Welcome to NKF

"World Kidney Day" on 8th March 2012.

Forthcoming event

Rider Mania

Prevention of kidney disease

Various ways to prevent the kidney disease

Patient Care

Various activities to promote patient care

Kidney Transplantation

Various activities to promote Kidney Transplantation

Organ Donor Card


	Kidney Information

Prevention & Early Detection


	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

Why do kidneys fail


	Acute Kidney insult (AKI)
	Chronic kidney disease (CKD)
	Anemia and increasing weakness could be the first manifestation of kidney disease and one must keep that possibility in mind. Bone pain may also be the first manifestation of kidney disease.


	End Stage Kidney Disease (ESKD)
	ESKD is a stage at which practically entire kidney function is lost. On ultrasound examination the kidneys are usually small and shrunken. Kidneys can be considered to be dead. Life long dialysis or transplantation becomes mandatory for survival.

Extent of Problem:


	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

Age (Year)	General Population	Dialysis group	Transplant Group
40	39 years	7.3 years	22 years
50	30 years	5.2 years	16.2 years
60	21 years	3.9 years	11.6 years

Dialysis

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

Transplantation

Who can go for kidney transplantation?

Where can the kidney come from?

Kidneys can come from two sources:

Living donor, usually a close blood relative

Exchange

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


	Other
	1. Hepatitis & Kidney Disease
	2. Nephrotic Syndrome

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