Check the risks Avoid the dangers of kidney disease

Kidneys are one of our important organs that help in filtering waste. Including maintaining the balance of mineral salts If the kidneys are damaged for any reason Kidney performance will decrease. And the body loses balance without us realizing it. until birth “Chronic Kidney Disease: CKD”

In the beginning, the body will not show any symptoms. Come out clearly until the inside of the kidney is destroyed It has reached the point where kidney function has greatly decreased. As a result, other conditions occur such as swelling, anemia, and abnormal blood salt conditions. Kidney disease is often referred to as the silent killer. Health examination is therefore important. To reduce the loss of important opportunities to slow down the deterioration of kidney disease. The inspection method is as follows.

Blood Urea Nitrogen (BUN) value

BUN is a waste product that comes from the breakdown of protein from both food and the body's metabolism. This substance is excreted through the kidneys. If our kidneys work less This value will be higher. The average person's value will be between 8.40 - 25.70 mg/dL.

Serum Creatinine (sCr) values

Creatinine It is a waste produced by the muscles and is excreted through the kidneys. If elevated creatinine levels are detected in the blood shows that Kidney function has decreased. until creatinine builds up in the body The average person's value will be between 0.55 - 1.02 mg/dL.

Glomerular filtration rate value. (eGFR)

eGFR is the amount of blood flowing through the kidney filters within one minute. It can be calculated from creatinine, age, body weight, gender and ethnicity to indicate kidney performance and classify stages of kidney disease. In general, the value will be greater than 90 mL/min/1.73 m2 and if the value is lower than 60 mL/min/1.73 m2, you should immediately consult a doctor who specializes in kidney disease. to receive treatment

Urine Albumin Creatinine Ratio Value

It is a test for proteins that leak out in the urine. To indicate kidney function When the kidney's capillary group is damaged Filtration of various substances is therefore abnormal, which causes more protein to leak out into the urine than usual. Especially in patients with diabetes at increased risk of hyperglycemia The average person's value will be less than 30 mg / gm.

For Thailand From the report of the Kidney Association of Thailand (Information on replacement therapy in Thailand) in 2020 found that patients receiving kidney replacement therapy tended to increase from 2,274 people to 2,580 people per 1 million people, while new patients of the year reached 19,772 people.

Not only that. Patients with kidney disease also often face difficulties in accessing treatment. As a result, World Kidney Day, which falls on March 9th, involved organizations from every region around the world have come together. To reflect the impact of the current disaster. that affects access to services and care for kidney disease patients The Kidney Association of Thailand also has an annual motto of "Be aware of dangers, pay attention to your kidneys, protect them, focus on risk groups." Therefore, BDMS Wellness Clinic would like to join as one of the important voices in campaigning for everyone to pay attention and campaign for kidney health screening together.

With best wishes

From BDMS Wellness Clinic

LINE: @bdmswellnessclinic

Reference list

1. World Kidney Day Organisation. Chronic Kidney Disease [Internet]. Brussels: International Society of Nephrology; [cited 2023 Jan 15]. Available from: https://www.worldkidneyday.org/facts/chronic-kidney-disease/.

2. CDC. Chronic Kidney Disease Basics [Internet]. Atlanta: Centers for Disease Control and Prevention, U.S. Department of Health & Human Services; [updated 2022 Feb 28; cited 2023 Jan 15]. Available from: https://www.cdc.gov/kidneydisease/basics.html. 

3. National Kidney Foundation. Kidney Basics: Understanding Your Lab Values [Internet]. New York: National Kidney Foundation; [cited 2023 Jan 15]. Available from: https://www.kidney.org/atoz/content/understanding-your-lab-values.

4. Mayo Clinic. Microalbumin test [Internet]. Rochester, Minnesota: Mayo Foundation for Medical Education and Research (MFMER); 2021 Jan 19 [cited 2023 Jan 15]. Available from: https://www.mayoclinic.org/tests-procedures/microalbumin/about/pac-20384640

5. Adisorn Lamphaphong, Anan Chuesuwan. Information on kidney replacement therapy in Thailand 2020. [Internet]. Bangkok: Thai Kidney Association; 26 October 2021 [Accessed 15 January 2023]. Accessible from https://www.nephrothai.org/wp-content/uploads/2022/06/Final-TRT-report-2020.pdf.