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CARING FOR YOUR KIDNEYS:
HOW’S YOUR
KIDNEY BEEN?
THE KIDNEYS
HEALTHY KIDNEYS
• Kidneys are crucial organs in the body.
• The kidneys are the unsung hero's of the body; Your life is at risk when kidney function doesn’t work properly anymore;
• The kidneys are essential in:
Balancing the volume of water in the body;
Filtering the blood and eliminating the waste products
Production of hormones that regulate some important body functions (blood pressure, making red blood cells, healthy bones)
MAKING URINE
There are lots of left over wastes
from the food and fluid we consume
each day
The kidneys play a major role in
eliminating these waste products
from our body
Toxins and wastes
Salts Extra Water
and
Urine
URINE
FROTHY URINE
KIDNEY DISEASE
• Acute damage happens quickly. A sudden change in kidney function is called
acute kidney injury;
• Chronic damage happens over a long period of time and is known as chronic
kidney disease; It is permanent, but for some types it can be slowed down;
Chronic kidney disease is called a silent disease as there are often no warning
signs;
Sharp increase of chronic kidney disease worldwide
Need to raise awareness, and highlight the burden and economic burden of CKD
TESTS TO MEASURE KIDNEY FUNCTION
SIGNS OF POORLY FUNCTIONING KIDNEY
Healthy kidney Poorly functioning
kidney
Blood pressure ⪃ 120/80 ≧ 140/90
Urine Clear
No protein
No blood
Protein OR
Blood OR
Cloudy OR
Normal
Blood test for creatinine
or estimated glomerular
filtration rate
Normal levels of
creatinine
Normal eGFR
Raised creatinine
Low eGFR
STAGES OF KIDNEY DISEASE
CHRONIC KIDNEY DISEASE FACTS
• 1 in 100 people know they have chronic
kidney disease
• 9 in 100 people have chronic kidney disease
but don’t know it
ICEBERG
1 in100 people
9 in 100 people
THE KIDNEY AS A FILTER
ARE YOU AT RISK OF CHRONIC KIDNEY DISEASE
TYPES OF KIDNEY DISEASE
• Diabetes (40%)
• High blood pressure (10%)
• Nephritis (20%)
• Polycystic kidney disease (5%)
• Other (25%)
CAN I PREVENT OR SLOW KIDNEY
DAMAGE?
CONTROL BLOOD
PRESSURE
• High blood pressure can cause kidney damage
• Kidney disease can also cause high blood pressure
• Blood pressure tablets lower blood pressure and protect the kidney
• The amount of salt and water in your body and the health of your blood vessels will also affect your BP.
CONTROLLING BLOOD SUGAR LEVELS
• Keeping blood sugar levels as healthy as possible will reduce the damage to the kidneys;
• Managing diabetes includes:
A healthy diet with good carbohydrates
Keeping healthy body weight
Exercise
Taking diabetes tablets or insulin as prescribed
Monitoring and recording your blood sugar level at home
Having your blood sugar checked at the doctors regularly
HEALTHY LIFESTYLE
MANAGING KIDNEY HEALTH
• Kidney disease
increases your risk of
heart disease
• Diabetes, high blood
pressure and obesity
can lead to kidney
disease
• All of these diseases
can be prevented or
helped by leading a
healthy life
SELF-MANAGEMENT
• Shared decision making
You are more likely to follow the treatment plan
Work out the best options for you
Understand your choices
• 3 questions to ask before you make a decision
i. What are my options
ii. What are the benefits or disadvantages to each option
iii. How would each treatment affect me
SUPPORT
HEALTHCARE TEAM
Healthcare professional Role
General practitioner • Education
• Manage your blood pressure, sugar level etc
• Prescribe medications
• Monitor the health of your kidneys
Kidney specialist / Nephrologist You will be referred to a kidney specialist when
your kidneys need specialized help
Nurse Provide education about your disease and healthy
living;
Monitor the health of your kidneys;
Pharmacist Educate about your medicines
Home medicine review
Social worker Assist with organizing home services
TREATMENT OPTIONS FOR LATE STAGE KIDNEY DISEASE
REFERENCES
• Kidney Health Australia, My Kidneys My Health:
Living with early stage chronic kidney disease.
(2015)
QUESTIONS