Friday , August 19 2022

Prevention, a key to reducing kidney disease in childhood



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The chronic kidney disease (CKD) it has been endured by 850 million people worldwide and causes at least 2.4 million deaths a year. The pediatric population is also affected by this disease, often creating health problems that lead to severe kidney failure and the resulting need for dialysis and / or treatment of transplantation. In children under the age of 18, the incidence of CKD is 12 new cases per million inhabitants per year. On the occasion of yesterday's World Kidney Day, Garrahan Hospital warned of the need to prevent kidney problems before birth.

"We are focusing on the early detection of kidney pathology. Kidney diseases are often silent, so early detection in childhood of the risk of developing kidney damage is very important," says Marta Adragna, head of the Nefrological Service Garrahan, and emphasizes that the ERC can be largely prevented the measure, but once acquired no medicine. "In addition, CKD does not present symptoms until the advanced stages, it is silent and progressive," with which attention to quality of life is fundamental ".

In that sense, the Garrahan Neurological Service recommends the medical community to "promote healthy habits and reduce or eliminate exposure to risk factors for future mothers, babies, children and adolescents." Adragna says: "Prevention of kidney disease begins before pregnancy, is carried out during pregnancy and childhood. We are all responsible: doctors, parents, carers, schools, kindergartens and the community in general, it is also important to emphasize the role of pediatrician, the basic factor in early detection.

The most important preventive measures relate to dietary patterns, daily physical activity and do not expose them to risk factors such as tobacco smoke, alcohol and nephrotoxic drugs during pregnancy and growth. "Taking healthy diet, which includes from early childhood daily consumption of fruits and vegetables, weight control and avoiding sedentary lifestyles, are key to preventing and improving kidney disease," Adragna says.

For his part, the head of the Department of Urology, Juan Pablo Corbetta, emphasizes that this is "an extremely important prenatal diagnosis of uronephrosis, an abnormality in the obstructive congenital urinary tract, because this is an early sign of possible renal pathology." It is also alleged that they can be detected by ultrasound during pregnancy, so "it is very important to carry out the necessary controls". Most prenatal uronephrosis can be spontaneously solved without surgical intervention or without complications; However, its existence "is a warning for both doctors and the family."

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