Kidney Disease has slowly but steadily gained the tag of a Silent Epidemic on a global scale. It is NOT a single entity, but an umbrella term that covers a diverse range of conditions that affect our Kidneys, directly or indirectly. As per the latest Global Burden of Disease (GBD) studies by the WHO,kidney ailments claim 5-10 million lives annually – the number being similar to deaths due to Cancer, Diabetes or Respiratory Diseases. Moreover, it is a cause for massive physical, emotional & financial strain. The solution lies in preventing or slowing down the pace of disease progression. Hence, choose to proactively learn about kidney ailments to become a better kidney warrior.
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High Blood Pressure (Renal induced hypertension) is a “committed” sign and an essential therapeutic target in chronic kidney disease. But did you know uncontrolled, sustained High Blood Pressure /Hypertension (irrespective of the root cause) itself is a strong risk factor for Chronic Kidney Disease?
This article walks you through the normal blood pressure basics. Then it explains how sustained high BP is a risk factor for kidney disease.
Lupus is a prominent name among the myriad chronic inflammatory conditions where the body’s immune system begins attacking its own tissues. This autoimmune condition can impact virtually any organ of the body. It is incurable, the clinical presentation is widely variable with sometimes debilitating flares and the complications, potentially fatal in some cases when left untreated. Among other organs, Kidneys are a prime target here. So, as a portal dedicated to nephrology, let us walk you through the what-why-how of this challenging autoimmune disorder with specific focus on Lupus Nephritis – its kidney chapter. It is Lupus Awareness Month (May) after all!
COVID19 prevention has been a tough nut to crack especially in the Immunocompromised. On one hand, the COVID19 vaccines fell short in patients with moderate to severe weakening of immunity. This included kidney patients with advanced pre-dialysis state, those on dialysis and post-transplant. On the other, in certain kidney patient cohorts who did develop traceable immune response to the vaccines ended up with a flaring of pre-existing underlying autoimmune kidney diseases like IgA Nephropathy.
But then, amidst this steady inflow of pharmacological strategies to ward-off COVID19, if something has managed to survive it’s the utility of the humble face mask. Of-course, other COVID safe practices like following strict hygiene protocols and avoiding crowds go hand-in-hand.
When vaccines fall short in offering relevant immune protection in the Immunocompromised, what really works? When such suboptimal immune protection wanes a lot faster in comparison to that immunocompetent individuals, is there a better option?
COVID19 vaccine inoculations are the best possible protection for most health profiles that science offers against this pandemic menace. However, as we know, COVID vaccines in their initially recommended dose schedules proved less effective in immunocompromised individuals. This was irrespective of whether poor immunity resulted from a medical condition or due to immuno-suppressive medication. Patients with advanced Chronic Kidney Disease & Kidney Transplant recipients are a prominent subgroup in this population subset of the “Vaccine Helpless”.
◾ So how did poor immunity in kidney patients impact vaccine effectiveness?
◾ Will repeated immune challenge with extra doses as part of primary vaccine series truly help all kidney patients? How tenable is it?
◾ Any better alternatives to garner adequate immune protection for our cohort without going overboard with the “immune challenge” and/or inviting side-effects of major concern?
Read on to decode the relevant science and understand your options for adequate immune protection against COVID-19.
(DISCLAIMER: The article is purely a medically feasible insight on current evidence from peer-reviewed scientific literature on COVID-19 vaccine efficiency, its shortcomings & potential relevant alternative pharmacological solutions w.r.t. patients with chronic kidney disease. The intention is to place the facts as they are with due respect to Science. It is not intended to promote any vaccine hesitancy or support anti-vaxxer views. It does not represent any political positioning either.)
On Transgender Day of Visibility, we came across a number of relevant articles on the need for better representation of the Transgender community in various spheres of life.
Invariably, our attention turned towards their representation, inclusion & access to healthcare, especially with respect to kidney disease. This basic thought drove us to present you with evidence based insight into the risk & prevalence of kidney disease in the Trans community that can be linked to Gender affirmation treatments.
Kidney Transplant is the surgical procedure to trans-fer a healthy, matched kidney from a willing donor & im-plant it in a patient with kidney failure to prolong the patient’s life. Till date, this is the best treatment for the majority of patients with kidney failure due to Chronic Kidney Disease.
Team ATK has always advocated in favour of gaining a thorough understanding of your disease process & treatments.
Keeping in sync with this principle, our article today dissects the kidney transplant surgery for you. We present the topic in two parts as below:
Every patient with End Stage Renal Disease (ESRD) or in other words, Kidney failure needs to go on treatments that would “fill the gaps” in the errant functioning of the unwell kidney or completely replace it with healthy functioning. Dialysis is a way to fill the gaps while a Kidney Transplant is a complete replacement.
Kidneys are essential for sustaining life. Individuals who end up with very little or almost no kidney function, either due to an incurable disease, birth defect or extensive injury, require a solution to regain/assist with their kidney function. Kidney Transplant is one of the methods to do so.
This involves a surgical procedure of “transferring” a healthy, matched kidney from a willing donor to “implant” it in the belly of the patient requiring the organ. Hence the name, Transplant.