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World Kidney Day: Theme: Early detection for a healthier future

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Wednes­day, March 13, 2025, marks World Kidney Day, an annual event aimed at raising awareness about the importance of kidney health and reducing the impact of kidney diseases world­wide. This year’s theme, “Early Detection for a Healthier Future!”, emphasizes the significance of early identification and manage­ment of kidney diseases to prevent complications and ensure long-term health.

Functions of the kidneys

The kidneys are vital organs re­sponsible for several critical bodily functions:

Waste Excretion: They filter waste products and excess fluids from the blood, excreting them as urine.

Fluid and Electrolyte Balance: They regulate the body’s fluid levels and maintain the balance of electrolytes such as sodium, potas­sium, and phosphate.

Blood Pressure Regulation: They produce hormones like renin that help control blood pressure.

Red Blood Cell Production: They release erythropoietin, a hor­mone that stimulates the produc­tion of red blood cells.

Bone Health: They activate vitamin D, which is essential for maintaining healthy bones. Vitamin D from the sun cannot be useful if not activated by the kidney.

Causes of kidney

diseases

Kidney diseases can result from various factors, including:

Diabetes: High blood sugar levels can damage the kidneys over time.

Hypertension: Elevated blood pressure can cause damage to the blood vessels in the kidneys.

Glomerulonephritis: Inflamma­tion of the kidney’s filtering units can impair function.

Polycystic Kidney Disease: A genetic disorder characterized by the growth of cysts in the kidneys.

Repeated Urinary Infections: Chronic infections can lead to kidney damage.

Obstruction: Conditions like kidney stones or an enlarged pros­tate can block urine flow and harm the kidneys.

Other conditions are

#Low birth weight

# Obesity

# Abuse of painkillers

# Aphrodisiac/ bitters

# Some herbal medicine

# Prolonged use of prescrip­tions drugs

Stages of kidney disease

Chronic Kidney Disease (CKD) is categorised into five stages based on the glomerular filtration rate (GFR), which measures kidney function:

Stage 1: Normal or high GFR (≥90 mL/min/1.73 m²) with some signs of kidney damage.

Stage 2: Mild decrease in GFR (60-89 mL/min/1.73 m²) with evidence of kidney damage.

Stage 3: Moderate decrease in GFR (30-59 mL/min/1.73 m²). This stage is often divided into:

3a: GFR 45-59 mL/min/1.73 m².

3b: GFR 30-44 mL/min/1.73 m².

Stage 4: Severe decrease in GFR (15-29 mL/min/1.73 m²).

Stage 5: Kidney failure (GFR <15 mL/min/1.73 m²), often requiring dialysis or a kidney transplant.

Early stages (1 and 2) may not present noticeable symptoms, mak­ing early detection through regular screenings crucial. As the disease progresses to stages 3 through 5, symptoms become more appar­ent, and the risk of complications increases.

Prevention of Kidney

Disease

Preventing kidney disease involves managing risk factors and maintaining a healthy lifestyle:

Control Blood Sugar: Proper management of diabetes can pre­vent kidney damage.

Manage Blood Pressure: Keep­ing blood pressure within the normal range reduces the risk of kidney disease.

Maintain a Healthy Weight: Obe­sity increases the risk of conditions that harm the kidneys.

Avoid Smoking: Smoking can impair blood flow to the kidneys and worsen existing kidney disease.

Stay Hydrated: Adequate water intake supports kidney function. Drink between 2.5L -3.5Litres of water daily.

Limit Over-the-Counter Painkill­ers: Excessive use of NSAIDs can cause kidney damage.

Regular Check-ups: Routine screenings can detect early signs of kidney issues, especially in individ­uals with risk factors.

Healthy Lifestyles Promoting Proper Kidney Function

Adopting certain lifestyle prac­tices can enhance kidney health:

Balanced Diet: Consuming a diet rich in fruits, vegetables, whole grains, and lean proteins supports overall health and kidney function.

Regular Physical Activity: En­gaging in exercise helps maintain a healthy weight and blood pressure, reducing the risk of kidney disease.

