CHRONIC KIDNEY DISEASE

• CKD is defined as abnormalities of kidney structure or function, present for >3 months, with implications for health.

Progression

• Major outcomes of CKD include progression to kidney failure, complications from decreased kidney function and development of cardiovascular disease.

• Cardiovascular events are more common than renal failure

• Because of the older age at onset for many forms of CKD and the slow rate of decline in kidney function, decreased kidney function is far more common than kidney failure.

• Kidney failure is defined as a GFR < 15 mL/minute/1. 73 m2 , usually accompanied by signs and symptoms of uraemia, or as the need for initiation of kidney replacement therapy (dialysis or transplantation) for management of the complications of a decreased GFR [the term "end-stage renal disease" (ESRD) is used when renal replacement therapy is required].

• Therapeutic interventions in the earlier stages may prevent or reduce some of these complications including progression to kidney failure.

Evaluation to determine:

• Specific diagnosis.

• Reversible causes.

• Co-morbid conditions.

• Disease severity as assessed by the level of kidney function.

• Complications due to fall in kidney function.

• Risk for loss of kidney function.

• Risk for development of cardiovascular disease.

Treatment

• Therapy for reversible causes.

• Therapy for the underlying cause of kidney disease.

• Therapy for the associated co-morbid conditions.

• Review of all medications including drug-drug interactions as well as potential adverse effect on kidney function or complications.

• DASH diet (Dietary Approaches to Stop Hypertension), which is high in fruits, vegetables, and dairy foods containing little total saturated fat and cholesterol.

• Measures to slow loss of kidney function

1- Control of blood pressure (below 140/90 mmHg)

2-Medication to reduce proteinuria.

3- Control of diabetes (HbA1c - 7.0).

4- Lowering of salt intake to below 2 g of sodium/day (equivalent to <5 gm of common salt/day)

5- Use of lipid-lowering agents.

6- Cessation of smoking.

7- Weight reduction.

• Measures to prevent and treat cardiovascular disease.

• Measures to prevent and treat complications of decreased kidney function.

• Preparation for kidney replacement therapy.

• Replacement of kidney function by dialysis or transplantation.

 

 

TREATMENT AT DR. SOHAN LAL CLINIC

The integrated POLYCLINIC facility offers patients to select their treatment either from the Department of Homeopathy or from the Department of Medicine.

We provide scientific, research-based, and professional services to people across the world, aiming to achieve the highest success rate