*Chronic kidney disease (CKD) and chronic heart failure (CHF)*
I regularly encounter cases of anemia due to renal failure and chronic heart failure. Often these patients amaze me with their persistence and invisibility of the disease. This condition can be treated at home and restore the required level of hemoglobin with the help of red blood cell transfusions and medications that will improve the functioning of the kidneys in removing excess protein (urea), but the main task is to maintain the result and prevent further destruction of the tubules or tubules of the kidneys. It is the damage that occurs during kidney disease and heart failure that are the main causes of renal anemia. Not every such disorder leads to anemia and a decrease in hemoglobin levels when this happens, the patient is often faced with a choice - to eliminate anemia through constant blood transfusions (hemodialysis or peritoneal dialysis) or to choose staged treatment. But this, fortunately, is a rare situation. More often, patients manage to maintain or increase their quality of life after treatment for CKD and CHF. Of course, such tactics should be implemented only if it is impossible to improve the general condition of a person in other ways. Whenever determining the causes of decreased hemoglobin in an elderly patient, it is important to remember the importance of CKD. It is necessary to screen and identify CKD as early as possible. Of course, it is necessary to evaluate the whole picture of the cardiovascular system and other vital human organs. Everyone knows that anemia, especially chronic, weakens a person’s immune system and impedes the functioning of the central nervous system. However, for many people with anemia, the condition is largely due to poor kidney function. If patients are not prescribed modern treatment methods, the development of renal decompensation is a matter of time.
Anemia resulting from the development of renal encephalopathy indicates a clear cause that has actively begun to develop and threaten life. The presence of large deviations indicates the need to begin treatment immediately! Typically, patients are prescribed maintenance treatment for progressive renal failure, provided there are no changes in the functioning of the cardiovascular complex. This can be either planned