Menurunnya Kadar Hemoglobin Pada Penderita End Stage Renal Disease (Esrd) Yang Menjalani Hemodialisis Di Kota Malang

Abstract

Incidence of kidney failure in Indonesia has increased by 20% annually, an estimated 70,000 people in 2011, 4,000-5,000 people are detected with end-stages renal failure and undergoing hemodialysis. The hemodialysis process causes some blood trapped or left in the hemodialysis device, some red blood cells are damaged and folic acid decreases. The aims of this study was to know the difference of hemoglobin (Hb) profile in End Stages Renal Disease (ESRD) patients based on duration of hemodialysis at RS "S" Malang. The research method used a comparative design with a sample of 100 respondents. Anova test showed the difference of Hb level profile in ESRD patients based on duration of hemodialysis from 1 year up to 10 years (p = 0,03; α = 0,05), which means that the longer the hemodialysis then the Hb level decreases. Anemia is a complication of ESRD, the decrease in Hb resulting from disruption of the production of the hormone erythropoetin, in addition hemodialysis process also exacerbates the degree of anemia where some red blood cells trapped in hemodialysis, red blood cells are damaged, and folic acid decreased due to dissolved in fluid dialysis. Furthermore, it is necessary to examine related factors that cause the decrease in Hb in patientss with ESRD with hemodialysis therapy both intrinsic and extrinsic factors. PENDAHULUANEnd Stage Renal Disease (ESRD) merupakan suatu proses kerusakan sel-sel ginjal dengan rentang waktu lebih dari 3 bulan. ESRD dapat menimbulkan gejala berupa laju filtrasi glomerular di bawah 60 mL/men/1.73 m2, atau di atas nilai tersebut namun disertai dengan kelainan sedimen urin. Proses perjalanan penyakit dari ESRD disebabkan oleh berbagai etiologi yang secara progresif menurunkan fungsi dari ginjal, sehingga lama-kelamaan ginjal akan mengalami kehilangan fungsinya yang disebut dengan gagal ginjal. Kerusakan sel ginjal bersifat PROSIDING SEMINAR NASIONAL 2018 Peran dan Tanggung Jawab Tenaga Kesehatan dalam Mendukung Program Kesehatan

Aloe Vera Extract 75% Effective in Providing Xerosis Repair In Chronic Kidney Failure Patient’s

“…Patients with chronic renal failure require long-term hemodialysis therapy patients must undergo dialysis therapy throughout their life to maintain their survival and reduce the symptoms of uremia. Dialysis therapy itself has various complications, including decreased hemoglobin, xerosis, and pruritus that occur during dialysis when metabolic end products remain in the skin (Agustina 2018;Agustina 2019;Tansil, 2016).…”