic for Genito urinary system. It clears away the obstruction in the urinary tract and also acts as anti-infective. It gives strength to the kidney cells and helps in regenerating them. It also helps to avoid dialysis.

●    Rakta Chandan (Red sandalwood): It is a urinary alkalizer and acts as a natural diuretic. It does not add burden to failing kidneys but help to revive them naturally. It is diuretic and anti-infective. It acts as a cooling agent in the urinary tract and is urinary alkaliser.

●    Kasani (Cichorium intybus):It is a good alkaliser and also gives strength to the kidneys. It is used in acute and chronic renal failure. It is useful in nephrotic syndrome and nephritis. It is also used for diabetes.

●    Chiraita (Enicostemma littorale): It helps in insulin production. It has hypoglycemic, hypolipidemic, hypotension and nephron protective activity. It reduces serum creatinine and blood urea levels.

●    Aegle Marmelos or wood apple : It reduces blood sugar, serum cholesterol and blood urea.

●    Aloe Vera: It possess hypoglycemic action through increasing the secretion of insulin by the Beta cells.

●    Allium sativum & Allium cepa (garlic and onion):  Both have hypoglycemic and hypolipidemic action.

Home Remedies

●    Watermelon or Tarbuj  juice with kalmi shora  and sugar placed overnight in glass tumbler in the moonlit night and taken first in the morning for a week. It is very beneficial in urinary problems.

●    Lauki juice and pulp with Kalmi Shora very efficacious in relieving kidney and urinary troubles.

"CKD Prevention: Early diagnosis is key"

Prevention 

●    Regular practice of yoga and exercise helps

●    To keep your kidneys healthy, drink two liters of water a day

●    Keep your diet low in salt and sugars

●    Have more fiber in your diet than proteins

●    Exercise for at least 30 minutes a day

●    Stop smoking 

●    Avoid junk food and snacks on high sugar and salt right from childhood 

●    Cut down on red meat

●    Keep away from fast food and processed food

●    Keep salt in your diet low

●    Avoid steroids, extreme physical exercise, and overuse of painkillers

●    School need to provide healthier food options

●    People should ideally set time aside every morning for exercise with children, so they set an example of healthy living for the child.

●  Maintain a healthy lifestyle

Stay Hydrated

Manage Chronic Conditions

Avoid Over The Counter Pain Medications

Avoid excessive alcohol and Smoking

Regular screening

"Should keep a watch on the protein content of urine"

Dialysis :  Why & When

Dialysis is a procedure recommended for a person suffering from around 90% renal failure. When kidneys fail or do not function properly, dialysis can help in performing their roles of  removing wastes & fluid from blood. Dialysis procedure can help the person regain  better mobility and flexibility; improved well being fewer diet restrictions; longer and healthier life and much more. Additionally, urine output  may be normal at times of  initiation of hemodialysis.

You can take dialysis and still enjoy life. Although transplant is best option, patients on dialysis can enjoy their everyday life. Three dialysis per week if advised should be done .

What happen during hemodialysis?

During hemodialysis, blood leaves your body  through the access, travels through and is filtered by the dialysis apparatus, later on return to your body. Regular Biochemical test are advised to make neccasary changes in medications. Adequate care can reduce complications. 

How much fluid must be taken?

Daily fluid intake is 600 ml in addition to your urine output. It means if your urine output is 200 ml per day than you can drink up to  800 ml per day. It includes all types of fluids  such as coffee, tea, rasam, dal etc.

Can I eat all types of fruits & Vegetables?

No not at all. You must restrict your food items that are rich in Potassium, sodium, phosphorus which may have deleterious effect on body when consumed in excess amount.

How to take low salt diet?

You can keep 3 grams (half tablespoon) of separately , can add it little by little during eating. You must avoid packed foods items such a meat, yeast, salted chips, biscuits, nuts, popcorn, papad, pickle, chutneys, Fry cashew nuts, soft drinks, health drinks, cocoa etc ate high in sodium content.

Prevention

11 Ways to keep Your Kidneys Healthy

• If you don't drink at least ten glasses of water a day, your urine will become concentrated, which harms your kidneys.
• Drink freshly squeezed lime juice diluted with water first first thing in the morning, other kidney friendly fruits and vegetables and herb juices include, apple, orange, sweet lime, grapes, carrot, beetroot wheatgrass and parsley.
• Gokshura, an Ayurvedic herbal preparation is prescribed for frequent kidney infections and problems caused by kidney stones. Cystone is good for kidney stones and chandraprabha is prescribed for those with recurrent kidney problems ( if you don't modify your diet these preparation will not give any benefit)

