Nephrology is the direction, which is related to the renal function, treatment of kidney disease and renal replacement therapy (dialysis and kidney transplantation).
Kidney problems may have a significant impact on the quality and duration of human life, so these diseases must be accompanied by medical supervision.
We accept requires for the treatment of patients with all types of kidney disease and select a narrow section physician to treat each specific type of disease that makes treatment in the most effective and helps improve the quality of life of our patients. Long-term experience of our specialists, leading country nephrologists allows to successfully control kidney ailments. To achieve a successful outcome in the course of treatment are taken into account by our experts and systemic diseases that affect kidney function (diabetes and autoimmune diseases), as well as system-wide problems that arise as a result of kidney problems (eg, renal osteodystrophy and hypertension).
Our nephrologists focus on diagnosis and treatment of electrolyte balance disorders and blood pressure, acquired diseases such as systemic vasculitis (e.g. vasculitis ANCA) and autoimmune diseases (e.g., lupus), and genetic or congenital diseases such as polycystic kidney disease.
Patients come to us for various reasons – acute renal failure, chronic kidney disease, hematuria, proteinuria, kidney stones, hypertension, hydronephrosis, nephritis, pyelonephritis, etc.
Diagnosis of kidney diseases
Modern Israeli diagnosis of renal disease includes: physical examination as well as family history, diet, drug use. Examination usually involves assessment of the kidney, blood pressure, skin, joints, abdomen and pelvis.
Urinalysis reveals potential problems with the kidneys, which can be in the form of blood in the urine (hematuria), proteinuria, pus (Pyuria) or cancerous cells in urine. 24-hour urine collection is used for daily quantitative assessment of protein content, diuresis, creatinine clearance.
The basic blood tests performed for checking the concentration of hemoglobin, platelets, potassium, chloride, bicarbonate, urea, creatinine, calcium, magnesium or phosphate levels. All of them can be associated with kidney problems. Serum creatinine concentration can be used to evaluate kidney function or creatinine level. More specialized tests may be ordered to discover or link certain systemic diseases with renal failure, such as infections (hepatitis B, hepatitis C), autoimmune diseases (systemic lupus erythematosus, vasculitis, ANCA), paraproteinemia (amyloidosis, multiple myeloma) and metabolic diseases (diabetes, cystinosis).
To identify structural abnormalities of the kidneys used tomography. These include ultrasound, computerized axial tomography (CT), scintigraphy (nuclear imaging), angiography or magnetic resonance imaging (MRI).
In some cases, an accurate diagnosis may require invasive diagnosis. Renal biopsy is performed under local anesthesia and ultrasound or CT scan, a thin needle to obtain a small sample of kidney tissue. Then, the tissue is examined under a microscope, which allows to obtain direct visualization of the changes occurring in the kidney, and the ability to predict, to some extent, the further impact of the disease on the kidney. In some cases, renal biopsy is performed to monitor the effectiveness of treatment and early detection of disease recurrence.
Management of kidney diseases
Treatment renal problems can include medications, blood products, surgery (urology, vascular surgery), renal replacement therapy (transplantation, dialysis) and plasmapheresis.
Since renal dysfunction systemic effect on the body chronic kidney disease is usually associated with the treatment of diseases such as diabetes, avoidance of toxic substances to the kidney (nephrotoxins), taking antihypertensive drugs, dieting and control of normal weight.
Autoimmune and inflammatory renal diseases such as vasculitis, can be treated by immunosuppressive biological preparations or intravenous immunoglobulin (plasma exchange).