2 doctors8 reviewsfrom 11 500 ₸ to 19 500 ₸
11 500 ₸
Klinicheskiy gospital «Zharqyn», pr. Zhasyl Dala, 92, Saryarkinsky district
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19 500 ₸22 000 ₸−11%
Profilnyy meditsinskiy tsentr «Enlik», ul. Alash-Batys, 146, Almatinsky district
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Reviewed by medical editorPortal Editorial TeamMedical editorial team
Overall rating3.5
8 reviews
5 reviews of 8
5 reviews of 8
Review of doctorIdrisov Askhat Nikolaevich
I came with test results that I couldn't make sense of myself. They sent me for an additional test the same day, and the result was reviewed on the spot. I will book a follow-up appointment.
Explains calmly and doesn't rush.
Review of doctorIskakova Gulnara Andreevna
I came after the local doctor threw up his hands. They immediately found the cause that no one had mentioned before. A month later, it became noticeably easier.
Explains calmly and doesn't rush.
The cost of the tests turned out to be higher than what was quoted over the phone.
Review of doctorIdrisov Askhat Nikolaevich
I was referred from work after a routine check-up, and I really didn't want to go. They reviewed the previous treatment plan and set out a new one week by week. The result came sooner than I expected.
The cost of the tests turned out to be higher than what I was told on the phone.
Review of doctorIdrisov Askhat Nikolaevich
I booked an appointment on a colleague's advice; before that I had been treating myself via the internet. We discussed what to expect from the treatment and how soon the result would be noticeable. The plan works, there are no side effects.
Review of doctorIskakova Gulnara Andreevna
I made an appointment after two months of unpleasant symptoms. We discussed what to expect from the treatment and how soon the result would be noticeable. It is too early to judge, but the approach inspires confidence.
The cost of the tests turned out to be higher than I was told on the phone.
Follow-up for chronic kidney disease in Astana is regular medical supervision of a patient with an already established diagnosis, aimed at monitoring kidney function and preventing complications. This format is needed by people with confirmed chronic kidney disease, as well as those who have risk factors. The doctor assesses the condition of the kidneys, monitors concomitant disorders, adjusts lifestyle and, if necessary, refers to relevant specialists.
Follow-up for chronic kidney disease is regular monitoring of kidney function by a nephrologist. It helps to notice changes in time and adjust the management approach.
Follow-up for chronic kidney disease gives the doctor and the patient a single picture of the kidneys' condition over time. The nephrologist assesses the glomerular filtration rate, creatinine level and urine parameters at each visit. The patient receives a clear explanation of how their kidney works and what affects its condition. The doctor sees whether the decline in function is accelerating or the process remains stable. This allows anaemia, disorders of phosphorus-calcium metabolism and arterial hypertension to be noticed in time. The patient, in turn, understands which everyday habits are reflected in the test results. Regular follow-up helps to maintain the usual rhythm of life and avoid emergency situations.
Follow-up for chronic kidney disease does not replace examinations that clarify the cause of kidney damage. It does not answer the question of which particular disease led to the change in function. For this, the nephrologist prescribes additional investigations: blood and urine tests, ultrasound examination, and in some cases a kidney biopsy. Follow-up will not show the condition of other organs and does not assess the work of the heart or liver. It does not determine how the disease will behave in the future, but only records current changes. Nor does it give ready-made instructions on nutrition and lifestyle without taking other data into account. Therefore, the results of follow-up are always considered together with the medical history and other examinations.
A consultation for chronic kidney disease is built around conversation, examination and review of existing test results. Below is a description of the stages a visit consists of and how long each of them takes.
