Regardless of gout or not, once uric acid is high, these 4 preventions must be done as soon as possible

Nowadays, many people’s living standards have improved a lot, but various “riches and honour diseases” have also followed. High uric acid is one of them. High uric acid can be said to be the culprit leading to gout, and every attack of gout is painful. Therefore, the balance of uric acid is really important for people’s health. Once too high, it will endanger human health. Most people have more than a little or more uric acid, but it is not easy to find out. Many people know that their uric acid is much higher than normal until the onset of gout. If the following signs appear in your body, it means your body is telling you that your uric acid has risen! 01 Joint swelling If uric acid is abnormal, it may cause uric acid to be deposited in the blood and form uric acid crystals, which may lead to joint instability and swelling. Once the phenomenon of joint pain appears, we must pay attention to it. This is a signal sent by the body. 02 The appearance of tophis gout is actually a gout nodule. If uric acid is at a high level for a long time, uric acid will also be deposited in the soft tissues. Because the concentration of uric acid increases, uric acid crystals in the body will increase, forming some small nodules. 03 Impaired kidneys. If the uric acid continues to rise, the kidneys may damage the function of the kidneys due to the acidity of the urine. Sometimes, there may be abnormal manifestations such as high blood pressure and increased creatine. Regardless of whether gout or not, once uric acid is high, it is necessary to prevent it. 1. Weight control Many times gout is caused by obesity and glucose metabolism disorders. Therefore, weight control and calorie intake are important. 2. Reasonable Diet The diet should be reasonable, to achieve “low calorie, low fat, low purine”, and remember to eat less sweets, drinks and other things. 3. Drinking plenty of water without drinking alcohol can increase urination and help excrete uric acid in the body. And beer is the last thing you should drink. Alcohol can inhibit the excretion of uric acid. 4. Multi-exercise exercise can not only enhance physical fitness, but also help relieve joint pain. But avoid strenuous exercise or injury, otherwise it will only get half the result with half the effort, the gain will not pay the loss, and it will be easier to aggravate the condition. High uric acid can not only cause gout, but also damage the kidneys, and even lead to fatal kidney failure. Therefore, you must always pay attention to your body, do regular physical examinations, and be responsible for your body.

What diseases can be detected by urine routine? After reading this article, learn to interpret the report by yourself

Urine is the metabolic waste formed by the continuous filtration of blood by our human urinary system. We urinate every day. Many friends like to observe urine to discover potential disease problems. Although this is a practice that attaches great importance to health, However, it is difficult to accurately judge whether you want to find disease problems through urine by visual observation alone. If you want to know whether your urine is normal, and what diseases and health problems the urine can reflect, you may wish to do a simple Inexpensive “Urine Routine” examination, through the urine routine examination, we can find abnormalities in various indicators of urine, and can also be used as a reference indicator to judge possible health problems in the body. Before introducing the relationship between urine routine indicators and diseases, the first thing I want to explain is that it is not very likely to clearly judge a certain disease through the urine routine test indicators. Usually we can combine the urine routine related The results of the examination are combined with some related symptoms of the patient to make a preliminary judgment, and then combined with other related examinations to be able to diagnose the disease more accurately. Urinary protein and impaired renal function. The kidney is the source of the urinary system and an important organ with a powerful filtering function. The kidneys filter and reabsorb the blood, excrete waste products, and reabsorb useful substances back into the body. Normally, The protein in the blood will be reabsorbed back to the blood by the kidney. The protein content in the urine is extremely low, but when the permeability of the kidney glomerulus membrane changes, or the reabsorption capacity is reduced or plasma When there are too many low-molecular-weight proteins, the protein will exceed the reabsorption capacity of the renal tubules, resulting in proteinuria. Usually the urine protein item in the urine routine should be a negative result, and if the urine protein is positive, it is likely that there is a problem with kidney function, various kidney disease problems, such as chronic nephritis, diabetes, high blood pressure and other diseases Problems such as chronic renal damage, nephritis caused by rheumatic diseases, nephrotic syndrome, etc., will all have positive proteinuria. Proteinuria is the earliest abnormal indicator of preliminary renal function impairment. The kidney is an organ with a powerful compensatory function. Although we have two kidneys, a healthy kidney can maintain the body’s normal metabolism and excretion. Therefore, when proteinuria problems occur, it often indicates that the kidney function has been damaged. The decompensation period is also the initial manifestation of impaired renal function. When proteinuria problems occur, the filtration function of the kidneys is often not seriously impaired. At this time, pay attention to strengthening the control of related diseases and paying attention to the protection of renal function. The effect is often too late, and if there is a severe increase in blood creatinine and a significant decrease in glomerular filtration rate, the kidney function has entered the stage of failure. At this time, it is too late to protect and regulate kidney health. . However, it should be emphasized that when proteinuria occurs, do not be frightened. In addition to proteinuria caused by kidney function problems, there are also some physiological proteinuria problems, such as strenuous exercise, high fever, and excessive mental stress. Physiological changes may also cause proteinuria, and pregnant women may also have mild proteinuria. These physiological proteinuria are usually mild and have no harm to health, so there is no need to worry. Hematuria, occult blood in urine, and kidney stones. Normally healthy urine is light yellow to yellow in color and clear and transparent. If the urine is red, it can be scary. In this case, it is very likely that there is a problem of hematuria. If more than 0.1% of blood is mixed in the urine, hematuria can be observed with the naked eye. Usually, the appearance of hematuria is often closely related to kidney stones. . Kidney stones mainly include oxalic acid kidney stones and uric acid kidney stones. When kidney stones appear, in addition to hematuria, they are often accompanied by severe low back pain, urination frequency, abnormal quantity and other problems. If they are not treated in time, they will also cause problems. Acute renal impairment. Sometimes, for less serious kidney stone problems, there may not be visible hematuria, but it can be found through occult blood reaction. Urine occult blood indicators can reflect the presence of hemoglobin and myoglobin in the urine, and are also used to determine related diseases An important indicator of Urinary hemoglobin is positive, usually in addition to the risk of kidney stones, there may also be severe trauma to the body, such as heart surgery, severe burns, severe damage to the muscles and blood vessels, etc., in addition, nephritis, tumors, infections, capillary lysis

