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Abstract

A MULTIFACTORIAL APPROACH TO MANAGEMENT OF CKD DUE TO STRUVITE STONES

Aruna Devaraj R.*, Devaraj P., Raveena Judie Dolly D. and Dinesh Peter J.

ABSTRACT

Struvite stone is composed of magnesium, ammonium phosphate and calcium carbonate. These are mostly caused by bacterial infection that hydrolyze urea to ammonium raising urine pH to neutral or alkaline values. Association of phosphate calculi with infection, alkaline or ammoniacal urine form recurring hard to clear stones causing severe pain. Urea-splitting organisms are Staphylococcus, Pseudomonas, Proteus, Klebsiella and Mycoplasma .A four year analysis of 322, 448, 518 &553 between2011 & 2014 was taken to study the season wise symptoms, causes, treatment and prevention. Case studies of 56 year old lady with Klebsiella infection& Hydronephrosis with (Kidney L/B ratio<2 ), 70 year old male suffering from Hematuria & urinary infection due to Pseudomonas, 65 year old male officer with Prostate enlargement and post operative Hematuria , 46 year old male with flank pain & Proteus infection and 25 year old female having Pregnancy induced excretion of urease inhibitors gave a clear picture of the possible causes.Correlation coefficients of seasonal occurrence of SKD in comparison with total calculi gave a Positive ‘ r’ value of.0.9 and positive linear regression slope 1. In the year 2013, a total of 119 herbal respondents with a history of clearance of Kidney stones with Herbal treatment of Rajendra Herbal Research centre were subjected to an analysis of CKD in relation to Left/Right Kidney size and Length/Breadth ratio<2. 65 belonging to Madurai- Sivagangai Districts and 54 respondents belonging to Theni- Dindigul districts were analysed with the USG reports presented before commencement of treatment. The results were tabulated as percentage of Single Kidney (Right/ Left) size with ratio< 2 and both the kidneys with ratio < 2 showing SKD. A multifactorial approach to management and successful treatment of CKD due to Struvite stones is provided. Arresting Pain with Rajendra Kidney formula (RKF), Control of Sugar (Rajendra Diabet dose), Magneto herbal treatment (Integrated Magneto formula)Treatment for Fatty liver (Rajendra Cholopack), Clearance of Struvite stone (RSF herbal treatment) and management with Immunity boosters.

Keywords: Chronic Kidney Disease(CKD), Struvite Kidney Stone Disease., Hydronephrosis.


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