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A Giver Never Goes Astray The aim of this page is

02/01/2021

As we celebrate the New Year there is a lot to drink from cocktails to all sorts of beverages , we must just remember the effect and impact this may cause to our kidneys remember to drink a lot of water also!

12/05/2020
12/05/2020

Many kidney patients in Africa die not because there is no treatment but they cant afford Hemodialysis!

12/05/2020

The kidneys are little bean shaped filters that you must keep clean all the time so they can do their job properly!! Don’t overload then they can only do this much....

Be kind to yourself save your kidney and live healthly
09/05/2020

Be kind to yourself save your kidney and live healthly

17/04/2020

The year is 1999 we laughed and joked like all cousins do yes they say your cousin is your best friend to be frank growing up he is the one who had the fire in his eyes played soccer and very energetic one , i never liked all that was more into girls .

The next morning Vigo as we called him , he was swelling the whole body u could barely see his eyes i blamed myself did i give him too much juice , is his kidney collapsing , so we rushed him to the hospital .

I couldnt sit up straight that was the first time i saw the process of hermodialysis on a patient .
It was too much for me all the blood moving through the pipes , the Cuban nurse saw my face dont know what she really saw but she offered me a banana from my cousin's side bed
My eyes said no! Then she was like , ' he wont have one any way.' I grabed one after all and joked he doesn't mind i guess.
That faint smile for a moment i thot it was goodbye yet today we still together
Guess you are not a true friend if u have never stolen your best friend's banana from their hospital bed's platter!!!

17/04/2020

During this Covid19 lockdown times a young man walks for 3Km in vain for dialysis he is only 36 but feels like 70yrs he glanced up the heaven in sorrow but then he smiled for he remembers he is sick but living and out there , there is a giver , he gathers his energy and staggered on.

At the back of his mind he is wondering how on earth am i going to hike back home or am i gonna walk again he clinged to his letter from the hospital you know the permit to be outside as he breathed the fresh air he heard some birds singing then the sirens a distance away made his chest throb could it be the police what if iam slow to produce my letter and they start beating me , he laughed at the idea for his legs were weak , if they come i can just as well ask for a lift he comforted himself .

Alfred Mukanangana

14/04/2020

let"s show some love and compassion in these trying times of lockdown and cov-19

07/12/2019

As we drink and merry during the festive holidays lets not forget to take good care of our kidneys remember to drink water as much as possible

28/11/2019

Hie friends sorry its been a long time

04/03/2019

🚩What’s the Hemoglobin A1c⁉️💭

✅ It is the product of a nonenzymatic reaction between circulating hemoglobin and glucose.

✅ In the normal 120-day life cycle of the average red blood cell, the magnitude of glycated hemoglobin is reflective of longitudinal exposure to glucose.

===

🚩The uremic state and HbA1c❗️💭

✔️Uremia-induced hemoglobin modification, forming carbamylated hemoglobin, also interferes with the laboratory analysis of the A1c assay.

✔️The onset of renal anemia with advancing renal dysfunction is associated with deficiencies in iron, folate, and erythropoietin that often require replenishment.

✔️Iron deficiency anemia associates with an elevated A1c in patients without diabetes, pharmacologic replacement reversing the effect.

✔️Folate metabolism is altered in renal failure as a result of impaired intestinal absorption and contributes to altered red blood cell survival and, hence, is likely to affect the A1c level.

✔️The effect of erythropoietin therapy on lowering glycated hemoglobin can be putatively linked to either shortening in red blood cell lifespan or changing proportion of old to young erythrocytes.

✔️Finally, declining renal function is associated with the development of systemic acidosis, and this environment contributes to enhanced glycated hemoglobin levels in chronic renal failure.

✔️The role of oxidative stress in the glycation of hemoglobin in chronic renal failure opens new uncertainty.

✔️Other factors that artificially decrease the A1c assay in hemodialysis patients include blood loss (during treatment or frequent blood sampling), shortened red blood cell survival, red blood cell transfusions, and erythropoietin treatment.

✔️In the context of peritoneal dialysis, initiation of continuous peritoneal ambulatory dialysis coincides with an increase in levels of glycated hemoglobin perhaps as a result of confounding by dialysate absorption.

05/01/2019

Compliments of the new season folks! We are excited to be back and inspired to cover much more ground in our endeavor to provide information that we believe is helpful to you folks.

Happy New Year!

01/11/2018

Major risk factors for kidney failure are:

- high blood pressure(hypertension)
- diabetes
- heart failure
- any other event that can directly or indirectly harm the kidneys(e.g dehydration, food poisoning & infection of the kidney)

If you are at risk of any of the above factors, it is advisable to seek the services of your doctor to avoid the onset of renal failure.

