The three major chronic diseases affect each other and strengthen comprehensive management to control health damage

Among our fellow citizens, there are approximately 330 million people with cardiovascular disease, 130 million with diabetes, and 130 million with chronic kidney disease. At least 1 in 3 people with heart failure has type 2 diabetes. At least 1 in 3 people with chronic kidney disease has cardiovascular disease. At least 1 in 3 heart failure patients also suffers from chronic kidney disease. The three major chronic diseases depend on each other and influence each other. Only by joint prevention and treatment and comprehensive control of the main indicators can the health damage be reduced.

Having a chronic disease, the patient himself and his family are busy all day, measuring blood pressure, blood sugar, queuing to find experts, and searching for remedies everywhere. However, the actual effect is heart-warming, like pressing Live the gourd and float up the scoop. For example, the control rate of hypertensive patients among our compatriots is only 16.8%. For another example, among diabetic patients, less than 12% can achieve all three indicators including blood sugar, blood pressure, and blood lipids. There are too many patients with chronic diseases, and there are also many tragedies. For many patients, because one disease is not well controlled, the function of another organ or system is damaged, causing the disease to deteriorate. For example, he was originally just a strong man with high blood sugar. After taking medicine for several years, he found that his kidney function was not good. Finally, he was sent to the emergency room because of myocardial infarction. Why is this?

Celebrities of style and sports, who often play cross-border, for example, if football can’t make it into the World Cup finals, you can get back a little bit of appearance through comprehensive performances, and those who can’t hold concerts, you can try to talk show. However, in medicine, the sub-disciplines are getting more and more detailed. When seeing a doctor, the most important question is which department or which disease specialist should be assigned. However, people are a whole, and each system and organ is interrelated, especially the heart, brain, and kidneys, which are often affected by a certain disease at the same time, and then lead to multiple complications. For example, uncontrolled blood pressure can lead to kidney failure and cerebral infarction.

Cardiovascular disease, diabetes, and chronic kidney disease are the three major causes of chronic disease. If there is no awareness of comprehensive management, there may be situations where sesame seeds are picked up and watermelons are lost. Taking diabetes as an example, 20% to 40% of patients have different degrees of kidney damage, and the final cause of death is cardiovascular disease, followed by kidney disease in 75%. If a diabetic patient only pays attention to blood sugar, but never cares about blood pressure, blood lipids, and proteinuria levels, when cardiovascular and renal function damage occurs, the difficulty of treatment will increase.

In the recently launched 25th Hypertension Day, the concept of early screening, early treatment, and comprehensive compliance began to receive attention. Because studies have shown that more than 30% of hypertensive patients have an increased heart rate, which increases the risk of myocardial infarction or heart failure. Therefore, it is necessary to achieve both blood pressure and heart rate standards to reduce the risk of sudden death. Specifically, in patients with isolated hypertension, the blood pressure control target is 140/90 mmHg, and the heart rate is less than 80 beats per minute. If coronary heart disease is present, the blood pressure target is 130/80 mmHg and the heart rate is less than 60 beats per minute. At the same time, hypertensive patients should also monitor the levels of blood sugar and blood lipids to avoid the superposition of risk factors such as blood pressure, blood sugar, and blood lipids, which will increase the risk of cardiovascular and cerebrovascular events.

For the three major chronic diseases, such as cardiovascular disease, diabetes, and chronic kidney disease, joint prevention and treatment are required, and the focus should be moved forward and comprehensively managed. Regular screening is one of the important measures. Annual regular physical examination, need to check fasting blood glucose and glycosylated hemoglobin, timely detection of impaired glucose tolerance. During the physical examination, an electrocardiogram, cardiac ultrasound, biomarkers and other tests are also required to understand the risk of cardiovascular disease. In addition, kidney function screening, such as microalbuminuria testing, should be done. In daily life, blood pressure, blood sugar, blood lipids, heart rate and other indicators should also be regularly monitored, as well as changes in body weight and waist circumference. Only by jointly paying attention to, preventing and treating problems such as endocrine and metabolism, cardiovascular and cerebrovascular, and kidneys, can health be reduced. damage.

Chronic diseases are mostly caused by a combination of genetic and environmental factors. Taking hypertension as an example, if both parents are hypertensive, the probability of their children suffering from hypertension is about 45%. If one of the father or mother is hypertensive, the probability of children suffering from hypertension is about 28%. Both parents have normal blood pressure, and the probability of children suffering from hypertension is only 3%. In addition, it should be noted that common living habits are also important factors leading to high blood pressure. For example, excessive salt intake, and nearly 60% of hypertensive patients in our compatriots are salt-sensitive hypertension. Therefore, to strengthen prevention awareness and measures, it is necessary to start from the family, mobilize and participate in the whole family.

To whomever you love, pass on your health.