內容目錄
Today (March 10) is the 17th World Kidney Day. On March 9th, Luo Qun, director of the Nephrology Center of Ningbo Huamei Hospital (Ningbo Second Hospital), University of Chinese Academy of Sciences, and chairman of the Ningbo Medical Association Nephrology Branch, visited the live broadcast room of the Yongshang Famous Medical University Lecture Hall and shared with you how to protect the kidneys healthy.
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The kidneys filter a tub of blood every day
Produces about 1.5 liters of urine
Director Luo introduced that the kidney is a very important organ of the human body. It can remove excess water, filter the blood, eliminate metabolic waste, and form urine to be excreted from the body.
In order to maintain the stability of the body’s internal environment, the kidneys filter up to 180 liters of blood every day. After being reabsorbed and concentrated by the renal tubules, about 1.5 liters of urine is generated and excreted.
The kidney also has an endocrine function, which can secrete erythropoietin to promote the synthesis of hemoglobin; generate active vitamin D to maintain the normal structure and function of bones; it can also secrete vasoactive substances, which play a role in the regulation of blood pressure important role.
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1 in 10 people may have the disease
Awareness is low
chronic kidney disease The incidence is increasing and it has become a global public health problem.
Director Luo mentioned two sets of figures: one is that the prevalence of chronic kidney disease in my country is 10.8%, which means that 1 in 10 people may have chronic kidney disease; the other is chronic kidney disease. The awareness rate of kidney disease is very low, only 12.5%.
The picture has nothing to do with the picture, the source of the picture: Baotu.com
Chronic kidney disease refers to kidney damage , such as hematuria, proteinuria, changes in kidney size and shape, etc., for more than 3 months; or glomerular filtration rate <60ml/min, for more than 3 months.
Director Luo introduced: Due to the extremely powerful compensatory function of the kidneys, even if the function has lost more than 50%, some patients with chronic kidney disease may still have no symptoms or mild symptoms, manifested in the eyelids, face, and lower extremities. Swelling, a lot of foam in the urine, abnormal urine color, etc. When symptoms such as nausea and vomiting, chest tightness and shortness of breath appear, renal function is often severely damaged and irreversible; when it develops to the late stage of renal failure – uremia, patients can only maintain their lives through renal replacement therapy such as dialysis and transplantation.
She regretfully mentioned a case during the live broadcast. Recently, an 18-year-old boy was admitted to the ward. When he came to see the doctor, his serum creatinine was as high as 1000umol/L, his blood pressure was 190/100mmHg, and his anemia was severe. Both kidneys were significantly atrophied. After careful examination of the medical history, I learned that the young man found out that he had proteinuria a few years ago, but because he did not have any uncomfortable symptoms, he did not pay attention to it and did not go to the hospital for treatment. When I came to see the doctor this time, my kidney function had failed, and in the uremia stage, I needed to use dialysis to maintain my life.
The picture and text are irrelevant, the picture source: Baotu.com
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The general population should have routine urinalysis and renal function tests every year
Hypertensive patients, etc. twice or more every year
Due to the insidious symptoms, it is not easy to be detected in the early stage, and chronic kidney disease is often Known as the “Silent Killer”. Director Luo reminded that early screening is very important.
General population: Regular physical examinations should be performed once a year, and urine routine and renal function tests should be carried out.
High-risk groups with diabetes, hypertension, dyslipidemia, gout and other diseases: Regular urine examination, urine albumin/creatinine ratio, renal function, renal ultrasound and other examinations should be carried out. Depending on the condition, check up twice or more per year.
If you already have certain symptoms, you should go to the hospital as soon as possible for a more comprehensive examination.
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Eat less salt
Drink about 1.5-1.8 liters of water every day
How to prevent chronic kidney disease? Director Luo suggested that healthy people without kidney disease should pay attention to the following things:
Reduce salt intake;
Balanced diet;
Quit smoking;
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Drink in moderation;
Drink plenty of water, about 1.5-1.8 liters per day;
Do not hold back urine;
It can be in the body If tolerated, maintain 30 minutes of moderate-intensity exercise 5 times a week;
weight control;
avoid colds;
avoid abuse Take medicine as prescribed by the doctor;
Regular physical examination every year, check urine routine and renal function and renal B-ultrasound.
For high-risk groups with high blood pressure, diabetes and other diseases, in addition to the above preventive measures, risk factors (high blood pressure, diabetes, high uric acid, obesity, high blood lipids, etc.) should also be actively controlled. Adhere to drug treatment, and strictly control blood pressure, blood sugar, blood uric acid, and blood lipids within the normal range. Eat a reasonable diet. Monitor urine routine, urine protein-to-creatinine ratio, renal function, and renal B-ultrasound at least once every six months.
Patients who have been diagnosed with chronic kidney disease should actively treat the primary disease, control proteinuria, eat a high-quality low-protein diet, and avoid or promptly correct the risk factors for acute exacerbation of chronic kidney disease. Long-term follow-up and careful treatment are the keys to delaying the progression of the disease and reducing complications.
The picture and text are irrelevant, the picture source: Baotu.com
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A lot of foam in the urine is not necessarily a sign of kidney damage
The red blood cells have a plus sign to determine whether there is hematuria
During the live broadcast, the discussion area under the live broadcast link was also very lively. Director Luo answered questions from netizens one by one.
Netizen: I heard that foam in urine is a sign of bad kidneys. Is this right?
Director Luo: There is a lot of foam in the urine, which may not necessarily mean kidney damage. It is recommended to go to the hospital to check the urine routine and urine albumin to creatinine ratio to determine whether there is proteinuria.
Friends: What should I do if I find that there is a plus sign in the red blood cells in the urine routine?
Director Luo: First of all, it is necessary to rule out contamination. It is recommended to review the urine routine to determine whether there is hematuria; in addition, urinary tract infection should be ruled out. If hematuria is clearly present, the source of red blood cells needs to be further traced, whether it is renal hematuria or non-renal hematuria, urine red blood cell morphology and urinary B-ultrasound can be done, and CT and other examinations can be performed if necessary to help determine the source of hematuria and clarify the cause.
Netizen: The physical examination revealed proteinuria, does it mean that there must be kidney disease?
Director Luo: Proteinuria is generally divided into physiological proteinuria and pathological proteinuria. Physiological proteinuria refers to transient proteinuria that occurs in the presence of strenuous exercise, fever, etc., and there is no substantial renal disease, and follow-up is sufficient. Pathological proteinuria is caused by organic lesions in the kidneys, usually persistent proteinuria. Physical examination revealed proteinuria, and it is recommended to go to a specialist for further examination. Therefore, it is recommended that this netizen go to the hospital to review the urine routine and do 24-hour urine protein quantitative tests.
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