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Chronic Kidney Disease (CKD) has several common causes, which can be broadly categorized into conditions that directly damage the kidneys or reduce their function over time. The main causes include:
### 1. **Diabetes Mellitus (Diabetic Nephropathy)**
- The leading cause of CKD worldwide.
- High blood sugar levels damage kidney blood vessels, leading to impaired filtration.
### 2. **Hypertension (Hypertensive Nephropathy)**
- The second most common cause.
- Chronic high blood pressure damages the kidneys' small blood vessels and nephrons.
### 3. **Glomerulonephritis**
- Inflammation of the kidney's filtering units (glomeruli).
- Can be caused by autoimmune diseases, infections, or unknown triggers.
### 4. **Polycystic Kidney Disease (PKD)**
- A genetic disorder causing cyst formation in kidneys, leading to progressive loss of function.
### 5. **Chronic Obstructive Uropathy**
- Obstruction of urinary flow (e.g., due to stones, tumors, or an enlarged prostate).
- Long-term obstruction can lead to kidney damage.
### 6. **Recurrent or Chronic Infections**
- Conditions such as recurrent pyelonephritis or urinary tract infections can scar the kidneys.
### 7. **Drug-Induced Nephropathy**
- Chronic use of nephrotoxic medications, such as NSAIDs, certain antibiotics, or chemotherapy drugs.
### 8. **Autoimmune Diseases**
- Systemic conditions like **lupus nephritis** or vasculitis can lead to kidney inflammation and damage.
### 9. **Chronic Interstitial Nephritis**
- Long-term inflammation of the kidney interstitium, often caused by infections, medications, or toxins.
### 10. **Renovascular Disease**
- Narrowing of renal arteries (renal artery stenosis) reduces blood flow to the kidneys.
### Less Common Causes:
- **Multiple myeloma** or other malignancies.
- **Amyloidosis** (protein deposition in kidney tissue).
- Congenital abnormalities.
**Risk Factors** for CKD:
- Smoking.
- Obesity.
- Advanced age.
- Family history of CKD.
### Prevention and Early Detection:
- Control of blood sugar and blood pressure.
- Avoid nephrotoxic drugs.
- Regular screening in high-risk populations (e.g., diabetics, hypertensive patients).
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