DISCLAIMER: THIS PAGE IS NOT INTENDED TO DIAGNOSE OR TREAT ANY DISEASE, OR TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE. IT'S PURPOSE IS TO BE INFORMATIVE AND TO POINT YOU IN THE RIGHT DIRECTION.

04/09/2018

Copied From The Zimpapers (continuation)

Parirenyatwa Group of Hospitals, the only institution that conducted kidney transplants back then, stopped doing so in 1992 as it shifted its attention to the fight against the HIV/Aids pandemic.

The resumption of kidney transplants will result in the country saving a lot of foreign currency since renal patients will no longer be required to travel to South Africa, India and Western countries for transplants.

In India, a kidney transplant costs at least US$25 000 while in South Africa it goes for US$40 000.

Dr Luke Muchemwa, a nephrologist, said once operational, the transplant unit will be a cost-cutting measure.

According to Dr Muchemwa, performing a kidney transplant locally would require at least US$16 000.

“It is commendable that we are working on reopening a kidney transplant unit in Zimbabwe. Renal patients will not need to travel to other countries to seek this service. This is also a cost-cutting measure,” said Dr Muchemwa said.

“When the Apollo Hospital team came for assessments, they recommended a number of changes to be made on what we had done and our team is working on it.”

Added Dr Muchemwa: “Taking into consideration the cost of dialysis where a renal patient fork out at least US$400 every week, resumption of kidney transplants will come in handy.

Many people are, however, not eager to donate kidneys.

Dr Muchemwa said local renal patients depend mostly on organ donations from relatives.

Each day, about 57 people worldwide receive organ transplants, while 13 die waiting for a possible gift of life.

Renal failure is when one’s kidneys stop functioning and has to go through an artificial process called haemodialysis or continuous ambulatory peritoneal dialysis (CAPD) to remove toxic body waste including urine and free water from the blood.

CAPD involves inserting a soft thin tube called a peritoneal catheter through the wall of the abdominal cavity for waste removal.

If the waste is not removed, th

04/09/2018

Copied From The Zimpapers

Lack of funds stalls renal unit

SHAMISO YIKONIKO

Due to the high cost of dialysis, life for an ordinary Zimbabwean suffering from renal failure can be a nightmare.

With a dialysis session costing between US$150 and US$200 in public institutions and up to US$250 at private hospitals, renal patients are forking out fortunes.

They are required to have two sessions per week.

Due to the high costs, many patients are succumbing to renal failure since they cannot afford the treatment.

Zimbabwe currently has more than 600 patients on dialysis.

Kidney transplants are not done in the country with patients travelling mostly to South Africa and India for the service.

In 2014 alone, the Indian Embassy in Harare issued 267 medical visas.

Only two years ago, renal patients were overjoyed when it was announced that the Sally Mugabe Renal Institute at Chitungwiza Central Hospital (CCH) was set to install a kidney transplant unit.

The unit was set to be functional by the end of 2016.

The late distribution of funds has, however, dampened the spirits of the patients sinc e the kidney transplant unit is yet to open its doors. Chitungwiza Central Hospital chief executive Dr Obadiah Moyo is not certain on the dates on which the transplant unit will be opened.

“So far we have managed to buy the required equipment for kidney transplants to commence. More still needs to be done, especially in the theatre rooms,” Dr Moyo said.

The reopening of the kidney transplant unit requires at least half a million dollars in equipment procurement besides other preparatory costs.

So far, Chitungwiza Central Hospital has sent eight health professionals to India for expertise exchange programmes ahead of the kidney transplant unit’s reopening.

A team of three surgeons, four nurses (selected from theatre and dialysis) and one nephrologist were seconded to Apollo Hospital, India, for a month training in kidney transplants.

Parirenyatwa Group of Hospitals, the only i

26/05/2018

*A speech on the Prostate Gland, and its effect on Men*
Read it and apply, esp the part on diet.
Useful for all over-40 men

A useful article / talk on Benign Prostate Hyperplasia (BPH) or in simple terms, Enlarged Prostate. Diet is the most important part of this talk which is something within our control; and it works.

FULL TEXT OF PROSTATE HEALTH AWARENESS LECTURE

*MEN MUST READ*

Gentlemen,

I am here to speak with you on Prostate. The topic is misleading. Is prostate strictly for men? Yes, ONLY men have prostate and ONLY men over 40 years but the healthcare enlightenment is for everyone. There is no woman who does not know a man 40 years and above, father, uncle, brother, son, friend, neighbour, colleague...

