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Renal Failure And Its Treatment

When the kidney function test is made, it is imperative to protect the kidneys already affected. The goal is to avoid or delay the progression of the disease to chronic renal failure or end-stage renal failure. Simple therapeutic measures prevent the degradation of these organs. Discover them!

Controlling hypertension and proteinuria

Diseases that affect the blood vessels also damage the kidneys. As such, hypertension is particularly important to watch, as is proteinuria. These two factors being modifiable, their modification is at the heart of the care.

Treat the impact of kidney failure

But kidney failure will also cause metabolic disorders. The most common is anaemia (a decrease in the number of red blood cells), a source of fatigue that can really handicap the quality of life of patients. Alteration of the kidneys has other consequences- they are now unable to produce the hormone called erythropoietin (EPO), essential for the formation of red blood cells by the bone marrow. Since about fifteen years, this problem can be treated thanks to a synthetic version this hormone. With this product, it is possible to maintain in the patient a normal socio-professional activity.

In addition, kidney failure will cause metabolic disorders by increasing the level of phosphorus in the blood and decreasing that of calcium. Faced with this problem, the body reacts by soliciting the parathyroid glands (link to the glossary) that will mobilize calcium from the bones, weakening them. To counter this effect, calcium, vitamin D or calcimimetics may be prescribed. Finally, if the reduction in dietary phosphorus intake is not enough, phosphorus may be indicated, they prevent the digestive absorption of phosphorus contained in food.

In all cases, patients with kidney disease should be vigilant for drugs, some of which may be toxic to weakened kidneys. They must therefore discuss their situation with all the doctors they are called upon to consult, as well as with their pharmacist.

Such hygiene and dietary measures and drug treatment can push back several years, or sometimes avoid the end stage of the disease. But whatever its risk factors, the patient suffering from renal insufficiency must be a full participant in its management by respecting these rules of common sense (cessation of the tobacco, fight against the sedentary lifestyle, depleted regime of materials fat and sugar etc.) and scrupulously following his treatment despite the absence of annoying symptoms.

Today it is possible to slow down or even stop kidney failure. When you start early, identify kidney disease and undergo a kidney function test. Very often we can block the evolution of the disease. as well as every year we go when we are well, we lose between 0.5 and 1% of renal function, so when we have a slight renal insufficiency, it progresses a little bit, but what we want is is to avoid progression to the final stage that requires dialysis, and we get there quite often.

When Do I Need to Undergo a LFT ?

Liver testing for diseases is also carried out during pregnancy (ideally at the planning stage), before surgery and a course of treatment involving the administration of potent drugs.

When can an LFT test be required? It is recommended to regularly examine the most important organs and systems of the body for prophylactic purposes. But there are a number of symptoms that signal that verification is required as quickly as possible. Thus, the liver should be examined immediately if you notice the following signs of organ dysfunction:

Discomfort in the lower pair of ribs on the right is one of the first manifestations of liver problems. Barely noticeable nagging pains, tingling may accompany unusual sensations and a feeling of constriction or overcrowding in the area of the liver. Usually, they make themselves felt when laughing, talking loudly or shouting, sneezing, sharp sideways, lifting weights, as well as after eating fatty, smoked, fried or spicy foods. At first, a new feeling may not cause pain or tangible discomfort- in this case; they also say: “I found out where the liver is.” This is a reason to be wary, because even mild symptoms may indicate the initial stage of the serious hepatic disease.

The liver is enlarged. The change in the dimensions of the main gland is accurately recorded by ultrasound, but you can notice the changes yourself. This will indicate a bulging belly without an increase in overall fullness and with virtually no weight gain. The especially noticeable symptom in people with thin physique.

Unpleasant taste in the mouth. Patients with chronic liver problems have a constant dry mouth and bitterness on the tongue, sometimes with a characteristic flavor that is defined as “copper.” At the same time, an astringent feeling is noted in the mouth; taste sensations are reduced. Habitual food can cause rejection, even nausea and the urge to vomit.

Weight loss on the background of the asthenic syndrome. This symptom is largely a consequence of the previous one. Food rejection, loss of taste, nausea lead to a decrease in diet, which leads to weight loss. At the same time, the patient complains of unreasonable irritability, as well as weakness, drowsiness, fatigue, because the body's energy requirements are not met, and the toxic effects of impaired nitrogenous (protein) metabolism greatly increase- with an increased concentration of ammonia in the blood, secondary (hepatic) hyperammonemia occurs.

Jaundice is a common complex of symptoms, which is expressed in the yellowness of the skin, mucous membranes and whites of the eyes, as well as in dark urine, itching, and peeling of the skin, in chills, bone, and joint pain, and is caused by problems with the liver.

What does a liver function test reveal?

  • The fact of the disease, its degree, the level of liver failure;
  • The presence and degree of histological (cellular) changes in the structure of the liver tissue, such as fibrosis and cirrhosis of the liver;
  • Diagnosis of specific liver diseases - viral and autoimmune hepatitis, fatty hepatosis.

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