Updated_Kidney_Journey_Presentation.pptx.pdf.pdf

This is ckd

1. A Critical summary of patients
journey in kidney disease

2. Introduction
Kidneys: Vital filtration units
CKD affects 10-13% of global population
Often asymptomatic until advanced

3. TB vs CKD - A Funny Comparison
“टीबी दरवाज़ा खटखटाती है, किडनी रोग तो बिना
बताए किराया बढ़ा देता है”
CKD is the silent intruder

4. Global Burden of CKD
850 million affected worldwide
Rising mortality and disability rates
Underdiagnosed in early stages

5. CKD in India
7.8 million affected
Uddanam region: up to 18.2% prevalence
Access and awareness are major challenges

6. CKD IN GOA
Goa registers **around 12,000** known kidney disease cases, with **150–200 new**
cases each year
Alarmingly, in **Canacona taluka**, about **1 in every 442** people is diagnosed with
kidney disease, compared to **1 in 1,732** in Salcete—and numbers are equally
concerning in Sanguem and Quepem
This stark contrast shows how environmental, dietary, and groundwater factors can
create kidney disease **hotspots**—even within the same state

7. Ayurvedic Perspective
Kidneys = Vrikka; Mutravaha Srotas involved
CKD = Mutrakricha, Mutraghata, Prameha
Upadrava
Dosha involvement: Vata, Pitta, Kapha

8. CKD: Pathophysiology
Loss of nephrons over time
Comorbidities: diabetes, hypertension
Stages based on eGFR and albuminuria

9. Ayurvedic Pathogenesis
Dosha imbalance → Srotas dysfunction
Early signs: urinary disturbances
Advanced stages: systemic vitiation

10. Meet Hari
Age 35, yoga enthusiast, non-diabetic
Discovered CKD in routine check
Diagnosis: Stage 3a IgA nephropathy

11. Meet Uma
Age 35, sedentary lifestyle, diabetic
Discovered CKD after ER visit
Diagnosis: Stage 3b diabetic nephropathy

12. Comparison: Hari vs Uma
Hari: Healthy habits, early detection
Uma: Late diagnosis, faster decline
eGFR drop: 2 ml/min vs 7 ml/min annually

13. Systemic Barriers
No universal screening protocols
Fragmented care pathways
Lack of patient education

14. Patient Journey Map
Onset → Symptoms → Diagnosis
Treatment → Monitoring → Outcome
Ayurvedic touch: Prakriti analysis, Rasayana

15. Modern Treatment Options
RAAS inhibitors
Blood pressure and glucose control
Dialysis, transplant

16. Ayurvedic Management
Shodhana (detox), Shamana (pacification)
Herbs: Punarnava, Gokshura, Varun
Rasayana therapy for tissue regeneration

17. Integrated Approach
Combining modern & Ayurveda methods
Quarterly lab checks + dosha assessment
Digital monitoring, yoga, and peer support

18. CKD & Emotions
Stages: denial, frustration, acceptance
Importance of humor and counseling
“Kidney comedy nights” suggested!

19. Policy Recommendations
Routine eGFR tests in annual check-ups
Integrated CKD-Ayurveda clinics
Insurance coverage for holistic care

20. The Humor Factor
Medical humor reduces anxiety
Improves patient-doctor rapport
Kidneys deserve a good laugh too!

21. Conclusion
Early detection, lifestyle change, education is
must
Ayurveda and modern synergy enhances
outcomes
Multidisciplinary + patient-centered care is
key

22. REFERENCES
StatPearls. Chronic Kidney Disease. NCBI Bookshelf; 2023.
Yale Medicine. What Causes Kidney Stones?
American Diabetes Association. Chronic Kidney Disease and Diabetes
American Kidney Fund. Stress, Mental Health, and Kidney Disease
Tiga R. Vrikka Vikara vis-à-vis Chronic Kidney Disease: A Critical Review. Ayushdhara.
Sawarkar P, et al. Management of CRF through Ayurveda. J Kidney.
Modi GK, Jha V. ESRD incidence in India: A population-based study. Kidney Int.
National Kidney Foundation. CKD Awareness and Global Facts
Nunes J, et al. Multidisciplinary CKD Care Team Outcomes. BMC Nephrology.