9 Epidemiologi GGK
9 Epidemiologi GGK
Ginjal Kronis
M. Atoillah
Ginjal
Definisi
Proses
Kriteria
Glomerular
Stadium PGK
Urin abnormal
(GFR 90 ml/menit)
Kerusakan ringan
(GFR 60 - 89 ml/menit)
PGK moderat
(GFR 30 - 59
ml/menit)
PGK berat
(GFR 15 - 29 ml/menit)
ESRD
(GFR < 15 ml/menit)
Prevalence of Individuals at
Increased Risk for CKD
ETIOLOGI
Penyebab
terbanyak GGK
Nefropati
DM
Hipertensi
Glomerulonefritis
Penyakit ginjal herediter
ginjal
polikistik
sindroma alport
Uropati
obstruki
Nefritis interstitial
(46%)
Nefropati diabetik (18,6%)
Infeksi Saluran Kemih (ISK) dan Batu saluran
kencing (BSK) (12,85%)
Nefrosklerosis hipertensi (8,46%)
Ginjal polikistik, dsb (13,65%)
Epidemiologi
Jumlah
suffering
Financial costs associated with ESRD
Epidemiologi
Di AS
Patofisiologi
Pada
Patofisiologi
Pada
Patofisiologi
Pada
Gejala :
Bone disease
Haematological
secondary hyperparathyroidism
osteomalacia
adynamic
aluminium toxicity
anaemia (erythropoietin)
bleeding tendency (platelet function,anaemia etc try ddavp)
Endocrine
Cardiovascular
Gastrointestinal
Dermatological
Neurological
Psychological
depression
anxiety
Diet
Mencegah Anaemia
Penuhi
Prevention of uremic
complications
Modification of
comorbidity
Preparation for
RRT
ACE inhibitors
Malnutrition
Cardiac disease
Education
BP control
Anemia
Vascular disease
Informed choice of
RRT
Blood sugar
control
Osteodystrophy
Neuropathy
(in diabetics)
Protein restriction
Acidosis
Retinopathy
(in diabetics)
Timely access
placement
Timely initiation of
dialysis