ROLE OF HOMEOPATHY IN KIDNEY DISORDERS
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ROLE OF HOMEOPATHY IN KIDNEY DISORDERS

HOMEOPATHY IN CHRONIC KIDNEY DISEASE (CKD)

OR

CRF

Chronic renal failure (CRF) is the progressive loss of kidney function. The kidneys attempt to compensate for renal damage by hyperfiltration (excessive straining of the blood) within the remaining functional nephrons (filtering units that consist of a glomerulus and corresponding tubule). Over time, hyperfiltration causes further loss of function.
Chronic loss of function causes generalized wasting (shrinking in size) and progressive scarring within all parts of the kidneys. In time, overall scarring obscures the site of the initial damage. Yet, it is not until over 70% of the normal combined function of both kidneys is lost that most patients begin to experience symptoms of kidney failure.
Types
Chronic renal failure (CRF) can be classified by the site (location) of primary damage:
Pre-renal CRF
Post-renal CRF(Obstructive Uropathy)

Renal CRF

Causes
The cause(s) of CRF sometimes can be determined by a detailed medical history, a comprehensive physical examination, and laboratory studies. More often than not, determining the cause of CRF is difficult if not impossible. Even a kidney biopsy may be inconclusive, because all forms of kidney failure eventually progress to diffuse scarring and look the same on kidney biopsy.


Pre-Renal CRF Some medical conditions cause continuous hypoperfusion (low blood flow) of the kidneys, leading to kidney atrophy (shrinking), loss of nephron function, and chronic renal failure (CRF). These conditions include poor cardiac function, chronic liver failure, and atherosclerosis ("hardening") of the renal arteries. Each of these conditions can induce ischemic nephropathy

Post-Renal CRF Interference with the normal flow of urine can produce backpressure within the kidneys, can damage nephrons, and lead to obstructive uropathy, a disease of the urinary tract. Abnormalities that may hamper urine flow and cause post-renal CRF include the following:

Bladder outlet obstruction due to an enlarged prostate gland or bladder stone
Neurogenic bladder, an overdistended bladder caused by impaired communicator nerve fibers from the bladder to the spinal cord
Kidney stones in both ureters, the tubes that pass urine from each kidney to the bladder
Obstruction of the tubules,the end channels of the renal nephrons
Retroperitoneal fibrosis, the formation of fiberlike tissue behind the peritoneum, the membrane that lines the abdominal cavity
Vesicoureteral reflux (VUR), the backward flow of urine from the bladder into a ureter


ROLE OF HOMOEOPATHY


Homoeopathy does not recognise kidneys as a mere organ of excretion or selective filtration but always recognises it in relation to the individual as a whole. Kidneys have a generalised function--the fluids coming to it and going from it influence every organ, tissue and cell of our body. Kidney function influences the complete vital economy of our body. It is very important to study the mental picture of patients with primary kidney diseases.


Fear, Anxiety and Shocked State of Acute Renal failure Depression and Underlying Mental Uneasiness of Chronic Renal failure. Kidneys are associated with deep emotional life. There are definite "Renal types" of patients."Renal type" of patients--They always have an organic fear. They are afraid of having some hidden illness.


The state of patient with end stage renal failure or progressive reversible chronic renal disease is very pathetic not only for the patient itself but also for the family and society as a whole. The individualised homoeopathic therapeutic modality considering the patients psychological presentation is very important. Homoeopathy does wonders here and has prevented a large number of cases progressing to Hemodialysis and Renal Transplant.


The usual presentation of C.R.F. in Homeopathic hospital includes: 1. Patients with just diminished renal reserve. 2. Patient with End Stage Renal Failure pending Hemodialysis and Renal Transplant. 3. Patient already on long term Dialysis pending Renal Transplant. 4. Post Renal Transplant Patients.

