• What are Kidneys?
   
• Warning Signs of Kidney Disease
   
• Causes of Chronic Kidney Disease
   
• Hypertension and Kidney Disease
   
• Diabetes and Kidney Disease
   
• Drug Induced Kidney Injury
   
• Kidney Stones
   
• Urinary Tract Infections
   
• 10 Commandments for Prevention

1. Acute Kidney insult (AKI)
    
2. Chronic kidney disease (CKD)

• Each year approximately 350,000 - 400,000 people develop ESKD.
• There are around only 1000 dialysis centers in India that cater to about 10,000 (about 2 %) patients.
• Only 4000 - 5000 (about 1%) are fortunate to go for transplants each year in the whole country.
• So what happens to the remaining 97 % of the patients? God only knows.
  

Treatment options for ESKD:

There are only two treatment options for ESKD
1. Life long dialysis
2. Kidney Transplantation.

Result of kidney transplantation

The success rate with a transplanted kidney depend upon many different factors. The two most important are the closeness of the match between the donor and the recipient and the sensitivity of the recipient's immune system. The best possible donor is a brother or sister with the complete match which has a 95 % chance f working after one year. Many people do not receive a kidney from live donors. Kidneys from unrelated donor (someone who has recently died) have an 80-85% chance of working after one year. If you have already had one kidney transplant the success rate will be slightly less than the above and should be discussed with your doctor in greater detail.
 
Expected survival in three different group of populations
 

Dialysis is a process that removes waste products and excess fluid that accumulate in the blood as a result of failure of the kidneys to function.

Dialysis is not a cure for kidney failure. It only substitutes for some functions of the kidneys like removing some waste products and excess water from the body. When the kidneys have ceased functioning permanently they will not resume function no matter how many dialysis treatments are given. The patient with permanently damaged kidneys (ESRD) will therefore need dialysis treatment for the rest of his life unless he has a successful kidney transplant. A patient with temporarily damaged kidneys (ARF) will be able to discontinue dialysis once his kidneys recover.

• Hemodialysis
   
• Peritoneal Dialysis
   
• Changes In Lifestyle

• Who can go for kidney transplantation?
   
• Where can the kidney come from?
  
  Kidneys can come from two sources:
  
  
1. Living donor, usually a close blood relative
   
   
• Related
  
  
• Exchange
  
  
2. Deceased (Cadaver) Donor
   

• Kidney transplant procedure
  
  The procedure of kidney transplantation involves evaluation of the recipient to assess his/her suitability to undergo transplant, evaluation of suitable donor and transplant operation
  
  
  1. Recipient Evaluation
     
     
  2. Transplant Operation
     
     
  3. Post transplant care
     
     It is important for you and your family to understand every aspect of the post transplant care. Since each member of the health care staff (doctors, nurses, social workers) contributes to your care, it is important for you and your family to work together with them. Informative booklets on transplant care will be of great help.
     
     
     • Basic Guidelines
       
       
     • FAQS about post-transplant care

• Hepatitis & Kidney Disease
   
• Nephrotic Syndrome