Marginal Failure Patients Can Wash Their Own Blood at Home

During this time to treat patients with kidney failure who are convicted, people are more familiar with hemodialysis or dialysis should be done in the hospital. Though there are other treatments that can be done at home by patients themselves, thus saving time.
Kidney failure is the final stage of kidney disease in which kidney function is less than 15 percent. At this stage, the only way to prolong the life expectancy of patients with renal replacement therapy is.
To date there are only three kinds of renal replacement therapy, namely:

1. Hemodialysis (HD)
2. Peritoneal dialysis (dialysis or through the stomach) or Continuos ambulatory peritoneal dialysis (CAPD)
3. Transplant or a kidney transplant

"Ideally transplant, but is expensive and not easy to find a donor. What is now most do patients with kidney failure are dialysis or hemodialysis. But the truth is medically better CAPD (Continuos ambulatory peritoneal dialysis) that can be done alone at home or at work, "said Dr. stumps D Situmorang, SpPD.KGH, Director PGI Cikini Hospital, at the Press Conference World Kidney Day 'Protect Your Kidney Save Your Heart' at the House Ziebart PT Kalbe Farma, Jakarta, Thursday (03/10/2011).
Hemodialysis (HD) is an action taken at the hospital a week 2-3 years to clean up the toxins and remove excess fluid from the body (remember the natural kidneys are not able to perform its functions well).
Each time HD takes about 4-5 hours. In the hands of patients will be made a so-called Simino access to drain the dirty blood into the dialysis machine and returning the clean blood to the body. Machines used to clean the blood of these toxic substances.
While peritoneal dialysis (dialysis or through the abdomen) that is widely used today is the Continuos ambulatory peritoneal dialysis (CAPD) is an action taken by the patient at home 3-4 times per day to cleanse toxins and remove excess fluid from the in the body.
Each time CAPD takes about 30 minutes and the patient's stomach will be installed a catheter to remove fluid and toxins from the body. Here that serves as a filter or membrane filter is the abdominal cavity.
"Medically and better cost CAPD. This was getting a lot done in Hong Kong, Thailand, Taiwan. If in Indonesia can be very good, because not all hospitals can serve hemodialysis. CAPD can even be done in the villages by the patients themselves , "said Dr. stumps.
Here are some advantages CAPD compared to HD delivered by Dr. stumps, namely:

1. The remaining kidney function can still be saved
2. Toxic substances in the body can be removed
3. Do not add the burden of the heart so it can be done by anyone, including elderly patients
4. Using the 24 hours the body's natural processes
5. Can be done at home or the workplace without going to the hospital, and can be ordered and delivered to homes.
6. Higher hemoglobin levels so as to improve the quality of life
7. Smaller risk of getting hepatitis
8. More economical is the cost

Moreover, according to Dr. stumps, CAPD tends fewer contraindications than hemodialysis. The most common is infection because patients do not comply with hygiene rules before installation.
Unfortunately, renal replacement therapy is less popular compared with hemodialysis.
"Why not as popular as the HD, since HD was introduced first. From the survey results, patients with renal failure undergoing HD is only 30 percent are familiar with CAPD. And if in Thailand, CAPD patients with renal failure have a new HD first, except when experiencing certain conditions," dr-up stumps.
According to Dr. stumps, kidney failure patients undergoing CAPD is not the age of patients undergoing surgery in the abdominal area and patients with disturbances in the skin of the abdomen, as this can increase the risk of infection.
"The issue price depending on the prescription, there are 3 or 4 times a day. If it is 4 times a day the cost could reach 6.5 million per month for non Askes, if Askes be covered 100 percent," said Dr. Natalia Erlan, Marketing Manager PT Kalbe Farma Tbk.
Before the installation of CAPD system, kidney failure patients will be trained for several days installing the correct way, ie by obeying a few rules before installation, among others:

1. Wash hands before putting on CAPD system
2. Using a mask to cover your mouth
3. Maintain cleanliness of the environment around the room before installation CAPD system.

"CAPD is expected to create more renal failure patients independent and responsible," concludes Dr. Erlan.

The Diet For Kidney Failure Patients

Someone who has experienced kidney failure should keep his diet because many foods that can actually aggravate the condition of the disease. Patients with kidney disease can not eat fruit and vegetables at will, with the same amount as healthy people.

It should be understood that there are vegetables and fruits that could potentially worsen the health condition of the patient. Therefore, patients with kidney failure should really know the content of fruit and vegetables they consume. "Patients with kidney failure should reduce the consumption of fruits because some fruit yield of potassium (potassium) high," the doctor said Dian Novita Chandra, M . Nutrition, Staff Department of Nutritional Sciences Faculty of Medicine, University of Indonesia, the Warta Kota recently.

Very high potassium levels (hyperkalemia) can cause disturbed heart rhythm. Patients should be able to limit the amount of consumption of fruit each day. For example apples, kidney patients can only eat half of it. But that also should be remembered, if the condition of kidney patients can no longer berkermh, then you should refrain from the consumption of fruits and vegetables until smooth voiding.

Meanwhile, for people who have not undergone dialysis. recommended for a diet low in protein 40-45 grams / day. This of course depends on renal function of patients can be identified by laboratory tests. If kidney function is less than 15 percent, then pertu do dialysis.

Another in patients with renal failure who have a chronic disease or chronic long alias. Patients with chronic kidney failure must undergo a strict diet with some purpose which is to regulate fluid and electrolyte balance in the body and to keep the patient can move like a normal person.

