Monday, June 22, 2020

Why is kidney disease called "chronic killer"?

Chronic kidney disease has become a "chronic killer" that threatens human health. Not only is the prevalence increasing, but also the dialysis needs, cardio-cerebrovascular complications and deaths caused by its continued progress have soared year by year. Early detection and early intervention are the key to treating chronic kidney disease, delaying the deterioration of renal function and reducing the poor prognosis.

How to detect chronic kidney disease early?

Chronic kidney disease can be diagnosed as long as kidney damage persists for 3 months or more. Abnormal hematuria, proteinuria, and renal function indicators (such as blood creatinine level) are the most common manifestations of "kidney injury." However, these abnormalities are often hidden in the early stage, and patients may not have any conscious symptoms, which needs to be improved in daily life. Be alert, especially for high-risk groups.

First of all, we must pay full attention to regular health checks

A considerable number of patients with kidney disease are found through regular health examinations, so they should pay enough attention to regularly pay attention to their urine routine and renal function. In patients with hypertension and diabetes for more than 5 years, the risk of kidney damage will greatly increase, and the frequency of examinations should increase accordingly. Of course, a single urine routine may also be affected by factors such as exercise and infection. The judgment of the result must be closely combined with the patient's clinical situation, and if necessary, periodic review should be given to prevent missed diagnosis and misdiagnosis.

Second, find suspicious signs of chronic kidney disease in time

In the morning, double eyelid edema, lower extremity edema, increased urine foam (especially those who do not subside for a long time), increased nocturia, and increased blood pressure often indicate the possibility of chronic kidney disease. Seek medical treatment as soon as possible.

Third, strengthen the evaluation of kidney conditions in high-risk groups.

A family history of kidney disease, chronic tonsillitis, obesity, hypertension, and diabetes are all high-risk factors for chronic kidney disease. In addition to routine urine tests and renal function tests, such patients should also consider more sensitive and more accurate indicators such as urine microalbumin, urine albumin/creatinine ratio, etc. It is important to find kidney damage.

What means can control and delay the progression of the disease?

Limit salt intake. Excessive salt intake can not only make blood pressure difficult to control, but also high salt diet itself can damage the kidney filter membrane, resulting in increased proteinuria. Avoid high-protein diets, especially patients with large amounts of urine protein.

When entering the stage of renal insufficiency, a low-quality protein diet should be started. The daily protein intake is 0.6 to 0.8 g/kg, mainly animal protein, and the compound α-keto acid preparation can be taken at the same time.

Actively control blood pressure, try to control below 130/80mmHg.

Reduce proteinuria: In addition to the above-mentioned diet control and blood pressure lowering, you need to go to a medical institution and a professional doctor will judge whether special medical treatment is needed according to the overall situation.

Actively control diabetes and correct dyslipidemia.

The kidneys of patients with chronic kidney disease are relatively fragile. Once they are hit, their kidney function can turn sharply down. It is also very important to avoid nephrotoxic factors during the course of the disease, especially nephrotoxic drugs. Regardless of Chinese medicine or Western medicine, please go to a professional hospital to avoid unauthorized drug abuse to aggravate the progress of renal function.

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