Chennai, Aug 10 (IANS) After a third renal transplant surgery, a 41-year-old resident of Chennai now has five kidney's in his body and is doing well.The patient, who underwent a third renal transplant surgery at the Madras Mission Hospital, earlier had two transplanted kidneys in his body along with his original two kidneys.This is one of the rarest of procedures conducted on a patient, which is not common even globally.The surgery was performed on the patient on July 10 and exactly after a month during his first check-up post the operation, the doctors found that he was keeping well, and his transplanted kidney was functioning properly.The vascular and transplant surgeon who performed the surgery on the patient, Saravanan, told IANS, "There were four challenges in performing this surgery -- first, lack of space for the new kidney in the retroperitoneum; lack of width on the native blood vessels to connect the renal artery and vein; the bladder was scattered with earlier surgeries; and the patient tended to develop a lot of antibodies from the earlier surgeries and plasmapheresis (filtering the blood) had to be performed before placing the new kidney."He also said that the reason the old kidneys have not been removed to make space for the new one is because the patient could profusely bleed and require blood transfusion and could lead to the production of antibodies and rejection of the new kidney.The 41 year old patient had hypertension and chronic kidney disorder (CKD) and had two earlier failed renal transplant surgeries owing to uncontrolled hypertension. The patient had also undergone triple bypass surgery at the Madras Medical Mission Hospital three months back, after he was diagnosed with coronary artery disease.Saravanan said, "The kidney was placed high above in the abdominal cavity, right next to the intestine as opposed to the conventional approach. The transperitoneal approach (through the gut), a rare surgery, saved the day for my patient. This is an uncommon surgery and I have to see a paper published on this in India."--IANSaal/arm
Sydney- Love to binge on potato chips, bread, bakery products and chocolate? Then beware, as a new rodent-based study revealed that eating processed foods can cause leaky gut syndrome, which in turn increases the risk of kidney disease.
The study, led by researchers at Monash University in Australia, showed that heat-treated or processed foods are rich in harmful chemical compounds called Advanced Glycation End Products (AGEs). These chemicals give the browned, roasted, fried, grilled and baked foods their flavour and aroma.
The AGEs trigger a process called the Maillard reaction and switch on the body's danger signals leading to an inflammatory response and chronic kidney disease.
However, eating foods that contain high resistant starch fibre such as oats, cooked and cooled rice, barley, bean and legumes such as black beans and peas, raw potato starch (as a supplement), cooked and cooled potatoes, can help restore gut health and improve kidney health, revealed the study published in the journal Science Advances.
"These foods are important as they get down into your lower gut and basically serve as food for your gut bacteria. The gut bacteria ferment these food-producing metabolites that are anti-inflammatory," said lead author Melinda Coughlan, Associate Professor at Monash Central Clinical School's Department of Diabetes.
Globally, 10 per cent people are affected with chronic kidney disease. Consumption of processed food is also associated with the risk of all-cause mortality, diabetes, hypertension, obesity, cancer and gastrointestinal diseases.
"Dietary change, as with most behaviour change, can be difficult to maintain long term, but by adding more foods high in resistant starch fibre and steaming and stewing cooking practices we can help dampen the harmful effects," Coughlan said. (Agency)
A latest research by Jamia Hamdard University here suggests that certain ayurvedic formulations can reduce pathologic damage of the kidneys. The study claims that the herbal medicines can help rejuvenate cells of an ailing kidney by cutting down reactive oxygen species (ROS) which is associated with pathological damage of the vital organ.
The research underlines that the specific formulation can prove effective in bringing down the quantity of ROS, which starts elevating in the kidney cells after the disturbances in level of potassium and sodium enzyme occur in the body.
The conclusion was reached following administration of punarnava (an ayurvedic plant)-based NEERI KFT formulation, that comprises lotus leaves, patharchur and other major herbs to the subjects of chronic kidney disease, according to a study.
As per the doctors, bringing ROS under control is very important in the treatment of the kidney as these are major factors in damaging the renal cells.
The research, though conducted over quite a few number of subjects, showed a decline in the level of ROS in the controlled arm which was administered the NEETI KFT treatment.
