More than 10% of the Kinshasa population exhibits signs of CKD, which is affecting adults in their productive years indicating dire need of facilities for kidney transplant in DRC . Risk factors for CKD, including hypertension, diabetes and obesity, are increasing. These alarming data must guide current and future healthcare policies to meet the challenge raised by CKD in this city and hopefully in the whole country.
In a cross-sectional study, 503 adult residents in 10 of the 35 health zones of Kinshasa were studied in a randomly selected sample. Glomerular filtration rate was estimated using the simplified Modification of Diet in Renal Disease Study equation (eGFR) and compared with the Cockcroft-Gault equation for creatinine clearance. The associations between health characteristics, indicators of kidney damage (proteinuria) and kidney function (<60 ml/min/1.73 m(2)) were examined.
The kidneys are two bean-shaped organs located on either side of your spine under your lowest ribs. kidneys have three major roles
Renal failure occurs when the kidneys can’t offer these crucial functions. We start to retain fluid and develop bloated legs. Our electrolytes are not any longer in equilibrium; for instance, the potassium may be quite high. We become anaemic because we no longer produce enough erythropoietin. We develop high blood pressure. With advanced renal failure, we fail to excrete toxins such as urea, making us feel sick (nausea, fatigue).
The creatinine is a blood test which people use as a marker of kidney function. It’s a pure breakdown product of muscle which moves freely through the gut; it’s neither reabsorbed nor evidenced by the liver therefore that it gives us information regarding the operation of the uterus. A standard creatinine is less than or equivalent to 1.3 mg/dL for less than 1.1 mg/dL for ladies.
CKD is chronic kidney disease. We classify the degree of chronic kidney disease into stages or degrees of severity.
GFR is glomerular filtration rate. This is a measure of the kidney’s ability to filter. It gives us an estimate of what kind of a job your kidneys are doing. There are various methods for measuring the GFR. Your nephrologist may ask you to collect your urine for 24 hours.The urine and serum creatinine concentrations are measured. Using a mathematical formula with urine creatinine and serum creatinine, we can determine your GFR.There are more scientific methods (inulin clearance, iothalamate clearance) to measure kidney filtration, but they are not widely used in clinical practice
ESRD is end-stage renal disease. End-stage renal disease signals that the kidneys can no longer provide their vital functions, which include excreting toxins, managing electrolytes, and maintaining a proper fluid balance.The GFR is less than 15 mL/min when ESRD occurs.
What causes chronic kidney disease?
The most common cause of chronic kidney disease in the World is diabetic kidney disease, called Diabetic Nephropathy. The second most common cause of chronic kidney disease in the world is hypertension-related renal disease, referred to as hypertensive nephrosclerosis. These are secondary causes of chronic kidney disease where a particular disease is damaging the kidneys. Diabetes and hypertension are the most well-known causes of chronic kidney disease, but there are many others.
Primary causes of chronic kidney disease are diseases that solely affect the kidneys. For example, chronic glomerulonephritis such as IgA nephropathy is the most common form of primary chronic kidney disease in the world. Chronic glomerulonephritis causes inflammation that attacks the kidneys. There are numerous examples of primary causes of chronic kidney disease.
Dialysis is also a treatment for CKD but it is not very successful. Kidney Transplant is the last option in case of Chronic Kidney Disease (CKD)
Eligibility for Transplant
Patients with kidney transplants live longer than patients on dialysis. Most kidney transplant recipients report a better quality of life than on dialysis. It gives you an opportunity to live a more normal life.
Talk with your Nephrologist about referring you to a kidney transplant program for evaluation. Patients on dialysis or patients with advanced chronic kidney disease (Creatinine clearance less than 30 mL/min) can be evaluated for transplantation.
Not Eligible For Kidney Transplant
There are a few relative and absolute contraindications to kidney transplantation. Absolute contraindications include.
Relative contraindications include
Time of transplantation Pregnancy
How you actually get organ for kidney transplant.
There are two process for kidney transplant donor matching
HLA – These antigens are on leukocytes (white blood cells) and most solid tissues and organs of the body but are not present on red blood cells. They are the structures on the donor’s transplanted organ that the recipients recognize as different from them selves and try to destroy. If donor and recipient have the same HLAs,there is less chance of rejection.
CROSSMATCH – A test that determines whether recipient cells and donor cells are compatible, carried out before transplant can take place.
Matching Factor For Kidney Transplant
The following factors are taken into account when forming a match between donor and recipient:
Most of the Transplant cases in Congo is not curable. So they search destination for Best Kidney transplant treatment. One of the most favorite destination for African countries is India because India is providing affordable and quality medical services. Mozocare is Helping people to get treatment of Kidney Transplant In DRC Congo
For More info Contact us.
SINODIA HEALTHCARE PRIVATE LIMITED
7th floor, Logix City Center
Noida Uttar Pradesh India