Essentially what I will be doing today is health promotion. Responsible health promotion must provide three things:

1. Information
2. Reassurance
3. A plan of action.

Let me start with a background on prostate health.

Everyone has a pair of kidneys. The job of the kidney is to remove waste. It is the LAWMA (waste management company) of your body. Everyday your blood passes through the kidney several times to be filtered. As the blood is filtered, urine is formed and stored in a temporary storage tank called the urinary bladder.

If there were to be no urinary bladder, as a man walks on the road, urine will be dropping.

Now think of the plumbing work in your house. Think of the urinary bladder as the overhead storage tank. From the storage tank, a good plumber will run pipes to other parts of the house, including the kitchen. God in His wisdom ran pipes from our urinary bladder to the tip of the p***s. The pipe is called the urethra. Just below the bladder and surrounding the urethra is a little organ called the prostate gland.

The prostate gland is the size of a walnut and weighs about 20grams. Its job is to make the seminal fluid which is stored in the seminal vesicle. During s*xual in*******se, seminal fluid comes down the urethra and mixes with the s***ms produced in the testicles to form the semen. So semen technically is not s***m. It is s***m + seminal fluid. The seminal fluid lubricates the s***m.

After age 40, for reasons that may be hormonal, the prostate gland begins to enlarge. From 20 grams it may grow to almost 100 grams. As it enlarges, it squeezes the urethra and the man begins to notice changes in the way he urinates.

If you have a son under 10, if he has a little mischief like we all did at that age, when he comes out to urinate, he can target the ceiling and the jet will hit target. Call his father to do same, wahala dey. His urine stream is weak, cannot travel a long distance and sometimes may come straight down on his legs. So he may need to stand in awkward position to urinate.

Not many men will be worried their urine stream cannot hit the ceiling. Toilets are on the floor and not on the ceiling. But other symptoms begin to show.

*TERMINAL DRIPPLING:*

The man begins to notice that after urinating and repacking, urine still drops on his pants. This is the reason why after an older man urinates, he has to ring bell. A younger man simply delivers to the last drop and walks away. Just see an older man coming from the bathroom. Sometimes he may clutch the newspaper closely to hide the urine stains, particularly on plain colored trousers.

*HESISTANCY*

At this point you wait longer for the urine flow to start. There are 2 valves that must open for you to urinate – the internal and external sphincters. Both open but because of obstructions in the urethra, you wait longer for the flow to start.

*INCOMPLETE EMPTYING*

You have this feeling immediately after urinating that there is still something left.

As all these things happen, the bladder begins to work harder to compensate for the obstruction in the urethra. The frequency of urination goes up. Urgency sets in. Sometimes you have to practically run into the toilet. Nocturia also becomes common. You wake up more than 2 times at night to urinate. Your wife begins to complain.

Men being men may not talk to anyone even at this point. Then the more serious complications start.

Stored urine gets infected and there may be burning sensation when urinating.

Stored urine forms crystals. Crystals come together to form stone either in the bladder or in the kidney. Stones may block the urethra.

Chronic urinary retention sets in. The bladder stores more and more urine. The size of the bladder is 40 - 60cl. A bottle of coke is 50cl. As the bladder stores more urine it can enlarge up to 300cl. An overfilled bladder may leak and this leads to wetting / urinary incontinence. Also the volume may put pressure on the kidney and may lead to kidney damage.

What may likely bring the man to hospital is acute urinary retention. He wakes up one day and he is not able to pass urine.

Everything I have described above is associated with prostate enlargement, technically called benign prostate hyperplasia.

There are other diseases of the prostate like:

1. Prostatitis – inflammation of the prostate

2. Prostate cancer – cancer of the prostate.

This discussion is on prostate enlargement.

I have bad news and good news.

The bad news is that everyman will have prostate enlargement if he lives long enough.

The good news is that there are life style changes that can help the man after 40 to maintain optimum prostate health.

*NUTRITION*

Look at what you eat. 33% of all cancers, according to the US National Cancer Institute is related to what we eat.
Red meat everyday triples your chances of prostate disease. Milk everyday doubles your risk. Not taking fruits / vegetables daily quadruples your risk.

Tomatoes are very good for men. If that is the only thing your wife can present in the evening, eat it with joy. It has loads of lycopene. Lycopene is the most potent natural antioxidant.
Foods that are rich in zinc are also good for men. We recommend pumpkin seeds (ugbogulu).
Zinc is about the most essential element for male s*xuality and fertility.

Men need more zinc than women. Every time a man ej******es he loses 15mg of zinc. Zinc is also important for alcohol metabolism. Your liver needs zinc to metabolize alcohol.

