Review article
END-STAGE RENAL DISEASE, DIALYSIS TREATMENT AND MANAGEMENT OF COMORBIDITY
DRAGAN KLARIĆ
; Zadar General Hospital, Department of Nephrology, Center for Dialysis, Zadar, Croatia
Abstract
Chronic kidney disease is clearly defi ned as a state of damaged kidney function lasting for more than three months. Changes manifest in serum and urine pathological fi ndings with frequent morphological changes in the kidneys and reduction in glomerular fi ltration. The aim is to show the possibilities of renal replacement therapy and waste relatedisease during dialysis treatment. The methods are based on strong evidence and guidelines. Glomerular fi ltration is the basis in evaluating the stage of chronic kidney disease. Based on the measures of glomerular fi ltration reduction, chronic kidney disease is classifi ed into fi ve stages, thus facilitating approach to treatment of particular groups of patients depending on the level of glomerular fi ltration damage. Kidney function can be replaced by dialysis or transplantation and in certain cases symptomatically if the patient refuses dialysis treatment. Malnutrition, hypertension, kidney anemia and bone-mineral disease are often present in patients with higher stages of chronic kidney disease, particularly stage 5 and kidney function replacement by dialysis. In conclusion, timely treatment reduces morbidity and mortality in patients with chronic kidney disease.
Keywords
chronic kidney disease; renal replacement therapy; dialysis
Hrčak ID:
179207
URI
Publication date:
6.4.2017.
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