Do you yearn for the beauty of power displayed by Olympic athletes on the field? Do you envy the good figure of handsome men and beautiful women on the screen? Or, did you suddenly realize that the fitness card that has only been used several times is about to expire, and you are eager to make the best use of it? Slowly, before you step onto the track, walk onto the court, and dive into the pool, let's talk about rhabdomyolysis first.
What is rhabdomyolysis?
To understand this problem, let’s first look at what radicularis is. The muscle tissues of the human body include smooth muscle, skeletal muscle, and myocardium, and the latter two are collectively called radial muscle.
Rrabdomyolysis refers to a group of clinical syndromes in which rhabdomyolysis myocytes are destroyed and disintegrated, which causes creatine kinase, myoglobin and other intracellular components into the blood circulation, causing environmental disorders in the human body and even acute renal failure.
Although we don’t often hear about it on weekdays, in fact, the mortality rate of rhabdomyolysis is as high as 8%-18%, and when combined with kidney damage, the mortality rate will further increase. Therefore, it is indeed a disease worthy of our attention. What are the triggering factors of
?
has many factors that induce rhabdomyolysis, including certain physical factors, such as heavy pressure on the limbs in earthquakes and other disasters, high-intensity physical exercise, and high-temperature and humid working environments, etc.; it also includes other non-physical factors, such as certain lipid-lowering drugs, poisons such as shrimp powder, infections caused by influenza viruses or pneumococcal bacteria.
In recent years, with the rise of the national fitness boom, more and more people are actively engaged in physical exercise, pursuing a healthy body, and agile fitness is worthy of recognition, but they are too hasty and are looking forward to quickly obtaining the "vard line" through excessive training in the short term, which is a "thunder stepping on" behavior that does not consider their own health. Nowadays, news about high-intensity exercise induces rhabdomyolysis is common and should be taken seriously.
How to identify exercise rhabdomyolysis
The following types of people should be especially careful about exercise rhabdomyolysis:
(1) People who do not exercise regularly and suddenly perform high-intensity exercise
(2) People who participate in heavy physical labor and excessive physical training in harsh environments such as high temperature and heat
(3) Professionals who engage in high-intensity exercise such as marathon, weightlifting, bodybuilding, etc.
Three major manifestations of identifying exercise rhabdomyolysis as soon as possible, you can! After exercise, if the following symptoms appear, you should be alert to the occurrence of rhabdomyolysis:
(1) Local symptoms: pain, swelling, tenderness, muscle weakness in the affected muscle group
(2) General discomfort: fatigue, fever, tachycardia, nausea, vomiting, etc.
(3) Related manifestations of kidney damage: soy sauce urine (myosmoglobinuria), urine pigment tube type, oliguria, anuria and nitrogen retention.
To summarize, remember "myalgia, fatigue, soy sauce urine", these are the three typical manifestations of rhabdomyolysis.
If you consider that you have exercise rhabdomyolysis, seek medical treatment in time and do not panic. Clinically, the treatment of motor rhabdomyolysis can be summarized into the following six aspects:
(1) Rest in bed, avoiding muscle activity and pressure, and get out of the high-temperature and hot environment
(2) Monitoring the patient's vital signs and fluid inlet and out
(3) Fully rehydrate treatment
(4) Moderate alkalizing of urine
(5) Blood purification treatment if necessary
(6) Treatment of complications such as complications such as
Scientific exercise, stay away from rhabdomyolysis, and do not forget the four principles:
(1) Exercise appropriately, proceed step by step, take a small goal a day, take it slowly
(2) Exercise in a comfortable and pleasant environment to avoid high temperature and heat
(3) When exercising, supplement water, electrolytes and vitamins in a small amount and timely manner, and
(4) If you have any discomfort during and after exercise, seek medical attention in time, don’t be careless
Author: Tang Cheng Resident
review of the emergency department base of Zhongshan Hospital Affiliated to Fudan University: Yu Qing Associate Chief Physician of the Rehabilitation Department of Zhongshan Hospital Affiliated to Fudan University