4 small ways to help you protect your kidneys

According to the theory of traditional Chinese medicine, the kidney is the innate foundation and the root of life; the strength of the kidney’s essence is related to the growth and old age of a person. Traditional Chinese medicine uses medicated food, tea, massage, exercise… and other conditioning methods to nourish the kidney, protect the kidney, and strengthen the kidney, which can strengthen the kidney function, make people healthy, radiant, dark hair, prolong life, and improve human immunity and health Disease resistance. The kidney is the foundation of the innate. Traditional Chinese medicine emphasizes protecting the kidney, strengthening the kidney, and invigorating the kidney, so that yin and yang are sufficient; the essence of the kidney is the best foundation for maintaining life.  1. Stool should be unblocked   Poor bowel movement, stagnation of stool, and turbidity upset, not only making people upset and irritable, chest tightness, shortness of breath, but also injuring the kidneys, causing backache, fatigue, nausea and vomiting. Therefore, keeping the stool smooth is also a way to nourish the kidney. When the stool is difficult to solve, you can use the backs of your hands and hands to stick to the kidney area, and press and rub firmly to stimulate the kidney qi and accelerate the defecation. When walking, press and rub the kidney area with the back of your hands to relieve the symptoms of backache.  Second, avoid high-salt diet   The kidney has the function of maintaining electrolyte and body fluid balance, and a high-salt diet will destroy kidney function. The “Dietary Guidelines for Chinese Residents” recommends that the daily salt intake should not exceed 8 grams, which is harmful to health. Because the human body takes in too much salt, it will cause the osmotic pressure of the cell environment to rise, cause electrolyte and body fluid balance to be imbalanced, and increase the burden on the kidneys. Therefore, we should try to avoid high-salt diets and put less salt or seasonings when cooking.  3. Reduce the consumption of processed meats   You should eat less processed meat products, such as bacon, ham, and bacon. During the processing of this food, a food additive called nitrate is added. This kind of food additives is safe in itself, but excessive consumption of these processed meat products will lead to the accumulation of nitrite in the body, and nitrite will be reduced to carcinogenic nitrosamines under the acidic internal environment of the stomach. Studies have shown that nitrosamines increase the risk of cancer. Therefore, we should eat as little processed meat products as possible for our health and the kidneys.  Fourth, avoid smoking, staying up late    Staying up late and smoking are like the “source” of all diseases. Bad lifestyle habits will subtly affect our health. If we are not paying attention for a while, letting it go will eventually lead to adverse consequences. As we all know, each organ has its own time for rest and work. Forcibly staying up all night takes up the rest time of the kidneys, which will cause kidney burden. Investigations show that proteinuria is more likely to occur after staying up late. Moreover, protein, a macromolecular nutrient, should be filtered by the kidneys and continue to participate in blood circulation. Proteinuria indicates a problem with kidney function. Similarly, smoking can lead to decreased kidney function and damage to health.

How to protect the liver and kidney from injury when taking medicine for a long time for hypertension? I will tell you clearly from 2 aspects

Many hypertensive patients need to take antihypertensive drugs for a long time to control their blood pressure stably, and many hypertensive patients are also worried that taking so many drugs for a long time will hurt the liver and kidneys? Because of this concern, many medication compliance problems have been caused. Some people stop eating, some change the dosage of medicine privately, some take medicine in winter, and do not take medicine in summer. In some cases, blood pressure cannot be taken. Stable and effective control has caused many risks of cardiovascular and cerebrovascular diseases. In the end, taking antihypertensive drugs for a long time does not hurt the liver and kidneys. During the long-term taking of drugs, how to ensure the safety of the drugs and how to protect the liver and kidneys? Let’s discuss this topic today. How can patients with hypertension take medicine for a long time to protect kidney health? Before talking about this issue, I would like to discuss with you a topic first: long-term medication for hypertensive patients, will the medication harm kidney health? In fact, among the current mainstream antihypertensive drugs, there is no antihypertensive drug that can cause direct health hazards to kidney health. Even if it is taken for a long time, it will definitely affect our kidney health and kidney function. On the contrary, Some of the antihypertensive drugs, such as pristine and sartan antihypertensive drugs, have a certain improvement effect on microalbuminuria and other problems in the early stage of impaired renal function, playing a dual role of lowering blood pressure and protecting the kidney. Compared with taking antihypertensive drugs for a long time, it is more clear that high blood pressure itself is the cause of kidney health damage. If high blood pressure is poorly controlled, the small arteries in the kidneys will endure high pressure for a long time and present a state of high filtration. After long-term influence, it will cause damage to kidney function and cause hypertensive nephropathy. Therefore, hypertensive patients want To protect kidney health, on the contrary, we should pay more attention to controlling high blood pressure. Keeping blood pressure in a healthy and stable state for a long time is an important aspect of protecting kidney health. Therefore, for hypertensive patients, if they need to take long-term medication to control their blood pressure, they should follow the doctor’s advice and adopt a reasonable medication plan. While adhering to long-term medication, monitor and measure blood pressure. According to blood pressure control and fluctuations, adhere to medication or timely The ultimate goal of adjusting the medication regimen is to maintain the stability of blood pressure and reduce the health hazards of the heart, brain and kidney and other targeted organs caused by hypertension. For hypertensive patients who have been taking antihypertensive drugs for a long time, if they want to protect their kidney health, they should pay attention to the following three aspects in addition to maintaining stable blood pressure control-1. Reasonable control of blood sugar. If you are a friend of hypertension and diabetes, The harm of these two chronic diseases to kidney health is twofold. Therefore, while controlling the blood pressure to stabilize and reach the standard, but at the same time, it is necessary to actively regulate and control the blood sugar as soon as possible, and the blood sugar and blood pressure can be better protected. Good kidney health. 2. Maintaining a healthy lifestyle is not only beneficial for the auxiliary control of hypertension, but also important for the protection of kidney health. Drink plenty of water, urinate more, urinate in time without holding back your urine, maintain a low-salt, low-fat, low-purine diet, eat more foods rich in vitamins, pay attention to strengthening and adhere to exercise, quit smoking and limit alcohol, all of these aspects are done. It is also an important factor in protecting kidney health. 3. Pay attention to regular check of renal function. In the process of long-term medication for hypertensive patients, if you are worried about renal function being affected, it is advisable to check renal function regularly. But don’t just blame it on the long-term use of antihypertensive drugs as soon as the renal function is impaired. Reasonably analyze the specific reasons, and actively regulate and intervene the problems caused by impaired renal function to minimize further renal function. Damage is the point. How can patients with hypertension take medicine for a long time to protect their liver health? Taking antihypertensive drugs for a long period of time usually does not hurt the kidneys. Will taking drugs for a long time hurt the liver? Although most drugs need to be metabolized by the liver after being taken orally, the metabolism by the liver does not necessarily damage the liver. At present, the antihypertensive drugs that are often used clinically have little chance of causing health hazards to the liver. Therefore, for long-term use of antihypertensive drugs, there is no need to worry too much about liver function damage caused by long-term medication. Regarding the issue of long-term use of antihypertensive drugs and how to protect liver health, instead of worrying about long-term use of antihypertensive drugs, it is better to pay attention to other drugs that may affect liver function when taken with antihypertensive drugs. To cite 2 common examples-many friends who have high blood pressure problems are often accompanied by high blood lipids. In the treatment of high blood lipids, statins

Kidney damage? This method will help you “detox”

We all know that there are two main ways to “detox”: kidney urination and intestinal defecation. Therefore, patients with renal failure or constipation will have a reduced ability to excrete metabolic waste. But what makes people particularly troublesome is that chronic kidney disease (CKD) patients often have intestinal problems such as difficulty in defecation, which leads to the weakening of the “detoxification” ability of the two major channels. Dry stools, less frequent? The digestive tract of healthy adults is up to 10 meters long, and there are hundreds of billions of intestinal flora that absorb nutrients, strengthen immunity, and resist infection. At the same time, it is also closely related to the health of the kidneys. A study of 3.5 million people found that constipation can cause a faster decline in glomerular filtration rate (kidney function), and the risk of progression to end-stage renal disease is also greatly increased. There have been news reports that long-term constipation leads to rare cases of renal failure. This is because when suffering from CKD, the intestinal flora will be disordered, and the disordered intestinal flora will accelerate the progression of kidney disease by triggering inflammation and proteinuria. Intestinal defecation has a great effect, kidney friends should not ignore our gastrointestinal tract, which is responsible for the important task of excreting metabolic waste in the body. 1. 20-30% of the phosphorus in the diet can be excreted from the body through the intestine, and 70-80% is excreted by the kidneys. 2. The intestine can excrete 10% of potassium. When kidney function declines, potassium excretion will increase 3-4 times. 3. 30%-40% of uric acid in the body can be cleared by the gastrointestinal tract. 4. When renal function declines, the intestine will compensatoryly degrade creatinine, urea nitrogen and other metabolic waste products. At the same time, many studies have mentioned that the use of probiotics in non-dialysis CKD patients can reduce the further damage of uremic toxins (urea, p-cresol sulfate) to the kidneys, and the use of probiotics combined with a low-protein diet can delay the progression of kidney disease. Protect kidney function. Therefore, normal bowel movements are not only a way to reduce blood potassium, blood phosphorus, and blood uric acid, but also help reduce creatinine and urea nitrogen. Protecting intestinal health is equally important. To protect the kidneys, first protect the intestines. In order to maintain a healthy intestinal environment, attention should be paid to the stability of the intestinal flora and to develop regular bowel habits. For different kidney friends, the important points are also different. In the early stage, when kidney function is better: prevent intestinal flora imbalance in time, and don’t over restrict diet at this time. Foods rich in dietary fiber, such as tuber whole grains, stem and leaf vegetables, fruits, nuts, etc., should be eaten regularly. In the middle and late stages, and there are intestinal problems: try to improve the intestinal flora status, eat suitable high-fiber fruits and vegetables, and add probiotics. Nutritionists recommend low-potassium, low-protein, high-fiber fruits and vegetables: okra, soybean sprouts, garlic sprouts (round), celery, apples, pears, wild dates, mulberries, kiwi, ginseng fruit, olives. Friends, don’t forget to take care of your intestines while protecting your kidneys!

