Kidney disease are often asymptomatic

The largest number of chronic kidney disease runs without visible symptoms.

Number of patients who suffer from chronic kidney disease over the last decade, has a continuous increase. As this is a disease that often requires dialysis or transplantation, is of crucial importance is their early detection.

In the group with an increased risk of chronic kidney disease, according to the words of Professor Dr. Ležaić Cherry, Director of the Department of Nephrology, Clinical Center of Serbia, diabetics, older than 60 years, those with high blood pressure and suffered from so-called multisystem disease.

Increased risk, there are also people who drink drugs with toxic effects on the kidneys and those whose closest relatives have suffered from kidney disease.

Vulnerable people at risk for urinary tract obstruction, such as, for example, enlarged prostate, or those who underwent surgery in the pelvic or abdomen - says Dr. Ležaić. -

People with cardiovascular disease - such as heart failure or ischemic heart disease - are also at risk of developing kidney disease. However, there is general agreement that patients with diabetes and hypertension, are the populations at high risk for chronic kidney disease from which to recruit the largest number of these patients. Most of them are mostly or even exclusively, treated in primary care medicine.

Chronic kidney disease is defined as damage to the kidney, or disorder in his work, which takes at least three months - says our interlocutor.

- Kidney damage is manifested pathological changes, or presence of indicators of kidney damage. It may be abnormalities in the composition of blood and urine, or the appearance of the kidneys and urinary tract.

The largest number of chronic kidney disease runs asymptomatic, so if you are not looking for them, patients javaljaju doctors in the advanced stage of disease, with progressive renal insufficiency. Then, says Dr. Ležaić, able to influence the course of the disease significantly reduced or completely lost.

People at risk for chronic kidney disease, need each year to check the condition of their kidneys, says our interlocutor.

Detection of kidney disease should be easy, cheap, with tests that are available. Meet these requirements: blood pressure, urine test strips (proteins, glucose, blood, leukocytes, and whenever possible, so called microalbuminuria): measurement of serum creatinine and calculation formulas of the kidneys. If the test strips detect abnormal findings in urine, it is necessary to evaluate certain biochemical methods. Ultrasound examination is recommended for selected groups. These include patients with symptoms of obstruction, or urinary tract infection, stones, those with positive family kidney disease, such as, for example, polycystic kidney disease.

Prevention measures are designed to detect people at risk for chronic kidney disease. Ii These include control and consistent treatment of hypertension, as well as strict regulation and control of blood sugar levels. It is necessary to treat lipid disorders, limit salt in the diet, and advised to stop smoking, regular exercise, maintaining normal weight and regular annual control of renal function and urine examination.

COUNCIL

When kidney disease is detected, in addition to regular audits of Nephrology, recommended changes in the way of life: smoking cessation, weight reduction and maintenance of the obese body mass index (BMI) between 18.5 kg/m2 and 24.9 kg/m2, a waist circumference below 102 cm for men, respectively, 88 cm for women. It is suggested that controlled protein intake of 0.8 to 1.0 gram per kilogram of body weight. Patients should not drink more than two standard alcoholic drinks per day, and recommended physical activity from 30 to 60 minutes of moderate activity (walking, cycling, swimming) four to seven times a week.

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