Monday , May 23 2022

Risk factors in chronic kidney disease and its high incidence of older adults


Marcela Moreno Wilches
Latin Agency for Medicine News and Public Health

Some bad habits, genetic factors or the survival of diseases associated with the condition can make a person more prone to developing kidney cancer.

Patients with obesity, hypertension or those who have been exposed to kidney failure treatments, as well as those with a family history of this type of cancer or who have poor lifestyle habits such as smoking , at increased risk of presenting this pathology.

To emphasize this issue, the Journal of Medicine and Public Health (MSP) Dr. Enrique Ortiz Kidd, nephrologist and director of the nephrology department at Veterans Hospital, stressed that “proportion is predominantly registered at men, 1.7 men per female, and patients between 60 and 64 years would be higher a 40-year-old patient, however, can occur in young patients “

The expert pointed out that kidney cancer is a tumor, the most common being clear cells, usually found in the cortex, where a renal mass in one of the two kidneys shows it as practice.

Symptoms in kidney cancer are usually late and usually blood in the urine (hematuria) which can be microscopic, prominent mass or flank pain, so the nephrology expert emphasizes that much attention should be paid , especially if counted as other risk factors, as it is not common for the trio to appear until the condition is highly developed

“When symptoms occur, it’s usually because the condition is already metastasizing. This is a condition that is among the ten most common cancers, known as kidney tumors, ”he said.

Its incidence, the emergence of new cases, is about 450 thousand new cases in the United States, and it has a male ratio of 1.7 men for every female, ages 60 to 64, people would have a higher number than patients. 40 years. However, it can occur in young patients.

Dr. noted that Kidd that solid renal mass is common, that is, it does not contain inside fluids and in this way a diagnosis or prevention notice is more effective, “already one can with the sonogram to say it is a renal mass. what it looks like and if it is filled with liquid or solid filled simply because the material looks different, echogenic, that is, with lots of white points, so the image is allow it to be determined as a cyst or tumor and this represents a very important clinical aspect “

There are cystic kidney diseases that may have abnormal cysts, with thick walls, internal cavities, and for these cases, follow-up is essential because patients can develop kidney cancer, if not seen and treated early .

The appearance of kidney complications is generally associated with genetic factors, however, patients with hypertension, obesity, smokers or chronic kidney disease (CKD) are at potential risk.

The nephrologist also highlighted the need to carefully monitor the process of dialysis patients, arguing that it is very common for nephrologists to find malignancies in patients on dialysis for cystic dialysis disease, which is almost 30%. cysts during dialysis mean that the young patient is usually at a higher potential risk of kidney cancer.

He also emphasized that the older the population together is aging, the greater the risk of increasing the prevalence of the condition.

“In 2021, for the first time in history, there will be more people over the age of 65 than people under 5, meaning there is more survival and fewer births. So doctors have to turn their vision and go to the more geriatric part of medicine because chronic kidney disease has a higher prevalence in the elderly population. “

In the case of acute kidney disease, which can manifest in COVID-infected patients, acute kidney failure can occur without the patient having previous complications. Commonly develops sepsis or a blood or viral infection so severe that it causes kidney collapse and hypotension, appearing to be called a sitoquine storm or inflammatory substances that cause damage to the system renal failure, which manifests itself as acute kidney failure and often requires dialysis to survive.

Caring for the patient with kidney problems

For the specialist, the biggest concern is centered on transplant patients, as they are currently taking their immunosuppressants, so their immune status is weak and more care is needed because if they are infected with any virus, their condition can get worse.

The recommendation for family members and caregivers is that the transplant patient is under extreme protection.

Similarly, for the elderly patient, they need basic care and support, as they are more fragile, decayed, their nutritional ability tends to change and their cognitive conversations require comfortable conversations such as they can understand their condition and the care it implies.

In the case of patients with type 2 diabetes or hypertrophy, it is important to test the urine continuously because urine is the window of the kidney and so any abnormality can be detected in time, the expert explained.

“In the urine we find a protein, which has to be negative, then we go into the blood and creatinine substance we can determine if there are disorders in the kidney, if it arises that’s because the filtration in the kidney is diminishing, ”he told MSP.

Understanding the disease is very important because it is very long, but for those who care for themselves and are learning to look after themselves, therapies such as home hemodialysis, safe dialysis techniques will be coming soon. However, it should not be forgotten that prevention is best and to achieve this, follow up with the primary doctor, always including the urine test.