Nasrudin Joke

One night a thief broke into the house Nasruddin. Luckily, Nasruddin saw it. Because of fear, quickly Nasruddin hiding inside a large box located in the corner. The thief was rifled through Nasruddin's house looking for money or valuables owned by Nasruddin. He opened the closet, the drawers, under-water pools, and others. He had but did not find any valuables. The thief almost gave up and decided to leave the house Nasruddin. But suddenly his eyes fixed on the large box located in a corner room Nasruddin. He was very happy because he believes in a box that's stored property that he was looking for. Despite the strong box was locked from the inside, but with full force, the thief managed to open the box. The thief was very surprised when I saw Nasruddin was in the box. The thief was very angry and said, "Hey! What are you doing in there?" "I'm hiding from you," replied Nasruddin. "Why?" "I'm embarrassed, because I do not have anything that can give you. That's the reason why I'm hiding in this box."

When the kidneys become rusty


As the vital organs, the kidneys must be treated as possible. If not, kidney failure, ie, body condition requiring treatment with dialysis or transplant, must be endured.

Although small, the organ is considered to be very vital one. Kidney or called person as the kidneys functioning as a place to cleanse the blood of various substances the body's metabolism and toxicity results are not needed in the form of urine.
Urine produced continuously from minute to minute in the kidney, then flowed through the urinary tract into the bladder. If enough urine in the bladder, it will arise stimulus urination.

Urine will be expelled from the body through channels called the urethra (located in the genitals). Amount of urine is released each day ranges from 1-2 liters. That way, the kidneys also function to maintain balance and regulate the concentration and composition of body fluids.

Arnadi Dr. Taslim, SpPD, from the Krakatau Medika Hospital Medicine, Cilegon, said, "The kidneys also function to maintain blood volume and pressure, set the state of calcium in bones, regulate the production of red blood cells, and also produces hormones such as Erythropoietin, or EPO, renin , and vitamin D is active. "

So many of kidney function. Therefore, if there are disorders that disrupt kidney, can we suffer various illnesses. "Abnormalities of the kidney may be a mild illness, such as urinary tract infection or a very serious such as kidney failure requiring dialysis treatment," said Dr. Arnadi.

Abnormalities can occur due to abnormalities in the kidneys (primary kidney disease). Can also be caused by complications of systemic diseases (secondary renal disease), such as diabetes (diabetes), and others.

Mild abnormalities in the kidneys can be cured completely if the cause can be overcome. Sometimes just with medication and diet regulation.

Conversely, if deteriorated, severe kidney disorder becomes acute renal failure. When allowed to simply get to a chronic stage, it will continue to become terminal renal failure (GGT)

More than 50 percent
Referring to Dr. Suhardjono, SpPD-KGH, from the Faculty of Medicine, University of Indonesia, cases of kidney failure today in the world increased by more than 50 percent. "In Indonesia had reached around 20 percent," he said. In the United States, countries that are very advanced and high nutrient levels, each year there are approximately 20 million adults suffering from chronic kidney disease.

Kidney failure is a state of both kidneys can not function. Patients with kidney failure can only be felt if the abnormalities in her renal function decreased by around 25 percent. In fact, for young patients under 10 percent could. Not surprisingly, most new patients to the hospital or your doctor if already in the terminal stage.

Dr. Roesli Rully, SpPD-KGH, Ph.D., agreed. According to him, "Kidney failure is classified by symptoms of the disease is less clear, especially in its early stages." This disease generally take place gradually, over the years.

Kidney failure can strike any person, whether male or female. Not looking at the economic level. If the symptom is known as early as possible, patients can get help to change or adjust your lifestyle.

"Of course, to slow or stop the failure of the kidney failure, depending on the cause," said Dr. Suhardjono. "The main cause of kidney failure is diabetes. More or less around 40 percent or more of diabetes causes kidney failure. "

Someone who is believed to have symptoms of kidney disease do not need to worry. Normal life can still be lived well. Still advisable to exercise regularly and eat a reasonable dose.

There are also recommendations for strict low-protein diet with enough calories. It was not too bothersome. Diet for people with early signs of kidney disease do not need to worry, except for smokers. Generally, doctors advise patients to stop smoking altogether.

Dialysis
Kidney failure can be treated by hemodialysis (dialysis). Dr Rully states, dialysis is the process of separation (filtering) the remnants of metabolism through the semipermeable membrane in the dialysis machine dialiser.

Blood that is pumped back into the net in the body. Dialysis can be done in a hospital or clinic that has a hemodialysis unit.
There are patients who have undergone dialysis as much as 90 times. Once every five days should be washed with blood. If during sleep the night he was delirious, constantly, that should immediately wash the blood.

There also has been undergoing dialysis for 15 years. Once dialysis time has to spend hundreds of thousands, from 500 thousand to one million rupiah. In fact, dialysis should be routine, at least 8-10 times per month. That means, every month should be available funds of Rp 4 million or USD 48 million each year.

In Indonesia, patients with kidney failure who need dialysis have 50,000 people. Unfortunately, only 4,000 people can enjoy it. That, too, as many as 3000 patients in whom health insurance participants. "The rest died because they were unable to pay the cost of dialysis," Dr Rully.

In addition to hemodialysis, there are also therapy called peritoneal dialysis. Dialysis was performed on the body lining of the abdominal cavity. Assisted the process of dialysis is inserted into the abdominal cavity through a rubber tube fitted with a small operation.
Peritoneal membrane serves to filter and get the rest of metabolism. This can occur because blood vessels in peritoneal membrane function as the kidneys filter.

Source:Kompas.com

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