Investigate the nephroprotective effect of Activated Charcoal and Probiotic in limiting the progression of renal impairment in patients with chronic kidney disease and improving of renal function test and phosphate level. Condition or disease: chronic kidney disease
Chronic kidney disease (CKD) is characterized by a gradual decrease in the glomerular filtration rate (GFR) and proteinuria. CKD is a global health problem, and its incidence has been increasing. The estimated global prevalence of CKD is 8-14%. When kidney function deteriorates gradually, many metabolites accumulate in the body. These accumulated substances, termed as uremic toxins (UTs), can result in adverse pathophysiological outcomes. UTs can affect multiple organs and cause renal fibrosis, vascular calcification, anemia, peripheral arterial disease, adynamic bone disease, adipocyte dysfunction with insulin resistance, impaired immune system, and uremic pruritus. The pathophysiological mechanisms through which UTs cause multiple organ damage are complex and not completely understood. These mechanisms may include inflammation, reactive oxidative stress, cellular transdifferentiation, impaired mitochondria function, intestinal barrier destruction, and changes in intestinal microbiota.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
Waleed Khaild Rahman Alkabi
Al-diwanyia, Iraq
Improving of blood urea
The concentration of blood urea(mmol/L),dL) ) in all blood samples
Time frame: Baseline to 6 week
Indoxyl sulfate assay
The concentration of human indoxyl sulfates level by elisa technique in the subjects' blood samples
Time frame: Baseline to 6 week
Improving of serum creatinine mg/dL
The concentration of serum creatinine(mg/dL) in all blood sample
Time frame: Baseline to 6 week
Nutrition status
The concentration of albumin(g/dL) in the subjects' blood samples
Time frame: Baseline to 6 week
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