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Jati, awalnya hanya bekerja sebagai

karyawan biasa di salah satu


perusahaan multinasional yang
beroperasi di Indonesia.
Berkat kepandaian, keuletan, dan
kegigihannya menyebabkan karier dan
prestasinya melesat cepat bagai anak
panah yang lepas dari busurnya.
Orang-orang menjuluki Jati sebagai
karyawan yang gila kerja, alias
workaholic.
 Kerja keras inilah yang membuat Jati terus-
menerus menerima promosi yang akhirnya
menjadi pimpinan di perusahaannya.
 Mau tak mau, irama pekerjaannya pun
mulai berubah, jika dulu hanya berkutat di
belakang meja, kini lebih sering keluar
untuk mengadakan meeting, presentasi,
dan negosiasi. Hari demi hari, Jati merasa
waktu kerja sehari makin berkurang.
 Akibatnya, istirahat, makan siang dan
malam kadangkala dijadikan ajang
negosiasi di restoran, cafe, maupun hotel-
hotel.
 Karena sedang berada di puncak karir,
maka dirasakan waktu begitu penting
bagi pak Soejati.
 Waktu mulai dimanipulasi, tugas-tugas
yang menurutnya tidak penting ditunda
atau dikesampingkan. Sampai-sampai
urusan ke kamar kecil juga dimanipulasi.
 Apalagi jika beliau berada di tempat
yang belum begitu dikenal.
 Mungkin kedengaran aneh, namun bagi
pak Jati jika ia bisa menahan rasa kencing
atau hanya minum sedikit, tentunya sangat
baik. Tidak repot, pikirnya polos.
 Tak disangka, perkara yang dianggap
sepele ini dalam jangka panjang ternyata
membuahkan hal yang tidak baik dan
malah mengerikan.
 Kurang lebih 10 tahun kemudian, Pak
Soejati terpaksa dirawat dengan keluhan
bengkak pada seluruh tubuh.
 Dokter mendiagnosa penyakitnya sebagai
penyakit ginjal yang sudah parah sehingga perlu
dilakukan cuci darah. Salah satunya jalan agar
bisa “aktif” kembali hanyalah dengan
melakukan transplantasi ginjal atau mau tidak
mau rutin mengerjakan hemodialisa 2 hingga 3
kali seminggu.
 Promosi, jabatan, dan karier menjadi tak
berharga.
 Penyesalan menjadi tak berujung, apalagi saat
itu putra-putrinya sedang menanjak remaja.
P= 10 cm; L= 5-6 cm
Tebal= 2,5 cm
Eritropoetin (EPO)
Renin
Vitamin D aktif
 Kegawatan penyakit ginjal berdasarkan
persentase fungsi ginjal.
› 100%
› 50%
› 20%
› Kurang atau 5%
Lama perjalanan penyakit.
Penyebab penyakit ginjal.
1. Kerusakan ginjal yang lebih dari 3 bulan.
Berupa kelainan struktural atau
fungsional, dengan atau tanpa
penurunan laju filtrasi glomerulus (LFG),
dengan manifestasi:
› Kelainan patologis
› Tanda kelainan ginjal (darah atau ginjal)
2. LFG < 60 ml/menit/1,73 m2 selama 3
bulan dgn atau tanpa kerusakan ginjal.
Derajat Penjelasan LFG
(ml/mn/
1.73m2)
1 Kerusakan ginjal dgn LFG normal ≥90
2 Kerusakan ginjal dgn LFG ringan 60-89
3 Kerusakan ginjal dgn LFG 30-59
sedang
4 Kerusakan ginjal dgn LFG berat 15-29
5 Gagal Ginjal < 15 atau
dialisis
1. Age. the kidney begin to get smaller as
people get older.
2. Race. African-Americans and Native
Americans.
3. Being male. Men have a higher risk for
chronic kidney diasease than women do.
4. Family history. Family history is a factor in the
development of both diabetes and HBP,
the major causes of chronic kidney disease.
1. HBP, which gradually damage the tiny
blood vessels in the kidneys.
2. Diabetes. A persistenly high blood sugar
level can damage blood vessels in the
kidneys.
3. Eating protein and fats.Eating a diet low in
protein and fat may reduce your risk for
kidney disease.
4. Certain medicines. Avoid long term use of
medicines that can damage the kidneys,
such as pain relievers called NSAIDs and
certain antibiotics.
 Chronic kidney disease is also called
chronic renal failure or chronic renal
insufficiency.
 Chronic kidney disease is caused by
damaged to the kidneys.
 The most common causes of this damage
are:
› Uncontrolled HBP over many years.
› High blood sugar over many years. This happens
ini unctrolled type 1 or type 2 diabetes.
 Other things that can lead to chronic
kidney disease include:
› Long -term of medicines that can damage
the kidney. Examples include non steroidal
anti-inflammatory drugs (NSAIDs), such as
celecoxib and ibuprofen.
Urinate less than normal.
Have swelling and weight gain from fluid buildup
in your tissues. This is called edema.
Feel very tired or sleepy.
not feel hungry, or you may lose weight without
trying.
Often feel sick to your stomach (nauseated) or
vomit.
Have trouble sleeping.
Have headaches or trouble thinking clearly.
 Two choices that probably
treatment for kidney failure:
1. Dialysis.
2. Kidney transplantion.
Kidney Stones

These range from the size


of sugar crystal to
pingpong ball
Treatment of Kidney
Stones

Alpha blockers relax the


walls of the ureter.
Preventing Future Kidney
Stones

Avoid eating a lot of protein, sodium,


and high-oxalate foods, including
chocholate, instant coffee, tea,
bean, berry, dark leafy green,
oranges, tofu, and sweet potatoes
What’s the main job of
your kidneys?
a. Get rid of waste
b. Keep you hydrated.
c. Control your
temperature
Each of your kidneys is
about the size of:
a. A kidney bean.
b. A fist.
c. A football.
About how much blood
do your kidneys filter every
day?
a. 1 gallons.
b. 50 quarts.
c. 200 quarts.
You can live with one
kidney?
a. True.
b. False.
Kidney stones are usually
the size of a tennis ball.
a. True.
b. False.
Which of these is a
common cause of kidney
disease?
a. Diabetes.
b. Hypertension.
c. Both.
Which of these could be a
sign something may be
wrong with your kidneys?
a. Constipations.
b. Peeing a lot.
c. A barky cought.
What do you need if you
kidneys stop working?
a. A kidney transplant.
b. Dialysis.
c. Either one.
When your ‘re
dehydrated, your urine is
usually:
a. Clear.
b. Dark yellow.
c. Pinkish
What medicines are more
likely to hurt your kidney?
a. Antidepressants.
b. Certain painkillers.
c. Vitamins.