Kidney Disease Treatment (From Stage 3 - End Stage) : Dialysis For Kidney Disease (Renal Failure) - What is Chronic Kidney Disease?

Kidney Disease Treatment (From Stage 3 - End Stage) : Dialysis For Kidney Disease (Renal Failure)




Approximately one-third of all diabetes
patients develop kidney or renal damage
also known as diabetic nephropathy
urinary proteome analysis
isn't innovative method the early
detection of his chronic kidney disease
neighboring the identification of first
clinical signs
the kidneys are highly developed organs
that are very sensitive to any problems
for example in the case have diabetes
and can respond appropriately
they clean the blood and remove waste
that leaves the body in the urine the
kitten is a made up about a million
filters cooled glove merrily
and canals called Jubilee the process of
filtration takes place
in the glomeruli about 1,500 liters of
blood
passed through the kidneys per day while
toxins are removed
large amount to the important substances
the recaptured by the Jubilee
eventually all toxins are discharged in
about 1.5 liters the European
each day when renal damage occurs
the filtering process as well as the
reabsorption process become more and
more limited
diabetes-related high blood sugar levels
cause permanent damage to the filters
in addition diabetes patients often
suffer from high blood pressure
intensifying the renal damage the
reduced ability to filter
those becomes evident in an increasing
amount important proteins
such as albumin leaving the body the
detection of protein in urine is
generative first indication of such
renal damage
decreasing filtration read so-called
gf are is another indicator clinical
signs such as pain or discomfort do not
occur
with the result that diabetic
nephropathy is most of them
only detected to very late stage of the
disease
and ongoing decrease infiltration
eventually leads to
irreversible chronic renal failure when
the kidneys are permanently damaged and
Noble tration happens
transplantation or dialysis is required
otherwise the body will be poisoned
within a few days
dialysis replaces the cleaning process a
kidneys
and takes place every two days for
several hours
during this time quality of life is
significantly reduced
dialysis replaces kidney function for
just several years
is only 15 percent of the performance of
healthy kidneys can be achieved
kidney transplantation is the only
long-term alternative option only a few
patients can benefit from
transplantation this the number of
available
organza limited however the transplants
your ability is limited
urinary proteome analysis with the only
diagnostic method in neighboring the
detection of
early renal damage with high reliability
before
any clinical symptoms occur up to 6,000
proteins can be detected simultaneously
using 273 specific protein markers
there was an extraordinary accuracy in
diagnosing
diabetic nephropathy Naples early
detection of disease
but this early-stage
diabetes patients can contribute
actively in successfully
to manage their disease and its
complications early therapy
can prevent or delay you renal damage
and allows the life
3d ov afflictions
worldwide renowned physicians recommend
the application of urinary proteome
analysis
get your health checked
for longer and healthier life
your doctor may recommend dialysis a
procedure that removes waste products
from your blood
if your kidneys are not functioning
properly
healthy kidneys filter out waste
excess fluid and electrolytes
like potassium and sodium from the blood
these waste products exit the body
through the urethra
enough warm up here in
if you have kidney disease your kidneys
gradually lose function
leading to an accumulation of harmful
wastes
and excess fluid in your body increased
blood pressure
and bone or blood problems
dialysis can also be done to treat acute
kidney failure
which occurs when your kidneys stopped
working suddenly
or to remove drugs or poisons from your
body
in one type of dialysis called
hemodialysis
your doctor will use a machine called a
dialogue is ur
to clean your blood outside your body
some weeks or months before you begin
hemodialysis
your doctor will prepare a vascular
access site
on your body
your doctor will create either an
arteriovenous graft
or an arteriole Venus fistula to access
your bloodstream
to begin he or she will numb the area
with local anesthesia
to construct an arteriovenous graft your
surgeon will make a small incision in
your forearm
and insert a soft plastic tube called a
graft
to connect an artery to a vein
to create an arteriovenous fistula your
surgeon will make a small incision in
your skin
and connect an artery with a vein to
make a larger vessel
called a fistula
once your vascular access site has
healed
your doctor can start hemodialysis
to begin your dialysis nurse will insert
two needles into your AV fistula
or graft
once the circuit is set up your blood
will flow slowly out of your body and
through the dial I sir
side the dial-in sir your blood will
encounter filtering fibers
and an absorbent cleaning solution
called dialysis eight
the fibers will
waste and excess fluids and electrolytes
from your blood
your clean blood will emerge
from the dial eyes ur and continue
through the tubing
back into your body through the second
need a ladder access
site
when you're hemodialysis session is
complete the needles and tubing are
removed
and you can go home
in another typeof dialysis
your doctor will use the membranes
lining your abdomen
called the parrot in EM to clean your
blood without removing it from your body
before you begin peritoneal dialysis you
will have an operation to implant a soft
tube called a catheter
your surgeon will insert the catheter
near your belly button
creating a port through which the
dialysis 8 will
enter and leave your abdomen each pair
to Neil dialysis session is called an
exchange
first you will use your catheter to fill
your abdomen with dialysis 8
for a period of time determined by your
doctor
through the parrot in ER membrane waste
products an extra fluid
are continuously drawn out of your blood
into
the dialysis 8 along with the waste
materials it absorbed
the dialysis a will drain out of your
abdomen
into a disposable collection bag during
your exchange

