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Dubai Hospital advocates importance of early detection of kidney disease.

Thursday, January 11, 2018/ Editor -  

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Dubai, United Arab Emirates, January 11, 2018:   Nearly one in two patients at Dubai Hospital’s nephrology department seeking dialysis treatment for kidney disease are diabetic. 

As per 2016 statistics, the hospital performed about 33,000 dialysis sessions for about 250 patients. Of these, diabetics make up 45 to 48 per cent of the total number of patients on dialysis. 

In 2017, the hospital performed about 35,337 dialysis sessions for about 260 patients. Of these,  45 to 48 per cent were diabetic. 

Dr Amna Khalifa Al Hadari, head of the nephrology department, said: “The statistics clearly reflect the connection between diabetes and kidney disease. We see a lot of young adults suffering from this disease because the onset of early diabetes and when diabetes is uncontrolled it leads to complications such as kidney disease. The other issue is that kidney disease is a silent disease so it often gets detected late, which means we have no option but to begin dialysis which affects the quality of life of the patient and also puts them at risk for developing heart disease.”

Al Hadari said: “Our message to the community is to ensure they undergo yearly health screenings and those with a family history of the disease, those who have had kidney infections or stones in the kidney, or those with co-morbidities such as diabetes, obesity and hypertension should undergo screening for kidney disease every six months to one year. In our region, I would say screening should begin as early as 20 years.”

Dr Ala Habaibeh, specialist paediatric nephrologist at Dubai Hospital said that compared to adults in children the symptoms manifest themselves early on. “Prenatal testing in a foetus at risk for kidney disease takes place at 20 weeks. Therefore, we know early on and can treat a new-born early especially for congenital kidney disease. In babies and children also the symptoms are clear, they include no growth in height and poor weight gain compared to their peers, anaemia, hypoactive, weak bones, passing less urine, convulsions, regular fever due to recurrent urine infection and underlying conditions such as reflux, , swelling in hands and legs and puffy eye bags etc.”

He said almost 50 per cent of pediatric cases of kidney disease are due to congenital problems and 10 to 15 per cent are due to immune disease. He also cautioned that in young adults and adolescents’ kidney disease is often due to unhealthy lifestyles. “ Hypertension and diabetes is a major risk factor for kidney disease and we find that in adolescents the main reason of kidney disease is a poor lifestyle. Obesity due to a westernized diet, tobacco consumption, excessive consumption of fatty-foods which are high in sodium levels can lead to hypertension. These are major risk factors.”

Dr Habaibeh advised that everyone should drink sufficient water per day and children should drink plenty of water, at least 8 to 10 glasses per day, be physically active and play sports, reduce their dependence on digital technology and eat a healthy diet. “. If we can get our lifestyle in order we can minimize our risk factors of developing such diseases and maximize our chances of leading a healthy life.”

Educational campaign and screenings:

The department often conducts campaigns and screening programs across schools, health centres, malls  and governmental departments to raise awareness about kidney disease and the importance of early detection. They conducted health screenings, which included tests for blood sugar, blood pressure, BMI and urine test for hypertensive patients to check protein levels and rule out kidney disease. Those with high parameters will be referred to the DHA’s primary healthcare centres to determine whether the patient already has damaged kidneys or is at a risk of developing kidney disease. 

BOX:

There are two types of kidney disease, Acute Kidney Disease (AKI) which is a serious condition that develops suddenly, often lasts a short time and usually the patient recovers completely once the underlying cause has been treated. 
Chronic Kidney Disease (CKD) tends to worsen over time. CKD eventually leads to kidney failure and needs to be treated with a kidney transplant or dialysis for life. 

Screening for Kidney Disease:

Two tests are needed to check for kidney disease.

  1. A blood test checks your GFR, which tells how well your kidneys are filtering. GFR stands for glomerular (glow-MAIR-you-lure) filtration rate.
  2. A urine test checks for albumin in your urine. Albumin is a protein that can pass into the urine when the kidneys are damaged.

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