No Alcohol Consumption: Eliminating alcohol intake prevents additional strain on the kidneys.

Stress Management: Chronic stress can negatively affect blood pressure and kidney health; practic­es like meditation can be beneficial.

By understanding the func­tions of the kidneys, recog­nizing the causes and stages of kidney disease, and adopt­ing preventive measures and healthy lifestyles, individuals can significantly reduce their risk of developing kidney-relat­ed health issues.Source—www. worldkidneyday.org/www. verywellhealth.com

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Features

Islamic Position on Illicit Drugs (Part 2)

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In Ghana, the Narcotics Control Commission Act, 2020 (Act 1019), prohibits the possession, use, trade, or cultivation of narcotic drugs without lawful authorisation.

The law now adopts a more public health-based model, emphasising rehabilitation and education while still maintain­ing punitive measures against trafficking and illegal posses­sion.

This opens doors for religious and social actors to play key roles in prevention and heal­ing.

How the Youth and General Society Are Typically Lured into Illicit Drugs;

One of the primary gateways to drug use is peer pressure. Many young people are intro­duced to drugs by friends who make substance use appear fashionable or as a coping mechanism for stress, bore­dom, or emotional trauma.

In urban slums and some schools, peer groups become influential in shaping be­haviour, particularly when parental supervision is weak or societal structures have collapsed.

Another contributor is media influence—with movies, music, and social media sometimes glamorising substance use. Un­employment, poverty, broken homes, academic stress, and lack of religious education also contribute significantly.

Shaykh Abd al-Rahman al-Sa‘di explains that when faith weakens, individuals seek escape in destructive behaviours. Hence, strength­ening iman (faith) is a critical defence against temptation.

Rescuing Victims: Rehabili­tation and Social Support

Those who fall into drug addiction must not be con­demned but rather supported with compassion and care. Islam emphasises mercy and hope:

“Say, O My servants who have transgressed against themselves [by sinning], do not despair of the mercy of Allah. Indeed, Allah forgives all sins.” (Qur’an 39:53).

Rehabilitation centres, faith-based recovery programmes, community counselling, and mosque-based interventions are all vital tools.

Imams and scholars should be equipped with basic knowl­edge in addiction counselling. Collaboration with the Nar­cotics Control Commission and health institution can create models where religious guid­ance and medical treatment go hand-in-hand.

Impact of Illicit Drugs on Society

Illicit drug use damages physical health, corrupts moral values, and leads to crime and unemployment. It depletes a nation’s human capital, as youths and adults become dependent, mentally unstable, and economically unproductive. It also leads to violence, theft, and domestic abuse.

The Qur’an declares: “And do not throw yourselves into destruction with your own hands.” Qur’an 2:195)

Impact of Illicit Drugs in Schools

In Ghana, the increasing prevalence of drug abuse in schools has led to absentee­ism, violent behaviour, ac­ademic failure, and mental health issues.

Some school dropouts have become part of gang culture, especially in urban areas, threatening future nation­al development. These environments must be purified and protected with strong policy, parental involvement, and faith-based education.

UNICEF, Ghana Health Ser­vice, and Other Reports

UNICEF (2019) highlight­ed the correlation between substance abuse and early childhood trauma, noting that youth exposed to abuse, neglect, or poverty are more susceptible to drug use.

The Ghana Health Service’s 2022 report showed a 17 per cent rise in mental health cas­es linked to drug abuse, with youth between 15–35 years most affected.

Narcotics Control Commis­sion Statistics

According to the 2022 Annual Report of the Narcotics Con­trol Commission, over 8,000 arrests were made for drug offenses.

Cannabis remains the most abused drug, with growing concerns about synthetic drugs and pharmaceutical abuse, especially tramadol and cough syrups with codeine.

Islamic Law and Maqasid

al-Shari‘ah

The five universal objectives of Islamic law (maqasid al-shari‘ah)—preserving religion (deen), life (nafs), intellect (‘aql), lineage (nasl), and wealth (maal)—are all endan­gered by drug abuse.

