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Chronic kidney diseases: symptomatology and methods of treatment organization

  • Chronic kidney diseases: symptomatology and methods of treatment organization

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    Chronic kidney disease is a common pathology that often accompanies other diseases. With active progression of the disease, there is a risk of death.

    There is a large number of facts that prove that timely treatment helps to eliminate and slow the progression of the disease and its complications, to prevent the risk of developing cardiovascular pathologies. Because of specific symptoms, chronic kidney damage is difficult to diagnose, especially in the early stages of development.

    Only 30% of patients with this pathology receive a timely referral for treatment, which increases the number of deaths among patients.

    This is important!

    Diagnosis of pathology in the early stages of development makes it possible to minimize the risks of progression of chronic kidney disease.

    Causes of the development of this pathology

    The disease is manifested due to damage to the kidneys. A healthy organ removes slag and excess fluid from the blood, which are subsequently removed in the form of urine from the human body. Also, the kidneys take part in the control of blood pressure and formation of red blood cells. With their chronic lesions, the work is noticeably disrupted, and they can not normally remove slags from the blood.

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    In medicine, a large number of diseases are known that can trigger the development of pathology. People with any stage of development of chronic kidney disease are at risk of developing cardiovascular disease or developing a stroke. To do this, it is important to diagnose chronic damage even of a moderate nature in time, because proper treatment significantly slows down the progression and reduces the risk of heart disease and stroke.

    There are many pathologies that can affect the occurrence of organ damage or disruption of its functioning and cause chronic kidney disease. The three main causes of organ damage in an adult are:

    1. A lesion in diabetes mellitus that occurs as a complication of diabetes mellitus in its advanced course.
    2. Increased blood pressure - no treatment and uncontrolled pressure increase, which becomes the main cause of chronic illness. But sometimes the pathology itself becomes the reason for the increase in the indices of arterial pressure.
    3. Aging of the organ is characterized by an age-related deterioration in the functioning of the organ. More than half of people aged after 75 years are affected by some degree of chronic kidney disease. In most situations, it does not progress and remains moderate, but on condition that no additional adverse effects are detected.

    How the pathology of

    manifests itself. Most patients have no symptom. With the active development of the disease, the following symptoms may appear:

    1. Rapid fatigue and severe fatigue.
    2. Lack of appetite.
    3. Sleep disturbance.
    4. Puffiness in the legs and ankles.
    5. Memory impairment and severe absent-mindedness.

    With increasing severity of the disease, the symptomatology of chronic kidney disease is also amplified and supplemented with the following symptoms:

    • Disability.
    • Strong weight loss.
    • Dryness of the skin and itching.
    • Spasms in the muscles.
    • Delay in urinary excretion and swelling of the legs.
    • Appearance of edema near the eyes.
    • Frequent urge to urinate.
    • Blurred skin.

    Conducting the medical process

    Two main directions are used in the treatment, namely:

    1. Treatment of pathology, which provoked the development of chronic disease.
    2. Nephroprotective therapy, which is considered a universal remedy.

    Treatment of the underlying disease is specific and must be correlated with the primary lesion.

    Nephroprotective therapy coincides with any lesion of the organ and suggests a slowdown in the development of renal pathology. Most often, slowing progression is achieved by blockade in the renin-angiotesin-aldosterone system. For this purpose, many special preparations are used. Also, in the organization of treatment, it is very important to reduce the manifestation of proteinuria due to the restoration of hypertension inside the renal glomeruli and the protection of the processes of protein capture by the proximal epithelium.

    This is important!

    In the process of treatment of chronic kidney disease, it is very important to conduct antihypertensive treatment with the concomitant manifestation of hypertensive disease.

    When a chronic kidney failure progresses and further progresses, usually at the fourth stage of the development of pathology, the doctor raises the question of the realization of dialysis or transplantation of the donor kidney. At the fifth degree of development of chronic pathology, there is an urgent need for organ transplantation or dialysis. The final decision on the appropriate method is taken by a specialist.

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