Speaking on 12 March World Kidney Day, Erciyes University Faculty of Medicine Nephrology Science Branch Lecturer and Turkish Nephrology Association Board Member Prof. Dr. Bülent Tokgöz said that one of the 5 diseases that will cause the most common death in 2040 will be chronic kidney diseases if adequate precautions are not taken, and added: “Do not consume drugs without a doctor’s recommendation, eat consistently, do not consume more salt than necessary, do not dehydrate your body, do not smoke, in case you are worried. And do not delay going to the inspection.”
Erciyes University Faculty of Medicine Department of Nephrology Faculty Member and Turkish Nephrology Association Board Member Prof. Dr. Bülent Tokgöz gave valuable warnings on 12 March World Kidney Day. Stating that the number of people affected by a random type of kidney disease exceeds 100 million, Prof.
Dr. Bülent Tokgöz said, “The global burden of chronic kidney diseases (CKD) is getting heavier. If we fail to take effective measures, we will see chronic kidney diseases in the top 5 in 2040, amid the most common causes of death.” said.
Underlining the high economic burden of chronic kidney disease, Prof. Dr. Tokgöz said, “Chronic kidney disease is a disease with a high cost of treatment. If we examine the health expenditures in developed countries, only treatments for end-stage kidney disease, namely dialysis and kidney transplantation, occupy 2-3% of annual health expenditures. he said.
Early diagnosis is vital in chronic kidney disease
Pointing out that one out of every 10 people in the world has chronic kidney disease, Tokgöz said, “The important thing is to know who is at risk. Because in this way, we can detect the disease at an early stage, prevent its progression, or at least slow it down with screening tests in high-risk people. In addition, knowing the conditions that increase the risk of disease is also a guide for what should be done in terms of preventing the development of kidney disease
. made a statement. Stating that the diagnosis of chronic kidney disease was made by evaluating the examination, basic blood and urine tests, Turkish Nephrology Association Member of the Board of Directors Prof. Dr.
Bülent Tokgöz, “As an additional examination, ultrasonographic examination can provide absolute information. When we make the diagnosis, we determine the stage of the disease and try to assume the rate of progression in the steps before Stage 5. The earlier we are in the phase, the higher the chance we have of stopping or at least slowing progress. Our efforts to stop/slow disease progression up to stage 4 are evident. In Stage 4, we do not loosen our efforts to slow down, but we still complete our plans and be ready according to possible situations. If we enter stage 5, if the kidney work becomes critically expensive or if uremic symptoms occur, we should start kidney transplantation or dialysis
when transplantation is not possible. We also have changing nutritional offers, vascular defense strategies and vaccination programs for prevention, starting from the early stages.” he said.
Drugs used without medical advice harm the kidney
Among the risk factors that can directly initiate kidney damage, they can count diabetes, hypertension, autoimmune diseases, systemic infections, recurrent urinary infections, kidney stones and exposure to nephrotoxic factors. Stating that, Tokgöz said, “We should use the drugs when necessary, but in line with the doctor’s recommendation. Otherwise, let’s not forget that it may bring us risky situations. In drugs that can be obtained without a prescription, there may be a danger of toxic effects on the kidney, especially since they can be taken without the recommendation of a doctor. said.
Stating that we are at risk especially in case of chronic kidney disease among our first-degree relatives, Prof. Dr. Tokgöz said, “Chronic kidney disease is more common in women, the elderly, those with hypertension, diabetes and heart disease in our country.” he said. Emphasizing the need for treatments that replace the kidney in the last stage of chronic kidney disease, Erciyes University Faculty of Medicine Nephrology Science Branch Lecturer Prof. Dr. Bülent Tokgöz said, “At this point, the options are kidney transplantation or dialysis treatments. Whenever possible, kidney transplantation is the treatment of choice. Therefore, it would be beneficial for us to remember the plight of chronic kidney patients and to draw more attention to the importance of organ donation.” said.
If salt is consumed excessively, it can cause irreversible damage to the kidney
Reminding that the World Health Organization recommends the daily amount of salt that a person should consume as 5-6 grams, Tokgöz said: our pressure becomes more prone to rise. The pressure exerted by the blood in our arteries on the vessel walls should not be more than necessary. High blood pressure forces our kidney vessels and over time, it can cause irreversible damage to the basic structures that make a mission in the kidney. he said.
Pointing out that a healthy adult needs at least 1600 ml of water for his vital activities in the body, Prof. Dr. Tokgöz said, “We have to take at least 1300 ml of this measure from outside as food or water. Since very old people may become desensitized to the feeling of thirst, they should be more careful on very hot days against the danger of dehydration.” said.
Stating that being overweight, diabetes, high blood pressure, and vascular diseases that can be obstructive, Tokgöz said, “All these are the leading causes of impaired kidney function. Every kilogram of excess on the ideal scale creates a danger by carrying our blood pressure values higher and higher.” made a statement.
Prof. Dr. Bülent Tokgöz explained the points that chronic kidney patients should pay attention to in terms of nutrition in the following form: “We have different nutritional proposals according to the stages of the disease. It is valuable not to consume more salt than necessary for each stage. As the disease progresses, a phosphorus-restricted diet at the point where it is needed compared to blood measurements is vital to prevent high blood phosphorus levels. In such a situation, it is very important to avoid soft drinks and processed industrial foods rich in inorganic phosphorus. There are also nutritional measures to be taken in case of dangerous fluctuations in potassium level. Consistent nutrition is a must, but we recommend a diet that contains high protein, carbohydrate and fat at a necessary biological cost.”
Tokgöz shared the golden rules of prevention from chronic kidney disease as follows: “In order to maintain the ideal body load, it is important to eat a stable diet, not to consume more salt than necessary, and not to be inactive. In addition, we should not smoke, stay away from excessive alcohol and avoid using painkillers even if it is not necessary. In addition, although we are in one of the risk clusters, it is very valuable for us to undergo an examination and to ensure early diagnosis.”