The principle of the diet with chronic renal failure:

1. Diet or regular soft
2. As a source of carbohydrates: sugar, jam, syrup, and candy.
3. Sufficiently low energy and protein
4. As a source of protein, preferably animal protein, for example: milk, beef, meat, and fish. The number of kidney function in accordance with the failure of the patient.
5. As a source of fat, preferably unsaturated fats, with the needs of approximately 25 percent of the total energy required.
6. For the needs of water, is recommended in accordance with the amount of urine 24 hours; about 500 milliliters through beverages and foods.
7. For potassium and sodium requirements by a state patients.
8. For calorie needs, about 35 kcal / kg body weight / day.
9. Limiting salt intake if there is hypertension (high blood pressure) or edema (swelling).
10. It is also advisable to consume gelatin because in addition to containing energy sources also contain soluble fiber.

Foods that should be limited

1. Sources of carbohydrates such as rice, corn, potatoes, macaroni, pasta, hevermout, sweet.
2. Animal protein, such as mutton, chicken, fish, liver, cheese, shrimp, eggs.
3. Vegetables and fruits high in potassium, such as: apples, avocados, oranges, bananas, papayas and papaya leaves, celery, cauliflower, parsley, green beans.

The Danger of Used Batteries

What do you do with used batteries? Almost all would answer, throw it in the trash. Used batteries is a very dangerous waste which actually should not be carelessly discarded.
All types of batteries used as a remote batteries, toys, watches, cell phones, digital cameras and batteries that can be charged (rechargeable) B3 waste (hazardous and toxic materials).
When carelessly discarded or recycled, then the content of heavy metals and other hazardous substances in batteries can contaminate water and soil, which in turn harm the human body.
Environmental expert Dr R Budi Haryanto claimed reasonable if many people who do not know how to dispose of used batteries safely. Because it is so far nor have any socialization how to treat other types of waste.
According to him, it is very difficult to make people aware of how to dispose of hazardous waste if the government did not provide examples.
"Almost all people are not aware because they do not know the dangers, so dispose of used batteries in just like that," says Dr R Budi Haryanto as Chairman of the Department of Environmental Health FKM UI detikHealth when contacted on Thursday (17/03/2011).
Dr. Budi said one of the key is to socialize on this issue to the people that used batteries are dangerous, so the handling is more comprehensive. If not socialized then the public will not know and do not manage the waste properly.
Why used batteries should not be carelessly discarded?
Batteries contain a variety of heavy metals such as mercury, manganese, lead, nickel, lithium and cadmium.
If the battery is carelessly discarded the heavy metals contained in them would pollute groundwater and endanger health of inhabitants.
Dr. Budi revealed that heavy metal contaminated water is used by society can cause chronic diseases that will cause interference in the central nervous system, kidneys, reproductive system and even cancer.
"The effect is long term. And usually the new society will be more concerned if the effect appears in the near term," said a lecturer who was born in Malang FKM 51 years ago.
How to manage waste used batteries?
Waste batteries should be used exclusively and is managed separately from the rest of the garbage.
Existing technology is going to B3 waste dumped in the soil that already contains other chemicals to be neutralized and destroyed so as not to pollute the environment.
"To overcome this B3 waste everyone should be aware in advance, either from the public, waste management and also the government because of this complex problem. Usually, only people who really knew who did this," he said.
What are the dangers of used batteries?
Waste batteries not only causes pollution but also endanger the natural resources because they contain heavy metals and corrosive electrolyte which is the source of battery power, such as lead, mercury, nickel, cadmium, lithium, silver, zinc and manganese
In the action of microorganisms, inorganic mercury can be transformed into methylmercury, fish congregate in the body which is then consumed by humans. Methylmercury may enter brain cells and have serious consequences such as damage to the nervous system that can make people go crazy or even cause death.
While cadmium batteries can contaminate soil and water, which eventually enter the human body causing damage to liver and kidney, can also lead to soft bones or severe bone defects.
In addition, cadmium can cause chronic poisoning and be a factor causing emphysema (chronic obstructive pulmonary disease that involves damage to the air sacs in the lungs), osteomalacia (bone softening), anemia (anemia), also making paralysis in the human body.
Excretion of lead is also the most difficult in the human body and can disrupt the function of kidneys and reproductive function.
If the battery waste mixed with other solid waste, from time to time malicious content in it can contaminate water and soil, which then threatened the lives of fish, plants, environmental destruction and indirectly threaten human health.
Why waste hard to familiarize citizens with the right battery?
According to Dr. Budi hard accustom people to safely dispose of waste batteries because it requires great effort. There should be a special facility that houses and people who do it.
For example, if collected by RT, then who will send to its B3 waste processing center. This condition is related to how far away and how much it cost.
Yet Dr. Budi said there are several things you can do the community to reduce the adverse effects of sewage pollution of used batteries, namely:

1. Communities must be socialized in advance about the dangers of B3 waste for health
2. Begin to separate hazardous waste such as used batteries at home by putting it in a special plastic and other debris separated by
3. Collect all hazardous waste materials in certain places, such as RW in each one there is one special place to accommodate the temporary hazardous waste
4. When the manager came to pick up litter they should also have awareness not to mix hazardous waste with other waste
5. After that the B3 waste will be sent to the management of B3 waste already meet the standards.

Because it is the socialization of the danger of B3 waste is very important to sensitize the public to dispose of used batteries should not arbitrarily so as not to pollute the environment that could have a negative impact on health.