Kidney, one of the busiest organs in the body. In addition to completing tasks such as excretion of metabolic wastes and production of urine, we also have to face various questions from the outside world, such as:
Increase in urine and urine, is it a bad kidney?
The color of urine turns yellow, is it because of kidney problems?
I often have backache and back pain. Is it a bad kidney?
......
" In fact, the kidneys are not as'fragile' as everyone thinks. " said Liang Qian, an expert in the Department of Nephrology at the Kangdafu International Hospital and a medical doctor of Xiangya Medical College." Strong15strong 90% of low back pain has nothing to do with the kidneys, but if you have kidney disease, there will be no obvious symptoms in the early stage. Some people who usually feel healthy, but have found severe kidney disease," Dr. Liang said: "I once encountered a pity uremia patient, a very young girl."
The following case is Orally by Dr. Liang Qian.
A 25-year-old graduate student found 2 "+"s in urine protein, let it go, check it after half a year, creatinine is close to 800
girl, 25 years old, tall and thin, Very quiet and delicate, I got admitted to a good job shortly after I graduated from graduate school.
It was more than half a year since I started working when I became ill.
At first, I went to the hospital because of poor appetite and lack of energy. After screening, I found that my creatinine was high, and then I came to the nephrology department.
When I first saw this girl, I faintly felt bad, because apart from the lack of energy, her skin was paler and bloodless.
But the results after a series of inspections still surprised me.Creatinine is close to 800, far exceeding the target! Generally speaking, it is normally below 114umol/L, and most of the thinner girls like her are in their eighties or nineties.
She was diagnosed with uremia.
Note: The picture has nothing to do with the case
According to the condition, the next step is to arrange dialysis.
25 years old, at the same age as a flower, why did you progress to uremia? Regrettably, I further asked about the medical history.
It turned out that half a year ago, when this girl had an entrance medical examination, the urine routine was already abnormal, and there were 2 "+" urine proteins, but because she didn't feel uncomfortable and her age I always thought that there would be no serious illness, so I didn’t take the proteinuria to my heart, and did not perform further examinations, until later symptoms appeared, fatigue and loss of appetite became more and more serious. go to hospital. Unfortunately, the condition is not optimistic at this time.
For this, I don't know how much I sighed, but if you come early and check the cause of proteinuria during the physical examination, the result will not be the same.
Fortunately, she is still relatively lucky. After several dialysis sessions, her mother was successfully matched with her and transplanted a kidney to her. After the operation, she recovered well. In the future, as long as she insists on taking anti-elimination drugs, her life is normal. There is not much difference between people.
The kidney is a strong and hard-bearing organ. More than 90% of low back pain and backache have nothing to do with it.
The kidney is an important organ of our body. The side kidneys can work normally and can maintain the body's normal metabolism every day, and the two kidneys are the body's double insurance.
As part of the urinary system, the kidneys can not only purify the blood and excrete urine, but also regulate water, electrolyte, acid-base balance, and have certain endocrine functions.
Simply understand that the kidney is the "purification factory" of our body.
At the same time,The kidney also has a strong compensatory ability. When the kidney is damaged by more than 50%, the remaining kidney tissue can still maintain the normal physiological functions of the human body through compensation for a period of time. When the kidney continues to be damaged, the metabolic waste in the human body will be reduced. If it is not excreted, it will directly threaten life.
It is precisely because of this that, in the eyes of doctors, the kidney is a hard-working "dumb" organ. In the initial stage of damage, there is generally no obvious dysfunction and discomfort. Once the patient's body has alarm signals such as edema, nausea, and general fatigue, the kidneys often have lost more than half of their functions, and some are diagnosed in the middle and late stages, or even uremia.
In the outpatient clinic, Dr. Liang often encounters some patients who come to see a doctor because of backache and back pain, but only less than 10% of the patients have backache and back pain related to kidney disease, such as pyelonephritis and kidney stones. And relatively large kidney cysts.
The remaining more than 90% of patients have nothing to do with the kidneys after examination. More reasons may be the lumbar disease itself, such as lumbar disc herniation, or lumbar muscle damage.
Therefore, Dr. Liang reminds everyone that according to the location of the lesion, the first consultation department for most back pain and back pain should be the orthopedics or pain department.
1 out of 10 people has a bad kidney. Keep in mind 3 red flags
According to statistics, the prevalence of chronic kidney disease is 10.8%, almost One out of every 10 people is a patient with chronic kidney disease.
But unfortunately, the awareness rate of people with chronic kidney disease is very low, only about 10%. Most patients learn that they have chronic kidney disease only during physical examinations, and it is often too late for some patients to see a doctor when they develop symptoms.
Early detection is of great significance to patients with chronic kidney disease, but most people judge whether their kidneys are good or not through low back pain and increased urine.
is actually incorrect.
Dr. Liang believes that when the kidney is not good, the truly representative red flags should be the following three.
1. Edema,When I wake up in the morning, I find that my eyelids and lower limbs are swollen. When I press a pit, we should first consider kidney problems.
2. Foam urine, which appears as dense small bubbles, and will not disappear for a long time. Increased proteinuria is one of the criteria for diagnosing nephropathy.
3. Hematuria, if there are a large number of red blood cells in the urine, the urine will appear red.
Insidious nephropathy, 3 high-risk groups, screening every 3 to 6 months
Insidious onset of chronic kidney disease, long-term asymptomatic stage, high risk of developing end-stage renal disease.
However, if the disease can be detected and treated early, the condition can actually be well controlled and even reversed. Therefore, everyone should pay attention to the screening of kidney disease.
"In China, chronic nephritis is the main cause of chronic kidney disease, and urinary routine is the earliest examination method that can detect chronic nephritis." Dr. Liang believes that coupled with the urinary system B ultrasound, it is absolutely impossible. Most kidney diseases have nowhere to hide.
She suggested that everyone should pay attention to the annual physical examination, not to miss the urine routine and kidney B ultrasound, and the high-risk population should be screened every 3 to 6 months.
high-risk population
1. People with a family history of kidney disease;
2. People with basic diseases such as high blood pressure, high blood lipids, high uric acid, diabetes, and obesity;
3. People who hold urine at ordinary times People who drink less water, stay up late, and have bad habits.
Finally, Dr. Liang also reminded everyone that living habits have a great influence on the kidneys. Eating too salty, too greasy, and taking drugs indiscriminately will increase the burden on the kidneys.Should be avoided as much as possible.
References:
Shanghai Chronic Kidney Disease Early Detection and Standardized Diagnosis, Treatment and Demonstration Project Expert Group, Gao Xiang, Mei Changlin. Guidelines for Screening, Diagnosis and Prevention of Chronic Kidney Disease[J]. Chinese Journal of Practical Internal Medicine ( 1): 33-39.
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