If you have these risk factors, it is important to have a kidney disease screening , ”Narva says.“ The test usually includes simple laboratory tests: a urine test to look for kidney damage and a blood test to determine how well the kidneys work. ” urine detects the amount of a protein called albumin, which is usually not detected if the kidneys are healthy. A blood test checks the filtration rate of GFR glomeruli. GFR is an assessment of the ability of the kidney to filter. left kidney disease. GFR below 15 is described as renal failure.
“I tell my patients that they need to know the norm and their outcome,” says NIH renal disease expert, Dr. Jeffrey B. Kopp. “Usually we cannot cure chronic kidney disease, but if we find it early, we can slow its progression.”
Without treatment, kidney disease often worsens. If your GFR drops below 15, you may feel tired and weak, with nausea, vomiting and itching. At this point, you may need a kidney transplant or dialysis. This is a good reason to talk with your doctor about the possibility of these treatments long before they are needed. It takes time to identify the most appropriate options for you, and it is much easier to understand while you are feeling healthy.
“In general, kidney transplantation is the preferred therapy for kidney failure, but not everyone can do it,” Kopp says. One of the obstacles is the long waiting lists of a suitable donor.
Dialysis is a treatment in which waste and water in the blood are filtered, which allows patients with renal insufficiency to feel better and continue daily activities. NIH kidney specialist Dr. Paul Kimmel heads the NIH program to improve the lives of patients on dialysis . “Although dialysis is a rescue therapy, it can be a daunting task for patients and their families,” says Kimmel. “We encourage research on innovative ways to improve the quality of life and long-term results for these patients.”
Вы можете предпринять некоторые действия, чтобы избежать или задержать достижение пика почечной недостаточности. Лучшее, что вы можете сделать, это контролировать ваше кровяное давление. Здоровый образ жизни, включая физическую активность и диету, может помочь нормализовать кровяное давление, а также замедлить развитие заболевания почек.
“Most Americans consume more sodium and protein than the body needs. Your kidneys work to filter and get rid of residues 24 hours a day, 7 days a week,” says nutritionist Teresa Kuracina, who advises NIH on health and nutrition. Healthy kidneys can usually process the imposed load. “But if you suffer kidney damage, too much sodium and protein can have a negative effect,” says Kuracina. “We usually recommend eating less sodium and more fruits, vegetables, and whole grains. To reduce the amount of fat, choose lean meats and low-fat dairy products.”
If you develop kidney disease, your doctor may recommend additional changes in your diet. And if lifestyle changes are not enough to slow down the process of kidney damage, your doctor may prescribe medications to lower blood pressure, control blood glucose levels, and lower cholesterol .
Do not pull in order to take the first step to the health of your kidneys. Talk to your doctor about your kidneys and ask if you should be tested for kidney disease.