Saturday 29 February 2020

KIDNEY FAILURE:PAEDIA EXPRESS EXPOSES


PROPOSAL ON BORNU STATE GOVERNMENT OF NIGERIA RESEARCH ON KIDNEY FAILURE BY ABDULMUMINI ADEKU,THE FOUNDER,ENCYCLOPAEDIA EXPRESS MULTIMEDIA GROUP OF LAGOS,NIGERIA...
HISTOLOGY OF THE DISEASE!!!
 Image result for kidney
These are often difficult to cure,a patient who have a sudden and serious case on his kidney can go through this over a very long time.
Patients who have suffered from a kidney disease for a very long time may also develop several cases of high blood pressure.
Kidneys could be affected by abscess ,tuberculosis with diseases like Bilharzia and Gonorrhoea likely to cause infections that can spread from the urethra or bladder to the kidney.
If a person's kidney becomes seriously diseased or damaged ,one of them is sometimes replaced  with a kidney from a healthy person.
This could involve a long and complicated surgical operation called a kidney transplant with patients having diseased kidneys being kept alive for many years through artificial kidney machine.
Kidney failure could be classified as acute when the onset is sudden or chromic,acute kidney  failure results in reduced output of urine,abnormally high levels  of nitrogenous substances ,potassium ,sulphates and phosphates in the blood and abnormally low blood levels of sodium,calcium and carbondioxide.
The affected person recovers in six weeks or less.
CAUSES OF KIDNEY FAILURE:
This includes the destruction of the tubules in the kidney by drugs  or organic solvents such as carbon tetrachloride acetone and ethylene glycol,exposure to compounds of metals  such as mercury ,lead and uranium ,physical injuries or major surgery causing much loss of blood or an increase in blood pressure ,severe burns and incompatible blood transfusions.
Renal failures can also result from diseases that destroy  the cortex of the kidney from severe bacterial infections of the kidney ,from diabetes that causes destruction of the medulla or inner surface of the kidney and from the over abundance of calcium salts in the kidneys.
Kidney failures can also occur in situations where there is blockage  of the renal arteries,liver diseases and obstruction of the urinary tract but all of the rarely ever happens.
Chronic renal failure is usually the results of a prolonged diseases of the kidney and in  chronic   failure  the blood becomes  more acidic them normal  thus  leading  to the loss of calcium  from  the bones with nerve  degeneration  happening  as well....
A diseased kidney  can sustain life until about 90 percent of its functional capacity has being lost and when this occurs,the healthy portion increases  its work to compensate for the lost part.
If a kidney is removed  then the other increases in size and functions to handle the over load .
Treatment when the failure of both kidneys occurs requires dialysis by means of an artificial kidney machine  and in cases of less severe kidney failure this processes allows the kidney tissue the proper  tie to rest and repair itself .
If inadequate recovery does not occur a kidney transplant may be considered ....
ADVANCES IN MODERN THERAPY:
Professor Gbenga Awobusuyi ,The Dean ,Faculty of Clinical Sciences ,The Lagos state University Teaching Hospital ,Ikeja,Lagos,Nigeria confirmed of a National Renal Database upon been querried.
He insisted that in the near foreseeable future there was the possibility of pocket sized gadgets worn to be used for the kidney without the  patient  necessarily having to go to a dialysis center..
He revealed that due to advances in modern medicines ,there were now powerful injections that could prevent the rejection of kidneys.
He agreed that it was time for modern medical experts  and their traditional  partners  parley to move humanity forward .
Studies were now on about finding solutions to heat induced kidney failures due to the effects of global warming.
CONTRIBUTIONS FROM GLOBAL MEDICAL JOURNALS
The Kidney International Supplements ,The official Journal of the International Society of Nephrology ,Volume Two ,Issues five ,dated December,2020,Page 347 ,Chapter 2 ,agreed that the achievement of a healthy change in blood pressure requires a lot of efforts from the patient.
It is also generally accepted that a combination of life style modifications and drug therapy should be used to lower the blood pressure  in patients ,however escalations will depend on the blood pressure upsurge.
It recommended limiting alcohol intake to not more than two standard drinks daily for men and not more than one standard drink per day for women.
In kidney International ,official Journal of the International Society of Nephrology ,Volume 82,issue 11 ,December,2012 ,Page 1239 ,it tells the story of the unusual  cause of renal failure when there was an elevated liver enzyme.
It stated of how a 45 years old male patient was diagnosed with renal failure due to an hypertension he had developed two years previously  and at the time there was the presence of serum creatinine  and evidence of a liver disease  with liver enzymes on the increase.
However,when live biopsy was done there could not  be revealed any further specific  cause and upon progression of renal failure  the patient was taken in for further evaluation.
The patient had no formal complaints  as his physical examination did not reveal anything untoward but in identifying the patients renal failure ,Kidney biopsy was performed and results deducted in the process.

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