Thursday, May 28, 2015

WHEN WILL DIALYSIS OR KIDNEY TRANSPLANTATION BE NEEDED

Nephrology Dialysis Transplantation (ndt) is the leading nephrology journal in Europe and renowned worldwide, devoted to original clinical and laboratory research in nephrology, dialysis and transplantation. ndt is an official journal of the ERA-EDTA (European Renal Association-European Dialysis and Transplant Association). Published monthly, the journal provides an essential resource for researchers and clinicians throughout the world. All research articles in this journal have undergone peer review.

As the kidneys lose their ability to function, fluid and waste products begin to build up in the blood. Dialysis should begin before kidney disease has advanced to the point where life-threatening complications occur. This usually takes many months or years after kidney disease is first discovered, although sometimes severe kidney failure is discovered for the first time in people who were not previously known to have kidney disease. (See "Patient information: Chronic kidney disease (Beyond the Basics)".)

It is best to begin dialysis treatments when you have advanced kidney disease, but while you still feel well and have no or only mild symptoms of kidney failure. Such symptoms include nausea, loss of appetite, loss of energy, vomiting, and others. You and your doctor will decide when to begin dialysis after considering a number of factors, including your kidney function (as measured by blood and urine tests), overall health, and personal preferences.

Some people with renal failure are not candidates for a kidney transplant. Older age and severe heart or vascular disease may mean that it is safer to remain on dialysis rather than undergo kidney transplantation. Other conditions that might prevent a person from being eligible for kidney transplantation include:

●Active or recently treated cancer
●A chronic illness that could lead to death within a few years
●Poorly controlled mental illness
●Severe obesity (a body mass index greater than 40) (calculator 1 and calculator 2)
●Inability to remember to take medications
●Current drug or alcohol abuse
●History of poor compliance with medications or dialysis treatments
Some people with HIV infection may be eligible for kidney transplantation if their disease is well-controlled.

kidneyhospitalabroad@hotmail.com

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