World Kidney Day aims to raise awareness of the importance of our kidneys to our overall health and reduce the frequency and impact of kidney disease and its associated health problems worldwide .
This year’s focus is on Acute Kidney Attack ( earlier called Acute Renal Failure ) .
Although some diseases of the kidney and urinary tract may be associated with pregnancy by chance , pregnancy induced changes may predispose to the development of renal tract disorders . Acute Kidney Attack is a life threatening complication of pregnancy .
Causes of Acute Kidney Attack during pregnancy
A) Early pregnancy : Hyperemesis gravidarum ( Severe Vomitting )
B) Late pregnancy : Pregnancy induced hypertension (PIH),Pre eclampsia
Antepartum haemorrhage (bleeding during pregnancy)
Post partum haemorrhage ( bleeding after delivery )
UTI ( Urinary tract infection ) : It is the most common cause of renal disease and ranges from asymptomatic bacteriuria to pyelonephritis .
Oliguria is an important sign of acutely impaired renal function .
According to Ayurveda , it is considered as Mutra apravrittijanya roga .
Prevention through Ayurveda :
a) Garbhini Paricharya ( Ayurvedic Antenatal Regimen ) should be initiated as soon as pregnancy is confirmed .
b) Herbs which can be taken under supervision are – Amla ( gooseberry ) , Punarnava (Boerhavia diffusa ) , Chandan ( Santalum album ) , Ushir ( Vetiveria zizinioides ) , Bala ( Sida cordifolia ) ,Shatavari ( Asparagus racemosus ) , Gokshur ( Tribulus terrestris ) etc .
c) Diet : Eatables which can be included are – Cucumber , Pumpkin , Pomegranate , Fennel , Small cardamom , Coconut water , Buttermilk , Sugarcane juice , Raisins , Mishri ( candy sugar ) , Coriander , Water chestnut ( Singhara ) etc.
As the physiological status is altered during pregnancy , significant changes both in structure and function take place in urinary tract . So special care for even minor complaints should be taken .
‘Pregnancy should be by Choice, not by Chance’ – this statement holds true for having a healthy progeny and safe pregnancy. As the ultimate constitution of an individual is determined by the chromosomes of sperm and ovum destined to unite and form zygote from which organism develops, the health status of both the partners is very important for conception.
Ayurveda describes that as proper season, fertile field, water and good quality seeds are essential for good crop, similarly the normal menstrual cycle, healthy female reproductive system, proper maternal nutrition and healthy sperm and ovum are requisite for conception and healthy child.
The regimen followed during pre pregnancy period to achieve conception is called ”Garbhadhan Vidhi”.
Specific guidelines have been laid in Ayurveda for Pre pregnancy or Pre conception care.
Suitable partner for marriage
Should not belong to the same family or caste.
Should not suffer from infectious diseases including sexually transmitted diseases.
Should not have anatomical anomalies.
Should be healthy.
Factors vital for conception
Healthy uterus, cervix and vaginal canal without vitiation of doshas.
Normal menstrual cycle and healthy ovum.
Equipoise Vata dosha or neurotransmission, hormonal and regulatory mechanism of the body .
Both the partners should be psychologically happy and mature, as happy mood is essential for achievement of conception .