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What is Chronic Kidney Disease?




hello and welfare
industry i'm going to talk about the
property now this is a specialist martin
swings
kidney disease
funded explains more what's going on
and petitions
so its
chronic kidney disease
do to stages indians too
there are literally hundreds of
different causes photography
but the most common cause with property
in this country
and promptly around the world
diabetic nephropathy
and
protected
these past different
ideologies
and ob
different pathways projects
however
just understand
vat
diseases cancer overlapping
splints very music
these instead names
can be destroy
sort of com hand-in-hand and her
both involved and
block
syndrome
and school these to seize scandals
coexist
and expects me
okay with that being said
in this video i'm going to focus
primarily on hypertensive nephropathy in
in the next video i will talk more
specifically about it
so hypertensive nephropathy
well before we get into it i want to
talk about just talk a little bit about
the good mario's itself
america larry woods has made up of the
afferent arterioles
that
comes into a small tuft of capillaries
and goes out different material
now normally in the body
what pressure in the capital story lol
normal systemic
capillary pressure
is
you know thirty to thirty five
millimeter symmetry
however
and the good meritless
these pressures
are sixty
soldiers and mercury or more
just keep in mind that even when we have
a normal healthy capillary
uh... in the canary less
despues these are capillaries are
exposed to very high pressures
but nobody has mechanisms to keep these
pressures mary
in a very tight
window
and
this mechanism primarily is the fact
that there
are arterioles
both sides let's movements muscles
right so
so we can
sweetly conveys a constructivism violate
the art
cheerios coming into
because i'm a realist or in the arterial
comming compliments
now that the allows us to have exquisite
control both
full
and pressure
make americans
so we can keep this pressure preparing
arranged
you regardless
uh... systemic
blood pressure
so we can have wild swings
and standpoint pressure and we do daily
basis
you know if if you ever take your blood
pressure
uh... you know if you take your blood
pressure first thing in the morning and
you haven't gotten from divya maybe
below what we consider movements burton
twenty
and uh... you know we go we head out to
be jim here step up on the treadmill and
start working out
utility person stock
quickly rises to a hundred and eighty
are systemic capillaries there is going
to be a corresponding
slinging pressure
from the normal
you know thirty appt media maybe fifty
in vehicle meritless because we have
this exclusive control and we have
already high pressures
if we raise as much more we're going to
be putting capillaries risk
weekend
we can't but decrease the amount of
pressure
thaddeus transmitted into the car
materialists
when the pressure to change stringent
constricting
is a constricting the afferent
arteries
and or visa dialling
the food arteries
and that's just one example of how
so one of the print protective
mechanisms that we have is that we can
decrease the transmission
obsessed
unstuck
because six was a controlled
but the point
fluent into anime
i send ad hypertension hypertensive
nephropathy as one of the most common
cause
from increments don't agree with her
considering for a number of people with
hypertension one of the reasons is
because we treat hypertension meets
c uh... development of hypertensive
nephropathy
is much less common
that other
diseases that are const
biet hypertension white coronary artery
disease
cerebral vascular disease that cuts
strokes
why is it less common
what has to do
you really read
but i want to talk about this sort of
three factors to consider
called
is the degree of spam protection
parts of a person with a systemic blood
pressure like uh... president roosevelt
rebecca nineteen thirties before we had
good treatment
systolic blood pressure
uh... northward to three hundred
vs
you know a person that has
moderate hypertension
of one forty five
obviously is i'm going to happen when
they returned to preclude
second factor
hits
and transmission
stomach hypertension
to the compacts
and this really is variables relates to
our markets ability to
maintains he pressured americans
appropriately
violating constrictor
constricting
the african different materials
now the third variable
his
the teaches suspected
which
that
to do two-parent religions
now what determines
there are going to be genetic and
heritage actors
and
there is going to
the home
their factories related to singapore
proinflammatory
condition in the body
for more information we have more likely
we are too
advantage to what's and want uh... how
important information isn't
