Diabetes Kidney Disease - pathogenesis, diabetic kidney failure prevention
Developing diabetes kidney disease is one of the worst complications related to diabetes, and one of the top reasons for fatalities in people who suffer from diabetes. How and why does the disease progress?The pathogenesis is related to the microangiopathy, which is a condition where the small blood vessels are damaged. This has a great impact on the kidney. The main role of the kidney is to filter and purify the blood in the organism. Moreover, it has really important role in removing the excess water in our body. If these functions fail, then the symptoms are predictable. Diabetes kidney disease has other problems, too. One of the most important things about the kidney is the possibility of secretion of the hormone called erythropoietin. This hormone is responsible for increase the amount of the red blood cells in our body. The impaired kidney no longer produces this hormone and therefore, there is decrease of the amount of the red blood cells. Diabetic Kidney Disease - signs and symptomsThe symptoms and problems could be summarized: 1. Increased blood volume a. Swelling- under the eyes, especially in the morning2. Developing hypertension: 3. Low quantity of red blood cells a. Adynamia (you do not want to move or do any work) b. Increase the tachycardia c. Tissue ischemia ( places where the blood is insufficient These are the main symptoms and problems, however, there exist some others, which contribute further to worsening the patient’s condition. Treatment of diabetes kidney diseasesThe treatment is something extremely hard. If one of the kidneys is not damaged, this is good and the prognosis is going to be better for the patient. However, if both of the kidneys are impaired, the prognosis is not that good. Keeping good diet is one of the main points in the therapy of kidney impaired by diabetes. You have to keep your glucose level in certain boundaries. If you do this, you will be able to slow down the progress of your kidney’s destruction.Using vasodilators as medicaments to better you kidney blood flow is a good as a starting therapy. There are many drugs that have this kind of effect, including ACE inhibitors, Sartans and some kinds of drugs made by herbs.Unfortunately, in most of the cases, diabetic kidney disease leads to development of chronic renal failure, where the kidney is no longer able to do its work. In this case, dialysis is the only one thing that can help. However, this is just a temporary solution and because of that renal (kidney) transplant is the thing that is going to save you.
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