Spices Kill Kidneys

KIDNEY DISORDERS MAY BE SILENT

THIS BLOG HELPS TO SO MANY PEOPLE, WHO WANT INFORMATION ABOUT KIDNEY DISEASES. THE DISEASE EXPERIENCED BY ME WITH TWO TRANSPLANTS AND DIALYIS IN 9 YEARS. And my experience helps, who want information about kidney transplant and post transplant details. And any body free feel to ask me any information about PRE DIALYSIS, POST DIALYSIS, PRE TRANSPLANT AND POST TRANSPLANT DETQAILS , IN TAKE MEDICINES AND OTHER RELEATED DETAILS.

1. SYMPTOMS OF KIDNEY FAILURE.


2. DIALYSIS PROCEDURE AND AFTER DIALYSIS


3. BEFORE TRANSPLANT


4. AFTER TRANSPLANT


5. MEDICINES


6. EXERCISES ' AFTER TRANSPLANT


7. DIAT AFTER TRANSPLANT AND BEFORE TRANSPLANT


8. REPORTS ' MEDICAL TESTS


9. KIDNEY BIOPYS.

SYMPTOMS OF KIDNEY FAILURE : In the beginning, kidney failure may be not producing any symptoms. As kidney function decreases, the symptoms are related to the inability to regulate water and electrolyte balances, to clear waste products from the body, and to promote red blood cell production. Lethargy, WEEKNESS, SHORTNESS OF BREATH, and GENERALISZED FACE, FEET SWELLING, may occur. Unrecognized or untreated, life-threatening circumstances can develop. Urinal passing Dark Yellow and drops, Continues fever 103 to 104 degrees, No Hungry, severe Headache, Tongue color comes white with patch, Back Pain & tight motion. Kidney disease may be silent for many years and affected people may not be aware that they are loosing kidney function uritil their disease reaches an advance stage. Systems fail and the far reaching implications ranging from changes in blood pressure, urinary problems to swollen ankles and skin related changes, and loss of ALBUMIN in urine may also loss of kidney.

Blood tests show how well the kidneys are doing their job. The simple logic in this approach is that those substances thatare not cleaned by the kidney accumulate in the blood. These tests include BLOOD UREA NITOGEN, SERUM CREATININE, SERUM ELECTROLYLES, SERUM ALBUMIN, theses tests can help check infection, stones and other kidney malfunctions.

DIALYSIS PROCEDUE AND AFER DIALYSIS : In dialysis an artificial or natural membranes is used through which the waste products and poisons I the blood can be filtered and removed and the blood effectively cleaned. Dialysis essentially works by providing an artificial kidney. Different types of dialysis methods are described below.

a) HEMODIALYSIS is a term used to describe dialysis that takes place outside the body. The blood is re-routed to a haemodialysis machine where it flows over a special memebrane that removes waste products and excess water before the blood flows back to the body. The content of the blood is carefully monitored during this process.

b) PERITONEAL DIALYSIS is used often in patients with diabetes. In this type of dialysis, the patient's blood is not cleaned outside the body as with hemodialysis. The blood stays in the blood vessels that line the abdominal (peritoneal) space. The lining of this space acts like a filter. A plastic tube called a catheter is placed into the abdomen surgically to create an access. During the treatment the abdomen (through the catheter) is slowly filled with fluid called dialysate. The blood is cleaned and waste materials are taken away in the dialysis can be done. Peritoneal dialysis may be done at home, at work, at school or whenever a clean, private space is available for bag exchanges. The two types of peritoneal dialysis are CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD), which requires the use of a machine, and CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD), which is machine free.

Before going to be dialysis, the patients should take with food, water, medicines, and caretaker. Some patients need weekly two dialysis or three depends on his health conditions, and this is very important that, patients must carry his food (without salt), medicines, muscles pain relief gel, Butter Milk, Hot water, Glucose and Milk, with help of caretaker. After three hours dialysis, the patients feel weakness, trusty and hungry.