What to do with neonatal hydronephrosis?

The newborn has been diagnosed with hydronephrosis, how should it be treated and what impact will it have in the future? &nbsp.Hydronephrosis means that part of the urine does not flow out and stays in the kidneys. It can cause swelling of the kidneys. There are many causes of hydronephrosis, and the treatment must first find the cause. In most cases, hydronephrosis will gradually subside as the child grows. However, a few cases may also require surgical treatment. &nbsp.The root cause of hydronephrosis is that urine does not flow out of the kidneys. Under normal circumstances, urine is transported from the kidney to the bladder through the connected ureter, and then excreted from the body. However, under abnormal conditions, urine will return, or stay in the kidneys, or stay in the ureters. When this happens, it will develop into hydronephrosis. &nbsp.The most common cause of hydronephrosis is: partial obstruction of the urinary tract. The most frequent obstruction is at the junction of the kidney and the ureter, called the junction of the ureter and pelvis. There is also a less common situation, which also occurs, at the junction of the ureter and the bladder. &nbsp. Another common cause of hydronephrosis is: vesicoureteral reflux. That is, urine flows backward from the bladder, flows into the ureter and then enters the kidney. Normally, the ureter is one-way. Similar to a one-way road in a car, urine cannot return, but when certain diseases exist, it will cause urine to flow back to the kidneys in the wrong direction, so that the kidneys cannot empty and will swell. &nbsp. Other causes of hydronephrosis include: kidney stones, abdominal or pelvic tumors, and nerve problems in the bladder. These rarely happen to babies. &nbsp. If during pregnancy, it is found that the fetus has hydronephrosis, it must be tested and evaluated in order to formulate intervention and control measures after the sound. When the baby is born, the kidneys and bladder are examined by ultrasound imaging, and urethral angiography may be required. In order to determine the location and cause of the blockage, make the correct treatment choice. &nbsp. For no reflux, mild or even moderate hydronephrosis, surgery is usually not required. Hydronephrosis tends to improve over time. If your child is in this condition, the doctor may recommend antibiotics to reduce the risk of urinary tract infection. &nbsp. If hydronephrosis affects the function of the kidneys or more serious cases, or if reflux occurs, surgery is recommended to eliminate the obstruction or correct the reflux. This condition, if left untreated, hydronephrosis will eventually lead to permanent kidney damage. In severe cases, it can lead to kidney failure. But in most cases, hydronephrosis can be cured. Since hydronephrosis usually affects only one kidney, the other kidney can also work normally. &nbsp. Neonatal hydronephrosis must cooperate with the doctor to find out the cause before there is a correct treatment plan. The cured hydronephrosis will not have a significant impact on the baby’s development. &nbsp.Article: From Wang Zhixin

Kidney damage? This method will help you “detox”

We all know that there are two main ways to “detox”: kidney urination and intestinal defecation. Therefore, patients with renal failure or constipation will have a reduced ability to excrete metabolic waste. But what makes people particularly troublesome is that chronic kidney disease (CKD) patients often have intestinal problems such as difficulty in defecation, which leads to the weakening of the “detoxification” ability of the two major channels. Dry stools, less frequent? The digestive tract of healthy adults is up to 10 meters long, and there are hundreds of billions of intestinal flora that absorb nutrients, strengthen immunity, and resist infection. At the same time, it is also closely related to the health of the kidneys. A study of 3.5 million people found that constipation can cause a faster decline in glomerular filtration rate (kidney function), and the risk of progression to end-stage renal disease is also greatly increased. There have been news reports that long-term constipation leads to rare cases of renal failure. This is because when suffering from CKD, the intestinal flora will be disordered, and the disordered intestinal flora will accelerate the progression of kidney disease by triggering inflammation and proteinuria. Intestinal defecation has a great effect, kidney friends should not ignore our gastrointestinal tract, which is responsible for the important task of excreting metabolic waste in the body. 1. 20-30% of the phosphorus in the diet can be excreted from the body through the intestine, and 70-80% is excreted by the kidneys. 2. The intestine can excrete 10% of potassium. When kidney function declines, potassium excretion will increase 3-4 times. 3. 30%-40% of uric acid in the body can be cleared by the gastrointestinal tract. 4. When renal function declines, the intestine will compensatoryly degrade creatinine, urea nitrogen and other metabolic waste products. At the same time, many studies have mentioned that the use of probiotics in non-dialysis CKD patients can reduce the further damage of uremic toxins (urea, p-cresol sulfate) to the kidneys, and the use of probiotics combined with a low-protein diet can delay the progression of kidney disease. Protect kidney function. Therefore, normal bowel movements are not only a way to reduce blood potassium, blood phosphorus, and blood uric acid, but also help reduce creatinine and urea nitrogen. Protecting intestinal health is equally important. To protect the kidneys, first protect the intestines. In order to maintain a healthy intestinal environment, attention should be paid to the stability of the intestinal flora and to develop regular bowel habits. For different kidney friends, the important points are also different. In the early stage, when kidney function is better: prevent intestinal flora imbalance in time, and don’t over restrict diet at this time. Foods rich in dietary fiber, such as tuber whole grains, stem and leaf vegetables, fruits, nuts, etc., should be eaten regularly. In the middle and late stages, and there are intestinal problems: try to improve the intestinal flora status, eat suitable high-fiber fruits and vegetables, and add probiotics. Nutritionists recommend low-potassium, low-protein, high-fiber fruits and vegetables: okra, soybean sprouts, garlic sprouts (round), celery, apples, pears, wild dates, mulberries, kiwi, ginseng fruit, olives. Friends, don’t forget to take care of your intestines while protecting your kidneys!

