Chronic renal failure. power point presentation

A common clinical entity which needs to be identified at earlier stages for better management strategy

1. Quality of life It is all too difficult to define and measure quality of life, but successful renal transplantation undoubtedly achieves the best rehabilitation, which is complete in less than half the patients on dialysis among which those on chronic ambulatory peritoneal fare better than those given in-hospital haemodoalysis .

2. Renal Transplantation Planning for renal transplantation should begin as soon as progressive and irreversible renal failure seems likely, so that, on occasion, transplantation can be performed before dialysis is necessary. Patients should enter a pool of waiting recipients from which the most immunologically appropriate matches with cadaver grafts are determined and balanced against clinical urgency. Living related donor transplantation is an alternative, providing immunological advantage and greater freedom in planning the exact time of surgery.