*ALCOHOL CONSUMPTION*

As men begin to have urinary symptoms associated with prostate enlargement, it is important they look at alcohol consumption. More fluid in means more fluid out.

Drink less. Drink slowly.

*EXERCISE*

Exercise helps build the muscle tone. Every man should exercise. Men over 40 should avoid high impact exercise like jogging. It puts pressure on the knees. Cycling is bad news for the prostate. We recommend brisk walking.

*SITTING*
When we sit, two-third of our weight rests on the pelvic bones. Men who sit longer are more prone to prostate symptoms. Do not sit for long hours. Walk around as often as you can. Sit on comfortable chairs. We recommend a divided saddle chair if you must sit long hours.

*DRESSING*

Men should avoid tight underwear. It impacts circulation around the groin and heats it up a bit. While the physiological temperature is 37 degrees, the groin has an optimal temperature of about 33 degrees. Pant is a no - no for men. Wear boxers. Wear breathable clothing.

*SMOKING*

Avoid smoking. It affects blood vessels and impact circulation around the groin.

*S*X*

Regular s*x is good for the prostate.

Celibates are more prone to prostate illness. While celibacy is a moral decision, it is not a biological adaptation. Your prostate gland is designed to empty its contents regularly.
__________________________

*Thought:* when someone shares something of value with you and you benefit from it, you have a moral obligation to share it with others because someone in your friends list might be saved. The ball is in your court now.

Today, March 8th, is World Kidney Day. Recognised internationally, it is a day set aside to celebrate the importance of ...
08/03/2018

Today, March 8th, is World Kidney Day. Recognised internationally, it is a day set aside to celebrate the importance of the kidneys and to disseminate vital information about kidney disease and the impact it has in communities, families, nations and the world at large. It is such a great idea to visit a nephrologist once a year to get tested for any irregularities with the functionality of your kidneys, moreso if you have one or more of the high risk factors like diabetes, hypertension, heart failure etc.



TAKE CARE OF YOUR KIDNEYS, YOU NEED THEM!

15/01/2018

RENAL FAILURE AND ANAEMIA

Renal failure can be defined as the inability of the kidneys to adequately get rid of the toxins from the body (quite a short definition)!

Anemia, on the other hand, can be described as a state of there being low levels of red blood cells (RBCs) or hemoglobin (HGB) in the human blood. It can also be described as the lowered ability of the blood to carry oxygen throughout the body.

There exists a direct relationship between the two in the sense that most chronic renal patients are prone to having anemia!

This is why:
Kidneys produce a hormone called erythropoetin (EPO), which prompts the bone marrow to make red blood cells. The red blood cells are responsible for carrying oxygen right round the body for respiration. When the kidneys are damaged, they do not make adequate erythropoetin. This will result in the bone marrow making fewer red blood cells, which in turn causes anemia.

This, coupled with low iron diet and blood losses in haemodialysis sessions, are the major causes of anemia in haemodialysis patients!

When anemia creeps in slowly, one can expect the following symptoms, though they may be vague at first:

-feeling tired
-weakness
-shortness of breath

When anemia is sudden, symptoms may include among others:

-confusion
-feeling like one is going to pass out ( presyncope)
-loss of consciousness
-increased thirst

There should be a great deal of anemia before a person becomes noticeably pale.

TREATMENT
Usually, treatment depends on the cause and severity of the anemia. The doctor will prescribe one or more of the following options :

-Vitamin supplements ( folic acid or vitamin B12)
-iron sulphate
- EPO
- blood transfusion

Anemia in haemodialysis patients explains why patients feel exhausted and weak, although they may be other reasons.

I HOPE THIS POST HAS BEEN INFORMATIVE. FEEL FREE TO SHARE.

19/11/2017

ANTIBIOTICS
(THE FACTS)

Antibiotics are those drugs which the doctors prescibe to fight infections in our bodies. Examples are ciprofloxacin, amoxicillin etc.

If these antibiotics are not taken correctly or taken often, especially when they are not needed, they can accelerate the emergency of antibiotic resistance- a condition where they can no longer work.

Antibiotic resistance is very dangerous because one would no longer be healed by using the antibiotic for which the bacteria is resistant to.

It is the bacteria itself that becomes resistant not the person.

Antibiotic resistance can affect anyone, of any age and anywhere.

Antibiotic resistant infections can lead to longer hospital stays, higher medical costs and more deaths.