Chronic kidney disease requires the doctor to become closely acquainted with the patient's history, so the consultation begins with a detailed conversation. The specialist clarifies when changes in the tests were first noticed and how the patient's wellbeing has changed over time. Then they study discharge summaries, the results of previous investigations and notes from other doctors, if the patient has them. This is followed by an examination: measuring blood pressure, assessing oedema and the condition of the skin, listening to the heart and lungs. Separately, the doctor clarifies what conditions and diseases the patient has besides kidney disease, as they affect the overall picture. Next, they compare the complaints, the examination findings and the test data to understand how stably the organ is functioning. At the end of the conversation, the patient receives a clear explanation of how the consultation proceeds and recommendations for further follow-up.
| Stage | What happens | How long it takes |
|---|---|---|
| Conversation | The doctor collects complaints and history | The main part of the visit |
| Review of documents | Looking through discharge summaries and previous tests | A few minutes |
| Examination | Blood pressure, oedema, heart, lungs | A short period of time |
| Discussion of the picture | Comparing complaints and results | A noticeable part of the consultation |
| Recommendations | Explanation of further follow-up | The closing minutes |
At the end of the visit, the patient is left with a written report reflecting the current state of the kidneys and the dynamics of the indicators. In it, the doctor records the main complaints, the examination findings and how they relate to previous data. A separate point is the plan for further follow-up: how often to come for a consultation and which investigations to undergo. The patient is explained which changes in wellbeing should be paid attention to first of all. The report also states which specialists should be consulted additionally, if necessary. If the person has other diseases, the doctor notes how they are related to kidney function and what this affects. A clear report helps the patient not to lose the thread of follow-up between visits and to notice changes in time.
Preparing for a visit to a nephrologist helps the doctor understand the condition of the kidneys more quickly and choose the further approach. Below is a summary of what to bring to the appointment, which documents will be useful and which actions only hinder the consultation.
Chronic kidney disease requires the patient to pay careful attention to their own condition and to gather information about it consistently. Write down how your well-being has changed over the past months: whether swelling, shortness of breath or weakness have appeared, whether the volume of urine has changed. Note when you first noticed these changes and whether you associate them with anything specific. Gather information about past illnesses, operations and which conditions occur in close relatives. Make a list of questions you want to ask the doctor so that you do not forget them during the conversation. Think about which everyday habits could have affected kidney function: drinking regime, diet, physical activity. It is better to keep notes in one notebook or file rather than on scattered sheets. Such preparation saves appointment time and makes the conversation with the doctor focused.
Monitoring for chronic kidney disease in Astana is carried out by nephrologists together with the polyclinic's physicians. This section explains which patients are prescribed such monitoring regularly and how often it is repeated.
Monitoring for chronic kidney disease is prescribed to patients with already confirmed reduced kidney function, as well as to people at high risk of such a decline. Most often this group includes people with diabetes mellitus, since elevated glucose levels over time damage the kidney glomeruli. Patients with arterial hypertension are monitored regularly, because persistently high blood pressure disrupts the blood supply to kidney tissue. The group includes people with recurring episodes of urolithiasis and with chronic inflammatory processes in the kidneys. Patients with a hereditary predisposition, whose close relatives had similar problems, are singled out separately. Indications for such monitoring often arise in people who take painkillers for a long time without a doctor's supervision. Urine tests, creatinine levels and the glomerular filtration rate in the blood help to notice the problem. The patient should keep all previous examination results so that the doctor can see the dynamics rather than a single snapshot of the condition.
| Situation | Is it done | Why |
|---|---|---|
| Confirmed reduced kidney function | Yes, regularly | It is necessary to monitor the dynamics of the indicators |
| Diabetes mellitus and high blood pressure together | Yes, regularly | The combination accelerates kidney damage |
| Exacerbation of infection or renal colic | Emergency care first | The acute condition is relieved first |
| A single abnormality in a urine test | Postponed | The result must first be rechecked |
| Severe concomitant disease | Postponed | Priority is given to treating the underlying condition |
The frequency of monitoring for chronic kidney disease is determined by the nephrologist according to the stage of the process and the rate of change in the indicators. In the early stages, it is enough to come for an appointment and have tests several times a year. With a pronounced decline in kidney function, visits become more frequent, and between them control blood and urine tests are added. Concomitant diseases are taken into account separately: with diabetes and hypertension, the rhythm of examinations is also set by their course. It is also influenced by how the patient themselves follows the doctor's recommendations and changes their lifestyle. If the indicators are stable, the intervals between visits are lengthened, and if they worsen, they are shortened again. Some of the control tests can be done at a laboratory near home and the results brought to the appointment. The exact schedule is always agreed with the attending physician, and not chosen independently based on how one feels.
