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Another Way for Patients with Chronic Kidney Disease

A man wearing a mask protects his arm. He showed puncture holes to the needle. "This needle marks seven years of dialysis," he said.

His name is Tony Samosir, a member of the Indonesian Dialysis Community (KCDI). Seven years ago, Tony was sentenced to chronic kidney disease (CKD). However, unbroken, Tony proves that with the right treatment, patients with kidney disease can have a long life.

"Kidney failure is not the end of everything," he said in the discussion "Choosing a kidney replacement treatment" in Jakarta on Wednesday (08/16/2017).

the kidney is an important organ that maintains the blood composition. The operation of the kidneys prevents the accumulation of waste and regulates the balance of body fluids. Then, maintain the electrolyte levels like sodium, potassium and phosphate stable. The kidneys also produce hormones and enzymes that help control blood pressure, make red blood cells and maintain strong bones.

CKD occurs when the kidneys function less than 15% of normal capacity. In case of renal insufficiency, the blood can no longer be filtered. Residual substances and excess fluid accumulate in the body, and this condition is called uremia. Causes swelling of the hands and feet and makes a person tired and weak. If left untreated, this disease can cause convulsions, coma and possibly death.

Chronic renal failure is a global public health problem characterized by high rates, poor prognosis and high costs.

About 1 in 10 global populations have MRC at some stage. The prevalence of chronic nephropathy increases with the increase in the number of elderly, the incidence of diabetes mellitus and hypertension. Some of the causes of CKD are diabetes mellitus, hypertension, chronic glomerulonephritis, chronic intersisial nephritis, polycystic kidney disease, obstruction, urinary tract infections and obesity.

According to the global burden of disease in 2010, CKD was the 27th leading cause of death in the world in 1990 and rose to 18th in 2010. In Indonesia, the treatment of kidney failure was ranked second in BPJS funding healthy after heart disease.

This disease has no signs or symptoms, but can become fatal. Chronic kidney disease causes no symptoms or signs until the average blood filtration rate (glomerular filtration) is 60%. New abnormalities appear when the glomerular filtration rate drops to 30%. At this time, the patient will complain of a weak body, nausea, reduced appetite and weight loss. The symptoms and signs of uremia will be even more noticeable when the glomerular filtration rate is below 30%.

Results from the 2013 Riskesdas showed that up to 0.2% of the population over 15 years old was diagnosed with chronic kidney disease. More men than women suffer from MRC (0.3% and 0.2%, respectively). The frequency of this disease is higher in rural communities (0.3%), out-of-school children (0.4%), self-employed workers, farmers / fishermen / workers (0.3%). While the provinces with the highest MRC prevalence were Central Sulawesi (0.5%), followed by the Aceh, Gorontalo and North Sulawesi regions (0.4% respectively).

The deaths among dialysis patients in 2015 were 1,243 people. On average, follow a dialysis treatment for 1-317 months. The highest proportion occurs in long-term treated patients for 6 to 12 months.

Overcoming chronic kidney failure

Another story about the painful verdict and the trip to PGK told by Ambri Lawu Trenggono. Ambri is a man who enjoys natural activities such as hiking and traveling. In 2009, he was convicted of kidney failure, his condition worsened in 2012 and doctors suggested dialysis.

"I also chose to work in the field, so when I was convicted and my condition could not, the world was like a collapse," he said.