Information was shared by Dr. Nguyen Huu Dung, Chairman of the Vietnam Dialysis Association, at the second scientific conference of the Association.
It is estimated that over 850 million people worldwide have chronic kidney disease. The prevalence in men and women was 10.4% – 11.8%, respectively. Dr. Dung said that according to the latest survey in 2022, Vietnam has 350 dialysis / hemodialysis units in 63 provinces and cities.
At 241 survey units (mainly in the North and North Central), there are nearly 3,800 doctors (only 886 doctors), staff on artificial kidneys; More than 5,100 machines perform dialysis for about 33,200 patients.
Although there have been strong technical developments, approaching the modern level of world dialysis, such as cyclic hemodialysis, ultrafiltration dialysis with direct replacement fluid (HDF online), adsorption blood … but our country’s dialysis industry is also facing many challenges.
According to Dr. Dung, the demand for dialysis tends to increase while medical facilities lack both equipment and human resources.
“There has been a situation of inadequate and overloaded equipment for dialysis in some hemodialysis units. At the same time, equipment for dialysis is still slow to replace. More than 900 dialysis machines (equivalent to more than 18%) are over 10 years old, which means they have expired and must be replaced,” said Dr. Dung.
Due to the small number of hemodialysis machines, small manpower, and large number of patients, many units have to run 3, 4 or even 5 shifts a day. This puts a lot of pressure on medical staff. According to the survey, there is a dialysis center where one doctor is in charge of up to 37 artificial kidney machines, making it difficult to handle complications that occur in dialysis. There is also a single doctor center in charge of up to 125 artificial kidney patients.
Kidney failure patients are getting younger
Along with the increase in patients with diabetes and hypertension, patients with end-stage chronic kidney disease and renal failure in need of dialysis (hemodialysis) are constantly increasing, because renal failure is a serious complication. risk of these two diseases.
Many experts say that chronic kidney failure patients are getting younger. The Department of Nephrology and Dialysis, Viet Duc Hospital (Hanoi) noted that this trend is concentrated in male patients, especially office workers.
The common kidney diseases today include kidney stones, glomerulonephritis, acute – chronic renal failure, kidney cancer… In which, acute and chronic renal failure are two very common conditions, caused by complications. evidence of many other diseases.
Chronic kidney disease often progresses silently, without symptoms in its early stages. Therefore, it is important to detect the disease early in high-risk populations, especially those with diabetes, hypertension and family history of kidney disease. Doctors advise these people to have annual screening tests and actively treat early to prevent kidney disease from progressing to the end stage.
Signs of kidney disease such as: swelling of the limbs, changes in urination (nocturia, salivation, blood in urine, painful urination, hematuria…), fatigue, weight loss, possibly fever, headache…
The second scientific conference of the Vietnam Dialysis Association had the participation of experts from Germany, Australia, Thailand, Malaysia, Egypt, the Philippines and major hospitals such as Cho Ray Hospital and Hospital. 103, Viet Duc Hospital…