text/Yangcheng Evening News All-Media Reporter Zhang Hua Photo/Yangcheng Evening News Data Picture
Chronic kidney disease is poorly controlled and will eventually develop into uremia . dialysis or kidney transplant is required to replace kidney function. However, it is surprising that 60% of the causes of death in patients with renal failure are actually cardiovascular disease.
Recently, Professor Chen Wei, director of the Department of Nephrology at , the First Affiliated Hospital of Sun Yat-sen University, pointed out in an interview with reporters that data shows that at least one of every 3 patients with chronic kidney disease in my country suffers from cardiovascular disease, and 60% of the final cause of death in patients with renal failure is cardiovascular disease. Therefore, patients with chronic kidney disease are reminded to control the risk factors of cardiovascular disease as soon as possible.
Not waiting for dialysis, patients with chronic kidney disease died of cardiovascular disease
At present, there are as many as 132 million patients with chronic kidney disease in my country. Chen Wei said, "The national epidemiological survey data shows that the prevalence of chronic kidney disease in my country reaches 10.8%. However, the public's awareness of chronic kidney disease is very low. A few years ago, the results of the epidemiological survey conducted by the team of the first hospital of Zhongshan, Zhongshan, showed that patients' awareness of chronic kidney disease is less than 20%. In other words, during the epidemiological survey, urine test and kidney function test were passed was diagnosed with chronic kidney disease, but less than 20% of the patients had known before that they had chronic kidney disease. The prevalence of chronic kidney disease is high, the awareness rate is low, and the medical expenses of the disease are high. This chronic disease is very harmful. "
The harm lies in the low awareness rate. If the patient cannot identify it early, early intervention and treatment will be given, and the condition will continue to progress, and the renal function will deteriorate progressively, and it will enter the end-stage renal disease stage. It is necessary to undergo dialysis or kidney transplantation to replace kidney function.
Professor Chen Wei said that another fact that our doctors also regret is that many patients with chronic kidney disease died of acute myocardial infarction, heart failure and and other causes before they waited for dialysis. According to statistics, cardiovascular disease ranks first among the comorbidities of patients with chronic kidney disease. 60% of patients with chronic kidney disease are also cardiovascular diseases.
urine test every year + kidney function can early detection of kidney disease
is different from the incidence of chronic kidney disease in Europe and the United States. The proportion of chronic kidney disease in my country is higher in the early stages, so there is still a large "window period" for treatment. If early patients can be screened out and actively intervened, then these patients can have a good survival period.
So, how can we detect kidney disease early?
Professor Li Guisen, member of the Standing Committee of the Nephrology Branch of the Chinese Medical Association and Director of the Department of Nephrology at Sichuan Provincial People's Hospital, pointed out that the early symptoms of chronic kidney disease are not obvious and the diagnosis rate is very low. Only 1 out of 8 patients knew that they had kidney disease. In the early stage of chronic kidney disease, only a small number of people will experience symptoms such as edema, changes in urine volume, hematuria of the naked eye, , anemia, and increased blood pressure. Therefore, it is recommended to routinely test urinary albumin creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) during adult physical examinations every year. Especially for people with high-risk chronic kidney disease, in order to better prevent chronic kidney disease, UACR and eGFR tests are performed at least once or twice a year.
It is worth noting that in clinical practice, we will also encounter young people in their twenties. Due to fatigue or exercise, they will find that their kidney function has reached the uremia stage after being exhausted or exercise. This shows that these children have progressed with chronic kidney disease without knowing it and have been combined with cardiovascular disease. "This situation is not uncommon now," said Professor Chen Wei.
Patients with chronic kidney disease should pay attention to the cardiovascular condition as early as possible
Patients are diagnosed with chronic kidney disease in the early stage, such as nephritis , which has no complications and comorbidities, and should pay great attention to it before cardiovascular disease or diabetes , and should be standardized in the specialist as soon as possible; and if clues of cardiovascular disease occur during the diagnosis and treatment, multiple disciplines should be coordinated to treat it together and provide effective intervention as soon as possible.
According to reports, more than one-third of patients with chronic kidney disease currently have cardiovascular disease, and chronic kidney disease and diabetes are also closely related. With the rapid improvement of social and economic levels and the changes in people's lifestyles, the prevalence of diabetes in my country has increased significantly. Diabetes has also become one of the main causes of chronic kidney disease in hospitalized patients in my country and should receive high attention from the public.
Therefore, Professor Chen Wei pointed out that in clinical practice, the three major diseases of diabetes, cardiovascular disease and chronic kidney disease have become very common. Patients should be conscious and cannot only focus on one aspect; for medical workers, they will also pay special attention to the impact of chronic diseases on all important target organs in the body during the diagnosis and treatment process, take the patient as a whole, inform the patients of systemic injuries that may be caused by the disease, and aim to carry out multidisciplinary collaborations such as nephrology, cardiology, and endocrinology to jointly improve the co-effect outcomes of sugar-cardiorenal diseases and formulate individualized and whole-course management plans for patients. In short, the prevention and control of chronic diseases requires both doctors and patients to have a holistic view and awareness of comprehensive prevention and control.
Notes on daily life of patients with chronic kidney disease
1. The core of dietary care plan for patients with chronic kidney disease lies in the "three highs and four lows", namely high calorie, high protein, high calcium and low phosphorus, low salt, low potassium, and low fat. Eat more fresh vegetables and fruits, and supplement necessary vitamins and folic acid . Professor Li Guisen pointed out that patients with chronic kidney disease have a low-salt diet, and control their salt intake every day to within 5 grams. At present, the general population in my country generally consumes too much salt. We can determine salt intake through a 24-hour urine test. The second is low-fat diet to reduce the risk of cardiovascular events; the third is to limit the intake of protein . The so-called high protein refers to high-quality protein, but the total amount of protein needs to be limited. Because when renal function decreases, a large amount of protein intake will increase the burden on the kidneys and accelerate the deterioration of renal function. The specific intake of protein needs to be considered based on the patient's renal function status, the blood albumin level, and the patient's weight. The fourth is a low-potassium diet, and eat less potassium-rich foods such as mangoes, coconuts, and bananas. Specific nutrition management plans need to be formulated by professional physicians based on the specific circumstances of each patient.
2. Drink water scientifically and reasonably for chronic kidney disease. Drinking water in a large amount of water in a short period of time is also a burden on the kidneys, and it is also prone to water poisoning in ;
3. Patients with chronic kidney disease who have diabetes and cardiovascular diseases should not smoke, exercise appropriately, take medicine on time and sufficiently, and maintain a good attitude. They should also pay attention to blood pressure, heart rate, blood lipids, , blood sugar and other controls. (For more news, please follow Yangchengpai pai.ycwb.com)
source | Yangcheng Evening News·Yangchengpai
Editor | Wang Moyi
