Enfermedades que comúnmente afectan los riñones

NEFRITIS Y NEFROSIS
8 febrero, 2016
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31 marzo, 2016
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Enfermedades que comúnmente afectan los riñones

Los profesionales de la salud relacionados con el cernimiento, diagnostico y tratamiento de las enfermedades del riñón hacemos publico y alertamos sobre las enfermedades que comúnmente afectan los riñones; muchas de ellas llevando a nuestros pacientes a necesitar el tratamiento de diálisis o transplante del riñón.

En esta época post-moderna después de la revolución industrial, que de por si, trajo enormes avances científicos, las enfermedades comunes ahora son degenerativas y hechas por el mismo hombre. Ejemplos actuales son la epidemia de Diabetes Mellitus tipo 2 , la obesidad y la hipertensión que tienen en su haber el origen de mas de la mitad de los pacientes que alcanzan la necesidad de dializarse y/o transplantarse.

¿Como sabemos si nuestros riñones funcionan adecuadamente ¿ , ¿que pruebas diagnosticas son importantes junto a la revisión anual que todo adulto debe realizarse ¿ : Para el cernimiento ( en ingles, Screening ) de alguna condición que afecte los riñones hacer un urianalisis ( una prueba sencilla de orina ) le da al doctor un sin fin de información, por ejemplo la presencia de proteínas en la orina ( albuminuria ), la presencia de glóbulos rojos en la orina (sangre) lo cual se denomina hematuria , esto alertaría sobre una posible enfermedad que si se dejare sin tratar el paciente progresaría hasta la necesidad de diálisis y/o transplante para preservar su vida. Otra prueba de laboratorio sumamente importante, es la creatinina en suero que es una molécula, que se produce en los músculos, se descarga en la circulación y llega al riñón por donde se filtra a través de unidades de filtración ( los Glomérulos ); la retención de esta molécula en la sangre nos dice que la capacidad filtrante del riñones esta comprometida teniendo el paciente algún grado de disfunción que le llamaríamos: enfermedad crónica del riñón e incluso podríamos usando una formula matemática conocida como MDRD , clasificar la enfermedad en estadios :desde estadio I por ejemplo con la filtración mas de 90 % versus el estadio mas tarde con el numero V (5) donde ya mas del 85 -90 % de la capacidad de filtración de los riñones ha sido afectada y se presentan los síntomas relacionados con la toxicidad de los productos retenidos abriendo la ventana a las terapias de remplazo renal como hemodiálisis, diálisis peritoneal y transplante renal.

Se ha hecho énfasis en la clase profesional para que los pacientes conozcan sobre la forma en que se clasifica la enfermedad renal crónica se ha establecido publicidad alrededor de la creatinina serica , “ Conoce tu numero “ ¿ como esta tu Creatinina serica ¿ preguntemos eso a nuestros doctores en la misma forma que se pregunta con respecto al colesterol y la azúcar en sangre . Esta información vale por que hay tratamiento para cada estadio del trastorno, es cuestión de educarse .

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