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Chronic kidney disease is indeed a very important health problem. Causes of chronic renal failure is frequently encountered stone, an infection called pyelonephritis, hypertension, nephropathy due to uric acid, nephropathy due to lupus, and diabetes.
Loss of renal reserve function are often not aware of the patient. in chronic renal failure with renal failure often been accompanied by symptoms that manifest in everyday activities. The patient began to show symptoms of anemia.
Creatinine clearence test can differentiate the severity of kidney dysfunction. In normal circumstances Creatinine clearance test (CCT) is 100 to 125 ml / mm. At CCT 75 to 100 has occurred the loss of renal function reserve. CCT 25 to 75 while in a state called renal insufficiency. At CCT5 to 25 were classified as chronic renal disease. CCT is under five is called a terminal kidney.
chronic renal failure and terminal renal failure requires special attention because if left can lead to circumstances that endanger the lives of sufferers.
In chronic renal failure of conservative therapy can be started which aims to eliminate the symptoms that interfere with patients, so patients can live normally. The main component is a conservative diet, namely by adjusting the protein intake. One also must set water and salt, vitamins, electrolytes, and essential amino acids provided if necessary.
Patients with chronic renal failure often complain of nausea, so that the intake of meals may be limited. Therefore, evaluation of food intake needs to be done well. When conservative treatment, it can run well and kidney function can be maintained then the dialysis was not necessary.
Certain drugs interfere with renal function because of it before taking medication should consult with your doctor.
Dialysis is a therapy that replaces the function of the kidneys to remove water, electrolytes, and toxic substances from the body that was not issued at the state of kidney failure. Usually a doctor has a particular indication before starting dialysis therapy, such as urea concentration is very high (above 200mg), the state of acidic blood (acidosis), high blood potassium levels (hyperkalemia), excess fluid in the body with signs of heart failure, and awareness of the decrease.