Remember the following points when taking antibiotics:

1. Always follow the advice of a qualified medical professional when taking antibiotics

2. Do not stop taking medication midway through the course. Always finish the course
3. It is not advisable to buy your antibiotics over the counter at phamacies without a prescription

4. When taking medication, follow the prescribed instructions

ANTIBIOTIC RESISTANCE IS ONE OF THE BIGGEST GLOBAL HEALTH THREATS!

BE SAFE!

11/10/2017

YOUR HEART
The heart pumbs blood right round your body, in the process supplying the tissues with oxygen and glucose which are necessary for respiration (energy production).
There is a very perculiar relationship between your heart and your kidneys:
whatever can damage your heart has the potential also of damaging your kidneys. The reverse is also true.

The following are a few tips to take care of your heart, and ultimately also your kidneys:
1. Manage your body weight
2. Exercise daily for 30 minutes
3. Reduce sugar, salt and fat
4. Eat healthy
5. Quit smoking and alcohol

YOU NEED YOUR HEART
YOU NEED YOUR KIDNEYS
TAKE GOOD CARE OF THEM!!!

12/09/2017
12/09/2017

ABOUT YOUR KIDNEYS
Kidney diseases are silent killers. These diseases have the potential of largely affecting your quality of life. Silent killers in the sense that you may not be able at the onset to detect that your kidneys are not in order, rather you may find yourself suddenly having kidney complications you never imagined before. However, there are several easy ways to reduce the risk of developing kidney failure, as follows:

1. Keep fit and active

2. Keep regular control of your blood sugar level, especially if you have diabetes

3. Monitor your blood pressure

4. Eat healthy and keep your weight in check

5. Maintain a healthy fluid intake

6. Do not smoke

7. Do not take over the counter drugs on a regular basis

8. Get your kidney function checked if you have one of the following "high risk" factors:
- diabetes
-hypertension
-obesity
-one of your parents or family member has kidney disease
-you are of African, Hispanic, Aboriginal or Asian origin

This is just a reminder*
DO YOU STILL REMEMBER WHAT YOUR KIDNEYS DO FOR YOU?:
They,
-make urine
-remove wastes and extra fluid from your blood
-control your body chemical balance
-help control your blood pressure
-help keep your bones healthy
-help make red blood cells

YOUR KIDNEYS, YOU NEED THEM! KEEP THEM SAFE!!!

20/08/2017

The kidneys are are an amazing pair, working around the clock, just like the heart, they literally don't go to " sleep"! Nevertheless, they are very delicate the more reason why we have an obligation to take very good care of them. Believe me, we need them more than they need us! The following are 6 bad habits that we should avoid, which causes great harm to our amazing kidneys:

1.ALCOHOL ABUSE
Alcohol consumption of more than once a day seriously distorts kidney performance.

2. HOLDING IN URINE
Postponing passing urine when your bladder is full results in extensive kidney damage and possible kidney stones or kidney failure at worst.

3. DEHYDRATION
Drinking too little water daily obstructs the ability of the kidneys to function properly, disabling them from flushing out all wastes and toxins from the body

4. TOO MUCH SALT
sodium is an enermy of the kidney and can easily trigger various kidney problems as well as heart and hypertension complications.

5. OVERCONSUMPTION OF COFFEE
Kidneys are very prone to stress, which is mainly caused by caffeine. If this is the case, the kidneys will begin to fail, while blood pressure rises.

6. LACK OF SLEEP
Irregular sleeping habits can harm the kidneys, making the tissues become more vulnerable to all toxins present in the body.

04/06/2017

KIDNEY STONES FACTS

A Kidney stone is a hard, crystalline mineral material formed within the kidney or urinary tract.
One in every 20 people develop kidney stones at some point in their life.
Kidney stones develop when there is a decrease in urine volume and /or an excess of stone-forming substances in the urine.
Dehydration is a major risk factor for kidney stone formation.

SYMPTOMS OF A KIDNEY STONE
Severe pain and blood in the urine [HEMATURIA]
Pain in the abdomen ,groin or flank......
Kidney stones are more common in men than women mostly from an age group of 20 -49years.

Gout increase amount of pic acid in blood and urine and can lead to uric acid kidney stones.
Hypercalciuria [high calcium in the urine] in this condition too much calcium is absorbed from food and excreted into the urine , where it may form calcium.

Kidney stones will eventually pass through the urine as time goes on in some conditions surgery and medication is required.

Dietary practices that may increase an individual's risk of forming kidney stones include a high take of animal protein ,a high salt diet, excessive sugar consumption, excessive vitaminD supplimentation,
to name but a few .

lets take care of our kidney they are very small and fragile pieces of our bodies that is very essential in making sure that the mechanical aspect of our well being is well taken care of......

Alfred Mukanangana

Address

Masanga Street

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