What are the common symptoms of kidney cysts

   Both kidney cysts are kidney cysts, but both kidney cysts have cysts on both sides. Many people don’t know what their common symptoms are, and they don’t know if they are sick. Let’s talk about the main common symptoms below. hematuria. There are two types of hematuria under the microscope and gross hematuria. The hematuria under the microscope can be observed only with the help of medical observation instruments such as a microscope, while the hematuria is not required and can be observed with the naked eye. The onset of hematuria is periodic. When hematuria occurs, low back pain will be aggravated. The degree of hematuria can also be aggravated by strenuous exercise or trauma infection.   2. Pain in the waist and abdomen. This symptom occurs because the kidney is enlarged and stretched, the elasticity of the renal capsule becomes larger, and the kidney pedicle is also pulled. The internal part of the kidneys sag due to the increase in water content and weight of the cysts, causing pain in the waist and abdomen, mainly dull and dull pain. If symptoms of bleeding or infection occur in the kidney capsule, the pain will be more severe.   3. Proteinuria. The urine volume of proteinuria is not a lot, generally no more than 2 grams within 24 hours, and proteinuria usually does not cause other nephrotic syndromes, it is just a simple symptom.   4. Hypertension. The kidneys are squeezed due to the appearance of renal cysts, which leads to the symptoms of ischemia, which makes the renal glands secrete too much and blood pressure rises. Some patients have symptoms of high blood pressure when the kidney function is still normal, but when the kidney function is damaged, the chance of developing high blood pressure will be greater.   5. Kidney insufficiency. Due to the occurrence of cysts, the size of the kidneys will change significantly, and the tissues of the kidneys will be significantly reduced, and the function of the kidneys will gradually decline.   There are many symptoms of kidney cysts. The above is just to introduce some of the more common ones. For your own health, you can learn more about other symptoms.

note! These four diseases cannot be ignored, they may turn into uremia at any time!

In terms of health hazards, uremia is almost the same as cancer. A series of diseases and complications of the kidneys after renal failure is uremia. The various systemic symptoms caused by uremia can bring great pain to patients. But uremia does not appear suddenly, it also has a pathological evolution process. If some diseases are not well controlled, uremia is a step away. 1 The four diseases may turn into uremia. 1 Urinary tract infection. Urinary stones, frequent urination, and urgency seem to be symptoms of urinary tract infection. In fact, such symptoms can also occur in the early stage of uremia. Frequent holding back urine will bring a huge burden to the kidneys, causing toxins and waste products to accumulate in the urine, and urethral stones or kidney stones will form in the long term. 2 High blood pressure friends who have frequent dizziness, dizziness, tinnitus and high blood pressure must pay attention to it. The kidneys are organs for excretion of sodium and urine. When kidney function is impaired, the body will retain water and sodium, which induces high blood pressure. As the secretion of renin increases, the blood pressure-increasing substances secreted by the kidneys also increase, and the substances that lower blood pressure decrease. Therefore, in the early stages of uremia, there will be varying degrees of hypertension. 3 If various primary and chronic nephritis of nephritis are not effectively controlled, the chances of worsening to uremia will be very high. In addition, some congenital kidney function diseases and hereditary kidney problems may gradually turn into uremia, which must be strictly controlled and not ignored. 4 Diabetes such as diabetes, cardiovascular disease and other systemic diseases may induce uremia. Therefore, diabetic patients must pay attention to blood sugar control and not allow blood sugar to rise too high. 1 Early symptoms of uremia that are difficult to detect 1 Limb swelling Limb swelling can be said to be the most obvious and easily noticeable symptom of uremia. Patients with uremia due to renal failure, water and sodium retention in the body, the patient may find edema in the ankles, eyelids and other places when the patient gets up. 2 Face yellowing. We all know that anemia can cause yellowing and paleness of the face. In fact, there are symptoms similar to anemia in the early stage of uremia, but because the symptoms change slowly, it is generally difficult for patients to notice. 3 Changes in urine output Due to decreased kidney function and reduced filtration, the urine output of uremic patients will also change. Urinary urgency and frequent urination seem to be a symptom of urinary tract infection. In fact, this symptom can also appear in the early stage of uremia, and only a few people will not have a change in urine output. Because the early symptoms of uremia are usually similar to the symptoms of other diseases, the treatment of uremia must seize the opportunity to find the clues of early uremia in time to reduce the difficulty of treatment.

In just 4 years, from no kidney disease to stage 5 chronic kidney disease, it was actually it.

With the development of today’s society, the age of onset of chronic diseases such as hypertension and diabetes is gradually getting younger, and there are many examples of worsening illnesses caused by inadequate lifestyle. Mr. Tang, who is only 33 years old, joined the team of hypertension early on. He was in his thirties and was supposed to be the main force in society, but he had to visit the hospital frequently. At first the onset was because I didn’t pay much attention to the headaches. Later, the headaches became more frequent, and there were more attacks at night. I often had splitting headaches. I couldn’t sleep all night, sometimes sweating profusely, sometimes nausea and vomiting. There are all of them, and my wife can’t stand it anymore. I took a taxi late at night to accompany my husband to the hospital for an examination. When I went to the hospital, I had reached a level 3 high blood pressure. I usually took several antihypertensive drugs to control my blood pressure. I had a sudden recurrence of headache recently. The hospital check not only caused high blood pressure, but also impaired renal function. My blood creatinine was more than 500 and uric acid was more than 600. I couldn’t believe it. Diagnosis: Chronic kidney disease stage 5, hypertension grade 3, hyperuricemia. Many people will wonder why his condition developed so fast? Hypertension has been ill for more than 4 years, and kidney damage does not occur in a day. High blood pressure itself damages the kidneys. Good blood pressure control slows kidney damage. However, after suffering from high blood pressure, Mr. Tang only took medicine to control blood pressure. Other bad habits in life such as smoking and drinking remain the same as usual. His kidneys are getting damaged bit by bit, why can’t he find it? Because the creatinine value on the laboratory test sheet did not change much after the chronic damage of the kidney, but the kidney is already working in compensation. When the kidney function was on the verge of collapse, the creatinine value rose to a level beyond imagination. At the same time, hyperuricemia and hyperuricemia may also lead to abnormal glucose metabolism, resulting in a series of vicious cycles. Later, the patient wanted to adopt traditional Chinese medicine treatment, and after inquiring about it, he came to our hospital for treatment. The date of first visit is June 2, 2020. The patient had urine protein (+) at the time of treatment, and the 24-hour urine protein quantitative was 0.55g. The ECG shows high voltage in the left ventricle. The main complaints are headache, dizziness, nausea, poor appetite, general weakness, no edema, red tongue, thin white coating, weak pulse, and blood pressure fluctuations around 160/100mmHg. The syndrome is yin deficiency yang. The treatment should be based on calming the liver, relieving wind and suppressing yang, and supplemented by the method of invigorating qi and promoting blood circulation. Second visit (June 18): The patient’s dizziness and headache symptoms were significantly relieved, the whole body was weak, no nausea and anorexia, the 24-hour urine output was 2000ml, there was no chest tightness, no nausea and vomiting, no skin itching. The blood pressure fluctuates around 120/80mmHg, the heart rate is 75 minutes, and there is no edema in both legs. Reexamination of blood biochemistry showed normal liver function, kidney function showed creatinine 450umo/L, urea nitrogen 21.7mmo/L, and hemoglobin 92g/L. Third visit (July 18): The patient has no special discomfort, no headache, dizziness, no general weakness, no nausea and anorexia, stool 1 to 2 times a day, urination volume of 2000ml in 24 hours, no edema in both lower limbs, recheck blood creatinine Has dropped to 314.4umol/L. Summary: The first diagnosis showed headache, dizziness, sore waist and knees, no edema, red tongue, thin white coating, and weak pulse. Traditional Chinese medicine believes that “yin qi is half of the year when it is forty years old.” The liver yin is darkly depleted, the liver yang is hyperactive, the wind and yang rises, the upper disturbance is cleared, and it is dizzy. Liver-yang hyperactivity, lower kidney yin, kidney yin deficiency, dereliction of duty, loss of essence, and proteinuria. Nausea, poor appetite, weakness of the whole body, deficiency of spleen and kidney qi, discordance of the veins. Benign arterioles nephrosclerosis eventually develops into glomerulosclerosis and renal interstitial fibrosis, causing a large number of nephrons to continue to be destroyed, and finally to form pycnotic kidney. Therefore, how to improve the blood supply to the kidneys, reduce the internal pressure of the glomerulus, and prevent the progression of glomerular sclerosis is a difficult point in treatment. Because of its slow onset, long course, and complicated pathogenesis, clinical treatment should be based on the pathogenesis, kidney-tonifying, and the use of blood-activating drugs to remove blood stasis. The disease progresses to renal failure, usually manifested as spleen and kidney qi deficiency, damp turbidity and stasis. Comprehensive Chinese medicine therapy should be given to replenish the weak body, eliminate the evils of cementation, and delay the progression of renal failure.

