CRRT, Treatment Options for Chronic Kidney Patients

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HEALTH - The kidney is the organ that is essential for our survival. In addition to filtering and cleaning the blood, the kidneys also maintain the amount of minerals in the blood balanced. Kidney ensure the right amount of fluids in our body.

If renal function is disrupted blood-filtering process will be disrupted as well. Consequently, substances that are toxic residual circulate in the blood to the other organs in the body and can lead to illness and even death.

Unhealthy eating patterns, for example high-fat, lack of exercise, dehydration or urinary tract infections were allowed to continue, can cause kidney pain. If the condition of kidney disease is not handled properly, it is possible to kidney failure.

Kidney failure occurs when kidney function is already very bad and people with impaired metabolism of proteins, fats and carbohydrates.

Renal failure including silent killer that develops without obvious early symptoms. Once barely functioning kidney dialysis anymore then forced into a choice.

But there is good news for people with kidney conditions are sick, especially the already severe. Advances in medical technology now offers continuous renal replacement therapy / continuous or continuous renal replacement therapy (CRRT).

CRRT is a therapy continuously for 24 hours over several days to remove fluid and solute (solute) outside of the body by filtering the blood through a filtering tool.

CRRT resemble kidney function in the regulation of water, electrolyte and waste disposal, fluid and solute move slowly. Because the fluid removal with CRRT slower than the method of intermittent hemodialysis (IHD), CRRT is the ideal therapy for critically ill patients with unstable conditions.

"The advantages of CRRT, among others, can be performed on patients who are already unstable, can filter out toxins with a high molecular weight, and to absorb and kill the bacteria," said dr. John. W.H. George, Sp. An-KIC, a specialist intensive care anesthesia Pondok Indah Hospital some time ago.

The purpose or function of CRRT is:

- Removing the substances unused
- Set the acid-base balance
- Repair electrolyte levels
- Set the hemodynamic stability. Hemodynamics is the body's blood system, either through the circulation magna (large circulation) and circulation parva (circulation in the lungs).
- Set the fluid balance
- Helps nutrition
- Removing the mediators of sepsis. Sepsis is a condition in which the body reacts violently against bacteria or other microorganisms. Sepsis should be handled properly and if not addressed, sepsis can lead to death.

Although CRRT is a very good option for patients with chronic kidney disease and kidney failure, this therapy is not a cure for kidney disease. In the context of chronic kidney disease, CRRT is seen as a treatment to prolong and improve the quality of life of patients.

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