Watermelon

• Kidney friendly watermelon is rich in electrolytes and is also rejuvenates the kidney.
• Use sprouted kidney beans, turmeric and garlic as ingredients when you make a soup.
• Avoid excess tea and coffee, alcohol and tobacco as they are flushed out with kidney and expose them to a high level of acid.
• Avoid exposure to chemicals found in cleaning products. protect your hands with rubber gloves and wear a mask when using sprays. When coloring your hairs, drink lots of water to help flush out the chemical pigment.
• Kidney healing foods contain the rejuvenating B group vitamins and vitamin C. Eat pomegranate, watermelon and papaya. Take probiotic or B12 supplements if you have frequent kidney problems. Cranberries or cranberry juice is a popular remedy for frequent kidney problems.
• When you need to use the toilet do not hold on for too long. That creates problem in long run.
• Avoid inner wear made of synthetic fabrics. Maintain good personal hygiene.
• Supplement your diet with calcium rich ragi and eat lots of fruits and lemon when you are consuming an excess of protein. A protein heavy diet is  acidic and in trying to maintain your body's pH balance the kidney use calcium from your bones.
• Eat cooling foods such as coconut water, rice, watercress, celery, green vegetables cucumber and mung sprouts.

Treatment

Allopathy

●    Establish cause

●    Treat underlying factors: obstruction, infection, diabetes, hypertension.

●    No undue physical exertion

●    Restrict protein to 20-25 mg daily. Avoid animal protein, unrestricted carbohydrates  

●    Boil vegetable discards the water and use them.

●    Fluids: Restrict to daily output + 500-800 ml. Use diuretics if edema , weight gain, hyponatremia, uncontrolled hypertension.

●    Hypoglycemic drugs

●    Antihypertensive

●    Hypolipidemic drugs

"Do not use thiazides or potassium-sparing diuretics"

●    For anemia Iron and folic acid supplements

●    Acidosis: oral soda bi carb 1-2 gm daily TDS. If severe inject soda bi carb 7.5 % 50-100 ml slow IV. 

●    Other measures Aluminum hydroxide and calcium carbonate to reduce acidosis, hypophosphatemia and hypocalcemia. Vit B complex supplement

“No NSAIDS or nephrotoxic agents”.

"Dialysis is a treatment for end-stage renal failure"

Indication for dialysis 

●    Immunosuppressant drugs: Prednisone.

●    Pulmonary edema , encephalopathy, pericarditis.

●    Lab- Severe azotemia (creatinine > 10 mg%, severe acidosis, serum K+ >6.5-7 m Eq /I)

●    Definitive management: Long-term dialysis (either peritoneal or hemodialysis) or a kidney transplant. Whenever feasible transplant is preferable for a better quality of life and lowers long-term morbidly.

Hemodialysis

●    A way to artificially cleanse wastes and extra fluid from the blood. Blood is pumped out of the body through a machine for cleansing and then returned back into the body.

●    It is usually needed 3 or 4 times a week and each treatment may last up to 4 hours.

●    A strict diet must be followed by a variety of medicines and supplements.

Peritoneal Dialysis

●    A permanent soft tube called a catheter is used to fill the abdomen with a cleansing liquid called dialysis solution.

●    The walls of the abdominal cavity are lined with a membrane called peritoneum. The peritoneum lets the waste and extra fluid pass from the blood into the dialysis solution. Waste and fluid then leave the body when the dialysis solution is drained.  This is called an exchange.

●    PD patients must also follow diet restrictions though it is not as strict as Hemodialysis.

Kidney transplant

●    This is a process where a healthy kidney is placed from another person into the body.

●    The new kidney takes over the work of the two failed kidneys.

●    The donated kidney may come from a living donor or from someone who has just died.

Ayurveda

●    Panchakarma treatment followed by Rasayana (rejuvenating) treatment every year does help.

●    Only milk diet is best to reduce the swelling instantaneously.

●    For hypertensive nephropathy which is associated with a lot of stress and depression. A procedure like Shirodhara , full body massage help in this condition. One has to keep a watch on blood pressure and keep under control.

Kidney transplant services

●    BLK Hospital, New Delhi Hudson Place

●    Max Hospital, Lajpat Nagar

●    Max healthcare, New Delhi Saket 

●    Dr  Bansals kidney clinic GK ll

●    Maharaja Agrasen Hospital, New Delhi

●    Primus Hospital, Chanakyapuri

●    Moolchand Hospital, Lajpat Nagar

●    Institute of Liver and Biliary sciences, Vasant Kunj

●    Fortis Escorts Hospital, Vasant Kunj

●    Artemis Kidney Transplant Center, Delhi

“So, keep the kidney diseases at bay”

Conclusions 

Early detection and  prevention are the  cornerstones of avoiding the  need for kidney dialysis or kidney transplantation in cases of CKD. By prioritizing a healthy lifestyle. Managing chronic conditions and being vigilant about kidney functions.

Take home message : Once a year blood test for urea and creatinine. Urine test : for Proteins, Weight control, Low fat & low salt diet, Regular check up, Exercise, Physical fitness, Doctors advice 

Link: https://madhuchhandacdmo.blogspot.com/2018/04/chronic-kidney-disease-ckd-silent-killer.html

* Medicine as suggested above should only be taken under the consultation and supervision of registered medical practitioner.