The Phnom Penh Post : 2019-01-11

BUSINESS : 14 : 14


POST HEALTH THE PHNOM PENH POST JANUARY 11, 2019 14 WWW.PHNOMPENHPOST.COM/SPECIAL-REPORTS Kidney health in the Kingdom K the kidneys. “People with long term conditions such as diabetes or cardiovascular disease, a history of kidney problems, or a family history of severe kidney disease should already be having their kidney function checked routinely.” According to Dr Ley, ‘in [the] western world … adults aged over forty should now be invited for a health check [every five years] and may be considered for kidney function tests.” To help prevent kidney disease Dr Ley recommends that you check your blood pressure regularly as high blood pressure can speed up “the natural course of any underlying kidney disease.”If you suffer from diabetes it is very important to stay on top of your treatment, and make sure it is under control. Next is medication, “be very careful about taking non prescription medications, particularly painkillers. Exercising and maintaining a healthy weight are also keys to kidney health.” More advice is to avoid smoking and drink alcohol in moderation, if at all. Diet plays a pivotal role in kidney health, to ensure that your kidneys are doing their best work, try to drink plenty of water, eat more vegetables and fruits, and avoid processed foods and high cholesterol foods. Combined with regular exercise and you should be well on your way to maintaining healthy kidneys. If people suspect that they may have reduced kidney function, Dr Leys’ advice is to waste no time and go to the doctor as soon as possible. “People should know that kidney IDNEYS play a very important role in day to day health and they perform many critical functions. Dr Preap Ley of Sihanouk HOPE hospital explains, “kidney[s] [are] one of the urinary organs …[their] major function is the process of excretion. Kidneys [also] maintain a stable internal environment (homeostasis) for optimal cell and tissue metabolism.” “Your kidneys are so important they even have an effect on your blood pressure.” So why is kidney health important? As well as their important role excreting the waste products of metabolism, the kidneys also help to filter blood before sending it back to the heart. The kidneys are responsible for many important bodily functions, “without kidney[s] we would not survive.” Dr Ley confirms anecdotal information about the rise of kidney disease in Cambodia, “there is no nationwide data about kidney disease in Cambodia” but “kidney disease is rising due to many factors.” These factors include use of medications, high blood pressure, diabetes, genetics, alcohol use, changes in lifestyle, and age will play a role for some people, older people may experience a reduction in kidney function as they age. “If we look into our current community, all those conditions are increase[ing]” How then to best protect our valuable and important kidneys? Dr Ley advises that we pay special attention to the factors previously mentioned that are likely to harm Patients should listen to their doctor when it comes to medication. POST STAFF are barely working or not working at all. This is managed by dialysis or in some cases, we need kidney transplantation.” The consequences of kidney disease are very serious, luckily there is a lot you can do to maintain kidney health and prevent reduced kidney function. Healthier lifestyles, increased exercise, and cleaner eating are all pathways to good kidney function well into your later years. lowed by an ultrasound, X-rays, or a kidney biopsy. Kidney disease can be deadly and it “normally does not go away once it’s diagnosed.” The best way to avoid kidney disease and maintain kidney health is to “adopt a healthy lifestyle and follow [your] doctor’s advice”. If left untreated, kidney disease will get worse with time, “it may even lead to kidney failure. Kidney failure can be life threatening … [it] occurs when kidneys disease usually progresses silently, often destroying most of the kidney function before causing any symptoms.” By getting to a doctor early you have the best chance of maintaining a normal life. The two ways that the doctor will test your kidney function will first be a blood test and secondly a Urinalysis, the Urinalysis is useful for “detecting kidney damage at an early stage and determining risk of losing more kidney function.” This may be fol- Cervical cancer in Cambodia, prevention, diagnosis and treatment stage of illness. This means that their chance of survival is lower, and the costs for treatment are higher. With early detection and treatment, patients are more likely to recover and go on to live long, healthy lives. This is especially true of cervical cancer, says Dr Ley, which is a top killer of Cambodian women, but is easily treatable when found in early stages, and in many cases is even preventable with a vaccination. “Based on the patients we see at SHCH, the number of cervical cancer cases in Cambodia is increasing. If cervical cancer is in the first stage, we can do a fairly simple operation to remove it, and the chance for survival is high,” Dr Ley shared. “However, most ... patients come in seeking treatment or screening far too late, when the cancer is already in third or fourth stage. For those patients, my heart breaks. Treatment options are limited, and include referral for chemotherapy at Khmer Soviet Friendship Hospital.” “Cervical cancer is often caused by HPV (human papilloma virus), a sexually transmitted infection,” Dr Ley ex- plained. Those at highest risk of contracting HPV and developing cervical cancer are sexually active women ages 20 – 30. Dr Ley urges all women to get regular cervical screening every three years during this age range, so that any cervical cancer can be detected as early as possible. And the best thing to do in order to prevent cervical cancer? Children aged nine to 12 years should receive the HPV vaccination. “SHCH works to ensure that all Cambodians have access to quality healthcare,” Dr Ley concluded. “We cannot stress enough how important it is for our people to take care of their health. Get regular screening, get early treatment, and live a long life for your family.” The SHCH was founded in 1996 with a mission to provide free, high-quality medical care to the poor and disadvantaged of Cambodia, while training the next generation of Cambodian health professionals. Higher-income patients pay for selected healthcare services like lab tests and non-donated medications, and are only required to and are only required to pay what they can afford. Dr Preap Ley is the surgical director at Sihanouk Hospital Centre of HOPE. HENG CHIVOAN W SHCH receives over 45,000 patients each year, and by December 2018, SHCH has provided healthcare services to more than 1.4 million people. Dr Ley is quick to say that the majority of patients treated at SHCH are in a very late ties. However, less attention is being paid to healthcare, and few Cambodians are spending money for preventative services and health checkups. Dr Preap Ley, Surgical Director at Sihanouk Hospital Center of HOPE (SHCH), is hoping to change that. those women not receiving any healthcare at all for their cancer. With Cambodia experiencing rapid economic growth, living standards are improving and Cambodians are enjoying higher incomes and increased opportuni- ORLDWIDE, 500,000 women suffer from cervical cancer each year, 80 per cent of them from developing countries. At least 200,000 of these women will die, and 75 per cent of those deaths will be due to PRINTED AND DISTRIBUTED BY PRESSREADER +1 604 278 4604 O R I G I N A L C O P Y . O R I G I N A L C O P Y . O R I G I N A L C O P Y . O R I G I N A L C O P Y . O R I G I N A L C O P Y . O R I G I N A L C O P Y COPYRIGHT AND PROTECTED BY APPLICABLE LAW

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