Healthy Kidneys for a Happy life

‫ﻛـﻠــﻰ ﺻــﺤـﻴــﺔ‬ ‫ﻟـﺤـﻴــﺎة ﺳـﻌـﻴـﺪة‬ ‫ﻫﻞ أﻧﺖ ﻓﻲ ﺧﻄﺮ؟‬

‫ﻓﺤﺺ ﺳﺮﻳﻊ ﻳﺴﺎﻋﺪ ﻋﻠﻰ اﻟﺘﺸﺨﻴﺺ اﻟﻤﺒﻜﺮ‬ ‫ ﻣﺮاض اﻟﻜﻠﻰ اﻟﻤﺰﻣﻨﺔ‪.‬‬ ‫ﻫﻞ ﺗﻌﺎﻧﻲ ﻣﻦ ﺿﻐﻂ دم ﻣﺮﺗﻔﻊ؟‬ ‫ﻫﻞ ﺗﻌﺎﻧﻲ ﻣﻦ اﻟﺴﻜﺮي؟‬ ‫ﻫﻞ ﻟﺪﻳﻚ ﺗﺎرﻳﺦ ﻋﺎﺋﻠﻲ ﺑﺄﻣﺮاض اﻟﻜﻠﻰ؟‬ ‫ﻫﻞ أﻧﺖ ﻣﻦ أﺻﺤﺎب اﻟﻮزن اﻟﺰاﺋﺪ؟‬ ‫ﻫﻞ أﻧﺖ ﻣﺪﺧّ ﻦ؟‬ ‫ﻫﻞ ﻋﻤﺮك ﻳﺘﻌﺪى ‪ ٥٠‬ﻋﺎﻣ ؟‬ ‫ﻫﻞ أﻧﺖ ﻣﻦ أﺻﻮل أﻓﺮﻳﻘﻴﺔ‬ ‫أو ﻻﺗﻴﻨﻴﺔ أو آﺳﻴﻮﻳﺔ؟‬

‫‪University Hospital Sharjah, P.O. Box: 72772, Sharjah UAE‬‬ ‫‪t:- +971 6 505 8555 | f: +971 6 505 8444 | www.uhs.ae‬‬

‫إذا ﻛﺎﻧﺖ إﺟﺎﺑﺘﻚ ﻧﻌﻢ ﻟﻮاﺣﺪ أو أﻛﺜﺮ ﻣﻦ ﻫﺬه ا ﺳﺌﻠﺔ ﻓﻨﻨﺼﺤﻚ‬ ‫ﺑﺰﻳﺎرة ﻃﺒﻴﺒﻚ واﻟﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ ﻛﻠﻴﺘﻴﻚ‪ ،‬وﻣﻦ اﻟﻀﺮوري أن ﺗﻌﺮف‬ ‫أن داء اﻟﻜﻠﻰ اﻟﻤﺰﻣﻦ ﻟﻴﺲ ﻟﻪ أي أﻋﺮاض أو ﻋﻼﻣﺎت ﻓﻲ ﻣﺮاﺣﻠﻪ‬ ‫ا وﻟﻰ‪ ،‬وﻣﻦ اﻟﻤﻤﻜﻦ ﻓﻲ ﺑﻌﺾ اﻟﻤﺮاﺣﻞ أن ﺗﺘﻮﻗﻒ ﺣﺘﻰ ‪ ٪٩٠‬ﻣﻦ‬ ‫وﻇﺎﺋﻒ اﻟﻜﻠﻰ دون ﻇﻬﻮر أي أﻋﺮاض‪ ،‬وﺑﺠﻤﻴﻊ ا ﺣﻮال ﻳﻤﻜﻦ أن‬ ‫ﺗﺆﺧﺮ ﻫﺬه ا ﻋﺮاض أو أن ﺗﺘﺠﻨﺐ ﺗﻮﻗﻒ ﻋﻤﻞ اﻟﻜﻠﻰ وذﻟﻚ ﻋﺒﺮ ﻋﻼج‬ ‫ﺗﻠﻚ اﻟﺤﺎﻻت‪.‬‬

‫ا ﻋﺮاض‬ ‫ﻣﻌﻈﻢ اﻟﻨﺎس ﻟﻦ ﻳﻼﺣﻈﻮ أي أﻋﺮاض ﻟﺪاء اﻟﻜﻠﻰ اﻟﻤﺰﻣﻦ ﺣﺘﻰ‬ ‫ﺗﻄﻮره ﻟﻤﺮاﺣﻞ ﻣﺘﻘﺪﻣﺔ‪ ،‬وﻣﻦ ﺗﻠﻚ ا ﻋﺮاض‪ :‬ﺗﻮرم اﻟﻜﺎﺣﻠﻴﻦ‪ ،‬واﻟﺘﻌﺐ‬ ‫وﺻﻌﻮﺑﺔ اﻟﺘﺮﻛﻴﺰ واﻧﺨﻔﺎض اﻟﺸﻬﻴﺔ وﻇﻬﻮر اﻟﺪم ﻓﻲ اﻟﺒﻮل‬ ‫واﻟﺒﻮل اﻟﺮﻏﻮي‪.‬‬