Look at the “foot” to know kidney disease. If these 4 conditions occur, it means that the kidneys are diseased.

Most patients with kidney disease feel better about themselves. Even if they look abnormal, the patients themselves cannot feel any discomfort. Judging whether you have kidney disease only by feeling, obviously it is easy to miss the chance of discovery. If you want to know if you have kidney disease, the normal way is to ask carefully, observe the symptoms, check the physical signs, and do related laboratory tests and auxiliary examinations on the kidneys. The patient’s physical signs can be obtained through the “sight, touch, tap, and hearing” of western medicine. “Seeing” means “seeing”. Looking is not as simple as just looking at the patient’s face. What needs to be seen is the patient’s whole body, and the “foot” or the lower limbs must also be carefully “looked at”. In the process of seeing, it is necessary to cooperate with “touching”, so that it is more accurate, and it is more conducive to discovering kidney disease and judging the condition. Look at the “foot” to know kidney disease. If these four conditions occur, it means that the kidney is diseased. Look at the “foot” to know kidney disease! If the following four conditions occur in both lower extremities, it is more likely that the kidneys are diseased, and some may be very serious, and treatment is required as soon as possible. 1. Symmetrical edema of the lower extremities Mild edema only occurs in the ankles. Moderate or severe edema can be seen in the lower legs and even thighs below the knee, and it is bilateral symmetrical edema. If this symmetrical edema of the lower limbs appears, most of them indicate kidney disease, or nephritis or nephrotic syndrome, which may be primary or secondary. If it is mild edema, it is common in acute nephritis, chronic nephritis, IgA nephropathy and hepatitis B virus-related nephritis; if it is moderate edema, it is common in nephrotic syndrome, lupus nephritis and diabetic nephropathy; if it is severe edema, it is common in minimal change Nephropathy, membranous nephropathy and advanced diabetic nephropathy, etc. Regardless of the degree of edema, it can be seen in patients with renal failure, which can be serious. Of course, when there is symmetrical edema of both lower limbs, one can only suspect kidney disease. If you want to confirm that you have kidney disease, you must also do urine and blood tests. 2. Asymmetric edema of the lower extremities. The edema in patients with nephropathy will always be edema on both sides. If there is edema on only one side of the lower limbs, the edema caused by nephropathy is generally not considered. There is another situation that must be paid attention to. This is the appearance of asymmetric edema in both lower limbs, that is, the edema on one side is lighter and the edema on the other side is heavier. When such a situation occurs, it is also necessary to consider or rule out kidney problems, and it is likely that the kidney problems are not minor. how do I say this? We often encounter such conditions in clinical practice, that is, patients with typical “three highs and one low” nephrotic syndrome. The “one high” is high edema of both lower limbs. Under normal circumstances, the edema of the lower extremities in patients with nephrotic syndrome is bilaterally symmetric. When nephrotic syndrome is accompanied by venous thrombosis of one side of the lower limbs (thrombosis and embolism are common complications of nephrotic syndrome), the degree of edema on this side will be more serious, which can manifest as asymmetric edema of the lower limbs. This situation is more common in patients with membranous nephropathy and hypercoagulable state. It often indicates that the nephropathy is serious and must be paid attention to and treated actively. 3. One or both toes or ankle joints are red, swollen, hot and painful. This situation is not “see” first, but “feel” after the sudden appearance of pain, that is, one side (rarely on both sides at the same time) Appear) The toe joint (usually the first toe) or ankle joint suddenly suffers severe pain and movement disorders, and local redness and swelling and hot touch, that is, “redness, heat and pain”, generally do not appear symmetrically. This is the typical “gout” manifestation, which is often caused by hyperuricemia. Hyperuricemia is closely related to chronic kidney disease: first, primary hyperuricemia can cause hyperuricemia nephropathy; second, gout can also cause gouty nephropathy; third, chronic renal failure can also cause Gout caused by secondary hyperuricemia. Therefore, if one or both toes or ankle joints are red, swollen, hot, and painful, the kidneys may be diseased, and further kidney examinations should be performed. 4. Symmetrical ecchymosis on the skin of both lower extremities When the skin of both lower extremities is seen, it is bilaterally symmetrical, usually not accompanied by skin itching, at first it is red papules, which can be higher than the skin surface. . After that, most skin rashes are dark purple or tan, mostly not higher than the skin, and they will not fade or be painful. It can be distributed on the skin of the ankle, calf and thigh, and even on the skin of the lower abdomen and upper limbs. This is the typical skin manifestation of allergic purpura. If you have both knee joint pain, abdominal pain, or gross hematuria at the same time, it is even more

Develop three small kidney-protecting habits to keep you away from kidney disease!

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Kidney, the main bone that contains the essence, is the engine of life, which is very important to the health of the human body. However, in life, many of our habits can damage kidney health. In recent years, the incidence of chronic kidney disease has increased, which has seriously endangered life and health. Protecting kidney health is very important. Three good kidney-protecting habits will help you prevent kidney disease early! Stay away from holding your urine, and don’t ignore it: staying away from “holding your urine” holding your urine is not only against the laws of nature, it can also cause serious harm to the kidneys. Holding the urine for a long time, the urine stays in the bladder for too long, causing bacteria to multiply, easily causing cystitis and urethritis, and at the same time, increasing the chance of stones. In addition, holding back urine for too long can cause urine reflux and lead to pyelonephritis. In severe cases, it can also affect kidney function. Even, some research reports show that people with a habit of holding back urine are more likely to develop bladder cancer than the average person. Therefore, in life, if you want to protect the health of your kidneys, you must be careful not to hold your urine. Drink more water to promote detoxification 1. Drink tea water, Polygonatum odoratum tea, anti-nephritis, detoxification, take 1g of dragon’s beard, 0.4g of dandelion root, 0.3g of polygonatum, 0.3g of rose, and make it after crushing Tea bags and hot water can be used instead of tea. 2. Drink soup, black beans, red dates and wolfberry soup, yin and nourishing kidney black beans, red dates, and wolfberry. After washing, cook the soup together and drink. Black beans have the effects of nourishing the kidney and strengthening the body, nourishing yin and improving eyesight, and detoxification. Red dates can nourish the spleen and qi, nourish blood and calm the nerves, and promote body fluid. Often do three actions to strengthen health care 1. Rub the ears and kidneys to open up the ears. Frequently rub the ears to help clear the meridians and strengthen the kidneys. Gently squeeze both earlobes with both hands, then rub them until red and hot. Then, grab the earlobe and pull it down, then let go to make the earlobe bounce back. 2-3 times a day, 20 times each time. 2. Knock on the foot kidney comes from the spring, and the foot of the spring is also. Therefore, frequent knocking on the feet can help promote kidney detoxification. When sitting and tapping, you must feel the heat in your feet and the meridian is smooth and comfortable. 3. Tiptoe on tiptoe can stimulate the meridians, help warm the kidneys and improve kidney function. When you stand on your toes, the forefoot is exerting force, and the front medial sole and the big toe are supporting. Lift the heel, stay for 5-10 seconds, and then put it back. Multiple groups can be repeated every day.

