In recognition of World Kidney Day, Fortis Hospitals & Kidney Institute takes the initiative of spreading awareness around kidney disease education that would ensure prevention, appropriate management of the disease and access to high-quality kidney
care and educate on medical advancements which provides a quality of life post transplant.
“Approximately 150 people/million of Indian’s suffer from some kidney disease and many of them has to undergo dialysis or kidney transplant and this number is increasingly growing and conditions such as diabetes, obesity, hypertension are driving these numbers higher” said Dr. Arup Ratan Dutta, Chief Nephrologist, Fortis Hospitals & Kidney Institute.
The diagnosis of kidney disease implies that there is a risk of disease progression. Whereas slowing down the rate of deterioration is possible and currently remains the principal treatment approach complete cure may not be achievable once a certain degree of damage is established. Dietary modifications (individualized) and tight control of blood pressure and diabetes are mainstays of the treatment along with treatment of anemia. Stabilization of kidney function can be achieved by these measures. However, some of these patients will eventually develop end stage kidney failure and require dialysis or transplantation for survival. Kidney Disease is also a risk factor for the development of cardiovascular disease and they are prone to have heart attacks and strokes he added.
Early Indicators of Kidney Disease
• Swelling of feet, face
• Frothy urine or blood tinged urine
• Tiredness, Anaemia
• Recurrent hypoglycemia(fall in blood glucose) and a decreasing requirement of drugs in a diabetic
• New onset hypertension in a diabetic
Kidney transplant is known as the best therapy for end stage of renal failure. It can be offered to all renal failure patients except those who are very old or has significant liver, heart or lung diseases.
“In the past people were hesitant to donate kidney due to sheer lack of awareness on quality of life post transplant. It is now known that kidney donation is absolute safe for the donors as they undergo series of tests for his/her own health status. Hence myth that people with only one kidney have to undergo changes in lifestyle has finally taken a backseat said Dr. Shivaji Basu, Consultant Urologist.
Moreover people were also reluctant to donate kidney thinking about the surgery complications but, now with all the technological advancement the surgery has become less complicated, pain less and stitch-less. With the introduction of laparoscopic donor Nephrectomy, donors don’t need to stay in hospital for more than 2-3 days after the surgery and can also resume work within 1 – 2 weeks and lead a normal healthy life. Earlier with open surgery donors had to stay in hospital for a couple of weeks and join work only after a month.
Mr. Sabyasachi Biswas, who had a successful kidney transplant at Fortis Hospital in 2009, says, “My life hasn’t changed much after I got a new kidney. Though earlier I was scared, but Dr Dutta supported me through out and gave me the courage. Today thanks to him and my wife, who has donated me one of her kidneys, I am enjoying my life. I have even carried on with my job post the transplant. So I can confidently say that technology has definitely improved which saves a lot of lives”
Dr. R K Gopalakrishna, Consultant Urologist, says, “There should be sustained awareness campaigns about organ donation that could save many lives and make the society healthier.”
Quality of life post kidney transplant is almost life a normal life with some restrictions. One needs to take medication regularly for an indefinite period and has to be careful about not catching any infection. The current results are excellent with the advent of newer immunosuppressive drugs. However, there is no significant change in the donor’s life post surgery. He or she doesn’t need any long term post operative medication added Dr. Arup Ratan Dutta. Mr Ratan Das, who had a successful kidney transplant at Fortis Hospital in 2009, says, “I have not faced any complication post my surgery. Today I lead a normal healthy life with certain diet restrictions and medication. I can go out drive the car self and consider myself lucky to have my healthy life back.”
“From the fact that transplant games are becoming popular day by day and several internationally acclaimed players who have continued to play even after kidney transplant prove that one can lead a healthy and normal life post renal transplant. It is also noted that after a few years of successful kidney transplant one can conceive and give birth. As a centre of excellence in kidney care we endeavor to offer quality care to our patients” said Richa S Debgupta, Centre Head, FHKI.