During trials, only nine subjects were given different treatment for eight days. However, the researchers said that the number was enough to ascertain the primary endpoint of the trial.
"We found that the group which was administered NEERI KFT had a controlled level of antioxidant enzyme. This shows that anti-oxidant elements in the formulation not only function against ROS but also bring down its level," they stated.
The study also claimed that the ayurvedic formulation was found to help in detoxifying kidney cells apart from reducing high levels of uric acid and electrolytes.
Acknowledging the outcome of the study, K.N. Dwivedi, professor at Banaras Hindu University, said that he advises the therapy to his patients. "We get many patients who have claimed that ayurvedic formulation Neeri KFT proved to be beneficial in curing kidney disease."
Expressing similar views, Bheema Bhatt, Medical Director of Ayurvedic Medicine at Medanta, Gurugram, said that in a large number of kidney patients having high creatinine and urea levels, Neeri KFT has been found to be balancing the level.
"I have prescribed the treatment to my patients and have received positive output so far," he added.
Sanchit Sharma, Executive Director of an ayurvedic drug firm said that the formulation was found helpful in delaying the need of dialysis as well. "It reduces the progression rate of degeneration and improves reparative capacity of renal cells nephron," he added. (Agency)
Kidney disease is a major health concern that many people across the globe are the facing today. However, inculcating a few simple rules in your daily life can help you keep your kidneys healthy and enhance the overall efficiency of your body as well.
Sujit Chatterjee, CEO of Dr. L H Hiranandani Hospital, lists down the golden rules to follow to keep your kidney healthy:
Avoid Too Much Medicines & Pain Killers
Intake of too many medicines is one of the major reasons for kidney failure and other chronic kidney diseases. So, whenever possible, go for natural therapies and if possible, go for Ayurvedic alternatives.
Keep Blood Sugar in Control
Having excessive blood sugar is never good for your kidneys as to filter the same your kidneys will have work even harder. This, in the long term, can increase the chances of kidney failure. So, check your sugar levels regularly and take every necessary precaution to keep them under control.
Keep Yourself Hydrated
The wonders that regular water intake can do for the body are uncountable and keeping your kidneys healthy is one of them. So, ensure that you drink at least 8-10 glasses of water every day, as it helps in removing harmful toxins from the kidney, lowering the chances of harmful kidney-related diseases.
Maintain a Healthy Weight
Being overweight means increased pressure on your organs and more toxin accumulation in the body. So, ensure that you avoid the same for better functioning of your body and to lower the chances of any harmful disease.
Avoid Excessive Smoking & Drinking
Smoking and drinking increase the burden on your kidneys by increasing the number of toxins in the body. This can cause a heavy toll in the long term, so make sure that you avoid both to make sure that your kidneys remain healthy for a long time.
Keep a Check on Blood Pressure
High blood pressure can cause serious problem for your kidney and in the long run, can even lead to kidney failure. If you face high blood pressure then consult your doctor immediately and get proper treatment.
A healthy diet helps you in keeping every organ of your body at full efficiency and energy levels elevated. For better kidney health make sure that you eat a diet that is low on sodium. Some of the best options that can go for are egg whites, blueberries, fish, whole grains, and cauliflower.
Working out regularly not only help your body loose toxins faster but also help in improving the overall body functioning. So, exercise at least 5 times a week and ensure that you follow this in the long-term with proper consistency. Yoga is a good option for maintaining healthy kidneys.