‫اﻟﻜﺸﻒ‬ ‫ﻣﻦ اﻟﻤﻌﺮوف أن ﻣﻌﻈﻢ ﺣﺎﻻت داء اﻟﻜﻠﻰ اﻟﻤﺰﻣﻦ ﺗﻤﺮ دون أي‬ ‫ﺗﺸﺨﻴﺺ‪ ،‬وﻧﺴﻌﻰ ﻧﺤﻦ ﻓﻲ ﻣﺴﺘﺸﻔﻰ اﻟﺸﺎرﻗﺔ اﻟﺠﺎﻣﻌﻲ ﺑﺸﻜﻞ‬ ‫ﻣﺴﺘﻤﺮ ﻟﺘﺸﺠﻴﻊ اﻟﻨﺎس ﻣﻤﻦ ﻳﻌﺎﻧﻮن ﻣﻦ أي ﻣﻦ اﻟﻌﻮاﻣﻞ اﻟﻤﺆﺛﺮة‬ ‫ﻋﻠﻰ ﻋﻤﻞ اﻟﻜﻠﻰ ﻋﻠﻰ إﺟﺮاء ﻓﺤﺺ ﺑﺴﻴﻂ ﻋﻠﻰ وﻇﺎﺋﻒ اﻟﻜﻠﻰ‪.‬‬ ‫ﺣﻴﺚ ﻧﻘﻮم ﺑﺈﺟﺮاء ﻓﺤﻮﺻﺎت ﻣﺨﺒﺮﻳﺔ ﺑﺴﻴﻄﺔ ﻋﻠﻰ ﻋﻴﻨﺎت ﺻﻐﻴﺮة‬ ‫ﻣﻦ اﻟﺪم ﻟﻘﻴﺎس ﻣﺤﺘﻮﻳﺎت اﻟﻜﺮﻳﺎﺗﻴﻨﻴﻦ وﺗﻘﺪﻳﺮ ﻣﻌﺪل ‪ ،GFR‬ﻣﻊ‬ ‫ﻗﻴﺎس اﻟﻜﺮﻳﺎﺗﻴﻨﻴﻦ وإﻓﺮاز اﻟﺰﻻل ﻓﻲ اﻟﺒﻮل‪.‬‬

