Dr Anselme PODA - Néphrologue

Dr Anselme PODA - Néphrologue Faculté de Médecine de Marrakech - Université APHP.Sorbonne Paris - ISN Fellow

30/03/2025

🌙تهنئة 🌙
بمناسبة عيد الفطر المبارك يطيب لي أن اتقدم إليكم بأصدق التهاني وأخلص الأماني راجين من الله العلي القدير أن يتقبل منا ومنكم صالح الأعمال وأن يجعلنا ممن كتب لهم الأجر والثواب في صيام الشهر الكريم ولأن يعيده علينا وعليكم بالخير واليمن والبركات عيدكم مبارك وإن شاء الله كل عام وانتم بخير 🕌🕌🕌🕌🕌

كل ما يفعله النظام الغذائي منخفض البروتين هو خفض المريض إلى حجم كليته
21/03/2025

كل ما يفعله النظام الغذائي منخفض البروتين هو خفض المريض إلى حجم كليته

Let’s grow together for a better kidney health and support
19/11/2024

Let’s grow together for a better kidney health and support

10/11/2024

22/10/2024

Créatine - therapeutic applications beyond athletic performance

Creatine, a well-established ergogenic aid in sports, is now being investigated for its potential therapeutic applications in various medical domains, including neuropsychiatric disorders, heart failure, etc.

Current and “forward-looking” insights:

🧠 Mental health - recent evidence suggests that creatine supplementation may exert antidepressant effects by enhancing brain energy metabolism and modulating neurotransmitter systems. Some studies suggest it may (*key word) have potential as an adjunctive treatment for major depressive disorder, particularly in cases resistant to a single therapy.

🧠🩸Stroke Management - in preclinical models, creatine has demonstrated neuroprotective properties, including the reduction of infarct size and the preservation of mitochondrial function during ischemic events (i.e., an event in which an organ or body part is not getting enough blood/oxygen). preclinical findings to date suggest that creatine could be used to mitigate occurrence and damage of ischemic events, by stabilizing ATP levels and lowering oxidative damage.

🫀Heart Failure - heart failure is characterized by a mismatch between ATP supply and demand in cells of the heart. Creatine's role in the Cr/PCr/ATP shuttle offers a targeted approach to restoring cellular energetics in failing cells. Although clinical studies present mixed results, the mechanistic rationale supports further investigation into creatine as a complementary therapy in heart failure management.

As the body of evidence grows, creatine's transition from a sports supplement to a therapeutic agent in clinical practice appears increasingly plausible.

Dr Wallace

Maybe I was in the opposite side !


Diaverum for Health ChallengeKeep active for Kidney Health
22/09/2024

Diaverum for Health Challenge
Keep active for Kidney Health

24/08/2024

الخبرة الطبية – الموازنة بين العلم والقيم والثقة

توجد أدوات مفيدة لاستنباط وتوضيح قيم المرضى، وتتضمن أسئلة مثل: ما هي الأشياء الإيجابية التي تقدرها أكثر في حياتك؟ هل تشعر أن مقدمي الرعاية الصحية ينتهكون قيمك أحيانًا؟ هل لديك آراء دينية أو أخلاقية حول الطب؟ إذا كنت مترددًا بشأن علاج معين، فلماذا؟ هناك استراتيجية أخرى موصى بها وهي إجراء مناقشات تعترف صراحة بالأسباب التاريخية وراء عدم ثقة المريض المعاصر.

يظل العلم العمود الفقري للنصيحة الطبية، ولكن التعرف على قيم المرضى، سواء عندما يتفقون مع التوصيات أو عندما يختلفون معها، يجب أن يكون مكونًا من مكونات التواصل بين الطبيب والمريض. يجب اعتبار احترام المرضى وكسب ثقتهم مهارات أساسية للأطباء.

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15/08/2024

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12/08/2024

How is Urine Produced?
A Detailed Journey Through the Urinary System

Urine production is a fascinating and essential process that reflects the intricate workings of our bodies.

1. Filtration

The Beginning of Urine Formation Urine production begins in the kidneys, specifically within tiny units called nephrons. Each kidney contains over a million nephrons, which are the functional units of this organ. The process starts with glomerular filtration in the glomerulus, a network of capillaries surrounded by Bowman's capsule. Here, blood pressure forces water, ions, glucose, and waste products from the blood into Bowman's capsule, forming what's known as filtrate. This is the first step in separating useful substances from waste.

2. Reabsorption

The Body's Recycling System As the filtrate travels through the renal tubules - comprised of the proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting duct-the body reclaims valuable substances. Reabsorption involves the selective movement of water, glucose, amino acids, and essential ions back into the bloodstream. This process ensures that the body retains nutrients and maintains electrolyte balance.

3. Secretion: Fine-Tuning the Filtrate

In addition to reabsorption, the kidneys perform tubular secretion, where additional waste products and excess ions are actively transported from the blood into the filtrate. This step is crucial for eliminating substances that were not initially filtered and for regulating blood pH.

4. Concentration: Finalizing Urine Composition

The filtrate then undergoes concentration primarily in the loop of Henle and the collecting ducts. Here, water is reabsorbed under the influence of antidiuretic hormone (ADH), which controls the body's hydration levels. The final product, now known as urine, is a concentrated solution of waste products like urea, creatinine, and other substances that the body needs to eliminate.

5. Excretion: The Urine's Journey Out

Once formed, urine is funneled into the renal pelvis, then down the ureters to the bladder, where it's stored until excretion. The bladder's capacity and the central nervous system control the timing of urination, a process known as micturition. When the bladder fills and stretches, signals are sent to the brain, creating the urge to urinate.


31/07/2024

What is Parathyroidectomy?

It’s the surgical ablation of the parathyroid glands due to presence of hyper metabolic nodules. It’s done by removing the 7/8th of the glands.

Why?
Their are some situations that indicate parathyroid gland removal for the patient health benefits:
- hyperpararhyroidism refractory to the treatment with calcimimetics
- Severe refractory hyperphosphatemia
- Severe hyperparathyroidism with iPTH > 800 pg/mL with hypocalcemia without response to the combined treatment with Calcimimetics, VitD derivates and phosphate binders for up to 12 months
- Patients with calciphylaxis and iPTH > 500 pg/mLwith no quick response to calcimimetics
- Complications associated with secondary hyperparathyroidism such as tendinous rupture, severe bone pain and refractory anemia
- Primary hyperparathyroidism in young patients.

Main complications is hypoparathyroidism, hypocalcemia with or without hungry bone disease. These conditions are managed by IV then oral calcium supplementation. Dialysis sessions can also be done with calcium enriched dialysate 1.75 mmol/L.
Surgical complication can occur like dysphonia. Bleeding can occur but is very rare.

We’ve successfully done three parathyroidectomies since two years in collaboration with a surgeon and the patients are now doing better.

Ramadan Kareem to all of you. Take care of your Kidneys: Less Salt, Less Sugar, More Physical Activities and More Water.
12/03/2024

Ramadan Kareem to all of you.
Take care of your Kidneys: Less Salt, Less Sugar, More Physical Activities and More Water.

Address

JXQP+M7 Marrakech
Marrakesh
40000

Opening Hours

Monday 08:30 - 17:00
Tuesday 08:30 - 17:00
Wednesday 08:30 - 17:00
Thursday 08:30 - 17:00
Friday 08:30 - 17:00
Saturday 08:30 - 13:00

Telephone

+212524435255

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