Chronic Kidney Disease Treatment For Adults
Chronic kidney disease can not be cured. Chronic kidney disease treatment is focused on preventing and slowing the disease from developing and relieving pain. In addition, treatment also aims to reduce the risk of other related illnesses.
Chronic renal failure in stage one to three can generally be treated directly by a general practitioner. At a later stage, ie stage four and five, the patient will usually be referred to a specialist.
1.Treatment According to Severity
The severity of Chronic Kidney Disease determines the type of treatment provided. In some cases, damage to the kidneys and circulation of the body can be prevented by the consumption of drugs to control blood pressure and lower cholesterol levels in your blood.
In addition, medicines are also given to control or prevent deterioration of CRF until the body loses almost all kidney function. This condition is called end-stage renal disease (ESRD) or established renal failure (ERF).
At least 1 out of 100 people with chronic kidney failure will have kidney failure. Kidney failure sufferers require further treatment to replace a number of kidney functions.
2.Maintaining Blood Pressure
High blood pressure can accelerate the development of kidney damage. It is therefore important to control blood pressure, which can be done by changing lifestyles such as reducing salt intake and reducing weight.
But if these changes are not enough to control blood pressure, you may need antihypertensive medications such as ACE inhibitors (angiotensin converting enzyme inhibitors). ACE inhibitors provide additional protection to the kidneys and reduce the pressure on blood vessels.
Examples of ACE inhibitors are ramipril and lisinorpil. This drug group can cause side effects such as dry cough, headache, and weakness. These symptoms can disappear after a few days of use, although in some patients with a dry cough still appears.
In addition there are also anti-hypertensive drugs called angiotensin-II receptor blockers (ARB) include: valsartan, irbesartan, and losartan. Side effects of this type of drug are rare but still present, eg feeling dizzy.
In addition to the consumption of drugs, the development of Chronic Kidney Disease Stages and high blood pressure can be prevented with lifestyle changes as follows:
- Reduce weight, especially if you are obese.
- Exercise regularly.
- Quit smoking.
- Eat a healthy diet with balanced nutrition and low fat
- Limit alcohol consumption.
- Keep salt intake no more than 6 grams.
- Unless prescribed by a doctor, avoid taking non-steroidal anti-inflammatory drugs such as ibuprofen.
- Improved Phosphate Balance
Excess phosphate in the body is usually filtered by the kidneys. However, phosphate buildup will occur in the kidneys that are not functioning properly, as can occur in patients with stage four or five kidney disease. Therefore, people with middle-to-advanced kidney disease will be advised to reduce the consumption of phosphate which is commonly contained in red meat, dairy foods, eggs, and fish.
In addition, patients will be advised to take drugs called phosphate binders. The most commonly used example of phosphate binder is calcium carbonate. Although rare, phosphate binders can cause side effects that include: constipation, diarrhea, nausea, abdominal pain, flatulence, rashes and itching of the skin.
4.Reduce Cholesterol Levels
Some risk factors of Chronic Kidney Disease Stages such as high blood pressure and high cholesterol levels in the blood, the same as risk factors for heart attacks and strokes.
By having the same risk factors, people with Chronic Kidney Disease are at higher risk of heart disease, including heart attack or stroke.
Therefore, you will be advised to take statins to help reduce the risk of heart attack or stroke. Statins work by inhibiting the effects of enzymes in your liver that are useful for forming cholesterol, a trigger for heart attacks.
In some cases, statins can cause muscle pain, weakness, and pain. While lighter side effects that can arise are abdominal pain, constipation, diarrhea, and headaches.
5.Fluid Stacking (Edema)
Kidneys that do not work make the body difficult to dispose of fluids. As a result, fluid buildup on the ankle can trigger an increase in blood pressure. Therefore doctors will advise patients with kidney disease to limit consumption of fluids and salts. In addition, excess fluid in the body can also be reduced by consumption of diuretic drugs, such as furosemide.
6.Consumption of Iron Supplements and Vitamin D
Anemia or the condition when the body does not have enough red blood cells, suffered many people with stage 3 and above Chronic Kidney Disease Stages. Iron supplements for the production of red blood cells will usually be given to overcome them. This substance may be administered in tablet form such as ferric sulphate.
The erythropoietin hormone that helps the body produce red blood cells can also be injected if the above steps can not overcome anemia. This hormone can be given in the form of injection into the blood vessels or under the skin (subcutaneous).
In addition, people with kidney disease are at risk for vitamin D deficiency that is important for bone. This is because the kidneys can not function to activate vitamin D from food and sunlight. So generally you will get vitamin D supplements such as calcitriol.
7.Wash Blood or Transplant
In some cases, chronic kidney disease may progress to end-stage renal disease (ESRD) or established renal failure (ERF). At this stage, the kidneys stop working and threaten life. This condition occurs slowly and rarely occurs suddenly. However, many people with kidney disease can still have kidneys that function well throughout their lives, but with treatment.
Discuss with your doctor about treatment options, such as dialysis or dialysis, kidney transplant, or supportive care. Dialysis or dialysis is the process of disposal or filtering of fluids or waste from blood that can not be done anymore by the damaged kidney. The kidney transplant will replace the damaged kidneys with a new kidney from an organ donor who has the criteria according to the patient.
Supportive care aimed at limited, ie only to relieve symptoms felt by end-stage patients. In general, supportive care is given to people with kidney failure who do not want to do dialysis or kidney transplant.