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Renal Disease
Managing multiple health conditions has been a challenge to both health caregivers and patients. Often, it requires simultaneous application of various treatments to manage the several conditions concerned. Chronic kidney disease (CKD) is a condition that is often present in people who have diabetes and/or high blood pressure. Normally, it has other comorbidities that are associated with it such as cardiovascular diseases. The treatment of chronic kidney diseases is usually costly and ineffective due to the compounded complications brought by its underlying comorbidities. This paper is an exploration of these comorbid conditions and how they affect the kidneys.
Hyperglycemia has been primarily associated with the development of chronic kidney disease. Actually, more than a quarter of patients with type 2 diabetes and ten percent of those with type 1 diabetes suffer from kidney complications. Normally, the pathogenesis of chronic kidney disease involves a variety of factors including metabolic, growth, intracellular, and hemodynamic factors (Burrowes, 2008). The high glucose content in the blood impairs kidneys because they reabsorb too much of it resulting in their reduced function and eventually failure if the condition is not controlled.
Hypertension plays a significant role in aggravating the chronic kidney diseases by leading to ailments such as arthritis and poor blood supply in the body. Generally, the high blood pressure results in atherosclerosis, which may cause a reduction in the normal blood supply to the kidneys (Kopyt, 2007). As a result, the functions of the kidneys are interrupted gradually making them to malfunction. Similarly, other pathogenic effects on the vascular system such as cardiovascular disease may impair the normal blood supply to the kidneys. Therefore, the control of these conditions to ensure normal blood supply can help to avert chronic kidney disease.
In conclusion, managing comorbidity has been a challenge because it involves a multifaceted approach in treatment to control the several underlying conditions. The most common comorbidities of chronic kidney disease are high blood pressure, diabetes, and cardiovascular diseases. These conditions impair the normal metabolic and intracellular, growth and hemodynamic functions of the kidney resulting in its reduced function and eventual failure. Therefore, the proper diagnosis, prognosis, and treatment of underlying comorbidities are essential to increase the chances of a patient recovering from chronic kidney disease.
Burrowes, J. (2008). New Recommendations for the management of diabetic kidney
disease. Nutrition Today43(2), 65-69.
Kopyt, N. (2007). Management and treatment of chronic kidney disease. The
Nurse Practitioner32(11), 14, 18-23.