Making warnings about kidney failure, Assoc. Dr. Gökhan Ertuğrul said that there are five stages of chronic kidney failure. Assoc. Dr. Ertuğrul said, “It is the period when the 5th and last stage kidney functions cannot meet the needs of the body and it is defined as end stage renal failure. Dialysis or transplantation must be performed for these patients with end-stage renal disease, ”he said.


Pointing out that the most common cause of end-stage renal failure in our country is diabetes, Assoc. Dr. Ertuğrul said, “Almost 40 percent of diabetic patients develop kidney disease at any stage. As the filtering function of the kidney decreases, the patients begin to show clinical symptoms. These are severe impairment in glucose measurements, weakness, anorexia, nausea, vomiting, anemia, increased blood pressure, swelling, especially in the eyelids, ankles and legs, decrease in urine amount, color change in urine and urination at night. According to the data of the Turkish Nephrology Association, the number of patients who underwent dialysis and transplantation due to end-stage renal failure in our country as of the end of 2019 was reported as 83 thousand 783. “73.2% of the patients are undergoing hemodialysis, 3.9% of them are receiving peritoneal dialysis treatment, while 22.9% of them are followed up after transplantation.”


Assoc. Dr. Ertuğrul continued his words as follows:

“80 percent of the patients who receive hemodialysis treatment have to undergo dialysis 3 days a week for an average of 3 to 4 hours. Again, according to the data of the Turkish Nephrology Association, the most common cause of death in patients receiving dialysis is cardiovascular diseases. Death occurs most frequently due to a heart attack. This is followed by infectious diseases. Therefore, kidney transplantation is the best treatment for end-stage renal disease in terms of life expectancy, quality of life and cost. Kidney transplant is done from a living donor or a cadaver donor. Unfortunately, kidney transplantation is performed from more living donors in our country due to the inadequacy of organ donation. After kidney transplantation, patients are discharged in an average of 5 to 7 days. Patients at the stage of discharge are carefully informed about the issues to be considered at home, especially the use of drugs. Necessary trainings are given by the Special Education Nurse for diabetes. Compliance with treatment is very important in all patients. Especially not taking immunosuppressive drugs causes serious problems that can lead to the loss of the implanted organ. “


Underlining that patients after kidney transplantation should strictly comply with diabetes treatment and diet, Assoc. Dr. Ertuğrul continued his words as follows:

“In addition, patients are given all necessary information about social life and possible complications. In order to evaluate the functions of the transplanted organ in order for the patient discharged after kidney transplantation to lead a quality life, a lifelong outpatient follow-up process begins at regular intervals. The patient’s participation in this follow-up process is extremely important. Because the main goal is to diagnose and treat complications in the early period. Only in this way it is possible to increase the survival of the implanted organ and therefore the patient. In addition, blood sugar measurements at home are carefully examined at each control and it is decided whether to make changes in the treatment. Thus, by ensuring that the patient’s blood sugar is at the desired levels, damage to the new organ is prevented. “

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