1. Patients with just diminished renal reserves: This is the best field for us to work but unfortunately, the number of cases presenting at this stage are very few. The individualised homoeopathic treatment does wonders here and have prevented a large number of cases progressing to stage of dialysis or renal transplant. The usual symptomatic presentation at this stage is vague with patients mostly complaining of nausea, anorexia and progressive weakness. The laboratory renal parameters are also not very seriously disturbed. The evolution of individualised totality comprising of the mental sphere, habits, past and family history require lots of patience and labor but the results are marvellous. Homoeopathy has already done a yoeman service to the society here as hemodialysis and renal transplant are not within easy reach of majority of population in under- developed countries.
2. Patients with end-stage chronic renal failure pending Hemodialysis & Renal Transplant: This is the group of cases with maximum presentations in the clinics. Majority of these cases come to homoeopathic rescue as a last resort as they can't afford long-term dialysis and transplant. The other small group of patients want to know the benefits of Homoeopathic treatment over dialysis and if Homoeopathic treatment be carried along with Hemodialysis? The clinical judgment is individualized and varies for every patient. Remember the correlation of uremic symptoms with renal functions varies front patient to patient.
3. Patients already on long-term hemodialysis pending renal transplant: Homeopathy has a great role to play here. Research experiments in various hospitals reveals the following facts : (a) Indicated homoeopathic remedies reduced the number of dialysis needed over a period of time. (b) Indicated homoeopathic remedies reduce and overcome the complications associated with chronic dialysis therapy. Complications of dialysis & its Homeopathic Management Remember a chronic dialysis patient depends on a machine for his life. These patients develop a variety of psychiatric, neurologic and somatic disorders. A neurologic disorder 'Dialysis dementia' is a characteristic example. In the mental sphere, these patients become very depressive, their reduced physical abilities make them sad and depressive .
In the physical sphere infections, thrombosis and aneurysm formation occur in the Arterio-venous fistula. There is a high incidence of septic embolisation in these cases. Heparin necessary during the hemodialysis procedures to prevent clotting leads to complications such as subdural hematoma and intracerebral hemorrhage.
4. Post Renal Transplant Patients: The group of patients coming for homoeopathic advice after Renal Transplant is very limited. Homeopaths have very little experience with these patients and the results are not very encouraging. Most of the symptoms here are marked and distorted by immune-suppressive therapy. Immuno-suppressive therapy suppresses all immune responses and hence Homoeopathic treatment has not much role to play in organ rejection of transplant cases. We have observed that those cases with renal failure, being put on Dialysis and if they receive homoeopathy medication simultaneously, they require less frequent dialysis and their quality of life improves.
How and Why Investigations For patients suffering from renal disorders, investigations become imperative to determine the cause and nature of the renal disease. Early detection ensures proper management of renal dysfunction. For Homoeopaths too, this understanding will lead to better management and prognosis.
HOMEPATHY IN NEPHROTIC SYNDROME

Nephrotic syndrome is a set of signs or symptoms that may point to kidney problems. Your kidneys clean your blood by filtering out excess water and salt and waste products from food. Healthy kidneys keep protein in the blood, which helps the blood soak up water from tissues. But kidneys with damaged filters may leak protein into the urine. As a result, not enough protein is left in the blood to soak up the water. The water then moves from the blood into body tissues and causes swelling.

Both children and adults can have nephrotic syndrome. The causes of and treatments for nephrotic syndrome in children are sometimes different from the causes and treatments in adults. Childhood nephrotic syndrome can occur at any age but is most common between the ages of 1½ and 5 years. It seems to affect boys more often than girls.

A child with nephrotic syndrome has these signs:

· high levels of protein in the urine, a condition called proteinuria

· low levels of protein in the blood

· swelling resulting from buildup of salt and water

· less frequent urination

· weight gain from excess water

Nephrotic syndrome is not itself a disease. But it can be the first sign of a disease that damages the kidney’s tiny blood-filtering units, called glomeruli, where urine is made.

Homoeopathy in Nephrotic Syndrome

The system of homeopathic medicine has a promising role to offer for the treatment of Nephrotic Syndrome, inclusive of all its variants. Inspite of atrocious nature of the condition, it is possible to treat Nephrotic Syndrome successfully. The treatment of Nephrotic Syndrome has to be planned strategically on a long-term basis, being a chronic and deep-seated disease, there is no short cut in the treatment.

Homeopathy is a scientific medical alternative for treating a wide range of chronic ailments, one amongst them being Nephrotic Syndrome. It should be emphasized that homoeopathy treats patient who is diseased and not just the disease. Homeopathy firmly believes in enhancing body's own curative power to maintain the healthy status,by bringing the immune system back to normal.

The basic approach in homeopathy is to evaluate the disease in its whole extent, whereby a lot of emphasis is given to the patient as a whole, besides minutely studying various aspects of the Nephrotic Syndrome.

While making the case analysis of Nephrotic Syndrome, patient’s minutest of the details about the presenting complaints, severity of complaints, in which areas the edema is more marked, complaints regarding urination, associated complaints, triggering factors, amount of proteins in the urine and blood, etc. are noted carefully. Besides this, a greater deal of emphasis is given to patient’s individual features such as eating habits, food preference, thermal attributes, and sleep pattern. The study of the patient's mind and emotional spheres, psychosocial background, behavior and personality pattern is conducted meaningfully. Furthermore, patient’s history of past diseases and that of the family diseases is understood to know the miasmatic background of the patient.

After putting all the vital information together, and fine evaluation process carried out, an individualist medicine is determined. This constitutional medicine, which when administered in the correct dose treats the patient at an inner level and brings about harmony at the constitutional level. The homoeopathy medicine works at the immunological level, bringing about normalcy. The medicine administered reduces kidney inflammation, repairs glomerular damage, thus preventing protein leakage in the urine. This restores water balance of the body and brings down edema. Chances of relapse and recurrence go down with homoeopathy treatment. In a situation, where kidney damage has progressed too far, homoeopathy prevents further progress of disease and deterioration of the condition in future.

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