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   World Kidney Day 
 
The second Thursday of every March is celebrated as the World Kidney Day. The sixth World Kidney Day was observed on  Thursday March 14, 2013. In 2006, the first World Kidney Day was observed to create awareness among public regarding the importance of kidneys in relation to overall health and also reduce the impact of kidney-related disorders worldwide. Since then, the second Thursday of March is observed as the World Kidney Day (WKD) in more than 100 countries.
  World Kidney Day 2011
 
  In keeping with the theme for 2011 ‘Protect Your Kidneys, Save your Heart,’ the programs sought to drive home the message of early detection of kidney disease, and the connection between kidneys and heart. Kidney disease increases the risk of heart problem for people with diabetes and hypertension. In healthy people also, kidney disease is an independent risk factor for heart problems. In fact, most people with Chronic Kidney Disease (CKD) will die prematurely from cardiovascular disease before they develop end stage renal failure. 

                               Human kidney
   The Tamil Nadu Kidney Research Foundation (TANKER) and the Madras Medical College organized a walkathon at the Marina each, Chennai, on Thursday, the 10th March 2011 to raise awareness about kidney disease. Scores of college students participated in the walkathon. Various organizations and hospitals, and many doctors participated in the events. A band played music at the event. Since its inception 2006, WKD has become the most significant attempt at creating awareness among general public and public health institutions about Kidneys’ role and the dangers of kidney disease.  2011 WKD calls attention to the connection between kidney disease and cardiovascular diseases. WKD emphasizes that kidney disease is common, harmful and treatable.
  
World Kidney Day 2010
  World Kidney day is an international day to raise global health awareness about kidneys, focusing on the  importance of kidneys and reducing the frequency and impact of kidney disease and its associated health problems worldwide. In year 2010  campaign focuses on the theme ‘Protect your kidneys: Control diabetes’. Diabetes is one of the major contributing factors for kidney failure and is the leading cause of chronic kidney disease. 
  Among persons with diabetes, interventions to control blood sugar and blood pressure reduce the risk for developing kidney disease or slow its progression. Diabetes and high blood pressure are common causes of kidney disease. However, most people with kidney disease are not aware of their condition. If you have diabetes, talk to your doctor about getting tested for kidney disease, and keep your kidneys healthy by controlling your blood sugar and blood pressure.

 

   Importance of Kidney
  Kidney is a very important organ in our body. It pumps out the waste materials from our body and perform functions crucial to all parts of the body. They can be affected by problems such as urinary tract infection and chronic kidney disease. Even when the kidneys no longer function, dialysis and transplantation have proved to be alternatives.  “Bones can break, muscles can atrophy, glands can loaf, even the brain can go to sleep without immediate danger to survival. But should the kidneys fail, neither bones, muscles, gland nor brain could carry on.” —Dr. Homer W. Smith 
   
Functions of Kidney 
 
The main function of the kidneys is to remove waste products and excess fluid from the body. This process is necessary to maintain a  stable balance of body chemicals. The critical regulation of the body’s salt,  potassium and acid content is performed by the kidneys. Kidneys also produce hormones which stimulates red blood cell production. Other hormones produced by the kidneys help regulate blood pressure and control calcium metabolism
 In our body there are two kidneys, each about the size of a fist. Each kidney contains upto a million nephrons, filtering units of tiny blood vessels called glomeruli attached to a tubule. When blood enters the glomeruli, it is filtered and the remaining fluid then passes along the tubule. In the tubule, chemicals and water are either added to or removed from this filtered fluid according to the body’s needs, the final product being the urine we excrete.  
 
Chronic Kidney Disease cause   
 Chronic kidney disease main cause is diabetes and high blood pressure. Some kidney conditions are inherited, others are congenital. The following are some of the most common types and causes of kidney damage:
 Glomerulonephritis: It causes inflammation of the glomeruli. Glomerulonephritis may happen suddenly,  
 Polycystic kidney disease is commonly inherited. It is characterized by the formation of kidney cysts that enlarge over time and may cause serious kidney damage and even kidney failure.
 
