Yangzi Evening News reported on March 3 (Correspondent Sun Hui Reporter Wan Lingyun) 27-year-old Tan Ying (pseudonym), was recently taken to the gym by her best friend, and the two of them vowed to practice the vest line. After practicing the cycling program on the first day, Tan Ying was sore all over. Two days later, she found that the color of her urine was as dark as thick tea. She was so scared that she hurried to Zhenjiang Jiangda Affiliated Hospital (also known as Jiangbin Hospital).
htmlOn March 3, the hospital told reporters that after Tan Ying was admitted to the hospital, all indicators were red all the way, especially the creatine kinase was greater than 80,000, which exceeded the standard by hundreds of times! In the end, the doctor diagnosed that Tan Ying was suffering from "rhabdomasolysis" and had acute kidney injury, which almost needed blood purification treatment. "Fortunately, I went to the hospital in time. After active hydration and alkalization and volume expansion treatment, the urine volume increased and the urine color returned to normal. At present, the renal function and muscle enzyme spectrum are also gradually recovering."
Director He (right) ward rounds
Do not exercise too crazy. Learn about rhabdomyolysis
If you are an exercise expert or have a fitness plan, then you must understand "rhabdomyolysis". Rhabdomyolysis is not a physical “dissolved” muscle, but a clinical syndrome in which the rhabdomyopathy is damaged and disintegrated due to squeeze, exercise, high fever, drugs, inflammation and other reasons, causing components in myocytes such as creatine kinase and myoglobin to enter the extracellular fluid and blood circulation, causing internal environmental disorders and tissue and organ damage such as acute renal failure.
Yu Shu, deputy chief physician of the Department of Nephrology at Jiangda Affiliated Hospital, introduced that the hospital treats several patients with rhabdomyolysis caused by excessive exercise every month. "Many patients do not exercise much and start to exercise on a whim. This sudden high-intensity exercise will cause a large amount of myoglobin in the muscles to enter the blood, block the renal tubules when excreted through the kidneys, causing acute renal injury. In severe cases, hemodialysis treatment is even required."
Clinically, more than half of the "rrabdomyolysis patients" are caused by improper exercise, such as fitness workers, students who take the long-distance running exam at a surprise, etc. Yu Shu said: "There are many cases similar to Tan Ying. Last week, we admitted a young man. He was very excited after applying for a fitness card. He practiced wildly on the elliptical machine for a long time on the first day. After arriving at home, he felt sore all over and could not get out of bed and walk the next day, and he had brown urine. After coming to the hospital, he was diagnosed with rhabdomyolysis. "
"If muscle pain, fatigue, swelling occurs after exercise, general discomfort, dizziness, nausea, vomiting, brown urine, reduced urine volume or even no urine, you should seek medical treatment in time, and do not delay the time!"
Yu Shu reminds that exercise is a gradual process, and you cannot suddenly perform high-intensity exercise on a whim. When exercising in the gym, you should find a professional coach with professional qualification certificates and formulate a scientific and standardized fitness plan.
Check results
is not just exercise, squeezing, trauma, drugs, etc. can also cause diseases
It is not just that improper exercise will lead to "rhabdomyolysis"! He Jianqiang, director of the hospital's nephrology department, told reporters that there are many causes of the disease, including squeeze, trauma, drugs, infections, etc.
Clinically, in addition to excessive exercise, the most common cause is drugs, and the most typical one is statins. For example, common lipid-lowering drugs: atorvastatin, simvastatin, pravastatin, etc.; in addition, there are fibrate drugs, anti-infection quinolones, etc. If you experience symptoms such as muscle soreness, brown urine, etc. after taking this type of medicine, you should seek medical treatment in time.
rhabdomyolysis caused by squeezing and trauma is more common in natural disasters such as earthquakes and landslides. There are also some special cases in clinical practice. Director He said, "There was a patient who was stunned when his elder died, and then fell ill after kneeling for a long time."
Speaking of "rhabdomasolysis", the "crawfish" that must be mentioned
Every year when it comes to the "lobster season", there will be news related to "gluttonycephala crayfish suffering from rhabdomasolysis". Is crayfish also a pathogenic factor of rhabdomyolysis?
Director He explained that "rhabdomycolysis" occurs within 24 hours of eating fish products, which is called "Haf's disease".The disease was first discovered in the Konisburg area along the Baltic Sea coast of Germany in 1924. Some people who eat salmon and lobster. Typical symptoms are muscle pain, weakness, difficulty breathing, nausea and vomiting, brown urine, etc. The pathogenic factors are not yet clear, and it is currently believed that the waters where the fish and shrimp are located may be contaminated by some kind of virus or bacteria. "In other words, crayfish only acts as a carrier of some toxin, not the real culprit."
Summer is coming, and Director He reminds everyone not to prey on crayfish in contaminated waters; when eating crayfish, choose a restaurant with complete licenses and licenses. Although crayfish is delicious, it should not be overdose, especially do not eat "meal" crayfish.
"If you experience whole body or local muscle aches within 24 hours after consumption, you should seek medical treatment in time!" Director He specifically reminded.
proofreading Xu Heng
Source: Ziniu News