BEFORE TRANSPLANT : The doctors will collect these tests,, before going to Kidney transplant, they want to check the immune system will see ti as foreign body and attach it. A)Microscopic Examination, B) Hemoglobin C) Protein/albumin D) Microalbumin E) Creatinine F) Urine Culture Test G) X- Rays(Chest & Abdomen) H) Ultrasound Scan/CAT Scan/MRI Scan

The First and foremost the blood groups need to be matched between donor or recipient. Also to reduce risk of rejection, tissue matching or HLA typing needs to be carried out. 5% is enough for tissue matching. The principle of matching the tissue type is very similar to matching the blood group, but much more complicated, as enormous possible variations of tissue types exits. One may not get an exact tissue type match between donor and patient but a transplant is taken up even if most characteristics match. Finally a cross match test between patient's cells and donor's cells is directly carried out to ascertain the suitability. It is well known that transplants between close relatives have a better chance of success, than those between non- relatives, siblings, twins, parents and offspring are the best bet. Other than tissue typing and cross matching patients need to be cleared for viruses like HIV, Hepatitis B & C and Cytomegalovirus. If the test turns out to be positive then careful monitoring of patients would become crucial. Routine tests including an electrocardiogram (ECG), Echocardiogram and a Chest X-ray will confirm the general fitness of the patient. And other tests will do for surgery related needs.

AFTER TRANSPLANT : After the transplant, the patient will be monitoring in ICU for 4 to 5 days, and medications to suppress the immune system and prevent rejection would become mandatory. It may take some time for the new kidney to start working after a transplant. So the hemoglobin levels need to be monitored and anemia treatment continued. Moreover, utmost importance needs to be given to take great care of the patient's overall well being health and any illnesses tackled promptly during the this period.

After transplant the patients must wear face mask, minimum intake water is 4lts per day, monthly check-ups, avoid to go crowded places, diet maintain, two times bathing & tooth brushing to avoid infections. Take measurement of intake fluids (water, juices & health drinks) and output fluid (Urine) and write in note book. The patients maintain up to six months throw. And avoid ice creams & salted foods.

MEDICINES : After transplant medicines will be given to the patients dosages wise depends upon the patient's immune systems and conditions.

Cyclosporine, Cellcept, B-complex medicines, Nicardia - R (Hypertension Control), and Pentacid DSR (Gastric Related) Omnicartrol ' 10mg, Health drinks etc.

EXERCISES AFTER TRANSPLANT : After transplant the must not worry about their body conditions, and they can do simple exercises, like walking, hands up and downs, meditations, simple exercises as per doctors advise, this is not advisable for patients lift weights and hard exercises.

DIAT AFTER TRANSPLANT AND BEFORE TRANSPLANT : Before transplant not to take salt foods, oil foods, water foods, only dry foods only advisable, take Bread, small quantity of water, avoid meat and chicken, Liquids permitable for per day 200ml. and avoid Leman, Black Grapes, & Wine

After transplant maintain diet promptly, take all vegetables, leafs, water quantity per day 4 lts, One Boiled Egg per day, meat/chicken weekly twice quantity 100gms, 500ml milk per day and one banana at bed time.

And avoid, Red and green chilies, pickles, spice items, and black coffee, drinks (all types) and don't use hands white eating, take spoon & fork, and stay away from smokes, dust & fry smokes.

MEDICAL TESTS : Similarly after transplant, the below tests are necessary for post transplant and mentain their ranges.

TEST DESCRIPTION REFERENCE RANGE

a) Blood Urea Nitrogen ( Serum/Urease GLDH) 7.0 18.0 mg/dl

b) Creatinine (Serum/Kinetic-Modified Jaffe's) 0.9 ' 1.3 mg/dl

c) Hemoglobin (Automated Counter) 13 ' 17 gm%

d) Total WBC Count 4000 ' 10000/cmm

e) Polymorphs 40 ' 80%

f) Lymphocytes 20 ' 40%

g) Monocytes 2 ' 20%

h) Eosinopils 1 ' 6%

i) Basophile 0 ' 2%

j) Potassium 1.7gm/liter

KIDNEY BIOPSY : This is used to establish the cause and extent of damage to the kidneys, its response to treatment and to check if a transplanted kidney is being rejected. The puncturing is done as an outpatient procedure, under local anesthesia and sample analyzed under the microscope. Infection and excessive bleeding are some to the risks to be avoided.

Rehabilitation and counseling necessary for kidney transplant patients, who are waiting for for suitable kidney, and this waiting period can be painful and it is important to offer adequate guiding and counseling. And it is important to maintain absence of warmth and closeness with family and friends. Many transplant patients have started successful careers and even though married and settled with families. And it all depends on patients confidence and stability and co-operation with the doctors and prevention care in diet, exercise and intake medicines & water. And it is very important will go for monthly check-ups.

D.Srinivas Reddy,

E-Mail: dsreddy74@rediffmail.com