Description

Nephrology

The word nephrology comes from the French word
“néphrologie” to our language. It is a branch of medicine that
deals with kidney diseases. A nephrologist is a doctor who specializes in
kidney health and kidney diseases.

Topics of Nephrology

Our kidneys are vital organs that are responsible for
maintaining water and salt balance in our body, adjusting blood pressure-blood
pressure, excretion of toxic substances and drugs in our body, production of
blood and secretion of hormones that strengthen bones. 

Diagnosis and treatment of acute-chronic diseases of the kidneys and urinary tract diseases,

Albumin-protein leaks from kidneys,

Blood in urine,

Genetic-familial chronic kidney failure such as
polycystic kidney diseases and diseases that can lead to dialysis,

Glomerulonephritis,

Kidney cancers

Renal and urinary tract infections,

Diagnosis and treatment services of hypertension diseases,

Diagnosis and treatment services of hemodialysis patients,

Early diagnosis and treatment services of
diabetes-related kidney disease (Diabetic Nephropathy),

FMF (Familial Mediterranean Fever), GUT disease,

Diagnosis and treatment services of systemic diseases
that damage the kidney,

Detection and treatment of kidney damage caused by kidney stones,

Some diseases that can harm the mother and baby during pregnancy,

Nephrology consultation procedures for inpatients.   

Kidney Doppler Ultrasonography, Angiography and Angioplasty

In some patients, the cause of hypertension or renal
dysfunction is stenosis in the renal vessels. In order to understand this
stenosis, renal vessels should be evaluated with Doppler ultrasonography and,
if necessary, angiography. 

Hemodialysis Procedure

Hemodialysis; Providing kidney functions in patients
with severe renal impairment through hemodialysis machine. In this
process, urea and other toxic substances accumulated in the blood are removed
from the body by filtering the excess fluid-edema through a filter. The
substances missing in the body are given to the patient in the same
way. The necessity of this procedure and whether it can be applied
continuously is informed to the patient by the physician.

Vascular access is required for hemodialysis. This
is achieved either by joining an artery and vein in the wrist or elbow with a
small operation (fistula) or by inserting a catheter into a vein larger than
the neck. The healthiest method for patients who need hemodialysis
treatment for a long time is to open a fistula. Since the fistula becomes
usable at least 2 – 3 weeks after opening, it should be prepared some time
before starting hemodialysis treatment. Catheter application must be
performed either before emergency dialysis or in patients without fistula /
inoperative fistula, or in patients with severe heart failure.

Dialysis is a process that usually takes 4
hours. During this time, the patient lies in a bed and is dialysis with
the help of a machine.

Sudden (Acute) Renal Failure

While the kidneys work normally, conditions such as
infections, the use of drugs such as some blood pressure
medications-painkillers-antibiotics, obstructions in the urinary tract due to
stones-clots, bleeding-diarrhea-vomiting, excessive fluid loss, severe low
blood pressure may disrupt the functioning of the kidney suddenly. In
these cases, kidney values ​​increase
(such as urea, creatinine tests) and acute (sudden) renal failure
develops. Sudden kidney failure can lead to different complaints. The
most important of these are nausea, vomiting, swelling of the legs and eyelids,
high blood pressure, decrease in the amount of urine, change in the color of
the urine (red in tea color). If this type of kidney failure is not
treated, it can be life threatening or cause permanent or chronic kidney
failure.

Chronic renal failure

Chronic diseases such as diabetes, hypertension,
rheumatic diseases, kidney stones may cause kidney failure by reducing the
function of the kidney over time. Chronic kidney failure may not complain
unless it progresses too far. Therefore, early diagnosis is important
before the disease progresses. As kidney failure progresses, weakness,
nocturnal urination and low blood may begin, appetite may decrease, blood
pressure disease may occur or existing blood pressure may increase, bones may
weaken. If not diagnosed and treated in time, chronic kidney failure
develops, kidney failure cannot be stopped, and dialysis treatment or kidney
transplant treatment may be required.

Protein Leakage

Although kidney work is normal urea-creatinine, sometimes
there is an excess of protein-albumin leakage from our kidneys. Protein-albumin
leakage can be detected incidentally in a urinalysis performed for another
reason, it can be seen when a kidney scan is performed in diabetic patients, or
it can be revealed by tests after complaints of swelling in the feet and
eyelids. If protein-albumin leakage is not treated, it can progress to
kidney failure, so early diagnosis and treatment is important.