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00:00Info for Patient
00:02One of the biggest unit in the Punjab
00:04We provide dialysis around the clock
00:08100 patients come who have bad kidneys
00:1170-80% of them are diabetics
00:14If someone is given insulin treatment
00:16that insulin is not used properly
00:19One of the biggest unit in the Punjab
00:21We provide dialysis around the clock
00:25100 patients come who have bad kidneys
00:2870-80% of them are diabetics
00:31If someone is given insulin treatment
00:33that insulin is not used properly
00:36There is no proper check-up
00:38The biggest reason for kidney failure
00:40in Pakistan and all over the world
00:42is diabetes
00:43They start treatment from street
00:45or go to a priest for a check-up
00:49or go to a doctor for homeopathic medication
00:54and they are satisfied
00:56that their diabetes is controlled
00:58and it is gone forever
01:00Time goes by
01:02and along with time
01:04diabetes starts showing its effects on the body
01:08It affects the whole body
01:10Weakness starts
01:12Eye sight becomes weak
01:14Kidney disease starts increasing
01:18Kidney failure starts
01:21Protein starts coming in urine
01:23The nerves of the body
01:25start becoming weak
01:27Ulcers and wounds start forming on the feet
01:30Diabetes shows its color
01:32We ignore all these things
01:35We don't have any problem
01:36that our eyes start becoming weak
01:38that we have a stomach problem
01:40that our nerves become weak
01:41But we are satisfied that our sugar is fine
01:44and sugar has not done anything to us
01:46The biggest thing is
01:48either it will start swelling on the eyes
01:50or it will start swelling on the feet
01:53If it is done in urine
01:55it will cause more swelling
01:56which is called protein urea
01:58Damage has started in the kidney function or structure
02:02and it is more than 3 months
02:04If it is early CKD
02:05then its symptoms are different
02:06If it is late CKD
02:07then its symptoms are different
02:09Apart from this,
02:11we don't feel hungry
02:12We feel upset
02:14We feel nauseous
02:15We can have bleeding
02:17We can have blood in the uterus
02:19Patients start having itching on the body
02:22If the creatinine level goes up to 6 or 7
02:24then the patient becomes unconscious
02:26and he gets seizures
02:27and in the state of unconsciousness
02:29the patient is brought to the emergency room
02:31In lifestyle changes
02:33you should use less salt intake
02:35It prevents CKD from increasing
02:37So these are some changes in the diet
02:40in the lifestyle
02:42and in the medication
02:43with which CKD can be maintained at a certain level
02:47It is a familial issue
02:48It is a genetic issue
02:49In this,
02:50in the kidneys
02:51water vessels start forming
02:54In these,
02:55blood pressure increases
02:56Blood can come in the urine
02:58There can be pain in the kidneys
03:00Your flanks in the kidney
03:02can feel heaviness here
03:05With age
03:06if it is up to 30 years
03:08then its two cysts
03:09are unilateral or bilateral
03:10or up to 40 years
03:11and if it is more than 60 years
03:12then we say
03:13its four cysts
03:14are present in both the kidneys
03:16and if there is blood pressure
03:18then we give blood pressure medication
03:20Kidney disease is not the only disease
03:22In the common public
03:24there is a concept
03:25that kidney disease means kidney failure
03:27It is not like that
03:28There can be many kidney diseases
03:30in which
03:31for God's sake
03:32there can be fits
03:33there can be seizures
03:34or there can be hemorrhage in the brain
03:36and then they go to dialysis
03:39and mostly it is in females
03:41as compared with the males
03:43It does not involve only kidneys
03:45It involves our whole body
03:48Hair falls
03:49The patient's hair starts falling
03:51and the second thing is
03:53that this part of the face
03:55starts becoming red spots
03:58or ulcers
04:00which is called
04:01ulcers in the nose
04:03or ulcers on the tongue
04:06So early in the morning
04:07in its joints
04:08these small joints
04:09of hand
04:10there is pain in them
04:12and it feels stiff
04:14This is also a sign of lupus
04:16How much it has affected the kidneys
04:19You can use steroids
04:21You can use cyclophosphamide
04:24You can use Rituximab
04:26or you can use mycophenolate morphine
04:29and this is a treatable disease
04:31We put a needle in the kidney
04:32and check it
04:33So its treatment
04:34lasts for a long time
04:36We divide it
04:37Initially we give injection therapy
04:39then we give maintenance therapy
04:41So this treatment
04:42lasts for a long time
04:44It takes people 10-15 years
04:46to get treatment for lupus
04:48In this
04:49there is no need to be careless
04:51because if you are careless
04:53it will destroy your kidneys
04:55In other words
04:56it is said that
04:57the kidney's filter has leaked
04:58or its skin
04:59It depends on
05:00what is the reason for
05:01nephrotic syndrome
05:02Sir, once a patient's kidneys
05:05went into renal failure
05:07Is there any possibility
05:08that his kidneys
05:09are functional again
05:12It depends on
05:13the patient's disease
05:14There can be
05:15two types of dialysis
05:16for a patient
05:17One type is
05:18A.K.I.
05:19which means
05:20that his kidneys
05:21have been damaged
05:22temporarily
05:23Another type is
05:24C.K.D
05:25which means
05:26chronic kidney failure
05:27If the patient is
05:28chronic
05:29and his creatinine
05:30was at 4-5
05:31and suddenly
05:32he got an infection
05:33or he took
05:34painkillers
05:35or he ate
05:36something
05:37then he goes
05:38for dialysis
05:39temporarily
05:40and then
05:41he comes back
05:42with treatment
05:43and he stays
05:44for 4-5 days
05:45and then
05:46he is saved from
05:47dialysis
05:48There are thousands
05:49of patients
05:50who have started
05:51dialysis
05:52and then
05:53dialysis
05:54is over
05:55Thank God
05:56they are still
05:57without dialysis
05:58Pregnant women
05:59have more damage
06:00in their kidneys
06:01because
06:02they do not
06:03have proper
06:04blood pressure
06:05control
06:06and their kidneys
06:07will be fine
06:08and when
06:09they go for
06:10dialysis
06:11they live
06:12their normal
06:13life
06:14they eat
06:15their normal
06:16food
06:17and do
06:18their normal
06:19activities
06:20If there is
06:21any complication
06:22with the
06:23pregnancy
06:24and he
06:25goes for
06:26dialysis
06:27and his
06:28urination
06:29stops
06:30chances
06:31reduce
06:32chances
06:33if it
06:34goes for
06:35more than
06:366 weeks
06:37chances
06:38are
06:39more
06:40than
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