Any initiative that protects these objectives is not just legally encouraged but reli­giously mandated.

Imam Al-Shatibi, in al-Mu­wafaqat, asserts that laws are designed not for hardship but to preserve human dignity and collective wellbeing.

Therefore, illicit drugs threaten the very fabric of what Shari’ah seeks to pro­tect:

1. Preservation of Religion (Hifz ad-Deen) – Drug use weakens a person’s sense of religious duty. Addicts often neglect prayer, fasting, and remembrance of Allah, falling into sin and heedlessness.

2. Preservation of Life (Hifz an-Nafs) – Drugs increase the risk of premature death through overdose, suicide, or violence. Islam strictly forbids self-harm: “And do not kill yourselves.

Indeed, Allah is to you ever Merciful” (Qur’an 4:29).

3. Preservation of Intellect (Hifz al-‘A9ql) – One of the clearest reasons intoxicants are forbidden. The mind is the seat of moral judgment. Losing one’s intellect means losing the capacity for faith and responsibility.

4. Preservation of Lineage (Hifz an-Nasl) – Drug addiction often leads to moral decay, fornication, and broken fam­ilies, harming future genera­tions.

5. Preservation of Wealth (Hifz al-Maal) – Addicts squan­der wealth on drugs, harming families and communities. Islam commands us to be cus­todians of our resources.

These objectives guide the Islamic legal position that drug abuse is not just a sin, but a social threat that must be collectively confronted.

By Imam Saeed Abdulai

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Features

 Carcinoma: A comprehensive overview of the disease

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 Carcinoma is a type of cancer that orig­inates in epithelial cells, which are the cells that form the lining of organs and glands.

It is the most common type of cancer, accounting for ap­proximately 90 per cent of all cancer cases. Carcinoma can occur in various parts of the body, including the skin, lungs, breast, colon, and prostate.

Types of Carcinoma

There are several subtypes of carcinoma, each with distinct characteristics and prognoses. Some of the most common types of carcinoma include:

1. Squamous cell carcinoma: This type of carcinoma origi­nates in the squamous cells, which are the flat, thin cells that form the lining of organs and glands.

2 : This type of carcinoma originates in the glandular cells, which are the cells that form the lining of glands and organs.

3. Basal cell carcinoma: This type of carcinoma originates in the basal cells, which are the cells that form the lining of the skin and other organs.

4. Transitional cell carcino­ma: This type of carcinoma originates in the transitional cells, which are the cells that form the lining of the bladder, ureters, and renal pelvis.

Causes and risk factors

The exact causes of carcino­ma are not fully understood, but several risk factors have been identified. These in­clude:

1. Genetic mutations: Carcinoma can be caused by genetic mutations, which can be inherited or acquired.

2. Environmental factors: Exposure to environmental carcinogens, such as tobacco smoke, radiation, and certain chemicals, can increase the risk of developing carcinoma.

3. Age: The risk of develop­ing carcinoma increases with age.

4. Family history: A fami­ly history of carcinoma can increase an individual’s risk of developing the disease.

Symptoms and diagnosis

The symptoms of carcinoma can vary depending on the location and type of cancer. Common symptoms include:

1. Unexplained weight loss

2. Fatigue

3. Pain

4. Changes in bowel or blad­der habits

5. Unusual bleeding or dis­charge

Carcinoma is typically diag­nosed using a combination of imaging tests, such as X-rays, CT scans, and MRI scans, and biopsy, which involves remov­ing a sample of tissue for ex­amination under a microscope.

Treatment Options

The treatment options for carcinoma depend on the type, location, and stage of the cancer. Common treat­ment options include:

1. Surgery: Surgery is often used to remove the cancerous tumor and surrounding tissue.

2. Chemotherapy: Chemo­therapy involves using medica­tions to kill cancer cells.

3. Radiation therapy: Radi­ation therapy involves using high-energy rays to kill cancer cells.

4. Targeted therapy: Target­ed therapy involves using med­ications that target specific molecules involved in cancer growth and progression.

