04 Oct 2012

Dinner Meeting: Dr. Alison Ma on Pediatric Renal Services in Hong Kong

Before the meeting began, we had a moment of silence for the victims and families of the Ferry Disaster at Lamma Island.

Our speaker today was Dr. Alison Ma and her topic was “Paediatric Renal Services in HK”. Dr. Ma is the Doctor in the Department of Paediatrics, Princess Margaret Hospital.  Urinary tract infection (UTI), proteinuria and/or hematuria, nephrotic syndrome, glomerulonephritis, are the commonly seen kidney diseases in children. Hydronephrosis (dilated renal pelvis) is sometimes diagnosed in new born baby with the use of antenatal ultrasound examination. Often it is benign and requires no intervention. Acute or chronic renal failure, though uncommon, are important. From time to time, cases of renal cysts and hereditary kidney diseases are seen.

Usually we have 2 kidneys with about 1 million glomeruli each. They help eliminate waste products of metabolism such as urea, creatinine and regulate acid-base and water balance. Kidneys are the source of hormone important in the production of red blood cells and responsible for the manufacturing of active vitamin D which is important in the regulation of calcium-phosphate metabolism. When kidneys fail, their functions progressively decrease and manifest clinically as growth failure (short stature), decrease in appetite, tiredness, pallor, hypertension (raised blood pressure), electrolyte disturbance (high potassium and high phosphate usually), metabolic acidosis, decrease in urine output, water retention, edema, rickets and uremia where major organ dysfunction is manifested such as mental disturbance, convulsion, heart failure, bleeding and pulmonary edema and death if left untreated.

When the child suffers from end stage renal disease, Renal Replacement Therapy (RRF) is needed to prevent occurrence of uremia and sustain life and improve the quality of daily living. There are 3 types of RRF:
1.peritoneal dialysis
2.hemodialysis
3.kidney transplantation

Kidney (renal) transplantation is the best form of renal replacement therapy as it can provide the best clearance of solute (toxic substance of metabolism) and water; and allows the best quality of life. However, availability of kidney is the main hurdle to it. In Hong Kong, on average, children with end stage renal diseases have to wait for 4-5 years before getting a cadaveric kidney.

You can support the Children and their family by donation and volunteer service.

We collected HK$620 for raffle and fines, Dr. Ma draw the raffle gift as three Photo Package Coupons donated by Rtnne Ada Ma and the winners were Rtn Rebecca, Rtn David and President Michael’s son.