Renal failure can be acute or chronic. The loss of normal renal function in both renal failure resulted in the inability of the body maintain homeotasis fluid, electrolyte and acid-base. In case of chronic renal failure then occurs over time due to other sequelae of renal functional impairment. The symptoms due to reduced renal function are collectively called uremic syndrome.
Renal failure is due to failure of the kidneys remove from the blood metabolites collected. The result is a disturbance of electrolyte balance, acid-base and water.
Acute renal failure is a clinical syndrome in which the kidneys no longer excrete waste products of metabolism, usually due to renal hypoperfusion. This syndrome can result in azotemia (uremia) is the accumulation of nitrogenous waste products in the blood and urine haluarn oliguria which is less than 400ml / 24 hours.
According to research Levinsky and Alexander (1976), acute renal failure occurred due to different causes. It turns out that 43% of 2200 cases of acute renal failure associated with trauma or surgery, 26% with a variety of medical conditions, 13% of pregnancies and 9% due to nephrotoxins. Causes of acute renal failure were divided into categories of pre-rena, renal, and post-renal.
Renal failure due to renal causes of kidney parenchyma caused by destructive oerubahan nephrons. Factors cause all sorts. Acute glomerulonephritis can occur due to streptococcal infection. Pathological abnormality is the proliferation of glomerular cells, glomerular capillary necrosis, or exudation of leukocytes into the glomerulus. Renal vascular disease may occur after renal occlusion, polyarteritis nodosa angitis hypersensitivity, Nephrosclerosis or renal vein thrombosis. Renal vascular disease caused by abnormalities that can result in narrowing of arteries, thickening of the afferent arterioles or arterial wall inflammation and necrosis. Severe interstitial nephritis may accompany acute bular showed acute damage to the renal tubular epithelium.
Even post-renal causes include urinary tract onstruksi due to urethral obstruction, stones, prostate hypertrophy and tumors. Unique feature of post-renal kidney failure is the occurrence of anuria which does not always occur in renal or pre-renal failure. Because kidney disease is often unrecognized by the patient or symptoms and the risk of kidney disease is. Not a few people who are able to survive when found to be suffering from kidney failure. One of the closest treatment measures and often the primary choice for the treatment of kidney failure is a kidney transplant or kidney transplant. But unfortunately, in this world is still small, barely even able to find a kidney donor. Although there has not been appropriate or suitable donor kidney to be donated for Sufferers of kidney failure.
But in addition, the treatment of renal failure with a kidney transplant does not always reap great results. Risks or side effects will arise at a later time. In addition to the kidney transplant surgery. It is recommended to do the therapy and lifestyle patterns of a healthy and balanced as well as avoiding the risks and causes that may lead to new disease to kidney failure.
Operation Kidney Failure
One of the important organs of the human body are the kidneys. The kidneys function to filter the disposal of the body electrolytes, maintain fluid balance and body chemicals such as potassium and sodium in the blood or urine produced. The function of the kidneys can be decreased and may even not be able to work at all or commonly referred to as kidney disease.
Renal failure is a condition in which the kidneys fail to function and function only 15% of it should be. Kidney failure is the final stage of chronic kidney disease. The prevalence of renal failure in Indonesia is around 7%. Although there has been no accurate data on the exact number of people with kidney failure are estimated around 10,000 people, judging from the number of patients undergoing replacement therapy. The goal, to support the function ginal patients are only 15% so it is not sufficient for everyday activities. Renal replacement therapy in the form of data dialysis or kidney transplantation.
However, live the rest of life with dialysis, dialysis although not the end of everything-two times a week or three times a week for a person convicted of kidney failure is not an easy choice. Therefore, a kidney transplant is an option. This is because the kidney transplant can resolve all of the complications that occur due to loss of kidney function. In addition, superior in terms of procedures, quality of life, dependence on medical facilities, as well as costs.
Renal failure gives better results than chronic dialysis at a more concise procedure, 1 time while requiring chronic dialysis lifetime. With a kidney transplant, quality of life will be much better. mortality in renal transplant are also much lower by about 4-8% when compared with chronic dialysis mortality reaches 20-25%.
But in a kidney transplant is not that easy, there are some procedures that must be performed to determine kidney transplant surgery preparation:
- Physical examination, blood, x-ray heart and lung
- Examination donor match level in terms of three aspects namely: matching blood type, organ type, and rechecking donors to potential recipients to see whether there is an infection or a negative reaction
- Maintaining Healthy mind and body
- Take appropriate medication at prescribed
- diet and doing exercise guidelines
- Keep all appointments with your health care team
- Doing healthy activities such as break and spend time with friends keluargadan
- Keep a positive outlook
- When waiting for a donated kidney (requiring several years or longer), make sure the kidney transplant medical team know how to contact the patient at all times.
Acute Renal Failure In Children
For those readers who still need more information or would like to consult, please come to "Canon medicinae Indonesia" Complementary Hospital and if you are interested want to seek treatment, find out more please see, come, ask, or consult your self immediately to 21st Tubagus Ismail VII Dago avenue Bandung West Java - INDONESIA Phone: +62 - (022) 253-1000 / Fax. (022) 251-6663 / Mobile: +62 - 0812.2023.2009 (Kidney) / +62 - 0878.9537.5000 (Diabetes Mellitus) / +62 - 0856.9518.6000 (Cancer) / +62 - 0822.1848.2898 (Heart) PIN Blackberry: 7E8C39F5 (GENERAL), 7EBA27CF (CANCER), 7E7C3491 (RENAL) (Hospital
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