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Early Diagnosis Of Chronic Kidney Disease By KFT

The awareness of kidney diseases has an undeniable pace in the prevention of disability problems due to increased deaths and non-communicable diseases (especially cardiovascular diseases, high blood pressure, diabetes and chronic kidney diseases) worldwide.

chronic-kidney-disease

What is chronic renal disease?

Chronic kidney disease occurs when there is a significant decrease in kidney function or glomerular filtration rate. This causes high blood pressure, anemia, heart and blood vessel diseases.

How often does chronic kidney disease occur?

Chronic kidney disease at any level is seen in 500 million people globally, in other words one in ten people.

Causes of Chronic Kidney Disease:

The most common causes of chronic renal disease in the world are nephrotic or hereditary disorders such as inflammatory diseases in the kidney, polycystic glomerular disease, infections and problems in the urinary system. These causes vary depending on diabetes and high blood pressure, which are the most common causes of cardiovascular disorders in developed and developing nations.

How to understand chronic kidney disease?

Kidney function test with blood and urine samples that measure creatinine value and glomerular filtration rate in the blood give an idea about the amount of damage done by disease. One should get complete information about CBC Test Cost before signing any medical document.

What are the results of Undiagnosed Chronic Kidney Disease?

The first risk is the loss of kidney function, which can lead to future kidney loss and dialysis or kidney transplant. Another risk is early deaths associated with cardiovascular diseases.

Individuals thought to be healthy but subsequently found to have chronic kidney disease are ten times higher than cardiovascular diseases (coronary heart failure, brain hemorrhage and vascular occlusion, environmental (peripheral) artery diseases)] regardless of the level of kidney disease. To avoid these illnesses, one should always compare KFT test cost and NCCT KUB cost in Delhi before undergoing any diagnosis.

What are the social cost and results of increasing common chronic renal disease?

End-stage kidney diseases are increasing rapidly, 1.5 million people worldwide can survive by hemodialysis, peritoneal dialysis or kidney transplantation. It is expected that this number will double in the next 10 years. It is estimated that the total cost of dialysis and kidney transplantation will increase to 1 trillion USD in the next 10 years.

What can be done to prevent and treat chronic kidney and cardiovascular disease?

In order to detect chronic kidney disease, KFT Test, serum creatinine, NCCT KUB test, calculated glomerular filtration rate and urinary albumin tests are available.

The vast majority of people with early chronic renal disorder have not been revealed. Early determination of kidney function decline is essential, ensuring appropriate treatment to prevent kidney damage or kidney decay / deterioration from manifesting itself through other complications.

Prevention

DTPA renal scan should be performed first when there is a high risk of kidney risk. These are:

  1. They are over 50 years old.
  2. Family with diabetes, high blood pressure and kidney disease.
  3. People with other types of renal disease.
  4. Preservation treatments, which are still being applied, should also be applied in patients with early renal failure.
  5. ACE inhibitor ARB group drugs in blood pressure lowering drugs decrease protein-urea while at the same time decreasing the glomerular filtration rate.
  6. Lowering of high blood pressure; low blood pressure lowers the glomerular filtration rate.
  7. Control of blood sugar, blood fats and anemia.
  8. Patients with diabetes and high blood pressure.
  9. Smoking cessation.
  10. Obese and smokers
  11. Increased physical activity.
  12. Control of body weight.
How Does Contrast Affect The Kidney?

In current medicine, the use of imaging tests has been widely extended as a fundamental support for both the diagnosis and therapeutics of different pathologies. DTPA renal scan provide a great deal of information; they are mostly non-invasive or minimally invasive and have good cost-effectiveness.

The technology used for such tests varies from radiation to ultrasound and electromagnetic fields, as well as combinations or modifications of these, and depending on the body structure that you want to study some techniques will be more suitable than others. There are also ways to increase the sensitivity and/or specificity of the test and provide more information to the healthcare professional who has requested them, such as the use of contrasts.

These are substances that can be ingested, administered through enemas, probes, or intravenous, and that enhances structures or organs in the images. However, contrasts cannot be used in all cases, and particularly in patients with impaired renal function, there are some peculiarities that must be considered. Two situations are the most relevant.

When a CT scan with iodinated contrast is performed, this is a product that is discarded through the urine, but when the patient's renal function is impaired below a certain limit (Glomerular filtration <60 ml/min) it can worsen the renal functions even more. To reduce the risk, it is important to maintain adequate hydration before and after the test and avoid the consumption of some medications such as diuretics, antihypertensive, and analgesics (NSAIDs) 24 hours prior to the DTPA renal scan.

Contrast urography

The most informative, simple, and inexpensive research method. It can be performed on an outpatient basis - immediately after the procedure, the patient goes home. The main advantage is the introduction of an iodine-based contrast agent, which, as it is filtered by the glomerular system and excreted through the urinary tract, highlights various areas in the picture.

Possible side effects of kidney x-ray with contrast

The most common are allergic reactions; therefore, X-ray rooms are equipped with a first-aid kit to provide emergency assistance with the development of a hypersensitivity reaction. Also, during the introduction of contrast, you may experience a short-term feeling of heat, nausea, and an unusual smack in the mouth.

In the case of a Magnetic Resonance with gadolinium contrast, there is a less frequent but more serious adverse reaction, Nephrogenic Systemic Fibrosis; It has been seen that it occurs mainly in patients with major impairment of renal function (Filtration <30 ml/min) and there is currently no completely satisfactory treatment for it. To reduce their risk, the least possible amount of gadolinium is used, and in some patients, hemodialysis sessions are indicated to help remove this substance from the blood.

