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Men die more often from end stage renal failure




By ELIZABETH MERAB
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Men are at an increased risk for kidney disease, mainly because they are taking risky lifestyle behaviors and are late in treatment.

As the world marked International Kidney Day on Thursday, experts said kidney disease is more common in some countries than in others due to diabetes and high blood pressure.

"Women are more burdened overall, but unfortunately, more men are transplanted than women around the world," Dr. John Ngigi In a previous interview, the kidney department of Kenyatta National Hospital heads.

It is estimated that 50 million people around the world suffer from kidney disease due to various causes. Chronic kidney disease (CKD) causes at least 2.4 million deaths each year and is now the sixth-fastest cause of death.

This year's "Kidney Health for All" aims to highlight the growing burden of kidney disease.

The kidneys essentially filter toxins out of the body. They also play an important role in maintaining the good functioning of the urinary system.

When the kidneys are affected and when they are no longer functioning properly, a person suffering from a number of medical conditions such as chronic kidney disease and acute kidney failure may experience other complications.

Acute kidney injury (AKI), a major driver of CKD, affects more than 1

3 million people worldwide, with 85 percent of these cases occurring in low- and middle-income countries. It is estimated that about 1.7 people die each year from AKI.

The Kenya Renal Association estimates that the number of patients with chronic hemodialysis – a treatment that filters and cleans the blood with a machine – has increased in both private and public hospitals eight times from 300 in 2006 to 2,400 in Year 2018.

Dialysis helps to keep body fluids and electrolytes in balance when the kidneys are no longer functioning normally.

Through the process, the fluid balance of the body is maintained by removing waste water and salt to ensure that they do not accumulate to dangerous or harmful levels.

The procedure also helps to maintain a safe level of certain chemicals in the blood, such as potassium, sodium and bicarbonate, and helps to control blood pressure in this process.

In recent years, the National Hospital Insurance Fund (NHIF) has made significant progress in helping patients with chronic renal failure to regain renal failure last year by 41 percent. The insurer paid up to 1.8 billion Sh for dialysis.

This was an increase of Sh. 1.24 billion, which was spent in the 2016/2017 financial year on the procedure for insurers.

While the increase in disbursements means more patients have access to the much-needed treatment, Dr. John Ngigi, Head of Kidney Department at Kenyatta National Hospital, said there are many more who are not in treatment. The increased payout could also mean that the number of patients with end stage renal failure is rising slightly due to an increase in non-communicable diseases such as diabetes and high blood pressure.

Currently, between 2,000 and 2,500 patients are estimated to undergo dialysis in the country against 10,000 people diagnosed with end-stage renal disease. Ngigi.

"I'm not surprised that the number [NHIF payout] has risen because we have more dialysis centers and equipment across the region and more patients have access to treatment," he said.

A review of the benefit package shows that NHIF had paid another Sh64.7 million for kidney transplants in the last half of 2018 (from Sh21) 7.7 million in the previous year.

This makes the procedure one of the top spending positions in the health care package. This means an increase of Sh520Mio., Compared to 1.24 billion Shine in fiscal 2016/2017.


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