Be Healthy Make We Happy

Diasuh by the Hospital Doctors Mediros

Date April 30 on Saturday that hospitals Mediros Ceramah Health conducted a routine for the general public with the title Prevent Kidney Failure. Peminat quite a lot of talk, attended by about 60 participants (in the common room capacity of 50 people). Considerable attention from the participants looked through a number of questions, so this felt need to deliver keynote lectures are.
Nanny.

Title lecturing "Prevent Kidney Failure, Prevention and Penanggulangannya", intended for the general public with a lecture on prevention, but that is not less important is to detect / find more early / kidney disease as early as possible. In the first lecture, we underline a phrase: "Health is not everything, but without it everything is nothing", if not have a healthy condition, the glasses of people around the world will look as if bleak. Many kidney disease that can be chronic, so it is better to find them early and not become so prolonged that cause a great loss.
Anatomy. Explained about the size of kidney 11-12 cm long, 5-7 cm wide, 2,3-3 cm thick, about equal to mitt. Kidney form by a unit called a nephron of 1-1,2 million units in each kidney. Nephron units starting from the blood vessel smooth / capillary, as a filter called Glomerulus blood through glomerulus / capillary and filtered so that form filtrate (urin still liquid), which amounted to approximately 170 liters per day, and then flowed through the pipes / channels Tubulus called. Urin flowed out to this channel Ureter, bladder, and then to the outside through Uretra.
Kidney function. Kidney is the organ that have a blood vessel that there are so many (very vaskuler) duties are basically is a "filter / clean up" the blood. The flow of blood to the kidneys was 1.2 liters / minute or 1700 liters / day, the blood is filtered into liquid filtrate of 120 ml / minute (170 liters / day) to Tubulus.

Filtrate liquids are processed in this Tubulus until finally out of the kidney-2 to become urin of 1-2 liters / day. As a resume, kidney function is as follows: 1.Bertugas system as a filter / strainer, remove the "garbage".
2. Maintaining the balance of body fluids.
3. Production of hormones that control blood pressure.
4. Erythropoietin production Hormon the help of making red blood cells.
5.Mengaktifkan vitamin D to maintain bone health.


1. General disease / systemic: diabetes = Diabetes Mellitus, Hypertension, High Cholesterol - Dyslipidemia, SLE: Lupus disease, another immune disease, high blood vessel acid - Hyperuricemia - Gout, infection in the body: Lung (TB), Sifilis, Malaria, Hepatitis , Preeklampsia, Drugs, Amiloidosis, loss of a sudden a lot of spy: muntaber, bleeding, burns. The issues mentioned above could result in disturbances / kidney disease on.
2. Kidney disease in the local: Diseases on Filter (Glomerulus) - Glomerulonephritis, Infection: bacteria - Pyelonephrits, Ureteritis, Stone: Talent / derivative, the difference in the kidney - Nephrolithiasis, Kista: in the kidney - Kidney Polcystic, Trauma: bump, hit, violence - Cancer - Malignancy, Sumbatan: stone, tumor, stricture / striktur.
Collection of symptoms. There are all kinds of kidney disease, so patients also come to the doctor with various symptoms. Here comes the possibility of a patient with symptoms / syndrome kidney disease as follows: 1. Failed acute kidney: a sudden interruption kidney, kidney function "anjlok", not out urin. 2.Nefritis acute: a sudden illness in the kidneys filter (glomerulus), face, leg swelling, blood & protein found in the urin.
3.Gagal kidney chronicles: chronic disruption / chronic kidney so on down kidney function. Complaints & al symptoms: weakness, appetite, nausea, pale, a little urine, shortness of breath.
4. Nefrotik syndrome: interference filter in the kidney, there was severe leakage of blood proteins through the glomerulus / urin to filter, there is a swollen face - legs - stomach, increased cholesterol.
5. Channels urine infection: infection in the kidney - urine other channels, can be acute chronic. Lumbago, fever, pain urinating, can only stiff shoulders.
6. Tubulus interference in the kidney.
7. Hypertension: usually without symptoms.
8. Kidney stones / urine Channels: kolik great pain, blood in the urin.
9. Obstruksi urine Channels: Channel terbendung urine by tumor, striktur / constringency.
10.Gangguan kidney: but it can be without symptoms (asymptomatik).

So if there is interference suspect / kidney disease, it is advisable to do the most simple examination that is examined in the laboratory Full Urin as data for the initial fact-finding process of the next kidney disease.
Symptoms of kidney disease can be classified in two groups: acute and Kronis. I. Acute: swollen eyes, legs, waist aches great (kolik), urine pain, fever, a little urine, red urine / blood, urine frequently. Urin aberration: Protein, Blood / Eritrosit, White Blood Cells / Lekosit, bacteria. II. Chronic: Lemas, no energy, appetite, nausea, vomiting, swelling, decreased urine, itching, shortness of breath, pale / anemi. Urin aberration: Protein, Eritrosit, Lekosit. Lab results of the examination aberration. Other: Creatinine blood increased, Hb down, Urin: protein is always positive.

Handling the patient. Handling of patients with kidney disease usually do the following steps:

1. Check-Diagnosis: Introduction to Early Failure kidney (GG).
2. Control: Monitoring progresivitas GG.
3. The cause: to do detection and correction of a reversible cause of GG, which can still be cured.
4. Perlambat: Conducting intervention treatment / action to slow progresivitas GG.
5. Sensitive kidney: Avoid damage to the kidney: medicine / herbal medicine for kidney toksik that, obati infection that is, for example atasi lack of fluid in the muntaber.
6. Obati Complications: Provide therapy for complications GG.
7. Replacement therapy: Replacement Plan Terapi kidney.

The prevention of kidney disease. Principles of kidney disease prevention is as follows:
I. On people with kidney Normal: A. Individuals at risk: the families who have 1. Kidney is a derivative such as kidney stones, kidney Polikistik, or 2. Is a common: Diabetes Mellitus, Hypertension, Dislipidemia (High Cholesterol), Obesity, Gout. In the group that follow specific guidelines to prevent the above diseases, incidentally control / check to the doctor / labratorium. B. Individuals without risk: Living healthy, Understand signs of kidney disease: BAK delayed / not normal, Nyeri waist, swollen eyes / feet, kidney infection outside: neck / throat, treatment / control to avoid: phase chronicles / prolonged.
II. On people with mild kidney disturbed / are: Caution: rheumatism medicine, antibiotics, the infection: obati immediately, lack Avoid liquids (muntaber), Control periodically
III. Subject to serious kidney / terminal: Replacement Terapi kidney (Renal Replacement Treatment)


Dr. Nico A. Lumenta, K. Nefro
Consultants kidney-Hypertension
RS Mediros