Characteristics Of Kidney Ultrasound In People With Hypertension With Chronic Kidney Failure At Prof. Hospital Dr. Chairuddin P. Lubis Medan

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Characteristics of Kidney Ultrasound in People with Hypertension with Chronic Kidney Failure at Prof. Hospital Dr. Chairuddin P. Lubis Medan

Chronic kidney disease (PGK) is a growing concern in Indonesia, with hypertension being one of the primary risk factors contributing to its development. Kidney ultrasonography (USG) has become a crucial diagnostic tool in managing PGK. This study aims to investigate the characteristics of kidney ultrasound results in hypertensive patients with PGK at Prof. Dr. Chairuddin P. Lubis Medan.

Chronic kidney disease (PGK) is a significant public health issue in Indonesia, with a rising prevalence in recent years. Hypertension is a major risk factor for the development of PGK, and its management is essential to prevent kidney damage. Kidney ultrasonography (USG) is a non-invasive imaging technique that provides valuable information about kidney structure and function. This study aims to determine the characteristics of kidney ultrasound results in hypertensive patients with PGK at Prof. Dr. Chairuddin P. Lubis Medan.

This study employed a descriptive method with a cross-sectional approach. Total sampling was used to select patients with complete medical records, including body weight, blood pressure, and kidney ultrasound results. Data analysis was conducted using a univariate approach, and the results were presented in the form of tables and descriptive statistics.

A total of 100 patient samples were obtained, with the majority being male (73%) and aged 60-69 years (42%). In terms of body weight, the most common group was 80-89 kg (26%). 39% of patients were in the category of V degrees LFG, and 47% of patients experienced hypertension stage 1.

The ultrasound results showed that the patient's kidney generally had a normal shape and size, with the right kidney (74%) and left (71%) being in a similar condition. However, there was an increase in homogeneous echogenicity parenchyma in the right kidney (51%) and left (54%). Differentiation between the cortex and the kidney medulla also looked normal in both kidneys (61%). In addition, the normal expansion of the proximal pelvicals system in the proximal ureter was found in the right kidney (89%) and left (86%). Further analysis showed the absence of kidney stones in the right kidney (93%) and left (92%), as well as the presence of cysts in the right kidney (87%) and left (86%).

The results of this study indicate a structural change in the kidneys of hypertensive patients with PGK, even though the overall shape and size of the kidney are still normal. Increased homogeneous echogenicity of parenchyma, differentiation of the normal cortex and medulla, as well as normally expanding the pelvicalisseal system in the ureter are important indicators. In addition, no kidney stones were found, although cysts were detected in some patients. This finding can help in understanding the kidney condition of hypertensive patients who experience PGK and support efforts to handle and manage this disease more effectively in hospitals.

The results of this study have several implications for the management of PGK in hypertensive patients. Firstly, kidney ultrasonography (USG) is a valuable diagnostic tool that can provide important information about kidney structure and function. Secondly, the presence of cysts in some patients highlights the need for regular monitoring and follow-up to prevent kidney damage. Finally, the absence of kidney stones in most patients suggests that other factors, such as hypertension, may be contributing to the development of PGK.

Based on the results of this study, several recommendations can be made for the management of PGK in hypertensive patients. Firstly, kidney ultrasonography (USG) should be performed regularly to monitor kidney function and detect any structural changes. Secondly, patients with cysts should be closely monitored to prevent kidney damage. Finally, efforts should be made to manage hypertension effectively to prevent kidney damage and slow the progression of PGK.

This study has several limitations that should be acknowledged. Firstly, the sample size was relatively small, and further studies are needed to confirm the findings. Secondly, the study only included patients with complete medical records, which may not be representative of the broader population. Finally, the study did not investigate the relationship between kidney ultrasonography (USG) results and clinical outcomes, which is an important area for future research.

Several future directions can be identified based on the results of this study. Firstly, further studies are needed to confirm the findings and investigate the relationship between kidney ultrasonography (USG) results and clinical outcomes. Secondly, the study highlights the need for regular monitoring and follow-up of patients with PGK to prevent kidney damage. Finally, efforts should be made to manage hypertension effectively to prevent kidney damage and slow the progression of PGK.
Frequently Asked Questions (FAQs) about Kidney Ultrasound in People with Hypertension with Chronic Kidney Failure

A: Kidney ultrasonography (USG) is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the kidneys. It is a valuable diagnostic tool that can provide important information about kidney structure and function.

A: The benefits of kidney ultrasonography (USG) include:

  • Non-invasive and pain-free
  • No radiation exposure
  • Can be performed on patients of all ages
  • Can provide information about kidney structure and function
  • Can help diagnose kidney problems, such as cysts and kidney stones

A: The limitations of kidney ultrasonography (USG) include:

  • May not provide detailed information about kidney function
  • May not be able to detect small kidney problems
  • May not be able to provide information about kidney blood flow

A: The common findings in kidney ultrasonography (USG) in people with hypertension with chronic kidney failure include:

  • Increased homogeneous echogenicity of parenchyma
  • Differentiation of the normal cortex and medulla
  • Normally expanding the pelvicalisseal system in the ureter
  • Absence of kidney stones
  • Presence of cysts

A: The implications of the findings in kidney ultrasonography (USG) in people with hypertension with chronic kidney failure include:

  • The need for regular monitoring and follow-up to prevent kidney damage
  • The importance of managing hypertension effectively to prevent kidney damage and slow the progression of chronic kidney failure
  • The need for further studies to confirm the findings and investigate the relationship between kidney ultrasonography (USG) results and clinical outcomes

A: The recommendations for the management of chronic kidney failure in people with hypertension include:

  • Regular monitoring and follow-up of kidney function
  • Effective management of hypertension to prevent kidney damage and slow the progression of chronic kidney failure
  • Regular kidney ultrasonography (USG) to monitor kidney structure and function
  • Lifestyle modifications, such as diet and exercise, to slow the progression of chronic kidney failure

A: The future directions for research in kidney ultrasonography (USG) in people with hypertension with chronic kidney failure include:

  • Further studies to confirm the findings and investigate the relationship between kidney ultrasonography (USG) results and clinical outcomes
  • Investigation of the use of kidney ultrasonography (USG) in the early detection of chronic kidney failure
  • Development of new imaging techniques to improve the accuracy and sensitivity of kidney ultrasonography (USG)

A: You can find more information about kidney ultrasonography (USG) in people with hypertension with chronic kidney failure by:

  • Consulting with a healthcare professional
  • Searching online for reputable sources of information
  • Reading scientific articles and studies on the topic
  • Attending educational programs and workshops on kidney ultrasonography (USG)