Explosive pectoral muscles and eight pack abdominal muscles, do you want it? Do you envy the mermaid line, vest line and kirin arm? Bye bye to the meat and belly, do you want to lose all of them?
In recent years, whether it is brisk walking, marathon, dynamic bicycle or squat, even going to the gym to "check in" has become a fashion. In the social atmosphere of "sissy walk away and tough guys are the way", more and more people have joined the ranks of sports "check in", and showing off their steps on WeChat and showing off their muscles in photos... The mentality of comparing is even higher.
In order to have a proud figure and a strong body in a short period of time, everyone always encourages themselves to persevere when exercising, so that the muscles feel "explosive". To put it bluntly, it is necessary to challenge the limit of muscle strength and quickly shape the body. But do you know that this behavior of constantly challenging the "bottom line" is very likely to cause hidden dangers to your kidneys?
24-year-old Li Yan (pseudonym) started exercising a year ago and went to the gym to run and barbell on time every day. However, it was interrupted for three months due to going to sea some time ago. After returning, in order to make up for the previously missing exercise, he "dived into the gym" for vigorous exercise for 6 hours a day.
But just after working out today, I suddenly found that my urine was soy sauce-colored, and my body began to feel sore, and my back pain was even more serious. When I came to the hospital for examination, the creatine kinase was more than 200 times higher than that of ordinary people. myoglobin is so high that it cannot be measured. urine protein 3+ means that kidney damage has occurred, and all of this is caused by rhabdomyolysis .
The "pot" of "rhabdite dissolution" is the "scarce" caused by exercise?
The public must be familiar with the word "rhabdomasolysis". In the past few years, it has often been "touched" with crayfish. Therefore, many people believe that "rhabdomasolysis" is a disease caused by eating, but in fact, there are as many as hundreds of causes of rhabdomasolysis, and eating crayfish is only one of the small factors.
Professor Li Qing, director of the Department of Nephrology at Tianjin Teda Hospital, , said that excessive exercise, muscle squeeze injuries account for the vast majority in clinical practice. For example, the media reported that "3 hours of running at night and 300 sit-ups caused renal failure", and death after earthquake squeeze and beating are the case.
In addition, due to heatstroke, high fever, burns, long-term low temperatures; drugs, hypoxia, ischemia, large-scale drinking, and severe infections, all have had hysterostomy of striatum lysis.
Once these symptoms occur, they are all signs of rhabdomyolysis
Li Qing introduced that rhabdomyosoft muscle is also called skeletal muscle , which is what we often call muscle. Rhabdomyolysis refers to the widespread damage and rupture of skeletal muscle cells in various reasons, and a large amount of myoglobin in the cells is released into the blood.
After myolysis occurs, it mainly manifests as acute muscle pain, muscle spasm and edema, and a "watering feeling" when touching the muscles. The symptoms of the whole body include nausea, vomiting, soy sauce urination, and even hematuria in the naked eye , etc.
was sent to the hospital for examination and examination. It was obvious that myoglobin and creatine kinase in the blood were significantly increased. If creatine kinase exceeds 5 times, it has diagnostic value; blood creatinine , urea nitrogen, blood potassium, blood uric acid , blood phosphorus, etc. are progressively increased.
Muscle dissolution Be careful to cause renal failure?
According to statistics, 10%-40% of severe rhabdomyolysis will cause acute renal failure. Li Qing introduced that this is because after myocytes are damaged, a large amount of myoglobin in the cells is released into the blood and flows to the kidneys with the blood circulation, blocking the renal tubules like impurities blocking the "floor drain", causing acute renal tubules of , , acute renal failure, oligouria and even anuria. A large amount of potassium ions in myocytes are also released into the blood, causing hyperkalemia .
At the same time, when excessive exercise is over-distributed, a large amount of blood is supplied to muscles, causing kidney blood vessels to contract; exercise is accompanied by a lot of sweating, resulting in a decrease in blood volume, the kidneys are in a state of ischemia, and the kidneys are inadequate perfusion, which further aggravates kidney damage and leads to acute renal failure.
Acute heart failure induced by acute renal failure and hyperkalemia are common causes of death in rhabdomyolysis.
What should I do if rhabdomyolysis occurs?
Although "rhabdomasolysis" sounds terrible, Li Qing pointed out that under normal circumstances, rhabdomasolysis caused by exercise can be cured after treatment such as a large amount of fluid replenishment, infection control, alkalizing urine, etc.
It should be noted that it is a good phenomenon to have a sense of fitness, but do not rush to "form" and blindly increase the intensity of exercise, or blindly conduct training for a certain event, but do not understand its exercise rules, which is unscientific and systematic, so the problems brought by exercise are becoming more and more prominent, and failure to exercise will harm health.
Li Qing suggested that dehydration during exercise is the cause of rhabdomyolysis. Therefore, you must fully replenish water during exercise and maintain sufficient urine volume.
Try to avoid high-intensity training under direct sunlight or in hot and humid environments; try not to exercise vigorously after having a cold or taking cold medicine; do not exercise vigorously after drinking.
Early detection, early diagnosis, early treatment. After strenuous exercises such as marathons or long-distance running, it is best to have a physical examination.
