KIDNEY FAILURE – WOMEN MORE AT RISK?
When it comes to Chronic Kidney Disease (CKD), women may be more likely
to develop the illness than men. According to studies by the Institute for
Health Metrics and Evaluation, the average prevalence of CKD in women is 14% as
opposed to 12% in men.
Interestingly, researchers also found that men were likely to go on
dialysis earlier in the course of their illness compared to women, for reasons
that aren’t fully known.
Prof. Dr. Goh Bak Leong Head
and Senior consultant
nephrologist in Serdang Hospital, who is also the president of the Malaysian
Society of Nephrology, says that there could be a variety of reasons for this
including uneven access to healthcare for women in some countries.
“While the reason is
unclear why this illness affects men and women differently, it is something
that has consistently been observed across the world, in both the developed and
developing countries,” says Prof Goh.
Such gaps in treatment and
care are part of what organisations like the National Kidney Foundation (NKF)
hope to address as part of its ongoing mission.
57-year-old Puan Zaedah
binti Jali has been undergoing dialysis treatments at NKF for the past 20 years
now.
Having been diagnosed with
two failed kidneys at just 37, she was thus forced to turn to NKF after being rejected
as a potential candidate for a kidney transplant. The former factory worker now
spends her days resting at home and thanking the Almighty for a fairly blissful
life, as her children are all grown up and independent.
Puan Melini binti Ismail’s
story is slightly different. Having completed her professional ACCA in the UK,
Malini landed a job in a German Firm and later TV3 as an accountant. Then in
2012, a blood test revealed that her kidneys were not functioning the way they
should. By then she already knew she had diabetes and hypertension but was
unable to proceed with the dialysis due to her work commitments.
Despite being someone who loves
to travel and enjoys food, Melini has been forced to cut back on these
activities since being diagnosed with CKD and commencing dialysis treatments
with NKF.
“I once had a scare when I
indulged in some nasi dagang and was
admitted to the hospital for two days! I have since started making more effort
to cook and eat healthier foods,” shared Melini.
“The only issue I face is
that when I travel I need to find areas which have dialysis centres and book my
sessions in advance, and this can be cumbersome especially overseas. So I have
cut back on traveling tremendously, with the exception of traveling back to my
hometown in Kota Bahru, which has an NKF branch,” she said.
Former assistant nurse,
Puan Zaliha bt. Sis, who has been undergoing dialysis since 1978 is grateful
for the assistance provided by NKF to enable her to enjoy a better quality of
life since her diagnosis.
“I had the opportunity to
receive a kidney from my mum in 1979, but after the surgery my body rejected
it. So I went back to dialysis and am not looking for another donor kidney,”
she said, adding that her family and her husband’s family have always taken
good care of her and supported her throughout her treatments.
Chuy Oi Lan, 63 years old,
who is formerly a factory worker was diagnosed with kidney failure in year 1993
and have been undergoing dialysis treatment with NKF since 2012. She has also
received funding from the Social Security Organisation (SOCSO) for her dialysis
cost at the hospital.
Aside from being an end
stage renal disease (ESRD) patient, Chuy Oi Lancis also a survivor of breast
cancer. “You should never give hope no matter how hard life is, because your
family and friends will always have your back,” she said.
Patients like 40-year-old
Shela Devi continue to benefit from haemodialysis treatments at NKF, as her
family is not well-off. Although she has registered as a recipient for a donor
kidney she has not yet heard any good news. With no transplant in sight, she is
thankful to NKF for prolonging her health and life so she can eventually see
all her children grow up and have their own families.
“I am glad that I am
receiving the best possible care from NKF, whose staff members treat all
patients with professionalism and take the trouble to lend their ears for us to
confide in. Many of our concerns have been eased, and I have also benefitted
from a friendly and family-like atmosphere at the centre,” said Shela.
These women are proof that
while CKD is a debilitating disease and dialysis treatments are physically and
financially draining, a decent quality of life is still possible with the right
treatment.
According to Prof. Goh,
there are a number of steps that can be taken to prevent the advancement or
onset of kidney disease. These include consistent screening for kidney disease
and adequately controlling blood pressure and blood sugar.
“Perhaps women need to
take better care of themselves and be more proactive in seeking out treatments
once they are diagnosed with the illness. I think often times women may tend to
delay their treatment due to commitments to the family and their role as
caregiver, or fear that their lifestyle could be affected as a result of the
treatment. But this is far from the truth. If anything, the countless women who
are being treated at NKF prove that it is possible to lead a good life and enjoy
better quality of life once you seek the relevant treatment,” advised Prof. Goh
in conjunction with World Kidney Day.
Sidebar: Risk
factors for age-related kidney disease
Some conditions that affect the kidneys
are more common as people get older. You are more at risk of developing kidney
disease if you:
- are
over 60 years of age
- have
diabetes
- are
obese
- have
high blood pressure
- have
established heart problems (heart failure or past heart attack) or have
had a stroke
- are
a smoker
- have
a family history of kidney failure
- have
a history of acute kidney injury
Keeping your kidneys healthy
There are a number of things you can do
to keep your kidneys healthy, including:
- If
you have diabetes, make sure that your blood sugar control is excellent.
Follow your doctor’s advice about insulin injections, medicines, diet,
physical activity and monitoring your blood sugar.
- Control
high blood pressure. Have your blood pressure checked regularly. Drugs
used to lower blood pressure (anti-hypertensive drugs), such as ACE
inhibitors or angiotensin blockers, can slow the development of kidney
disease.
- If
you have one of the risk factors for kidney disease, have a kidney health
check (blood
test, urine test and blood pressure check) at least every year (more
frequent if you have diabetes or high blood pressure).
- Treat
urinary tract infections immediately.
- Control
blood cholesterol levels with diet and medications if necessary.
- Drink
adequate water and choose foods that are low in sugar, fat and salt, but
high in fibre. Stick to moderate serving sizes.
- Do
not smoke.
- Drink
alcohol in moderation.
- Stay
at a healthy weight for your height and age.
- Try
to exercise moderately for at least 30 minutes a day.
For more information on these and future
NKF activities or to donate towards the organisation’s efforts, please visit http://www.nkf.org.my or call 03-7954 9048.
National Kidney Foundation of Malaysia
The National Kidney Foundation (NKF) Malaysia is a non-profit
charitable organization dedicated to helping Malaysians suffering from end
stage kidney failure who lack access to or cannot afford dialysis treatment.
NKF currently has over 1,500 dialysis patients receiving subsidized dialysis
treatment in over 26 dialysis centers nationwide.
Comments
Post a Comment