Get our printable guide for your next doctor’s appointment to help you ask the right questions.
With CKD, any damage done to the kidneys will be permanent.
Much of the waste is the result of the normal metabolism of protein.
Get our printable guide for your next doctor’s appointment to help you ask the right questions.
If the disease progresses and kidney function is further impaired, there may be additional restrictions to your diet.
Future consultations may also be recommended if and when your disease progresses.
For people with diabetes, it’s 0.6 to 0.8 grams per kg per day.
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At 0.6 grams per kg, the estimated daily intakes for various weights are presented below.
ARBs are typically used in people who cannot tolerate ACE inhibitors.
Statin Drugs
Statin drugsare used to lower cholesterol and reduce the risk of cardiovascular disease.
As with ARBs and ACE inhibitors, they are used on an ongoing basis.
They are taken orally before a meal and prevent the body from absorbing phosphorus from the foods you eat.
Options include:
Common side effects of diuretics include headache, dizziness, and muscle cramps.
They should not be used in patients with chronic kidney disease (CKD) stages 4 to 5.
Phosphate Blockers
Sodium/hydrogen exchange 3 (NHE3) transporterblockers are used to lower phosphate levels in the blood.
The only current NHE3 inhibitor approved for CKD is Xphozah (tenapanor).
Common side effects include diarrhea and increased bowel movements.
One such intervention is calleddialysis.
There are two methods commonly used for this, known as hemodialysis and peritoneal dialysis.
It can be performed at a hospital or dialysis center.
Newer portable models are available which allow you to undergo dialysis at home.
Peritoneal Dialysis
Peritoneal dialysisuses chemicals rather than machinery to cleanse your blood.
The solution is then extracted and discarded.
Once the catheter is implanted, the dialysis can be performed at home several times per day.
Once the waste solution is drained, the process is started all over again with fresh dialysate solution.
With that being said, the results can vary from person.
What to Expect
Toassess your eligibility, you would have to undergo physical and psychological evaluation.
If a problem is found, it would need to be treated or corrected before the transplant is approved.
Once a donor kidney is found, you will be scheduled and prepped for surgery.
In most cases, only one kidney would be transplanted without removing the old ones.
You would generally be well enough to return home after a few days.
Once transplanted, it can take up to three weeks for the new organ to be fully functional.
During this time would need to continue dialysis.
Antihypertensive drugslike ACE inhibitors, ARBs, anddiureticscan help control blood pressure and reduce stress on the kidneys.
Statin drugs help lower cholesterol and preventatherosclerosisthat contributes to high blood pressure.
Diet is the main intervention for all stages of CKD.
This involves reducing protein and sodium intake, and following aheart-healthy dietto better manage blood pressure.
With later-stage CKD, restricting potassium- and phosphorus-containing foods is essential.
Exercise, smoking cessation, and weight loss (if needed) are also crucial to the treatment plan.
Stage 5 CKD is the point where dialysis is started to keep you alive.
A full evaluation is needed to determine if the benefits of a transplant outweigh the risks.
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