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Nephrology is all about the kidney functioning and kidney diseases which occur in the lifetime of kidney. It is one of the essential part for the purification of blood & water. The person who deals with kidney diseases is called Nephrologist.
Clinical Nephrology is the word referred to kidney care as a part of the internal medicine which specializes in the studying of the kidney functioning, kidney problems & their treatments which include renal replacement such as dialysis and transplantation of the kidneys. This involves a brief study of the patient case history such the appropriate treatment will be provided to the patient who is suffering with the nephrological problems and curing it with the medical science.
Pediatric Nephrology is referred as the diseases arising with the kidneys. The investigation renal health for the determination and supervision of babies or infants with any intense kidney issue or renal problem. The pediatric nephrology especially studies and treats hematuria, hypertension, proteinuria and kidney harm in infants or babies. This involves the study of the blood filtering by the kidney, protein generation, formation of kidney stones, and blood pressure effect on the kidneys. It is renal care to pediatric patients with organizing the treatment procedures, including thought to patients effected with various dialysis like peritoneal dialysis, hemodialysis and kidney transplantation in infants.
Urology means the branch of medicine and physiology concerned with the function and disorders of the urinary system and it is also referred as the genitourinary surgery. It is mainly focused on the diseases that occur in the urinary tracts where range of various conditions regulated in urology under the genitourinary issue region resulting in various problems such as, kidney harm, Bladder swelling, prostate tumour, stress incontinence and kidney stones.
This is the process of the filtration of the water and various wastes occurred in our body through the urinary system which drains out the wastes generated by our body every time. The urinary system consists of ureters, bladders and kidneys. In this process of normal urination, the urinary tract should work together in an order. Urological conditions comprises of kidney stones, urinary tract infections, bladder problems, and prostate problems and so on. The period of existence of some of the urologic problems is either short span or long-lasting depending upon the disease.
Kidneys are essential to have a healthy body and the renal disease that occurs due to problem in the kidney is called nephropathy. It is an impairment of kidney due to various reasons resulting in the occurance of diseases. This causes the inflammation in the kidneys affecting the body functioning called Nephritis. Inflammation can be cured by blood tests. There is also non-inflammatory problem of the kidney developing into a disease called Nephrosis. Nephritis and Nephrosis are part of syndrome of renal effecting kidney health respectively. This will affect the kidney in such a way causing a loss of kidney functioning and it can also result in total kidney failure which will result in the losing the kidneys to function. This is of two types as follows:
a. Acute Kidney Disease
Acute kidney disease is a sudden occurrence of failure of the kidneys and they are unable to filter the waste that is present in the blood that follows within a few hours or a few days once the treatment has been done the kidneys to bring back right balance of fluid in the body.
b. Chronic Kidney Disease
This is the slowly losing the function of the kidney resulting in a gradual failure of the kidneys.In the early stages of the chronic disease you will experience some symptoms after that it will affect the kidney functioning significantly making the kidney impaired. Some of the problems developed like anemia, high blood pressure, nerve damage, weak bones and poor dietary health.
Hypertension is referred as the High blood pressure which is one of the primary causes of the diabetic kidney disease & kidney failure. When the blood pressure is high in body, there is a large amount of strain present inside the blood vessels that results to impairment of the kidney. The vessels present will close off due to functional problem which can cause a cardiac arrest or heart stroke or kidney failure. The presence of High blood sugar and high cholesterol in the body can damage the blood vessels. Such that the people with diabetes have hypertension are at high risk for damaging of the blood vessels. It actually takes years for blood vessels to utterly close off functioning and damage occurring to the blood vessels can be slowed down with treatment.
The final stage of the failure of the kidneys is known as renal failure and to eradicate such condition there should be given appropriate medication called renal care. The Diet and nutrition both play an vital role for living, making the kidney function properly and maintaining a good health for the body. If the functioning of kidney will be problematic due to occurrence of some disease, it will also impact the nutrition in taken by the individual. The major components that slow down the functioning of chronic kidney diseases include reduced level of sodium or salt intake, which will drastically help in controlling the blood pressure and regulating the diabetes.
Dialysis is the process of removing the water and other wastes from the body through filtration of the liquid by a semi-penetrable layer. Diffusion is a general property in water substances in which water can move from a territory of high fixation to a range of low fixation. There are two primary types of dialysis; they are Hemodialysis and peritoneal dialysis which will eliminates wastes and water present in the blood in number of ways. Hemodialysis removes the waste water present in the body by rotating the blood outside the body through an channel of external filter which is called a dialyzer that is consisting of a semipermeable layer.
There is two types of dialysis they are:
a. Hemodialysis: This is very essential with the patients suffering from renal failure. In this procedure of treatment, an artificial kidney is applied which purifies the blood. There will be made an "access" usually in the forearm of the hand from where blood can easily be taken out from the body and directed to the artificial kidney for complete purification such that to remove the wastes from it.The access initially collects the blood from patient body and experiences purification in artificial kidney and again injected the purified blood in to patient body.
b. Peritoneal dialysis: This is a process to remove the waste products present in the body when the kidneys cannot sustain their job. There will be no artificial kidney is used in this process. The peritoneum which is the lining inside the abdomen is used for filtering instead of artificial kidney. This Peritoneal dialysis is of two types they are mainly continuous cycling peritoneal dialysis and constant ambulatory peritoneal dialysis. The Peritoneal dialysis is used in kidney failure patients for the treatment of the kidneys to eliminate the wastes from the body.
- Hemodialysis
- Peritoneal dialysis
- Pediatric dialysis
- Hemofiltration
- Hemodiafiltration
- Intestinal dialysis
- Vascular Access in Dialysis
- Complications of Dialysis
- Extracorporeal Dialysis: Techniques and Adequacy
- Chronic dialysis
- Medical applications dialysis
The nursing process which involves the treatment of inabilities of the patient suffering from the kidney diseases and an assessing their health needs of patients and families supporting for the recovery. Renal Care spans the life cycle of the kidney and involves patients who are facing the impact of the acute or chronic kidney disease; therefore nephrology nurses must be, highly skilled, well-educated, hands on training, experienced and motivated.
Other opportunities in nephrology nursing include Education, Management, Research, Case reports management, Advanced nursing practice, Corporate/government and Pediatrics nephrology
The Nephrological treatment consists of injecting the Steroid medications, blood products, dialysis & plasma exchange. This involves the medications for high blood pressure, lower cholesterol, treating anemia, relieve swelling, protecting bones and lower protein diet. Kidney complications can have high impact on quality & length of the life, and so needed the psychological support, advanced care and health education planning play key roles in treating of the diseases that are situated with the nephrology.
The global dialysis population is growing rapidly, especially in low-income and middle-income countries; however, worldwide, a considerable number of individuals lack access to kidney replacement therapy, and many people die of renal failure annually , often without supportive care.The costs of dialysis care are high and can likely still rise as a results of increased anticipation and improved therapies for causes of renal failure like DM and disorder .Patients on dialysis still bear a high burden of disease, shortened anticipation and report a high symptom burden and a coffee health-related quality of life. Patient-focused research has identified fatigue, insomnia, cramps, depression, anxiety and frustration as key symptoms contributing to unsatisfactory outcomes for patients on dialysis. Initiatives to rework dialysis outcomes for patients require both top-down efforts (that is, efforts that promote incentives supported systems level policy, regulations, macroeconomic and organizational changes) and bottom-up efforts (that is, patient-led and patient-centred advocacy efforts also as efforts led by individual teams of innovators).Patients, payors, regulators and health-care systems increasingly demand improved value in dialysis care, which may only happen through true patient-centred innovation that supports high-quality & high-value care.