5 tips for protecting the kidney! ! !

1. Drinking water often, the kidneys are afraid of drinking less water. If the water supplement is small, it will affect urination, accumulate toxins, and endanger kidney health. Therefore, develop the habit of taking the initiative to drink water. Also, take a sip and drink slowly. 2. Drink less drinks, especially functional drinks, which will not only cause nerve irritation, but also affect the body’s pH. The kidney is the main organ that regulates the pH of the human body. Drinking beverages for a long time will burden the kidneys and increase the probability of kidney damage. 3. It is advisable to have a light life, pay attention to light diet, do not exceed the standard of salt in food, and do not exceed 6g per person per day. Otherwise, excessive salt intake will be metabolized by the kidneys, which will increase the burden of kidney excretion, promote the decline of kidney function, and induce kidney disease. 4. Sleep well. Sufficient sleep plays an important role in the biochemistry of qi and blood and the maintenance of kidney essence. Don’t stay up too late, develop good work and rest habits, go to bed early and get up early, which is conducive to the maintenance of kidney essence. 5. Use medicine with caution. Drugs enter the body, metabolize and decompose in the liver, and are excreted through the kidneys. Long-term medication can easily damage the kidneys and cause problems such as kidney disease and kidney weakness. The prevention of kidney disease starts from every bit in life.

These three exercise methods hurt the kidney the most

Nowadays, our country is about to enter a new era of a well-off society in an all-round way. Without the health of the whole people, there would be no well-off society for the whole people. Therefore, it is also an era of national fitness. From aunts who dance square dances to young men who lift irons in a gym, from middle-aged and old people who walk on foot to young people who climb and cross-country, more and more people have been involved in the tide of sports, whether it is for keeping in shape or for health. However, exercise can not quickly achieve the purpose of strengthening the body overnight. It is important to choose the exercise method that suits you and persevere. No matter what kind of exercise method we choose, we must master the scientific exercise method, otherwise it will only get half the result with half the effort, and blind exercise can easily lead to physical injury. The most common body injury parts, such as the knees, unscientific running damages the knees the most, and can even cause irreversible sports injuries to the knees. This is really not worth the gain. Today I’m not talking about knee problems, but about exercises that hurt the kidneys. The following three exercises are the most harmful to the kidneys. If there is kidney disease, we must get rid of it as soon as possible! 1. Sudden high-intensity exercise or strenuous exercise. Some friends usually do not exercise or exercise at a very low intensity. Under such circumstances, if a sudden high-intensity exercise or strenuous exercise occurs, it is easy to cause a disease called “rhabdomyolysis Syndrome”, which may lead to complications-acute uremic syndrome or acute renal failure. If you encounter a critically ill condition, the consequences will be more serious. Sudden exercise of greater intensity results in a significant loss of energy in the body and an increase in the production of a kind of “free radicals” in the human body, which causes the release of “inflammatory factors” and causes muscle tissue damage. The “myoglobin” in the muscle will form crystals in the renal tubules and block them. The pathophysiological mechanisms mainly include ischemia injury and ATP depletion, impaired sarcoplasmic reticulum calcium regulation, low potassium, and tissue oxidative stress. Among them, the direct damage of “myoglobin” to the kidney is the main cause of acute renal failure. . Therefore, our exercise must follow the 12-character principle: do what we can, proceed step by step, and persevere. 2. Exercising in a polluted environment Earlier related domestic studies have shown that long-term exposure to high concentrations of fine particulate matter (PM2.5) with a diameter of less than 2.5μm is associated with an increased risk of membranous nephropathy. The study was published in the American Society of Nephrology magazine”. The trial included 71,151 kidney biopsy pathological results from 928 hospitals in 282 cities in China over 11 years to study the relationship between long-term exposure to PM2.5 and glomerular disease. The results showed that the incidence of IgA nephropathy was 28.1%, followed by membranous nephropathy at 23.4%. For 11 years, the risk of membranous nephropathy increased by 13% every year, while the risk of other major glomerular diseases remained stable. In addition, every 10μg/m3 increase in PM2.5 concentration increases the risk of membranous nephropathy by 14%. Especially in the most polluted morning exercise, you will inhale a higher concentration of fine particles less than 2.5μm in diameter (ie PM2.5), and the risk of membranous nephropathy will be higher. Therefore, we must avoid serious pollution periods when we exercise every day. 3. Exercise in the state of lack of water is mainly seen in these situations, such as exercise after an empty stomach in the morning, exercise during a lot of sweating, exercise in a high temperature environment, or exercise without supplementing water after exercise. During exercise, not only do you lose a lot of water from sweating on your skin, but you also lose a lot of water when you exhale from your breath. If you don’t drink water in time, these will cause the body to be dehydrated, which will lead to severe dehydration of the kidneys. The most indispensable organ in our body is the kidneys, so the kidneys are also called “watery organs.” Occasionally a little water shortage will not have much effect in general. However, if the kidneys are severely dehydrated and cannot replenish water in time, renal blood flow will decrease, ranging from hypotension and dizziness to severe acute kidney injury. At the same time, lack of water can also cause toxins to accumulate in the body, further aggravating the damage to the kidneys caused by lack of water, and severe cases can cause acute uremic syndrome. Therefore, we must avoid exercising on an empty stomach, avoid exercising in a high temperature environment, avoid long-term exercise, avoid excessive sweating during exercise, and require frequent drinking during exercise to supplement water. Regardless of whether we have kidney disease or not, we must develop good exercise habits, appropriate exercise methods, and correct these kidney-damaging exercise methods. If you already suffer from

The kidneys are severely damaged, and the rest of my life depends on dialysis. These 6 eating habits are the bane