Therefore, if you are a patient with renal insufficiency, do not be surprised if some special provisions are made when you indicate any of these tests.

Kidney Diseases And Their Tests

Kidney diseases evolve silently. Hence the importance of regularly performing blood and urine tests to check that his kidneys are working well. What are the different renal function parameters that appear on the test results? And what is the use of over-the-counter urinary strips in pharmacies?

The man being endowed with two kidneys, one can fall sick without being aware of it. This poorly known organ has the main function of eliminating the waste present in our blood. How to know if it works well? How to spot the first signs of kidney failure?

Although we rarely worry about it, our kidneys are just as important as our heart or our lungs. They are, in a way, the "treatment plant" but also the regulation of the human body: their main function is to eliminate waste in our blood. Every minute, about a litre of blood reaches the kidneys to be purified, before coming out and going back into the general circulation.

How can I know if I have kidney disease?

In general, kidney disease in its initial stage has no symptoms. The only way to know how well your kidneys are working is to be tested. Have a kidney function test if you suffer from:

  • Diabetes
  • High blood pressure
  • Heart disease
  • Family history of kidney failure

If you have diabetes, get checked every year. If you suffer from high blood pressure, heart disease, or have a family history of kidney failure, talk with your doctor about how often you should be evaluated. The sooner you know that you have kidney disease, the sooner you can get treatment to help protect your kidneys.

Doctors assess renal functionality by analyzing blood and urine samples.

When the rate of renal filtration decreases markedly, the concentration of creatinine (a waste product) in the blood increases. The clearance or clearance of creatinine (a more accurate test) is established from a blood sample using a formula that relates the value of blood creatinine to the person's age, weight, and sex. In order to determine creatinine clearance more accurately, it is necessary to plan in detail the timing of urine collection with respect to blood creatinine determination.

The cystatin C, a protein of the blood, is also sometimes measured as an indicator of renal function. The concentration of urea nitrogen in blood (BUN, BUN for short) can also indicate the efficiency of kidney function, but many other factors can alter the concentration.

EVALUATION OF RENAL FUNCTION EVEN AFTER DIAGNOSIS

DTPA renal scan should be performed periodically even after diagnosis, for disease control. Those most in use are urinary creatinine, to estimate any worsening of renal disease, urinary nitrogen and sodium, the Emogas Analysis, and the so-called BNP examination (Type B Natriuretic Peptide).

The latter serves to assess the person's state of hydration and its variations over time. It is very useful for monitoring the health of the nephropathy. By periodically checking the progress of kidney failure and following the advice of one's doctors with rationality, it is possible to slow down the course of the disease, maintaining a satisfying lifestyle.

The Different Applications Of Ultrasound

Recognized primarily to observe a fetus during pregnancy, ultrasound is also used to examine a health problem related to the part of the anatomy or an organ.

Embryo evaluation: first trimester.

Ultrasound of the first trimester usually translates into transvaginal transducers, and the difficulties to move them, it is usually difficult to obtain the plane of the desired image. With the technology of 3D ultrasound, it is possible to see any plane within a volume acquired with the transvaginal probe.

Evaluation of the fetus.

Fetal ultrasound can offer information about development and detect congenital fetal anomalies. In addition, it can be useful for families excluding anomalies. Fetal ultrasound is useful for the range of anomalies, skeletal, thoracic, cardiac and abdominal, genitourinary and other. The advantages offered by 3D ultrasound arise from the images and the volumetric representations derived from the data of the volume studied.

The main utility of the ultra-sonographic examinations in gynecology is the detection of affections. Mainly transabdominal and transvaginal probes are used. In addition, 3D ultrasound is usually used as a complement to 2D ultrasound, in order to evaluate a specific area, such as the uterus or the ovaries.

Obtaining good quality ultrasound images in the bladder is relatively easy if it is moderately full because then it is closer to the transducer and few interposed structures prevent its visualization. Identifying intraluminal, mural and perivesical pathology is possible.

Genitourinary system.

The usefulness of ultrasound to study DTPA renal scan and the male and female reproductive organs is well established. It is an excellent technique to demonstrate most pathologies quickly, painlessly and non-invasively. The renal masses can be detected and characterized, the diffuse renal pathology can be shown, and the renal parenchyma can be measured. It allows precise guidance of biopsies and other kidney operations.

The decrease in the size of transducers has made it possible to couple them to catheters and introduce them into various tubular structures of the body, such as the ureter, bladder, and urethra, usually in the course of endoscopic explorations.

In the abdominal examination, the manual of the technique is more used, with different types of transducers. The scanners, however, are subject to a large number of artifacts, by the same fact of performing the manual exploration, by the organs that appear as the stomach or the intestines, the respiratory movements, as well as the rights by the vessels and the heartbeat.

Vascular system

One of the most important areas in imaging studies in medicine is the reference to blood flow and vascular anatomy. The prevalence and severity of vascular pathology increase with age and as the population continue to grow above 65 years of age, so do the number of vascular ultrasounds performed. Other diagnostic imaging tests (contrast angiography, angio-MRI, electron beam tomography (EL), computed tomography (CT), and synchrotron) usually only offer images of permeable light. Ultrasound has come to play a crucial role in vascular studies because it is non-invasive, inexpensive and thanks to technological advances and contrast media.

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