Prevention and early de­tection

Preventing carcinoma in­volves avoiding known risk fac­tors, such as tobacco smoke and environmental carcino­gens, and getting regular can­cer screenings. Early detection of carcinoma can significantly improve treatment outcomes.

Conclusion

Carcinoma is a complex and multifaceted disease that requires a comprehensive approach to diagnosis, treat­ment, and prevention. By understanding the causes, risk factors, symptoms, and treat­ment options for carcinoma, individuals can take steps to reduce their risk of developing the disease and improve their chances of successful treat­ment.

References:

1. “Carcinoma” by the American Cancer Society

2. “Carcinoma: A Review of the Literature” by the National Cancer Institute

3. “Carcinoma: Diagnosis, Treatment, and Prevention” by the World Health Organi­zation

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Features

 Carcinoma: A comprehensive overview of the disease

Published

on

 Carcinoma is a type of cancer that orig­inates in epithelial cells, which are the cells that form the lining of organs and glands.

It is the most common type of cancer, accounting for ap­proximately 90 per cent of all cancer cases. Carcinoma can occur in various parts of the body, including the skin, lungs, breast, colon, and prostate.

Types of Carcinoma

There are several subtypes of carcinoma, each with distinct characteristics and prognoses. Some of the most common types of carcinoma include:

1. Squamous cell carcinoma: This type of carcinoma origi­nates in the squamous cells, which are the flat, thin cells that form the lining of organs and glands.

2 : This type of carcinoma originates in the glandular cells, which are the cells that form the lining of glands and organs.

3. Basal cell carcinoma: This type of carcinoma originates in the basal cells, which are the cells that form the lining of the skin and other organs.

4. Transitional cell carcino­ma: This type of carcinoma originates in the transitional cells, which are the cells that form the lining of the bladder, ureters, and renal pelvis.

Causes and risk factors

The exact causes of carcino­ma are not fully understood, but several risk factors have been identified. These in­clude:

1. Genetic mutations: Carcinoma can be caused by genetic mutations, which can be inherited or acquired.

2. Environmental factors: Exposure to environmental carcinogens, such as tobacco smoke, radiation, and certain chemicals, can increase the risk of developing carcinoma.

3. Age: The risk of develop­ing carcinoma increases with age.

4. Family history: A fami­ly history of carcinoma can increase an individual’s risk of developing the disease.

Symptoms and diagnosis

The symptoms of carcinoma can vary depending on the location and type of cancer. Common symptoms include:

1. Unexplained weight loss

2. Fatigue

3. Pain

4. Changes in bowel or blad­der habits

5. Unusual bleeding or dis­charge

Carcinoma is typically diag­nosed using a combination of imaging tests, such as X-rays, CT scans, and MRI scans, and biopsy, which involves remov­ing a sample of tissue for ex­amination under a microscope.

Treatment Options

The treatment options for carcinoma depend on the type, location, and stage of the cancer. Common treat­ment options include:

1. Surgery: Surgery is often used to remove the cancerous tumor and surrounding tissue.

2. Chemotherapy: Chemo­therapy involves using medica­tions to kill cancer cells.

3. Radiation therapy: Radi­ation therapy involves using high-energy rays to kill cancer cells.

4. Targeted therapy: Target­ed therapy involves using med­ications that target specific molecules involved in cancer growth and progression.

Prevention and early de­tection

Preventing carcinoma in­volves avoiding known risk fac­tors, such as tobacco smoke and environmental carcino­gens, and getting regular can­cer screenings. Early detection of carcinoma can significantly improve treatment outcomes.

Conclusion

Carcinoma is a complex and multifaceted disease that requires a comprehensive approach to diagnosis, treat­ment, and prevention. By understanding the causes, risk factors, symptoms, and treat­ment options for carcinoma, individuals can take steps to reduce their risk of developing the disease and improve their chances of successful treat­ment.

References:

1. “Carcinoma” by the American Cancer Society

2. “Carcinoma: A Review of the Literature” by the National Cancer Institute

3. “Carcinoma: Diagnosis, Treatment, and Prevention” by the World Health Organi­zation

By Rober Ekow Grimmond-Thompson

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