The kidney is an important organ of our human body. Whether it is the “kidney is the innate foundation” in TCM theory, or the important functions of the kidney in terms of filtration, excretion, and secretion in the physiological structure, protecting the health of the kidney is to maintain the body as a whole An important aspect of health. If there is a problem with our kidney function, the body’s ability to excrete wastes will be greatly reduced. The substances that should be excreted from the body are not excreted, either causing the body’s electrolyte disturbance or causing the body’s toxic reaction, many of which develop into the end stage For those with nephropathy and uremia, it is the failure of the kidneys that requires extracorporeal dialysis to filter the blood regularly to maintain life. To protect the health of the kidneys, it is also very important to regulate and control the daily diet. If you do not pay much attention to the diet, some kidney-damaging eating habits will be adhered to for a long time, which will lead to the gradual damage of kidney function. It is an organ with a very powerful compensatory function. Therefore, kidney function often does not have a clear performance in the process of damage. When the kidney function enters the decompensation period, the filtering capacity of the kidney is significantly reduced, and nausea occurs. , Vomiting, edema, oliguria and other states, the function of the kidneys is often severely damaged and irreversible. If you can do a good job of dietary conditioning in life, it is a very important aspect for protecting kidney health and reducing the risk of kidney damage. Today, I will summarize several types of diets and bad habits that are harmful to kidney health. High-salt diet High-salt diet is one of the main culprits that damage kidney health. The main hazard of a high-salt diet is the long-term excessive intake of Na ions. Long-term intake of large amounts of Na will increase the metabolic burden of the kidneys. Excessive intake of Na ions in the body will also cause water and sodium retention in the body’s cells. It leads to an increase in blood volume and a further increase in blood pressure. High blood pressure itself is an important risk factor for kidney health. Taken together, if you say that an unhealthy diet that hurts the kidneys, a high-salt diet can be said to bear the brunt. In addition to high-fat and high-sugar diet, high-fat and high-sugar diet is also an important aspect of kidney injury. Excessive intake of lipids and sugars will not only increase the metabolic burden of the liver, but the increase in lipid content in the blood will increase the viscosity of the blood. When the blood flows through the small arteries of the kidney, the excessive lipids and Accumulation of sugar can also cause the risk of damage and hardening of arterial small blood vessels. The arterioles of the kidneys are hardened and damaged. Of course, the filtration capacity of the kidneys will also be affected, which will eventually lead to renal insufficiency. High-fat and high-sugar diet is also an important risk factor for diabetes. Therefore, if the long-term high-fat and high-sugar diet induces the occurrence of diabetes, the high blood sugar of diabetes itself will further increase the metabolic burden of the kidneys and cause complications of diabetic nephropathy. It is also worth noting. High-protein and high-purine diet The kidney not only bears the functions of salt, sugar filtration, and excretion, but also urate and protein will affect the kidney’s blood circulation filtration process. High-purine foods will increase the production of exogenous uric acid. , Increase blood uric acid levels, and excessive high-protein diets will also cause the kidneys to present a high-filtration state with an increased burden, and may even cause micro-urinary protein problems. The reason why these two types of diets are put together is that many high-purine foods are also high-protein diets. Long-term intake of high purines will lead to a gradual increase in blood uric acid levels and blood uric acid levels. If it is high, it will form monourate crystals, which will eventually form deposits in the kidneys during the process of filtration and reabsorption by the kidneys, or cause damage to the health of the renal tubules. Such a diet will harm the health of the kidneys in many ways. Long-term heavy drinking. Some friends love to drink. Many friends know that drinking can hurt the liver and stomach, but in the same way, long-term heavy drinking can also damage our kidney health. Drinking alcohol will affect the body’s nitrogen balance, increase protein breakdown, and increase the blood urea nitrogen content, which will inevitably increase the metabolic burden of the kidneys. Long-term heavy drinking may cause the kidney function to be gradually impaired due to long-term stress. There are also some friends who insist on drinking a lot of alcohol when they are sick, because the dual effects of sickness and drinking, leading to the risk of acute kidney function damage, are also not easy to ignore. Don’t like to drink water, drink too little water. Kidney is an organ with powerful filtering function. Don’t be afraid that drinking more water will increase the burden on the kidney.

Who are at high risk of kidney disease?

1. In hypertensive patients, the kidney is an important target organ for hypertension, which means that hypertension can easily cause kidney damage. The higher the blood pressure and the longer the duration, the more severe the kidney damage. Therefore, people with high blood pressure need to check urine routine and kidney function every year to understand the condition of the kidneys. &nbsp.&nbsp.&nbsp.For people with high blood pressure, the diet should be light, eat less salt, limit 3-4g per day, blood pressure should be controlled below 140/90mmHg, patients with chronic kidney disease or diabetes should be controlled below 130/80mmHg , Can effectively prevent the occurrence of kidney damage. 2. Elevated blood sugar in diabetic patients will increase the burden on the kidneys, and diabetes will cause diabetic nephropathy, which can lead to kidney failure in severe cases. If you have diabetes and have a medical history of more than five years, you should consciously check urine microalbumin every six months or every year in order to detect signs of kidney disease as soon as possible. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Stable blood sugar control is the best way to prevent diabetic nephropathy. Through the “five carriages” of diabetes management, namely, health education, diet therapy, medication, exercise therapy and blood glucose monitoring, blood sugar can be controlled within the ideal range. 3. As the living standards of patients with hyperuric acid improve, hyperuric acid is very common. In addition to causing gout, it can also cause chronic kidney damage and even kidney failure. For people with high uric acid, you should control your mouth, open your legs, and review the uric acid to bring your kidney function and urine routine. &nbsp.&nbsp. Reduce the intake of seafood, alcohol, animal offal, and red meat. A glass of milk a day can help reduce uric acid levels. 4. Obesity Data shows that if you are overweight at the age of 20, your risk of kidney disease will increase by three times in the future. Systemic obesity and abdominal obesity can cause obesity-related kidney disease, and can also cause a series of metabolic disorders such as high blood pressure, high blood lipids, and high blood sugar, which indirectly lead to kidney problems. Exercising more to maintain a healthy weight and body shape will help maintain a good metabolic level of the body and reduce the burden on the kidneys. 5. Other high-risk groups In addition to the above groups, people who often take medicine, health care products, alcoholism, and home remedies, or have a family history of kidney disease, adolescents with recurrent tonsillitis and upper respiratory tract infections, people older than 60 years old are compared Ordinary people who are at higher risk.

What should I do if there is proteinuria in diabetic hypertension? Choose the right antihypertensive and hypoglycemic drugs, stabilize the index and protect the kidney

Diabetes and hypertension are good brothers. Some friends found that hypertension did not take long and their blood sugar level also increased, while some friends first discovered that they had diabetes, followed by increased blood pressure. Whether it is diabetes or high blood pressure, these two diseases are chronic diseases that are difficult to completely cure, and the health hazards to the body are often superimposed, especially in terms of kidney health, if there is a problem of high blood pressure and diabetes If blood pressure and blood sugar cannot be actively controlled, the damage to kidney health is often superimposed. In the face of such a situation, how should we respond and how to choose drugs reasonably? Today we will talk about this topic. High blood pressure combined with diabetes is harmful to kidney health. Many friends know that diabetes is harmful to kidney health. Diabetic kidney complications are also one of the most common complications of diabetes. As everyone knows, high blood pressure also affects kidney health, hypertensive nephropathy It is also a complication of hypertension. Therefore, if high blood pressure and diabetes co-occur, the impact on kidney function is often greater, and the risk of kidney damage is even greater. The kidney is an important organ of human excretion and is responsible for the important function of blood filtration and reabsorption. In the process of blood filtration and reabsorption, the health of the blood vessels flowing through it is particularly important for the normal maintenance of kidney function. If high blood pressure is not controlled for a long time, it will accelerate the hardening of renal arterioles. At the same time, the renal arterioles are subject to high pressure for a long time. It is easier for the protein and other components originally retained in the blood vessels to leak into the kidneys, forming proteinuria. Leakage can damage the kidneys and gradually affect kidney function. Diabetes can also affect kidney function. Diabetes can change hemodynamics and cause the kidneys to be in a state of high perfusion and high filtration for a long time. Simply put, it is like a long-term high load. At the same time, high blood sugar can cause damage and hardening of renal arteries and blood vessels. It also increases the chance of proteinuria and gradually damages kidney health. If diabetes is combined with hypertension, blood pressure and blood sugar are not well controlled, renal function is impaired, and the chance of renal failure is much higher than that of patients with simple hypertension or diabetes. High blood pressure combined with diabetes, causing kidney function damage, how should we judge? Many friends know that the blood creatinine level is an important indicator for judging the damage of the kidney function, but what we need to know is that our kidney is an organ with a strong compensatory function. When the kidney function is slightly damaged, the filtration performance of the kidney is not It will not be greatly affected by this, and the creatinine level will not rise too much. Only when the kidney function is damaged and the compensatory function of the kidney is not enough to maintain normal renal function, the creatinine will increase. It can also be understood that when creatinine increases due to impaired kidney function, our kidney function has dropped by more than 50%! Therefore, it is too late to judge whether renal function is impaired or not by increasing blood creatinine. The earliest manifestation of impaired renal function is often the appearance of microalbuminuria. When microalbuminuria occurs, it indicates diabetes and hypertension. It has begun to affect the function of the kidneys. Proteinuria is not just a phenomenon. The protein in the blood leaks into the kidneys, which will gradually damage the filtration structure of the kidneys. At this time, control blood sugar and blood pressure to minimize protein. The appearance of urine is the top priority of delaying kidney damage and protecting the kidneys, which deserves our attention. High blood pressure combined with diabetes, proteinuria problems, how to choose antihypertensive drugs? Let’s not talk about life conditioning today, but focus on the choice of antihypertensive drugs and hypoglycemic drugs. In terms of the choice of antihypertensive drugs, for friends with hypertension and diabetes, there are currently two types of good drugs to choose from in the clinic, that is, the antihypertensive drugs of pristine and sartan. Both types of antihypertensive drugs It is a drug that inhibits the renin-angiotensin-aldosterone system. It can effectively inhibit vascular tension, dilate blood vessels, and lower blood pressure. While lowering blood pressure, it can also improve the problem of microalbuminuria in the kidneys. It can both lower blood pressure and reduce blood pressure. Two types of antihypertensive drugs for kidney protection. For Pristine and Sartan drugs, except for the earliest Captopril which is a short-acting drug, the other Pristine and Sartan antihypertensive drugs are long-acting antihypertensive drugs, which can be taken once a day. High compliance, clear and mild antihypertensive effect, often need to take 2~4

