Early detection of kidney disease can halt progression
DHA’s Twitter clinic aims to raise awareness on disease
Dubai — There is a 10 per cent annual increase in the number of patients undergoing dialysis in Dubai Hospital, said a senior official, adding that awareness regarding the disease was behind the increase.
Doctors discussed the issue at the Dubai Health Authority’s smart clinic held via its Twitter page (DHA_Dubai) to raise awareness about the importance of prevention, early detection and treatment of chronic kidney disease.
A senior official said on Thursday that elderly people with heart diseases were also among those who required regular dialysis after ‘ink dye’ that was used to assess their heart problems contributed to kidney failure.
Dr Amna Khalifa Al Hadari, nephrologist at Dubai Hospital said: “Patients with kidney failures is increasing in the UAE and worldwide.” Statistics from the Dubai Hospital’s Nephrology department shows an annual 10 per cent increase in the number of patients undergoing dialysis. Currently 230 patients are on hemodialysis and 36 patients are on peritoneal dialysis.
According to the World Health Organisation (WHO), chronic kidney disease affects 10 per cent of the population worldwide. Half of the people aged 75 years or more have some degree of kidney disease.
There are five stages of kidney disease; dialysis is the treatment for the last stage and is used primarily as an artificial replacement for lost kidney function in people with kidney failure.
Doctors highlighted the importance of early detection because if kidney disease is detected during the first three stages, treatment can halt the progression of the disease. Moreover, once the kidney is damaged, its cells cannot be regenerated.
Dr Dileep Kumar, nephrologist at Dubai Hospital, said: “Earlier recognition of chronic kidney disease (CKD) could slow progression, prevent complications, and reduce cardiovascular-related adverse outcomes. However, in the earlier stages, there are not many symptoms, it is like a silent disease in the initial stages. Therefore, awareness and regular screening is vital, especially in patients with high risk factors.”
Kumar said the risk factors for kidney disease are primarily diabetes and hypertension. Other risk factors include family history, excessive use of pain killers and prevalence of other diseases such as polycystic kidney disease, stone disease, glomerulonephritis and immune mediated disease like SLE.
In the early stages symptoms include tiredness, trouble concentrating and sleeping, muscle cramps at night, swollen feet and ankles, frequent urination especially at night. In the later stages symptoms include persistent vomiting, breathing difficulty, seizures etc.
In the early stages the treatment includes effective management of primary diseases like diabetes, hypertension and the treatment of manifestations of kidney disease. In stage five, patients require renal replacement therapy which is in the form of dialysis or kidney transplant.
There are two types of dialysis, hemodialysis and peritoneal dialysis. Both models are recommended depending on the case, however peritoneal dialysis is simpler, can be done at home and is equally effective.
Kidney disease in children
Dr Mohamed Babikir, paediatric nephrologist at DHA, said: “Kidney disease in children includes a wide spectrum of diseases. The two types of renal failure in children are — acute and chronic. Acute renal failure is reversible and occurs in children due to dehydration that can be caused by severe vomiting and diarrhoea; infections, loss of fluids due to haemorrhage or burns, complications due to diseases in the kidney or due to obstructions such as kidney stones.
“Chronic renal failure is very rare in children and the common cause is congenital and hereditary diseases like reflux etc. Treatment is dialysis or transplantation. However, early detection can delay the progression.” “Children are active and do not drink water unless parents remind them. Therefore, parents need to play an active role in ensuring children are well-hydrated especially in the summer months.”
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