Manage diabetes, blood pressure, says specialist
As per a recent study, the life style diseases like hypertension and diabetes, which are on rise in India, are responsible for the majority of chronic renal diseases. Diabetic patients are 30–40 % of CRD patients while 15 – 20 % of CRD cases have hypertension. If both of them are managed properly the number of CRD can be brought down significantly. On the eve of the World Kidney Day, The Pioneer takes opinion of some kidney experts.
Over 2.4 million deaths occur every year due to chronic kidney diseases and it is now the 6th fastest growing cause of death. The specialists say that for kidney care, one must adopt a healthy lifestyle which includes physical exercise and taking healthy diet. World Kidney Day ( WKD) observed on second Thursday of March every year is meant to raise awareness of the importance of kidneys to health. This year’s theme is ‘Kidney Health for Everyone Everywhere’ which calls for universal health coverage for prevention and early treatment of kidney disease.
Dr Balwant S Kushwaha, consultant medicine at BHEL Hospital and in-charge dialysis unit, said, “Of late, the number of patients of diabetes and hypertension has seen a spurt at our hospital. It has been a trend all over the country. This is a case of alarm bell ringing since these two lifestyle diseases ,if not managed properly, lead to acute kidney failure and chronic renal diseases. Screening of kidney diseases by urine and blood tests from time to time is a must.”
Regarding prevention of the disease, Kushwaha said that one must take from 3 to 3.5 litres of liquid, including water, during the day. More is the intake of fluids the healthier are the kidneys and excretory system, he said. The bean- shaped organs in the body balance amount of the water and excrete extra water and nitrogenous waste in the form of urine. They balance the quantity of sodium, potassium, chloride, magnesium, phosphorus and bicarbonate.
“Also these organs participate in the formation of active vitamin D which make bones and teeth stronger. In the management of chronic renal diseases, quantum of water should be balanced. Protein should be restricted to half for normal persons, sodium should be restricted and potassium containing fruits and vegetables should be avoided. Phosphorus-containing substance like ice cream, almonds must never be consumed during the ailment,” he said.
In case of an acute kidney failure, if treated immediately, the kidney starts functioning normally within a few days and urine formation becomes normal, he said and added that just a few patients need dialysis and the rest are treated with conservative treatment. Dr Kushwaha further said that among the multiple causes are excessive bleeding, vigorous vomiting, excess use of diuretics, severe infections in the body, obstruction in renal blood vessels, blockage in urinary drainage by prostatic enlargement, stone or tumor. The patients of ARF complain sudden onset of diminished urine, decrease appetite, nausea, vomiting, weakness, hiccups, facial puffiness, breathlessness, impaired memory, convulsions and the like.
When the kidney function comes down to over 90 % there is need of dialysis, he said. In the dialysis process, the blood is purified by shedding out nitrogenous products like urea, creatinine and others. The treatment of kidney diseases is very costly and not affordable by common people and this is the reason the government should take a serious call and the insurance agencies should come forward to help the common people in prevention and treatment, he said. “It is essential for equitable kidney care for everyone and everywhere, Dr Kushwaha added.
Thursday, 14 March 2019 | PNS | Dehradun
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