Nephrology Specialist Prof. Dr. Emre Tutal pointed out that diarrhea, nausea, vomiting, febrile infections, inability to take enough fluids can lead to acute kidney failure, especially in sensitive people, and stated that the elderly, children and individuals with other concomitant diseases are the most susceptible people.
“The leading causes of these diseases that increase susceptibility to acute renal failure are diabetes, hypertension, heart failure, liver failure, and cancers. One of the rarer causes is the diseases called nephritic/nephrotic syndrome, in which the kidneys are targeted by the person’s own immune system. These diseases often develop suddenly. He consults a doctor with edema, hypertension and uremic symptoms Some forms may progress without symptoms for a long time and are only noticed when the picture of end-stage renal failure is reached.
The preferred method for definitive diagnosis is kidney biopsy. In the treatment, a group of drugs, primarily corticosteroids, are used that suppress the immune system. Chronic renal failure is the permanent and progressive deterioration of kidney function. All acute renal failure can progress to chronic renal failure if not treated appropriately or if there is no response. In addition, the most common causes of kidney failure in the community are diabetes and hypertension. Therefore, these patients should be followed up regularly by a nephrologist.
“Chronic kidney failure usually progresses insidiously and may not show any symptoms until the last stage. When it reaches this stage, it causes complaints such as nausea, vomiting, weight loss, widespread body pain, changes in skin color, edema, weakness, and decreased urine output in patients.” Tutal made his comment and continued as follows:
“Patients who develop end-stage renal disease need kidney replacement therapy. These treatments are dialysis (hemodialysis or peritoneal/abdominal dialysis) and kidney transplantation. Although dialysis treatment is the most common treatment, it is not an adequate treatment. Patients are connected to a dialysis device 3 times a week. or they receive these treatments by giving dialysis fluid to their abdomens 4-6 times a day, and uremic toxins are thus tried to be removed from the body.Kidney transplantation is currently the gold standard treatment of end-stage renal failure.Kidney transplantation can be performed from living or brain-dead cadavers. “The individual must declare that he is an organ transplant donor when he is healthy, or the relatives of the patient must give consent to become an organ donor when brain death occurs. Even if the individual has donated his organs before, he cannot be an organ donor if his relatives do not accept it.”
Tutal said, “Even though the most ideal method to reduce the number of dialysis patients is transplantation from a cadaver, it is very few because it can be counted as transplantation from a cadaver, due to sociocultural reasons and the lack of awareness in the society. For this reason, in our country, organ transplantation is performed mostly from living donors. In this case, the patient is transferred to the 4th degree. relatives can be organ donors. made its assessment.
Noting that in some special cases, there is no suitable donor in the family, the patient’s friend or non-relative kidney donor is also transplanted, Tutal said, “However, in this case, the patient and the donor are examined by the Ethics Committee of the Ministry of Health before the operation and it is ensured that there is no conflict of interest.” used the phrases.
prof. Dr. Emre Tutal said, “Again, even if the patient is a suitable donor, a cross transplant can be performed with a similar pair in cases where there is a blood group or tissue incompatibility, and the patient’s immune system is likely to overreact to the transplanted kidney. It is being examined in detail to see if there will be any damage during the period.” made his comment.
Noting that although kidney diseases are much more common than it is thought in the society, it is difficult to diagnose early, since they progress insidiously and may not show symptoms until the last period, Tutal stated that people in the risk group should follow up with a regular nephrologist.