Monday, August 26, 2013

Kidney disease self-recognition is better than cure

At present, chronic kidney disease (CKD) has become a worldwide public health problem, the rising prevalence and dialysis needs caused by tend to continue to progress, cardiovascular complications and death, is soaring. Recently, the United States, Europe, Japan, Australia and China's Beijing, Shanghai and Hong Kong carried out large-scale epidemiological investigation, both tip: the prevalence of chronic kidney disease (CKD) in adults is about as high as 10%, and the awareness of patients is only 9%. Renal medicine from the Peking University first hospital survey, the prevalence of chronic kidney disease accounted for 13.0% of the general population, according to the calculation in patients with chronic kidney disease in China more than 100 million people. In addition, the onset of chronic kidney disease (CKD) presents a trend of getting younger over the. How to found early chronic kidney disease (CKD), and take effective measures to slow the progress of become the top priority.
Strictly control the adverse incentives
Data show that glomerulonephritis and diabetes and high blood pressure are the main factors influencing the chronic kidney disease occurs in China. In addition, the other may affect kidney causes include genetic diseases, such as polycystic kidney, kidney stones, male enlarged prostate cancer or caused by urinary tract obstruction, repeated urinary system infection, systemic lupus erythematosus (sle), gout, analgesic nephropathy, the harm of drugs. If can remove or control these unfavorable factors, but to a certain extent, prevent or delay the development of the disease.
Fast to life, the stress of work young people, to protect the kidney, will make adjustment on the living habits: salt reduction half; Proper motion (each time, three times a week and a half hours); Weight control; Don't abuse drugs, health products and remedies; Eat less Fried food; Do at least once a year routine urine test.
"According to the statistics, the young men of 20 to 40 years old, the high incidence of chronic nephritis." Research shows that in Beijing, the prevalence of chronic kidney disease (CKD) is 13%, nationwide are the same. This ratio is very high, but because kidney disease is often hidden, imperceptible, a lot of people especially in young patients, often do not know oneself with chronic kidney disease (CKD).
For patients already sick, also need in their daily lives far away from dangerous incentive, protect their kidney function. Such as do not take medicine in disorder especially antipyretic analgesic drugs (such as he will, helped him Lin, etc.), the careful contrast agents, reasonable diet, avoid excessive overworked. According to their own kidney damage and is associated with hypertension, oedema symptoms such as to determine the intake of nutrients. Such as edema, high blood pressure patients should be appropriate diet low in salt. Patients with renal impairment should avoid high-protein diet and avoid eating animal internal organs, etc. In addition, control blood sugar, increase the exercise, proper diet to quit smoking habits helps to reduce the occurrence of diseases, such as risk.
Early symptoms are neglected
Compared with other major disease harm human health, it is more hidden, chronic kidney disease have disease when there is no obvious symptoms, often has developed into uremia at the beginning of the treatment.
As a line long engaged in clinical work, especially critical for kidney disease, chronic kidney disease (CKD) is composed of a variety of causes such as chronic glomerular nephritis, diabetes, kidney disease, high blood pressure, chronic pyelonephritis and lead to kidney damage, resulting in systemic comprehensive symptoms of multiple organ involvement.
It should be pointed out that, chronic kidney disease will also increase the risk of patients suffering from other diseases. Incidence of kidney disease in patients with cardiovascular disease, for example, dozens of times higher than normal people, in addition, it can also cause edema, anemia, renal bone disease, malnutrition, sexual function decline, etc. Because of the lack of basic knowledge of discriminant, these phenomena are often ignored in many patients.
"Part of patients with chronic kidney disease (CKD) may not have a symptom, is found in the routine physical illness. Early symptoms of poor appetite, don't want to eat, nausea, vomiting, even some patients concentration, memory decline, easily fatigue, many patients will be associated with increased blood pressure; it also can be associated with anemia, osteoporosis, sexual function decline, menstrual disorders, etc." Zhou Fude professor explained that although, chronic kidney disease (CKD) is not uncommon, but due to early symptoms of kidney disease is often not obvious, urine inspection is needed to find, so easy to be overlooked, wait to go to hospital for the first time often find the illness has arrived late, missed the best time of treatment. Eventually cause renal failure, uremia, can only rely on dialysis or a kidney transplant to maintain life, even there are a number of young patients with disease of heart head blood-vessel merger complications such as premature death.
Self-recognition is better than cure
At present, the prevention and control of chronic kidney disease are widespread high prevalence, merger, higher rate of cardiovascular disease and mortality "three highs" as well as low awareness, low FangZhiLv, merger presence for cardiovascular disease in "three low" characteristics. At the same time, the treatment cost is very high, many families because of sickness poor, Chinese because of illness.
Got kidney disease (CKD) as long as timely treatment, most cases can be cured or can be controlled, such as acute nephritis, acute pyelonephritis and nephrotic syndrome in the tiny lesions in the kidney disease, etc.
"In fact, no matter for the old or young, early identification is the key to the prevention and control of chronic kidney disease." Zhou Fude professor pointed out, such as on a regular basis about the routine urine, urine trace albumin in the urine test, and even reduce the risk of cancer. Especially for those with diabetes, hypertension, hyperlipidemia, high uric acid hematic disease, obesity and other chronic diseases of high-risk groups, urine can be checked regularly. Once appear edema, waist sour backache, high blood pressure, muscle weakness, dizziness and other symptoms, should be vigilant, and timely check urine. Also need to measure blood pressure regularly, to detect some blood biochemical indexes such as renal function, hemoglobin and morphology (e.g., B to wait).
Reform and opening up 30 years, due to the rapid development of our social economy, people's living standards greatly improved, animal fat and eating more protein, work pressure big, exercise less, obesity, diabetes, high blood pressure patients, the corresponding change of kidney disease. Because in the causes of uremia, IgA nephropathy, glomerular diseases such as membranous nephropathy syndrome than present a downward trend, and diabetes, high blood pressure caused by the proportion rising, accounted for 15%, 17% and 10%, 15% respectively. The onset age of uremia significantly backwards, over 50 patients of the disease increased obviously.
With proteinuria

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