Routine Body Check-ups
Having full-body checkups on a routine basis is extremely important as it will help you in knowing about any serious problem in the early stages and eliminating the same before it becomes dangerous for your body. Make sure that you get the checkups done at least 2-3 times in a year. (Puja Gupta)
Read More► Kidney Stones: 6 Ayurveda Home Remedies for Effective Relief
London, June 11 (IANS) Our kidney function deteriorates with age, even if people do not have any other diseases, say researchers.Loss of kidney function is something that happens to all humans and is, thus, a way to determine ageing in general.For the findings, published in the Journal of the American Society of Nephrology (JASN), the research team picked nearly 3,000 people in Norway, Germany and Iceland.They examined the kidney function of a group of people between the ages of 50 and 70, and two groups of people between the ages of 70 to 95, to discover how the kidney function develops."What we see is that what happens in our kidneys when we age is representative of all the other things that happen in our bodies. The kidney function deteriorates, not because we get ill, but as part of ageing," said study author Bjorn Odvar Eriksen from UiT The Arctic University of Norway.The research team examined many factors that can play a part as to why some of us experience larger loss of kidney function than others.One of the groups that have participated in the study consists of over 1600 people and stems from The Tromso Study, which is Norway's most comprehensive and best participated population study throughout 40 years.This group has been through the different examinations three times; between 2007 to 2009, 2013 to 2015, and 2018 to 2020.The researchers used a precise method of measuring kidney function.They injected a substance into the blood veins that only separates into the kidneys, and let a few hours pass before they measure how much of the substance remains in the blood.According to the researchers, this gives a measure of the kidney's ability to remove toxins and waste products.Eriksen explained that more people may experience loss of kidney function as it becomes more common to survive diseases like cancer and heart and vascular diseases."For those who experience loss of kidney function at a high age, this is a considerable burden. That is why this is an area that needs further research to find more answers. We are still looking for the fountain of youth," said Eriksen.--IANSbu/na
Kidney disease is a major healthcare burden in both the developing and the developed world with a global prevalence of approximately 850 million people worldwide. The modifiable risk factors for the development of kidney disease are on the rise, which mainly include lifestyle diseases, which are not often closely monitored and treated appropriately.
The global burden of Chronic Kidney Disease (CKD) is increasing and is projected to become the 5th most common cause of deaths globally by 2040. Chronic Kidney Disease is a major cause of catastrophic health expenditure. The cost of dialysis and transplantation consume 2-3 per cent of the annual healthcare budget in high-income countries; spent on less than 0.03 per cent of the total population of these countries. In low-income and middle-income countries, most people with kidney failure have insufficient access to lifesaving dialysis and kidney transplantation.
Diseases like diabetes, obesity and hypertension are on the rise and in many centres, more so in the developing world, are not adequately treated and monitored, leading to a rise in the incidence and also in the acceleration of kidney disease in select populations. Use of native and alternate forms of medicines to treat non-kidney ailments and use of painkillers and kidney toxic antibiotics often results in kidney disease which adds tremendously to the global burden.
This year World Kidney Day it becomes important to raise awareness of the increasing burden of kidney diseases worldwide and strive for kidney health for everyone, everywhere. World kidney day 2020 aims at primary prevention that is making attempts to prevent or delay the onset of kidney disease in the select at risk populations and also aims at secondary prevention that includes early diagnosis and treatment of kidney ailments, some of which if treated on time can completely reverse kidney disease.
Tertiary prevention translates to management of mortality and morbidity by treating advanced disease like early and timely institution of renal replacement therapies in the form of dialysis and kidney transplant, respectively.
Primary prevention of kidney disease requires the modification of risk factors, including diabetes mellitus and hypertension, unhealthy diets, structural abnormalities of the kidney and urinary tracts, or nephrotoxicity levels. Preventative primary interventions include promoting healthy lifestyles, including physical activity and healthy diets, screening for patients at higher CKD risk with the aid of urine and blood tests and keeping screening data in a CKD registry.
In persons with pre-existing kidney disease, secondary prevention, including blood pressure optimization and glycemic control, is the main goal of education and clinical interventions which can be achieved by low salt, protein, as well as plant and pharmacotherapy.
In patients with advanced CKD, management of co-morbidities such as uremia and cardiovascular disease is of high priority.
Towards the importance of the "Prevention approach" of kidney diseases and kidney failures to be recognized, state healthcare departments and hospitals need to initiate promotion programmes for healthcare professionals, including nephrology fellowship programs and non-specialist training; effective and efficient education and awareness programs for the general population and partnerships for patient empowerment are key.
Patient empowerment is more applicable to the developing world which mainly includes increasing patient awareness regarding usage of potentially harmful agents and also performing periodic testing for the presence of the development of kidney disease.
(Dr Partha Pradeep Shetty is Consultant -Nephrologist Transplant Physician, Vikram Hospital Bengaluru)