Sabah Kidney Society

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Kidney Failures

What are Kidneys ?
 They are twin organs that perform vital life maintaining functions.

Kidneys Clean waste materials and excess fluids from the blood. Filter the blood, retaining some compounds, excreting others. Help regulate blood pressure, red blood cell count and the amount of calcium in the body.

How do they works?

What is kidney failure?
Kidney failure results when the kidneys are so diseased or damaged from injury that they can no longer cleanse the blood. Acute Kidney Failure is a sudden, usually short term loss of kidney function. Dialysis may help the patient through this period of kidney failure and in the majority of cases the kidneys recover normal function. End-stage Renal Disease is permanent and is caused by irreversible damage to both kidneys. A patient requires dialysis or a kidney transplant to live.

What causes kidney failure? Nephritis is the most common cause and is a chronic inflammation of the small blood vessels of the kidneys. Uncontrolled hypertension or high blood pressure. Chronic infection of the kidneys usually from birth. Obstructions such as kidney stones can block drainage and cause damage or infection. Other diseases such as Diabetes can also impair kidney function. Analgesics (pain relieving drugs) in large amounts and taken over long periods can also cause serious kidney damage. Some forms of inherited kidney disease may lead to kidney failure.

How common is kidney disease?
Each year, about 1800 people in Malaysia develop kidney failure and will die without proper treatment. Kidney disease can strike anyone, at any time and at any age.

Less than 30 years ago, if a person's kidneys failed as a result of disease or accident, that person will almost certainly die. Today, people suffering from acute kidney problems and advanced kidney failure have the chance to lead useful, although sometimes restricted lives. Many of these people are dependent on dialysis (artificial kidney machine treatment) or a successful kidney transplant.

Can kidney disease or kidney failure be prevented?
Yes, it can often be prevented if you visit your doctor immediately you notice: Blood in your urine. Burning sensation when passing urine. Frequent urination, particularly at night. Puffiness around the eyes and swelling of the hands and feet. Back pain just below the rib cage, not related to exercise. Symptoms of high blood pressure.

Treatment of kidney disease
Many kidney disease can be successfully treated in the early stages, but they may be fatal if neglected. In such cases, treatment can slow down the disease process and prolong life. These include: Diet - regulating the intake of salt, water and protein may be necessary. Diuretics - (drugs to increase urine flow) help avoid fluid buildup in the body. Antibiotics - prevent or limit the damage to kidneys caused by infection. Special drugs can effectively relieve symptoms in many cases of nephritis. Surgery can remove obstructions.

What is dialysis?
There are two types of dialysis:
1. Haemodialysis

  • Haemodialysis involves the use of an artificial kidney called a "dialyser" which performs the functions of normal kidneys.
  • Haemodialysis machines circulates and cleanses the blood outside the body.
  • Haemodialysis treatment is required 3 times a week, for around 4 hours each time. The rest of the time the patient is free to lead a full and active life.

2. Peritoneal Dialysis
       This means the membrane which lines the abdominal cavity (peritoneum) is used instead of a dialyser to cleanse the blood of wastes and excess fluids.
       This is another form of dialysis and is suitable for some patients.
Where is dialysis treatment available and how much does it cost?
At the Sabah Kidney Society (SKS) we try to make dialysis affordable for the many patients who could never afford private treatment fees. Dialysis treatment, like most specialized medical treatment, is costly. The machine costs as much as a small car and staffing costs are high. The filters and other disposable equipment are expensive. The overheads for dialysis units run into hundreds of thousands of ringgit per year. This is why private dialysis can cost between RM2,000 to RM3,000 per month.

Can a patient on dialysis work?
Yes, once they are on regular treatment, dialysis patients are encouraged to return to work. However, working  in addition to an involved medical programme can be stressful and tiring. Support and encouragement at home are important. Your employer should be informed that your doctor considers you medically stable to work. Special needs such as a change in the work schedule should be discussed. Dialysis patients receiving treatment should request a dialysis schedule that best fits with their work schedule. If wither you or your employer is still uncomfortable about the return to work, a trial period may be helpful, after which both can re-evaluate the situation.

How to get help?

 How can persons with kidney ailments get help?

1. For Haemodialysis Get confirmation of ailment from a Nephrologist/Physician from the 3 major government hospitals. Complete the application form which shall thereafter be returned to the Society's Selection Committee for assessment. Get financial status evaluated by the Society's Selection Committee. The Society's Selection Committee will assess all applications at its earliest convenience and thereafter inform the applicants accordingly of the decision the Committee have arrived at.

2. Other Services
Contact the Society for any of the services available and consultation  required.

How do one qualify for assistance and services offered by the society?
The following are the conditions to be satisfied:  Applicants in the lower income group will be given priority. All patients receiving services from the Society are required to make monetary contribution between the sum of RM10.00 to RM150 per session to the Society in accordance with the Society's existing approved contribution schedule scale. All applicants approved for self care haemodialysis are required to read through the conditions and sign a contract with Sabah Kidney Society.

  Sponsoring  those who are

suffering from kidney disease

The Sabah Kidney Society is an independent, non-profit charitable organization. Its primary objective is to help all Malaysian who suffer from kidney disease and kidney failure. With the generous support and donations from the members of the public, the Society can provide patients with affordable, subsidized dialysis  and patient services. The Society is also committed to educating the public on kidney failure and health issues.

Kindly print a copy of the donation form and send to the society.

Thanking you in advance for your generosity.

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