Chronic Kidney Disease in Nice
Dr. Ilya Khantalin, Vascular Surgeon in the Alpes-Maritimes
Chronic Kidney Disease
Dr. Ilya Khantalin in Nice
Chronic kidney disease (CKD) is a serious condition affecting millions worldwide, requiring specialized management. It is characterized by a gradual decline in kidney function, reducing the organs’ ability to filter waste and regulate body fluids.
Arterial diseases are now treated using modern techniques validated by the Haute Autorité de Santé, with a focus on innovation and adherence to established surgical protocols.
Vascular diseases are classified as Long-Term Illnesses (Affections de Longue Durée – ALD), allowing for 100% coverage by French Social Security.
What Is Chronic Kidney Disease?
Vascular Surgeon in Saint-Laurent-du-Var
Chronic kidney disease occurs when the kidneys can no longer perform their essential functions, including blood filtration and fluid-electrolyte balance regulation. It may be acute or chronic, with different causes, symptoms, and treatment approaches.
- Acute Kidney Injury (AKI): Develops rapidly, often due to trauma, severe infection, or obstruction. AKI can be reversible if treated quickly, but may progress to chronic kidney disease if left unmanaged.
- Chronic Kidney Disease: Progresses gradually over years and is often caused by underlying conditions such as hypertension, diabetes, or genetic disorders. CKD is irreversible, meaning the decline in kidney function cannot be reversed, though its progression can be slowed.
Common causes of CKD include diabetes, high blood pressure, recurrent urinary tract infections, autoimmune diseases such as lupus, and genetic factors. Exposure to nephrotoxic substances or certain medications can also contribute.
Symptoms and Treatment of Chronic Kidney Disease
Vascular Surgery Specialist in Saint-Laurent-du-Var
Symptoms of CKD
Symptoms vary depending on the stage and form of the disease. The most common include:
- Persistent fatigue and low energy
- Swelling of the limbs (edema) due to fluid retention
- Increased or decreased urination frequency
- Lower back or abdominal pain
- Itchy, dry skin
- Nausea, vomiting, and reduced appetite
These symptoms can significantly affect quality of life and require prompt evaluation by a specialist to establish a precise diagnosis and tailored treatment.
Treatment of CKD
Treatment depends on the disease’s stage, severity, and underlying cause. Options include lifestyle changes, medications, and in some cases, surgery or dialysis.
- Lifestyle and Dietary Modifications: A kidney-friendly diet low in salt, protein, and phosphate helps ease the burden on the kidneys. Fluid intake should be carefully monitored based on residual kidney function.
- Managing the Underlying Cause: Controlling diabetes and hypertension is essential. Antihypertensive drugs and hypoglycemic agents are key in slowing disease progression.
- Dialysis: When kidney function becomes critically low (end-stage renal disease), dialysis may be required. Two main types are available:
- Hemodialysis: Performed in a dialysis center, where blood is filtered through a machine.
- Peritoneal Dialysis: Conducted at home, using the peritoneal membrane as a natural filter.
- Kidney Transplantation: If dialysis is no longer sufficient, a kidney transplant from a donor may be considered. Though complex, this procedure can offer long-term relief for selected patients.
Indications and Monitoring in CKD
Regular monitoring is essential for tracking disease progression and optimizing treatment plans. The specialist’s role includes monitoring renal function, controlling risk factors, and adapting care to the patient’s clinical status.
- Regular Consultations: Periodic evaluations include glomerular filtration rate (GFR), creatinine levels, and electrolytes. Kidney ultrasounds may be performed to assess organ condition.
- Symptom Management: Medications may be prescribed to control blood pressure, pain, and electrolyte imbalances. Monitoring potassium, calcium, and phosphate levels helps prevent complications.
- Dialysis Follow-Up: For patients undergoing dialysis, close follow-up is crucial to assess treatment efficacy, monitor vascular access (in hemodialysis), and prevent infections. A multidisciplinary approach optimizes care and quality of life.
Preventing Chronic Kidney Disease
Prevention involves a healthy lifestyle and regular follow-up for individuals at risk. Patients with diabetes or hypertension must follow medical advice and maintain good habits. A balanced diet, regular physical activity, and proper hydration help protect kidney health.
As a vascular surgeon in Saint-Laurent-du-Var, Dr. Ilya Khantalin offers expertise in preventing and treating vascular conditions that may contribute to CKD, such as renal artery stenosis.
Early diagnosis, regular follow-up, and individualized care are key factors in slowing CKD progression and enhancing patient quality of life.