In Astana, monitoring for chronic kidney disease is carried out by doctors at several medical centres, and you can find a suitable specialist through the portal's catalogue. Below is a summary of how many clinics and doctors are available, what criteria to compare them by, and what the facility card contains.
Monitoring for chronic kidney disease in Astana is represented in the portal's catalogue by four clinics, where two doctors provide appointments. These facilities are located in different districts of the city, so it is convenient to start your choice from the part of Astana that is easier to reach for regular visits. Both specialists are listed with a profile that allows you to understand in advance whether the doctor works with kidney diseases. The clinic cards contain information about the address, appointment schedule and available ways to book. The number of facilities in the catalogue is small, so it makes sense to look through all four options rather than stopping at the first one. The comparison will take a little time, but it will let you see where the appointment conditions match your circumstances. For a patient requiring long-term monitoring, it is important that the clinic is located near home or work and offers appointments at convenient hours. This approach saves energy during regular visits and makes monitoring more consistent.
The clinic card on the portal brings together information that makes it convenient to compare facilities before booking. It shows the exact address with landmarks so that you can assess the journey and travel time in advance. The doctors providing appointments are listed separately, with their profile and specialisation in kidney diseases. The schedule shows the days and hours of work, as well as the procedure for booking a consultation. The reviews section gathers patients' impressions, and from them you can see how the appointment and communication with the doctor are organised. The information in the card should be read in order: first the address and schedule, then the doctors, then the reviews. This way you will filter out unsuitable options and keep those that match your circumstances. It is useful to write down your questions about monitoring and ask them at the appointment so that the visit is informative.
This section explains how to choose a convenient time and submit a request for follow-up for chronic kidney disease, as well as what happens after it is sent. It describes the booking steps, what the portal does, and a list of what to prepare in advance.
A request for follow-up for chronic kidney disease in Astana is made via a short form, where it is enough to provide your name and phone number. First, choose a convenient day and time from the available options in the schedule, so that you do not have to adjust your plans to someone else's timetable. Then enter your name as it appears in your documents, and the phone number at which you will be contacted. Registration on the portal is not required, so there is no need to create a separate account and password. After the form is submitted, the request is sent for processing, and confirmation arrives as a message to the specified number. If the number was entered incorrectly, the message will not arrive, and the booking will have to be made again. Save the confirmation text until the visit, so that you can quickly check the date and time if necessary.
| Step | What the portal does | What the patient should do |
|---|---|---|
| Submitting the form | Accepts the name and phone number | Check the entered data |
| Processing | Passes the request for approval | Stay in touch |
| Confirmation | Sends a message with the details | Read the message |
| Time verification | Records the selected interval | Check the date and time |
| Visit | Passes the data to the specialist | Arrive at the appointed time |
A conversation about follow-up for chronic kidney disease in Astana comes down to a simple idea: it is a long-term process, not a one-off consultation. Below is what is worth keeping in mind once the decision has already been made.
Follow-up for chronic kidney disease in Astana rests on regularity, not on the intensity of individual visits. A missed appointment does not hurt and is not noticeable straight away, so it is easy to put off until better times. Meanwhile, the kidneys give no signals for a long time, and changes accumulate unnoticed by how you feel. That is precisely why the schedule of check-ups and tests matters more than how you feel on a particular day. With this kind of follow-up, the doctor looks not at a single figure but at a line over time. One value outside the normal range says nothing yet, while a sustained trend says a great deal. Hence the practical conclusion: keep the records of previous examinations to hand and bring them to every appointment. That way the decision rests on facts, not on memory and guesswork.
The portal does not provide medical services and does not replace a consultation with a doctor. The information on condition pages is for reference only.
| Doctor | Initial consultation | Follow-up | Online |
|---|---|---|---|
| Iskakova Gulnara Andreevna | 11 500 ₸ | 8 500 ₸ | 7 000 ₸ |
| Idrisov Askhat Nikolaevich | 19 500 ₸ | 14 000 ₸ | 12 000 ₸ |
Monitoring in chronic kidney disease: Nephrologist. The consultation price and available times are shown on each doctor’s card.