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Renal osteodystrophy is a bone disease that occurs when your kidney fails to maintain proper level of calcium and phosphorous in your blood. Treatment of patient with renal osteodystrophy or renal insufficiency is quite complex and challenging task for physician. |
Osteoporosis due to renal insufficiency or total renal failure is known as renal osteodystrophy. The evaluation and treatment of patient with renal osteodystrophy or renal insufficiency is quite complex and challenging task for physician, because chronic renal insufficiency sufferers also suffer from varied number of metabolic bone disease. Bone density testing may not give the correct understanding of bone health and bone quality due to variability of bone diseases in patients with renal insufficiency.
A proper treatment plan has to be designed for such patients taking into consideration the specific bone health in a given patient. In general calcium and phosphorous levels must be maintained in normal range. Phosphorous levels can be controlled with a low phosphorous diet and phosphate binding antacids, such as calcium carbonate. Almost all foods contain phosphorous, but it s especially high in milk, cheese, dried beans, peas nut and butter. A renal dietician can help develop a dietary plan to control phosphorous levels in the blood. Often medications such as calcium acetate, calcium carbonate, sevelamer hydrochloride or lanthanum carbonate is prescribed with meals and snacks to binds phosphorous in bowel. Vitamin D supplementation can help control secondary hyperparathyroidism. Parathyroidectomy may be indicated for secondary hyperparathyroidism. Exposure to toxic agents, such as aluminum must be minimized. Exercise has also been found to increase bone strength in some patients but you must consult your doctor or professional health care before beginning any exercise program regime. Apart from this hormone replacement therapy (HRT) also play a major role in patients with osteoporosis.
A good treatment program, including proper attention to dialysis, diet and medications, can improve your body’s ability to repair bones damaged by osteodystrophy.More Articles :