THE CAUSES AND RISK FACTORS FOR CHRONIC KIDNEY DISEASES

CKD it is a pathology that in recent years it appears as the clinical entity with global exponential growth and now it is considered as one of the major problems of medicine. Recent epidemiological data have become so alarming that most authors speak that she is taking the features of a "real social emergency". To study the epidemiology of CKD cases in the district of Vlora, estimate their incidence and prevalence and assessment of risk factors for uremia. Retrospective study with a homogeneous cohort. Data were collected from clinical records and records of visits of all patients of Vlora district during the period 2000-2010. A total of 310 patients were treated with CKD 14 (46%) males and 88 (54%) females (p=0.1). The average age is 52.5 years. Chronic pyelonephritis is the major cause of illness in 188 (61%) patients (p<0.01). 271 (87%) of cases treated with conservative therapy, whereas 39 (13%) patients currently undergo replacement therapy, of whom 27 (69%) on hemodialysis, 3 (7%) in peritoneal dialysis, and 9 (23 %) have undergone renal transplantation. Total number of newly affected individuals in 2010 with CRD is 17. Chronic pyelonephritis was the cause of illness in 8 (47%) cases, in four (24%) cases the illness was due to diabetic nephropathia. The prevalence of CKD in the district of Vlora is 205 cases per 100 thousand inhabitants. Its incidence in 2010 was 12 new cases per year per 100 thousand inhabitants. Currently, it is noticed an increasing number of cases with diabetic nephropathia. The end stage of all causes of chronic renal disease is uremia which represents one of the major issues of public health today. Prevention and correct treatment of primary and secondary nephropathies as well as the correct treatment of cardiovascular complications is undoubtedly today's orientation of medicine thus reducing to the utmost the renal morbidity and mortality.