‫‪ ٨‬ﻗﻮاﻋﺪ ذﻫﺒﻴﺔ ﻟﻠﻮﻗﺎﻳﺔ‬ ‫ﺗﻌﺘﺒﺮ أﻣﺮاض اﻟﻜﻠﻰ ﻣﻦ اﻟﻨﻮع اﻟﻘﺎﺗﻞ اﻟﺼﺎﻣﺖ‪ ،‬وﻫﻲ ﺗﺆﺛﺮ ﺑﺸﻜﻞ‬ ‫ﺧﺎص ﻋﻠﻰ أﺳﻠﻮب ﺣﻴﺎﺗﻚ‪ ،‬وﻟﻜﻦ ﻳﻮﺟﺪ ﻋﺪة ﻃﺮق ﻟﺘﻘﻠﻴﻞ ﺧﻄﺮ داء‬ ‫اﻟﻜﻠﻰ اﻟﻤﺰﻣﻦ‪.‬‬ ‫أﺛﺒﺘﺖ ا‪Ð‬ﺟﺮاءات ا ﺳﺎﺳﻴﺔ ﻓﻌﺎﻟﻴﺘﻬﺎ ﻛﻌﻮاﻣﻞ وﻗﺎﺋﻴﺔ ﻣﻦ ﻫﺬا اﻟﺪاء‬ ‫ﻓﻲ اﻟﻤﺮاﺣﻞ اﻟﻤﺒﻜﺮة ﻣﻨﻪ‪ ،‬وﺗﻘﻮم ﻫﺬه ا‪Ð‬ﺟﺮاءات ﺑﺈﺑﻄﺎء ﺗﻄﻮر ﻫﺬا‬ ‫اﻟﻤﺮض‪ ،‬وﺗﺴﺎﻋﺪ أﻳﻀ ﻋﻠﻰ اﻟﻮﻗﺎﻳﺔ ﻣﻦ أﻣﺮاض اﻟﻘﻠﺐ وا وﻋﻴﺔ‬ ‫اﻟﺪﻣﻮﻳﺔ‪ .‬وﻣﻦ ﻫﺬه ا‪Ð‬ﺟﺮاءات‪:‬‬ ‫• ﺗﺨﻔﻴﺾ ﺿﻐﻂ اﻟﺪم اﻟﻤﺮﺗﻔﻊ‪ :‬إن ﻛﻠﻤﺎ اﻧﺨﻔﺾ ﺿﻐﻂ اﻟﺪم‬ ‫اﻟﻤﺮﺗﻔﻊ ﻟﻴﻜﻮن ﺿﻤﻦ اﻟﺤﺪود اﻟﻄﺒﻴﻌﻴﺔ ﻛﻠﻤﺎ ﻗﻞ ﺧﻄﺮ ا‪Ð‬ﺻﺎﺑﺔ ﺑﺪاء‬ ‫اﻟﻜﻠﻰ اﻟﻤﺰﻣﻦ‬ ‫• ﺗﻨﺎول أدوﻳﺔ ﺧﺎﺻﺔ ﻟﺘﻘﻠﻴﻞ اﻟﺒﺮوﺗﻴﻨﻴﻮا واﻟﺘﺤﻜﻢ ﺑﻀﻐﻂ اﻟﺪم‪،‬‬ ‫ﻣﺜﻞ أﻧﺠﻴﻮﺗﻨﺸﻦ ﻣﺜﺒﻄﺎت ‪ ACE‬وﺻﺎدات ﻣﺴﺘﻘﺒﻼت أﻧﺠﻴﻮﺗﻨﺸﻦ‬ ‫• ﺗﻘﻠﻴﻞ اﺳﺘﻬﻼك اﻟﻤﻠﺢ ﻟﺘﺨﻔﻴﺾ ﺿﻐﻂ اﻟﺪم‬ ‫• اﻟﺘﺤﻜﻢ ﺑﺎﺳﺘﻬﻼك اﻟﺴﻜﺮ واﻟﺘﺤﻜﻢ ﺑﺎﻟﺪﻫﻮن‬ ‫• اﻟﺘﻮﻗﻒ ﻋﻦ اﻟﺘﺪﺧﻴﻦ‬ ‫• زﻳﺎدة اﻟﻨﺸﺎﻃﺎت اﻟﺤﺮﻛﻴﺔ واﻟﺮﻳﺎﺿﻴﺔ‬ ‫• اﻟﺘﺤﻜﻢ ﺑﻮزن اﻟﺠﺴﻢ‬

HEALTHY KIDNEYS FOR A HAPPY LIFE ARE YOU AT RISK? A quick examination to help you pre-diagnose a Chronic Kidney Disease.

Do you have high blood pressure?

Do you suffer from diabetes?

Do you have a family history of kidney diseases?

Are you overweight?

Do you smoke?

Are you over 50 years?

Are you of African, Hispanic, Aboriginal or Asian origin?

University Hospital Sharjah, P.O. Box: 72772, Sharjah UAE t:- +971 6 505 8555 | f: +971 6 505 8444 | www.uhs.ae

If you have answered yes to one or more of these questions, it is advisable for you to consult with a doctor to examine the health of your kidneys. It is important to learn that a Chronic Kidney Disease (CKD) has no sign or symptoms at an early stage. In certain cases you can lose up to 90% of their kidney function before experiencing any symptoms.

However, you can help delay or prevent kidney failure by treating these conditions early.

SYMPTOMS Most people have no symptoms until CKD has advanced.

Signs of advancing CKD include swollen ankles, fatigue, difficulty concentrating, decreased appetite, blood in the urine and foamy urine.

DETECTION It is true that majority of the cases at an early stage of CKD go undiagnosed. At University Hospital Sharjah (UHS) it is our constant pursuit to encourage people with any risk factors to take a simple kidney function test.

Simple laboratory tests are done on small samples of blood to measure creatinine content and estimate GFR; and on urine to measure creatinine and albumin excretion.

8 GOLDEN RULES FOR PREVENTION Kidney diseases are silent killers and largely affect your quality of life. There are however several easy ways to reduce the risk of an impending kidney disease.

Key preventative measures have been defined and proven successful in those with early stages of CKD as secondary prevention measures. These precautions will help slow down the disease progression and protect you against both kidney and cardiovascular diseases such as: • Reduce high blood pressure- the lower the blood pressure, within the normal range, the slower the GFR decline • Specific medication to reduce proteinuria and stabilise blood pressure- Angiotensin Converting Enzyme inhibitors (ACE inhibitors) or Angiotensin Receptor Blockers (ARBs) • Reduce salt intake to lower blood pressure • Control glucose, blood lipids and anemia • Stop smoking • Increase physical activity • Control body weight