Noting that the difficult symptomatic kidney failure disease is becoming more common, Internal Diseases and Nephrology Specialist Prof. Dr. Gülçin Kantarcı said that diabetes and hypertension, which develop depending on the diet, cause kidney failure.
Prof. Dr. Kantarcı said, “We are the first in the world in the rate of increase in diabetes in our country. Lots of people are overweight at the obese level. Invites kidney disease, diabetes and hypertension. Before reaching the stage of kidney failure, diabetes and hypertensive patients or people with a predisposition to kidney disease should be the priority to protect kidney health. It is necessary to consume fresh food and reduce salt consumption. In addition, unconscious vitamin consumption should be stopped ”he said.
10 in every 1 people in the world and in Turkey, 7 out of every 1 people in kidney failure disease noted Koşuyolu seen Yeditepe University Hospital Specialist Professor of Internal Medicine and Nephrology Dr. Gülçin Kantarcı stated that the gradually increasing obesity and diseases such as diabetes and hypertension cause kidney failure. Providing nutritional advice to patients before and after dialysis, Prof. Dr. Kantarcı underlined the need to be sensitive about kidney failure.
IT WILL BE THE 5th REASON OF LOSS OF LIVES IN THE WORLD
Kidney failure in the world and in Turkey pointed out that a very common health problem, Prof. Dr. Kantarcı said, “10 out of every 1 people in the world and 7 out of every 2020 people in our country have kidney failure. Some statistics even show that by mid-5, kidney failure will be the XNUMXth cause of loss of life in the world. Despite being such a serious disease, our awareness is very low. The most important factor in this is its late symptoms, symptoms appear when the disease reaches an advanced stage. "If the patient goes to the hospital due to a different complaint or illness, coincidentally occurring kidney failure is diagnosed earlier,"
Regarding the complaints caused by the disease, Prof. Dr. Gülçin Kantarcı gave the following information: “Generally, shortness of breath, decrease in urination, change in urine color, foaming in urine, weakness, fatigue, bad breath, cramps in legs and hands are findings before diagnosis. However, when the disease reveals these complaints, the disease reaches an advanced stage. Even these findings do not make patients think of infecting themselves. "
Underlining that it is a difficult disease to diagnose without laboratory tests, Prof. Dr. Gülçin Kantarcı said, “For this reason, especially those with chronic diseases such as high blood pressure and diabetes, and people with kidney disease in their family are in the risk group. People who do sports and do not consume enough fluids, who use painkillers intensively for reasons such as rheumatic diseases or headache should definitely be examined in terms of kidney disease. With early diagnosis in these people, we can slow down the process leading to dialysis and organ kidney transplantation. We follow patients longer with a better quality of life. " he spoke.
DIABETES AND HYPERTENSION MAKE AN INVITATION TO KIDNEY FAILURE
Turkey's growth rate in the diabetes world is reminiscent of the first Prof. Dr. Kantarcı drew attention to the close relationship between chronic kidney disease, obesity and diabetes. Prof. Dr. Kantarcı said, “As a society, we are gradually gaining weight. A large number of people on the street are obese and overweight. This increase in obesity not only invites diabetes and especially Type 2 diabetes, but also causes hypertension. After all, diabetes and hypertension are also inviting kidney disease. More than one third of our patients on dialysis are diabetic patients. Most of them are patients with high blood pressure. Therefore, with the early diagnosis and treatment of these two diseases, kidney failure that reaches up to dialysis can be prevented ”.
Explaining the measures that can be taken to prevent obesity, Prof. Dr. Kantarcı continued his words as follows: “We must be able to burn as much as we feed in order not to be obese. Along with exercise, it is necessary to eat right, avoid consumption of ready-made food, and to feed more on fresh fruits, vegetables and fresh meat. However, controlling carbohydrate and bakery food consumption, limiting salt consumption and drinking enough water are very important for both weight control and protecting the kidneys.
NUTRITION CHANGES BEFORE AND AFTER THE DIALYSIS PHASE
Pointing out that nutrition is of particular importance for patients with kidney failure, Prof. Dr. Gülçin Kantarcı said that pre-dialysis nutrition and the diet of the patient requiring dialysis are different from each other and that the most important point in this difference is salt. Prof. Dr. Kantarcı said, “While we restrict protein before dialysis, we give as much protein as possible after dialysis. "Patients should have a balanced diet consisting of proteins, fats and carbohydrates in order to prevent muscle, energy, fat loss and loss of appetite."
Stop consuming unnecessary vitamins
“Pre-dialysis and patients requiring dialysis, even the last zamThere is a vitamin craze that we see in the society at times,” said Prof. Dr. Gülçin Kantarcı said, “People need to avoid the vitamins they consume in order not to catch viral diseases. For example, vitamin C. High-dose vitamin C increases oxalate in people before dialysis. This causes kidney stone formation in healthy people. After dialysis, it can cause calcification in soft tissues and damage the vessel walls. Therefore, high doses of vitamin C should be avoided. “It came to my mind, I'll take vitamins, there's no harm in it” madness should be abandoned. It should not be taken unless the doctor recommends it.”
Giving information about other vitamins used by kidney patients, Yeditepe University Hospitals Internal Diseases and Nephrology Specialist Gülçin Kantarcı pointed out the wrong known mistakes on the subject:
“Vitamins A, D, K and E, which are fat-soluble vitamins, can be used in dialysis diseases sometimes in very uncontrolled and high doses. The same mistake can be made in the pre-dialysis period. Especially in the current period we are in, every mind that comes to mind is drinking vitamin D. However, one should not consume vitamin D without knowing the vitamin D level. Because vitamin D, which accumulates in the human body, becomes harmful, which we call toxic when it is excessive. Therefore, vitamin D should be taken by monitoring its level in the body. There are different forms of vitamin K as well. While certain forms are beneficial, certain forms can be harmful. Therefore, it should not be used uncontrolled. B vitamins lost in dialysis machines should also be used in case of need. When used beyond the need, there is an unnecessary consumption and can have harmful effects on soft tissues. "