Classic Moments-The Tibetan-Dr. Haishu Rereads Internal Classic 0724

【Original】Small kidneys can be difficult to get dirty, and large kidneys are good for low back pain. If the kidney is high, there is pain in the back and back, so it is not allowed to lie back; the lower part of the kidney is sore in the waist, so it is not allowed to lie down, because it is a fox hernia. A strong kidney does not suffer from low back pain; a fragile kidney is good for the disease and easy to hurt. If the kidney is regular, it is good and hard to hurt; if the kidney is tilted, it will cause pain and waist pain. 【Translation】The kidneys are small in size, functioning normally, and are not easily damaged by evil; large kidneys are prone to low back pain and cannot bend forward and back and are easily injured by evil. High kidney position, often back pain and unable to pitch forward and backward; low kidney position, waist pain and unable to pitch, prone to form fox hernia of the scrotum. If the kidneys are firm, there will be no back pain and other diseases; if the kidneys are fragile, they are prone to deficiencies. If the kidney is in an upright position, the kidney qi can harmonize and benefit, and the evil qi is hard to damage; if the kidney is in a deviated position, pain in the back and buttocks will occur. ~~~~~~~~~~~~~~~~~~~Haishu Press: The position of internal organs and the position of external muscles can influence each other. Is low back pain necessarily a problem with the disc? Good morning [rose]

Does gout actually hurt the kidneys? ! Is gout nephropathy terrible?

What are the harms of gout to the kidneys? Gout is caused by the disorder of metabolism in the human body, which makes the body’s “purine” metabolites increase a lot. Under normal circumstances, excess purine is converted into uric acid, which is excreted through urine. However, if the increase of uric acid has exceeded the body’s own excretory capacity, it will cause hyperuricemia and trigger gout. This is because a large amount of uric acid in the blood of gout patients meets electrolytes to form urate, which is continuously deposited into the kidneys and causes kidney disease. With the progressive development of the disease, once the kidney fails, it will seriously endanger the patient’s life. What kind of kidney disease can gout cause? 1. Chronic urate nephropathy urate crystals are deposited in the renal interstitium, leading to chronic tubulointerstitial nephritis. The main manifestations are increased nocturia, low specific gravity urine, small molecule proteinuria, leukocyte urine, mild hematuria and tubular urine. Late stage can cause glomerular filtration function decline and renal insufficiency. 2. The blood and urine uric acid levels in acute uric acid nephropathy increase rapidly, and a large amount of uric acid crystals are deposited in the renal tubules and collecting ducts, causing acute urinary tract obstruction. 3. Urinary acid urinary tract calculi The uric acid concentration in urine increases to a supersaturated state, and deposits and forms stones in the urinary system. Those with small stones are discharged with urine like sand, often asymptomatic; those with larger stones have renal colic and hematuria. If the stones recur repeatedly, they can cause urinary tract obstruction and local damage, which is easy to cause infection. Gout damages the kidneys. If you do not pay attention to treatment, it will hurt other organs of our body and even endanger life.

From diabetes to kidney failure to uremia, the body will give three warnings!

Diabetes is the most likely to cause complications of kidney disease. Once it damages the kidneys, it may cause irreversible damage. If the condition is not well controlled, it may evolve into uremia and eventually lead to death, so diabetes causes Don’t underestimate the complications of kidney disease. From diabetes to kidney failure to uremia, the body will issue a warning, these common sense diabetics must understand. 1. When proteinuria diabetes causes kidney damage, the most obvious early symptom is that there will be some trace albumin in the urine. In this case, you can see some small bubbles that are not easy to dissipate. Therefore, when a diabetic person finds that his urine is abnormal, he should go to the hospital for examination and treatment in a timely manner. 2. Dizziness, nausea, and vomiting The most important thing for people with diabetes is to keep blood sugar stable. Under the condition of stable blood sugar, no dizziness, nausea and vomiting and other uncomfortable symptoms will appear, but if the drug is not taken correctly, it will cause blood sugar to rise , Further damage to the kidneys, when the kidney function is damaged, the body’s detoxification function will decline, then it will cause a large accumulation of toxins in the body, easily cause nausea and vomiting and other uncomfortable symptoms, when these symptoms occur, do not Misunderstanding that it is a temporary adverse symptom, most likely caused by nephropathy, so it should be actively treated. 3. Acidosis If the diabetics are usually irritable and feel fatigue and fatigue throughout the body, they will often have drowsiness and chest tightness and other uncomfortable symptoms, it is likely to be symptoms of acidosis, and when the acidosis is serious Unexpected risks such as coma occur. Poisoning is a typical symptom of chronic renal failure, so when these symptoms appear, it should be highly valued and should be detected and treated early. Diabetic nephropathy should be actively treated with drugs in the early stage, and diet taboos should also be paid attention to so as not to worsen the condition. Patients should usually avoid high-sugar foods, do not eat cakes and cheese and other desserts with high sugar content, and should also avoid canned fruits and sweet breads and other foods. At the same time, patients should also avoid eating high-fat and high-cholesterol foods, do not eat animal offal and fatty meat, and fried foods. It should also be noted that smoking and alcohol should be quit, because alcohol will cause excessive fluctuations in blood sugar, and it is very likely to mask the risk of hypoglycemia, so smoking and drinking is a very dangerous thing for diabetics. Diabetic nephropathy is a very common complication, so diabetics should pay attention to the protection of the kidneys in peacetime, eat more foods that can maintain the kidneys, drink more water, eat more vegetables and fruits, and avoid staying up late Overtime, but also to quit smoking and alcohol. If there are alarms issued by the above three bodies, then you should go to the hospital in time for treatment and early detection and treatment should be done to minimize the harm to the body.