Nephrology at SANADOR

Nephrology at SANADOR

 If you are experiencing kidney damage and need the expertise of a nephrologist, we are waiting for you at SANADOR!

Kidney disease can have multiple manifestations, kidney disease can be acute or chronic. In any case, these diseases require close monitoring of their evolution, treatment, and complications.

Nephrology

At SANADOR, you can benefit from a specialist consultation, investigation plan (abdominal ultrasound, cystoscopy urography, uro-CT, specific laboratory tests), and appropriate treatment.

In the case of dialysis patients, the role of the nephrologist is to determine if there is an indication for dialysis. Doctor Muhammad Khan provides the best nephrology physicians in the USA.  When to start the procedure and the type of dialysis, to explain the physical training necessary to start dialysis (type of vascular approach), to monitor the patient's progress. And to treat any complications in patients on chronic dialysis treatment.

SANADOR provides state-of-the-art equipment for performing dialysis and hemodiafiltration procedures used in specific kidney diseases, including in patients in the ATI service who require hemofiltration support.

In the event of a medical emergency (acute renal failure or worsening of chronic renal failure following surgery), patients may receive dialysis in the Nephrology Department of SANADOR Clinical Hospital until the patient is stabilized.

Also, the SANADOR Vascular Surgery team ensures the creation of arteriovenous fistulas for chronic dialysis in optimal conditions.

At SANADOR, an arteriovenous fistula for hemodialysis is performed by experienced vascular surgeons. For CNAS insured patients, the procedure is completely free!

Nephrology conditions

Nephrology is the branch of internal medicine that deals with the diagnosis and non-surgical treatment of renal-urinary tract diseases and their complications. Renal function replacement therapy includes hemodialysis, haemofiltration, haemodiafiltration, haemoperfusion, isolated ultrafiltration, peritoneal dialysis, plasmapheresis, and kidney transplantation.

Kidney stones

Kidney stones are the most well-known kidney disease represented by the presence of stones located in the kidneys/ureters/bladder/urethra. The severity of the disease increases with the size of the stone and may require surgical treatment.

The most common symptoms are nausea vomiting, fever, chills, abdominal pain, low back pain; patients may also notice more cloudy or discolored urine.

Interdisciplinary consultations

Some of the diseases in nephrology belong to other areas of medical activity, which may lead to the need to conduct interdisciplinary checkups for proper monitoring of disease: diabetes, nutrition, and metabolic diseases, Rheumatology, Cardiology, Surgery, Vascular Surgery, Oncology Medical, and Urology

The diagnosis of kidney disease is established either after consultation of general medicine / internal medicine or appears as a complication or association with other coexisting systemic diseases of the patient (diabetes, hypertension), which leads to complex management of therapeutic conduct.

Regardless of the context of your suffering, we have the right framework to investigate, diagnose and treat the manifestations and cause causes of illness. So, make an appointment at SANADOR!

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Signs and symptoms

Chronic kidney disease has a slow evolution and shows few signs and symptoms in the early stages. For this reason, many patients with chronic kidney disease are only aware of the presence of kidney damage in advanced stages, when kidney function is significantly impaired. In the absence of medical supervision, symptoms may go unnoticed until kidney damage becomes irreversible.

The most obvious signs and symptoms include cloudy or dark urine, the presence of blood in the urine (hematuria), frequent urination, and low urine.

Diagnosis of chronic kidney disease

For the diagnosis of chronic kidney disease, blood and urine tests are performed: serum urea and creatinine, urine summary, urine protein dosing.

The best parameter for assessing renal function is the glomerular filtration rate. It is calculated based on blood tests. Depending on the rate of glomerular filtration, chronic kidney disease is staged.

Imaging investigations are also useful for diagnosis:

Abdominal ultrasound - indicates the shape and structure of the kidneys and highlights a possible obstruction of the urinary tract that can cause chronic kidney disease;

Doppler ultrasound for renal vessels;

Computed tomography and magnetic resonance imaging - allow detailed visualization of the kidneys a renal biopsy allows the morphological examination of the renal tissue.

Treatment of chronic kidney disease

The treatment of chronic kidney disease consists, first of all, in the treatment of the cause, to which is added the change in diet and lifestyle and, last but not least, the treatment of complications.

Early diagnosis and treatment of the underlying disease is needed to slow the progression of kidney disease and reduce the risk of developing complications.

 

If the deterioration of renal function continues despite treatment, reaching the end stage of kidney disease, or if there are life-threatening complications, renal function should be replaced by dialysis or kidney transplantation

Information was provided by Dr. Daniela Nica, Internal Medicine specialist at SANADOR.

Chronic kidney disease, formerly called chronic kidney failure, is a condition in which the kidneys lose, partially or completely, their ability to function normally, accumulating all the pathologies characterized by anatomical or renal abnormalities. Doctor Muhammad Khan provides the best Clinical Consultation in the USA. Thus, the products of catabolism and toxic substances are no longer eliminated by the kidneys but are retained in the body.

In addition to its cleansing function, the kidneys produce a number of hormones with important functions in the body:

The active form of vitamin D, which regulates the absorption of calcium and phosphorus;

Erythropoietin, which stimulates the bone marrow to produce red blood cells;

Renin, which regulates blood volume and blood pressure.

Chronic kidney disease can cause problems such as anemia, high blood pressure, acid-base imbalances, impaired cholesterol, and fatty acids, bone pathologies.

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