KIDNEY FAILURE, DIALYSIS, KIDNEY TRANSPLANT

On 1 July 1965, Professor George Lucas and his team realized the first kidney transplant in Liege. We just celebrated our 50th birthday. Since then, more than 1,250 patients have been transplanted at the university hospital. Transplant is the ultimate best solution for end-stage kidney disease patients under 70 years of age. Before the transplant and while waiting for it, there is, for the most part, dialysis, a supplement to the poor functioning of the kidneys, which has allowed tens of thousands of patients to wait since its development, sometimes (too much ) for a long time this happy event which somehow brings them back to life. Renal transplantation is the best treatment for severe renal failure, if possible, by favoring more living donors, even unrelated donors, as has just been recently published (New Engl J Med March 2016). Living kidney donation is proportionately little chosen in our country for various reasons, particularly that of a too-late arrival in the development of renal insufficiency. Doctor Muhmmad Khan provides the best Nephrology associates in riverside. To limit the physical degradation linked to renal failure, sometimes to avoid dialysis and gain time waiting on the list, it is well before the time to initiate dialytic treatment that we must put the maximum of our efforts to focus patients kidney problems: 1. Raising awareness of the risks of kidney disease, the simple ways to screen for a kidney problem, and spot symptoms and signs of chronic kidney disease for earlier detection. 2. By thus giving the patient a chance, thanks to other treatment approaches (drug, interventional, dietetic, physical) to avoid dialysis. 3. By insisting with the general practitioner to register his patient with chronic renal failure or affected by chronic proteinuria in a "nephrology" treatment path. »And give him a maximum chance, if not permanently to block the disease, at least to ensure the most appropriate possible care to guarantee a correct clinical state and the most optimal possible quality of life to be registered on time on a kidney transplant waiting list, before dialysis treatments. With the attending physician and around the nephrologist, this treatment path is marked out by other experts, for example, in diabetology, arterial hypertension, or even dietetics. And this trip is free for the patient.

Who is Prof. Jean-Marie Krzesinski?

Jean-Marie Krzesinski has always had an interest in sodium, the delicate balance provided by the kidneys. His docIn his thesis, he devoted it to the link between dietary sodium (salt) and the genesis of essential hypertension. "Excess salt ages the arteries and promotes the rise in blood pressure with age." ULg doctor in 1980, he specialized in internal medicine, nephrology orientation with Prof. Georges Rorive (1986) then obtained the title of an associate of higher education (1994). In 1993, he was appointed by the CHU as head of the internal medicine service at the former Esneux hospital, entered into the university fold, and since called CHU Ourthe-Amblève. He stayed there ten years before returning as head of the "Nephro In succession from the one who had trained him. This 60-year-old Esneutois is married, the father of a girl who chose the economic sector (HEC-ULg) and of a boy doctor who specializes in cardio (ULg). Another generation of patients will be likely to find a technical means (Karl Reste Zen in Italian Switzerland) to retain the spelling of a Polish surname. "Dad was a Polish immigrant, a technical engineer by training, who left Poland in 1936 

“Smiles the professor, sometimes called Doctor KRZ by his colleagues.

Kidney failure, what is it?

It is the dysfunction of the two kidneys which no longer filter the blood properly. Renal failure is either acute or chronic, or even acute against a background of chronicity: acute if the dysfunction is transient and reversible; chronic if the functioning of the kidneys is impaired over at least three months, often irreversibly if the diagnosis is late, and therefore without possibility of cure. In the event of major renal failure, renal function can be ensured by dialysis (filtering the blood by an "artificial kidney "outside the body called hemodialysis or using the peritoneal membrane as an exchange surface then called peritoneal dialysis) or by a kidney transplant. Renal failure what is it - art2 web

 

Acute renal failure most often occurs rapidly after acute dehydration, significant hemorrhage, sepsis, complicated surgery, drug intoxication, or even urinary tract obstruction, for example, on a stone. It takes a few days for the kidneys to regain their function if the cause of the disorder has been removed. During this transition period, dialysis makes it possible to compensate if the acute attack is very severe. The early management of this type of complication by understanding its mechanisms (in particular by the history and analysis of a urine sample) often makes it possible to stop the development towards more severe and risky forms—high morbidity and mortality.

 

Chronic renal failure, the one that concerns us today, is caused by various pathologies (most often, after 50 years, we note diabetes, hypertension, and atherosclerotic pathologies .) which destroy irreversibly, but in an irregular rhythm, the kidneys. Doctor Muhmmad Khan provides the best  Nephrology physicians  in Riverside. The disease is classified into five stages, depending on the residual filtration capacity. In the terminal stage, the kidneys are functioning at less than 15% of the average power. Dialysis and transplantation must then be used.