* Free camps envisaged; MoU signed between Marwari Hospital & SM Foundation on renal healthcare
GUWAHATI: In India, the prevalence of Chronic Kidney Disease (CKD) is 800 per million populations while the incidence of End Stage Kidney Disease (ESKD) is 232 per million populations. Kidney disease is prevalent in 4.3 people per 100,000. The goal of conservative therapy is to delay the need for Renal Replacement Therapy (RRT). It also involves regular follow up, optimal BP and sugar control, ensure optimal haemoglobin levels, control of bone metabolism, control of acidosis, hyperkalemia, avoid potentially harmful medications and use of probiotics and enzybiotics, stated renowned nephrologist Prof Chakko Korula Jacob, MD, DM and former HoD and Director, CMC, Vellore while delivering a talk on ‘Chronic Renal Failure (CRF) with polycystic disease of kidney’.
The talk was held after the meeting that marked the signing of the memorandum of understanding (MoU)-signing between SM Foundation and Marwari Hospitals for creating awareness and prevention of kidney diseases at a public function held in the Lion’s Eye Auditorium, Chatribari, here recently.
As the chief guest on the occasion, Prof Chakko Korula Jacob added, “Autosomal dominant polycystic kidney disease (ADPKD) occurs due to genetic mutation of the two genes — PKD1 and PKD2. These genes are responsible for production of Polycystin1 and Polycystin2 proteins. PKD2 is milder disease and it occurs about 20 years later than in PKD1. But in both types, the cysts can form in any part of the nephron but occurs preferentially in the collecting duct. End Stage Kidney Disease (ESKD) occurs in 50% of patients by age 60.
He also mentioned about some Kidney Protective measures in his speech. He said, “Blood Pressure (BP) should be controlled to 110-95/60-75 in ages 15 to 49 with e GFR greater than 60ml. ACEI and ARBs are first line while Diuretics and Beta blockers are second line and Calcium channel blockers are next. Salt should be restricted to 2 to 3 gms, proteins 0.8 to 1gm/kg.
“Body Mass Index (BMI) should be optimized and Phosphate and acidosis should be controlled. Regular follow-up should be done by those who have Acute Kidney Injury (AKI); screening of all first degree relatives, check blood pressure, blood sugar, serum creatinine and urine dipstick are important parameters.” After the presentation, there was a very interactive session with the audience.