Renal impairment: Prevention and quality of life for your kidneys Health | Magazine


Guayaquil –

When you are diagnosed with kidney disease, you need to start taking care and prolong the life of your organs.

For many people, it's 'nefrolog' synonym for & quot; dialysis & quot ;. "That's not so," says expert Normando Barberi, technical director of the Dialcívar Hemodialysis Center. From a diagnosis of kidney disease, the patient needs to be directed to a nephrological specialist to maintain organs in good condition and extend their lifespan. "However, in Ecuador when they reach this area, 95% is in the final stage, with a dialysis request; their traders did not have a vision to refer them to a specialist."

Rates and signs

Renal disease has several phases: 0, 1, 2, 3A, 3B, 4 and 5 (the latter requires dialysis). Early stage kidney disease usually has no symptoms, says nutritionist María Azucena Quito (Nutrition Center Fresenius-Kabi).

"The only way to know how it works is through examinations, especially if you have a history of diabetes, high blood pressure, heart disease, family history of renal failure."

A person who has 0 has kidney disease or accompanying illnesses, such as hypertension and diabetes. The following signs should be immediately sent to the nephrologist.

– Swelling or edema in the lower extremities.

– Change in urine and schedules.

– Edema of the face.

– Anemia.

– increased levels of urea and creatinine.

A group of professionals, including nephrologists, must be involved in patients with hypertension and diabetes. "It is said that every person with diabetes will have complications in the kidneys at a certain point and should be referred to as soon as possible," says Barberi. If your doctor discovers important signs of anemia and minimal kidney damage, you must perform clinical and image studies. "There are kidney diseases that require a biopsy to determine the injury rate."

Symptoms that get confused

In addition, the nephrologist continues, the symptoms of renal failure are so different that they can be replaced. "Some cases occur with epigastric pain and appear to be gastritis; others have entered the operation due to the alleged intestinal obstruction." We discovered the uremia (accumulation of toxic products in the blood).

Increasing urea, creatinine and other elements that are measured for the determination of renal function can cause ambiguous symptoms such as fatigue, drowsiness, pallor, malaise, loss of vision, appetite, hearing, smell. "Therefore, periodic control is important."

If you were 30 or 40 years of age and think you are ok, get a basic annual review that will help your doctor see early signs of kidney disorder.

Barber does not exclude alternative medicine, but explains that it must be carried out by health professionals who specialize in this field.

Some causes can be prevented

Most of the causes, apart from hereditary factors, are related to lifestyle:

Diabetes, hypertension, obesity. Processed products and refined sugars have caused Ecuador to be malnourished.

Cigarette, drugs. Tobacco and some medicines produce sclerosis (degradation of arteries and veins). It needs 20% of blood circulation for kidney function.

Renal and urinary disorders. Anyone who sees changes in urine frequency may think that drinking more water will lead to greater urination and this will help the kidney: "This is the wrong concept," says Barberi, "this is the work of the kidneys," and this is not true. It will improve with taking more fluids.

Age Older adults lose their sense of thirst and forget the habit of drinking water. Dehydration leads to kidney damage.

Inheritance If you have relatives with diabetes or hypertension, kidney stones or cysts, be careful.

Treatment and survival

Your doctor will assess the stage in which it is and what other diseases it has. You will also need the patient to accept that it is a serious illness that could become catastrophic if there are no changes in eating habits, medicines, regular controls, and exercises. A person with hypertension or diabetes can not depend solely on drugs, they must be accompanied by exercise and good nutrition.

"They need to maintain a balanced weight," says Barbera, "because it's not just a disadvantaged organ like pancreas but eyes, heart and kidneys." Even if dialysis is needed, there is a possibility of a good quality of life if the habits change. "There are those who have very long survival if they work well." Currently, in best cases, survival is longer than 10 years.

The doctor also states that donation, which is very positive, is not a medicine, but a therapy that includes treatment and a healthy lifestyle for two people: the recipient and the donor. "For example, the first one needs to know that this will be alternating with dialysis."

Diet habits

When the diagnosis of kidney insufficiency is confirmed, patients must take care of their diet for the rest of their lives, as this disease is irreversible. "With the changes, we help them not to progress rapidly and avoid complications," says nutritionist María Azucena Quito.

As renal function decreases, you will need foods with less phosphorus, potassium, and monitor the amount of ingestion fluid based on the patient's urine volume.

"The doctor will commission the laboratory tests to assess the levels of phosphorus, potassium, chloride, calcium, sodium bicarbonate, iron in the blood and, according to their results, adjust nutrition."

As a rule, foods with low sodium and salt content and food will be fresh. "Sodium is added to a number of pre-processed foods (frozen or preserved). When preparing your food, you control what sets you up." In this case Quito suggests soaking meals with spices, herbs and spices without sodium, instead of salt.

Controlling the amount of protein also helps protect your kidneys, the greater the amount of food you need, it can make them work harder. The amount to be consumed is determined by the nutrition expert according to their weight, height, physical activity and use of the medicines. And use healthy cooking techniques, such as cooking, grilling, baking.

In addition, only a nephrologist and a nutrition expert will help you determine how much water you need to consume, not to remove liquids if you are at the beginning of kidney disease.

As with natural or alternative products, use only those prescribed by the nephrologist. "Remember, if what you eat is a natural or alternative medicine rich in electrolytes, such as sodium or potassium, can make your condition more difficult."


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