Chronic kidney disease (CKD) affects millions of people worldwide and is becoming increasingly common in Bangladesh. Many patients live for years with early-stage CKD, but as the disease progresses, treatment decisions become more complex. Understanding chronic kidney disease and transplant options is essential for long-term health planning.
Progression of Chronic Kidney Disease
CKD typically progresses through five stages. In the early stages, lifestyle changes and medication can slow progression. However, when kidney function declines to stage 4 or 5, patients must begin planning for renal replacement therapy—dialysis or kidney transplantation.
Role of a Transplant Nephrologist in Advanced CKD
A transplant nephrologist becomes particularly important during advanced stages of CKD. Early referral allows patients to receive proper education about transplant eligibility, donor options, and timing. Patients who are evaluated early often achieve better outcomes and avoid emergency dialysis situations.
Dialysis vs Kidney Transplant
While dialysis can sustain life, kidney transplantation generally offers better quality of life and long-term survival for suitable candidates. A transplant nephrologist helps patients understand the benefits and risks of each option and guides them toward the most appropriate treatment based on their medical condition.
Preparing for Kidney Transplant
Preparation includes medical optimization, cardiovascular assessment, infection screening, and lifestyle counseling. Managing blood pressure, diabetes, and anemia before transplantation reduces complications and improves surgical outcomes.
Importance of Early Decision-Making
Waiting too long to consult a transplant nephrologist can limit options. Early planning allows time for donor evaluation and smoother transition to transplant when the time is right.
Patients living with advanced CKD should consider specialist guidance to explore all available treatment options.
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