Renal Failure

Renal failure or in other words the sense that our kidneys are not working as it should be. Renal failure is a condition in which the kidneys are not functioning and only 15% of its function should be. Kidney failure is the final stage of chronic kidney disease. The beginning of the damage is only slightly lowered kidney function. As time went on and the damage is not detected, kidney function continues to decline until it reaches the stage of kidney failure. Usually new kidney failure patients can feel abnormalities if renal function decreased by about 25%. Even for young patients can be under 10%. Not surprisingly, most patients new to a hospital or to a doctor when already in terminal stage. Cases of kidney failure in the world increased by more than 50%. In the United States, each year there are approximately 20 million adults suffer from chronic kidney disease. Kidney failure can affect everyone, both men and women and not look at the economic level.

Renal failure is often caused by inflammation in the kidneys (glomerulonephritis). Glomerulonephritis can be caused by infection of the body, for example in the teeth and skin. This happens because of the time of infection, the bacteria get into the bloodstream. Bacteria in the blood stimulates the release of antibodies from the body, which is then shared with the complement of the body will form immune complexes. In a group of people, the immune complexes may pass through a screening process by the kidneys, so it is not a problem with the kidneys. In several others, the kidneys are unable meyaring the immune complexes. Immune complexes were snagged that causes inflammation in the kidneys. In addition due to infection, glomerulonephritis can also be caused lupus or other immunological diseases. Nevertheless, glomerulonephritis is no longer a major cause of kidney failure because it has been replaced by chronic diseases, such as diabetes mellitus(DM) and hypertension. This is caused by the uncontrolled blood pressure and blood sugar, as well as the habit of consuming junk food that contain high levels of salt.

Signs and symptoms

• Urination was less than before.
• Pee change color, foaming or often wake up at night to urinate.
• Swelling in the feet, ankles, hands and face.
• Easily tired or weak.
• Shortness of breath due to fluid that accumulates in the lungs. The situation is often misinterpreted as asthma or heart failure.
• Bad breath.
• Stiffness in the back.
• Itching, especially in the legs.
• Loss of appetite, nausea and vomiting.

Early Detection

Kidney disease can be detected as early as possible by checking blood pressure, blood sugar, weight and urine examination (urinalysis).

Therapy

To support the patient's renal function is only 15% so it is not sufficient for everyday activities. Replacement therapy can be either dialysis or kidney transplantation. Washing can be done with the hemodialysis blood washing process is done by machine and takes about 4-5 hours, done 2-3 times a week. The process is done in the hospital. Another form of dialysis using continuous ambulatory peritoneal dialysis (CAPD), which is the process of washing the blood through the hose fitting into the abdominal cavity and use the washer fluid (dialysate) is inserted into the abdomen, left, and a few hours later reissued. The advantages of CAPD is the process of dialysis can be performed independently by the patient without the aid of a machine. The disadvantage, there is a risk of infection if dialysis is not done properly. Nonetheless CAPD more profitable because patients can live independently with limited mobility who do not.