Kidney stones
 Kidney stones forms due to the  presence of excessive calcium in the body. It causes severe pain in the back and side of the body. Medications and diet can help to prevent stone formation. Urinary tract infections: It occur when germs enter the urinary tract and cause symptoms such as pain and/or burning during urination and more frequent need to urinate. These infections most often affect the bladder, but they sometimes spread to the kidneys. When a valve-like mechanism between the bladder and ureter (urine tube) fails to work properly and allows urine to back up (reflux) to the kidneys, it results in infections and possible kidney damage. Using over-the-counter pain relievers for a long time may be harmful to the kidneys.
 
Chronic Kidney Disease Detection 
 Early detection and treatment of chronic kidney disease is the only way remove to  kidney disease check the kidney failure. Some simple tests can be done to detect early kidney disease.
 1. Blood pressure measurement; 
 2. A test for protein in the urine. 
 3. A test for blood creatinine. 
   Creatinine is freely filtered by the glomerular capillaries, inside the nephrons, and a small amount is also secreted in our body. But when these nephrons get damaged either due to high BP or diabetes, then the Glomerular Filtration Rate (GFR) also decreases. As a result of this, the creatinine level ncreases in a patient’s body.

 
  Kidney failure
 Chronic kidney disease may progress to kidney failure, requiring dialysis or kidney transplantation. Treating high blood pressure with special medications called angiotensin converting enzyme (ACE) inhibitors often help to slow the progression of chronic kidney disease.
 
Treatment
: Kidney failure may be treated with hemodialysis, peritoneal dialysis or kidney transplantation. Treatment with hemodialysis (the artificial kidney) may be performed at a dialysis unit or at  home.  Hemodialysis treatments are usually performed three times a week. Peritoneal dialysis is generally done daily at home. Continuous Cycling Peritoneal Dialysis requires the use of a machine while Continuous Ambulatory Peritoneal Dialysis does not. 
 Kidney transplant:  The kidney may come from either a dead donor or from a living donor who may be a relative, friend or possibly a stranger as per Organ Donation Act, who donates a kidney to anyone in need of a transplant. 
 
Warning signs of kidney disease 
There are six warning signs of kidney disease: 
 1. High blood pressure. 
 2. Blood and/or protein in the urine. 
 3. A creatinine blood test greater than 1.2 for women and 1.4 for men. 
 4. A glomerular filtration rate (GFR) less than 60. GFR is a measure of how well your kidneys filter wastes from your blood. GFR may be estimated from your creatinine level.  
 5. More frequent urination, particularly at night, difficult or painful urination. 
 6. Puffiness around eyes, swelling of hands and feet, especially in children.
  If anybody has all these warning signs then a routine ultrasound of the kidneys is a must. With this you  can prevent from kidney problems in the early stages. 
 
Kidney cancer
 "Kidney cancer is totally curable if detected early which may have the manifestations in the shape of blood in urine, persisting ill-health, anaemia, steady weight loss, back or abdominal pain which call for periodic USG check-up," Shibaji Basu, chief urologist and R K Gopala Krishna, consultant urologist of the Wockhardt hospital and kidney institute, said.
 
Prevention 
  Kidney disease in most cases is lifestyle related. High BP and diabetes are very common today. Most of the chronic kidney disease patients have either of the two, especially in the urban population. If chronic kidney disease is diagnosed in the early stages, it can be managed well and need for dialysis and a transplant in a patient can be delayed. A creatinine clearance test along with patient's medical history can help a physician diagnose whether he/she is a case of hronic kidney disease or not.  Precautions to keep kidneys healthy:
1. Be fit and active: Keeping yourself fit and active may help to control your blood sugar and therefore reduces the risk of chronic kidney disease. 
2. Control diabetes:  World Kidney Day 2010 focuses on controlling diabetes, highlighting the importance of keeping blood sugar level in control, as it is a key cause of chronic kidney disease. About half of those people who have diabetes develop early signs of kidney damage.
3. Control your weight:  Weight control can help prevent diabetes, heart disease and other conditions associated to chronic kidney disease. 
4. Be your kidneys checked regularly: People with diabetes to have regular tests to check their kidney functions and control their blood sugar levels. Early detection is essential and allows suitable treatment before kidney damage or deterioration. 
5. Beware of OTCs:  Do not take over-the-counter pills on a regular basis- common drugs such non- steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney damage and disease if taken regularly. Consult always a doctor to find a way to control your pain. 

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