world
and personal property
and then of course
other diseases
chief moncton
would be glad he's
also obviously even more rare but not
his resident i'm surprised at how often
they come across as congenital absence
mckinny so you only have you know if you
don't have one kidney
the election year is going to be more
susceptible to pressure changes
candles
critical
okay so what
happens exactly
i dont tissue level
the development of
hypertensive nephropathy
well really all uh... for hypertensive
nephropathy
really sort of all start
the affluent trees
hydrophobic
bigger picture this
so we have the effort or trio
again we have the clintons
and we in the evening territorial
okay so
what we have here is high pressures
india fitter trio
the effort to repeal tries to state
constricting smooth muscles
and in our prime does okay for a while
tries to restrict the platform into two
groups
deacon by decreasing flow
interpreter turtles
making an effort to decrease
interestingly enough on the the
inference granting that certification
and
this usually works quite well
however
one thing that happens with uh... these
it and diabetes you actually increase
the activity of the region
angiotensin
hospital system
and d and utensils actually
houses different editorials to constrict
so did may is one way that uh...
diabetes
sort of works artistically
with hypertension because two cars
nephropathy
when we have this high pressure
in the arterioles
the aperture doses smooth muscles are
constricting
and overtime there constricting so much
that they script purchasing
so we end up with the use of a large
hyperactive
solidworks itself
so that's our report for students just
compensation we haven't started be
comforting
however as pressure forces
continue to rise will continue to be
exerted here on the wall of the best
we are concerned 'cause
their barracks from
comma from pressure both on the end of
you yourselves
and on the simpsons
the smooth muscle cells respond to this
injury from the barracks
by
first of all screening society which
constantly change
and second of all
can't
stomp they start to extruded
eddie
extracellular matrix
i bring
collagen
feminine collagen against them
lipids and
such into
just look and feel themselves
so thus resulting
narrowing the movement of this
now when it gets there or not
ac lean
cards so extreme let me go back
this type of lesions here
it's called
arteriosclerosis
so yes
sporadic lesions
the afferent arterial
highland appearance highland
uh... a lot of people get confused
procedures specific salute cartilage
business emotion seem route
while um... from latin which means
glassy so this was a classy appearance
microscope
it's made on lee has a very different
composition and cartilage
it's made underneath collagen and notes
weapons
so this eventually wilcox
decreased blood flow
eagle meritless to the point that we
start conclude atrophy
so
we have steamier
to the committee list
and it causes cells
to uh... go into a state of the
proposals for just back from courses
since two too
chronic skin
as the skinnier continues
cells can sign
legal americans
begin to
exclude
extruded campaign island
looking substance institute mario's as
well
wind typical materials
pittsfield
it's called high limitation vehicle
merit
so obviously when the culinary lets this
field
with highland
approximately function
remember even before the gloom a hostess
completely filled in with highland
blood flow
is not only decrease to become a realist
but it's also decrease to the e friend
arterial
so we have decreased
blood flow
so we wall we are beginning to have gone
very alert
senior
we are also having to be others kenya
so we end up with tubular necrosis
the cells die
and similar to the committee atlas
to do it
but they say what i just talked about
here was just with one front but this is
happening in
thousands of now from jerome kidneys and
as
when we get to it to pinpoint enough
france
have
become filled with highland and are no
longer functional
and we develop chronic
insufficiency
an s if this disease
is not headed off from by controlling
the hypertension
reall eventually develop into end stage
renal disease
and possibly need details
okay so that was my introduction to
hypertensive nephropathy in my next
video i'll talk about diabetic
nephropathy and we'll talk about some of
the similarities and differences
i hope to see you there if you want
quick and easy access to my regal
physiology videos please click on my
playlist link below
and
as always he's provide feedback by
providing eight films up if you like
this video
and also i am willing to answer any
questions that you may have about the
physiology or pathophysiology of the
kidney in in the comments below if i'm
able
thank you i hope to see you in future
videos

https://www.youtube.com/watch?v=EeDlBkfQYms