CRITICAL APPROACH TO THE ALTERNATIVE TREATMENT OF CHRONIC KIDNEY DISEASE IN DOGS AND CATS

Chronic kidney disease (CKD) is common in dogs and cats and can occur at any age, especially in geriatric animals. The variable presentations of the disease and their different hemodynamic and metabolic alterations are issues of profound research. Currently clinicians progress in the comprehensive management of chronic kidney disease to decrease the progression and clinical symptoms of the disease and now there are numerous novel methods that also were proposed to slow the progression of the disease, with the possibility of use in non-referral center. The objective of this critical approach is to provide an overview of the comprehensive treatment of chronic kidney disease, expose new treatments that could improve the intervention of dogs and cats with chronic kidney disease and reassess the usefulness of some existing drugs. Key words: chronic kidney disease; cardiorenal syndrome; glomerulonephritis; dog; cat   KRITIAŒEN PRISTOP K ALTERNATIVNI OBRAVNAVI KRONIAŒNE ODPOVEDI LEDVIC PSOV IN MAAŒK  KroniAna odpoved ledvic (CKD – iz angl. chronic kidney disease) se pogosto pojavlja pri psih in maAkah katerekoli starosti, pogostejAia je pri starih pacientih. Z razliAnimi oblikami bolezni in njihovimi raznolikimi hemodinamskimi in presnovnimi razliAicami se ukvarja veliko raziskav. Trenutno izboljAianje celostnega zdravljenja kroniAne odpovedi ledvic se osredotoAa na upoAasnitev napredovanja kliniAnih simptomov bolezni, obstaja pa vedno veA novih metod za ta naAin zdravljenja v nereferenAnih centrih. Cilj predlaganega kritiAnega pristopa je zagotoviti celovito obravnavo kroniAne odpovedi ledvic ter izpostaviti nove naAine zdravljenja, ki bi lahko izboljAiali poseganje v zdravje psov in maAk s kroniAno odpovedjo ledvic in ponovno oceno uporabnosti nekaterih obstojeAih zdravil. KlljuAne besede: kroniAna odpoved ledvic; kardiorenalni sindrom; glomerulonefritis; pes; maAka