Day 221 of 365 People at high risk of CKD

Anyone can get chronic kidney disease at any age. However, some people are more likely than others to develop kidney disease. You may have an increased risk for kidney disease if you:

-have diabetes
-have high blood pressure
-have a family history of kidney failure
-are older
-belong to a population group that has a high rate of diabetes or high blood pressure, such as African Americans, Hispanic Americans, Asian, Pacific Islanders, and American Indians.


Day 222 of 365 Global Facts: About Kidney Disease Part 1

-10% of the population worldwide is affected by chronic kidney disease (CKD), and millions die each year because they do not have access to affordable treatment.
-According the 2010 Global Burden of Disease study, chronic kidney disease was ranked 27th in the list of causes of total number of deaths worldwide in 1990, but rose to 18th in 2010. This degree of movement up the list was second only to that for HIV and AIDs.
-Over 2 million people worldwide currently receive treatment with dialysis or a kidney transplant to stay alive, yet this number may only represent 10% of people who actually need treatment to live.3
-Of the 2 million people who receive treatment for kidney failure, the majority are treated in only five countries – the United States, Japan, Germany, Brazil, and Italy. These five countries represent only 12% of the world population. Only 20% are treated in about 100 developing countries that make up over 50% of the world population.3
-More than 80% of all patients who receive treatment for kidney failure are in affluent countries with universal access to health care and large elderly populations.


Day 223 of 365 Global facts about Kidney disease P2

-It is estimated that number of cases of kidney failure will increase disproportionately in developing countries, such as China and India, where the number of elderly people are increasing.
-In middle-income countries, treatment with dialysis or kidney transplantation creates a huge financial burden for the majority of the people who need it. In another 112 countries, many people cannot afford treatment at all, resulting in the death of over 1 million people annually from untreated kidney failure.
-In people aged 65 through 74 worldwide, it is estimated that one in five men, and one in four women, have CKD.
-Chronic kidney disease is a worldwide health crisis. For example, in the year 2005, there were approximately 58 million deaths worldwide, with 35 million attributed to chronic disease, according to the World Health Organization.
– Chronic kidney disease can be treated. With early diagnosis and treatment, it’s possible to slow or stop the progression of kidney disease.


Day 224 of 365 Chronic Kidney Disease Is Unique among NCDs

The World Health Organization’s Global Action Plan for the Prevention and Control of NCDs stated that “conditions such as kidney disease result from lack of early detection and management of hypertension and diabetes and kidney disease should be addressed through a common response to other major NCDs.”

However, CKD is unique and complex. Its mere status as an NCD does not fully capture its heterogeneous causes, which extend far beyond diabetes and hypertension to ailments such as HIV, tuberculosis, malaria, Hepatitis B and C and parasitic diseases. Use of traditional medicines and counterfeit drugs, as well as exposure to agricultural pesticides, industrial waste products and heavy metals also increase the risk of developing CKD.

Public health agendas geared toward addressing and preventing CKD in LMICs do not adequately account for this wide diversity of disease origin.


Day 225 of 365 Risk factors to CKD

Among the non-modifiable risk factors associated with CKD:
-Genetics: You may be predisposed to CKD if you have a family member with history of the disease.
-Age: CKD is more common in people aged 65 years or older (38%) than in people aged 45 to 64 years (13%) or 18 to 44 years (7%).

Among the modifiable risks factors associated with CKD:

-Uncontrolled high blood pressure.
-Type 1 diabetes with the onset of disease before age 20.
-Poor blood glucose control in people with type 1 or 2 diabetes.
-Cigarette smoking, which further constricts renal blood vessels.
-Obesity, which contributes to hypertension, the risk of diabetes, and the production adipokines—inflammatory substances that can cause damage renal tissue.


Day 226 of 365 CKD, Dialysis and Transplants

Will I have to go on dialysis?
Some people live with CKD for years without going on dialysis. Others progress quickly to kidney failure. You may delay dialysis if you follow your provider’s advice on medicine, diet, and lifestyle changes.

If your kidneys fail, you will need dialysis or a kidney transplant to maintain health. Most people with kidney failure are treated with dialysis.

Will I be able to get a kidney transplant instead of going on dialysis?

Some people with kidney failure may be able to receive a kidney transplant. The donated kidney can come from someone you don’t know who has recently died, or from a living person—a relative, spouse, or friend. A kidney transplant isn’t for everyone. You may have a condition that makes the transplant surgery dangerous or not likely to succeed.


Day 227 of 365 Kidney Transplants : myths ‘s facts

Myth 1: Kidney transplant is costlier as compared to dialysis


Dialysis is the process of removing waste materials and toxins from the blood and can be life long in many patients. The medical expense on kidney transplant is not even close to one-third of the life-long spending on dialysis.

Myth 2: Higher probability of kidney transplant failure


With every hospital embracing modern technology, the success rates of kidney transplant surgery have become as high as 95%. The failures are getting close to nil, making the process much safer and practically proven an optimal solution to avoid kidney failures and chances of death.

Myth 3: Anybody can donate the kidney


The kidney transplantation can be conducted only with the kidney of the patient’s relatives and in case the donor is not the relative then the processing may take time.

In both cases, legal formalities are required in our country.

Myth 4: Donating a kidney is dangerous


The donor can resume his normal lifestyle routine within 2-3 weeks of the surgery and hospital stay for the donor is not more than 3-4 days. The risks or complications involved for the donor in the kidney transplant are close to none.

Kidney transplant surgery is much less life-threatening than most of the healthcare surgeries.

Myth 5: Kidney transplant does not let you get pregnant


If a woman is a kidney donor, she need not to worry about being pregnant. There exists no such evidence that female donors cannot get pregnant after donating a kidney, but what matters is a waiting period of 3-6 months before you try to conceive.

The time period just lets your body recover to house a young life healthily.




Published by Stephen Ogweno

a global health practitioner, NCD advocate and mHealth Innovator

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