Epidemiological survey data show that in China, about 10 adults have a chronic kidney disease patient, and 2017 statistics show that China's uremia patients reached 2.7 million, according to the annual growth rate of about 100,000 to 200,000, rough estimates of China's uremia patients have exceeded 3 million, and from the age distribution point of view, young and middle-aged people account for about half of uremia patients.
Why is there more and more uremia, and the proportion of young and middle-aged people will gradually increase? Today's popular science article, let's discuss with you about the prevention and control of uremia risk.
Many people's uremia is dragged out
Uremia is not actually a single disease, modern medicine believes that uremia is a series of complex syndromes produced by the loss of kidney function and the disorder of the internal biochemical process of the body.
When our kidney function is completely lost, the human body cannot play a role in filtering and excreting waste products through the kidneys, and the metabolites and electrolytes in the body will also be imbalanced, and the endocrine function of the kidneys will also be affected by the secretion of renin, erythropoietin, active vitamin D3, prostaglandins, etc.
Kidney is a very important organ for us, but also a very powerful organ, bilateral kidney function If one side can maintain full function, it can complete the filtration and secretion function of the kidney and maintain the normal operation of the body, therefore, the kidney has a strong compensatory, this compensatory can make our kidney function slightly impaired, so that our physical health will not be affected.
It is also so that in the early stage of impaired kidney function, it may not be accompanied by any uncomfortable symptoms, and this "no feeling" also makes many friends less and moderately impaired kidney function, can not actively pay attention to intervention, no control, no treatment, do not regulate the risk of life control, day by day "drag" down, various symptoms gradually appear, and even kidney function gradually failed, thus dragging into uremia.
When the body has 6 signals, it has been suggested that the kidney function may be impaired
If you do not want kidney damage to eventually progress to the problem of uremia, early detection, early intervention is a very important aspect, leading to kidney function damage is also a lot of factors, chronic kidney disease problems, hypertension, diabetes and other diseases, the impact of bad living habits, the impact of high uric acid and so on.
However, the probability of these diseases developing into uremia at once is actually very small, most of the cases are in the case of gradual impairment of kidney function, long-term progression to renal failure uremia, therefore, as early as possible to identify the relevant signs of impaired kidney function, it is particularly critical. When the kidney function is impaired, there are also many related problems that may occur, but the following 6 aspects deserve our special attention.
1, the emergence of proteinuria: proteinuria is an important sign of impaired kidney function, often have friends say that there is a + sign of urine protein, two + sign, etc., this is the case. When the kidneys normally filter the blood, protein does not enter the urine, and if the kidney filtration pressure increases and the kidney function is impaired, protein may leak into the urine, forming proteinuria.
To check whether the kidney function is impaired, a more early indicator is the microurine protein / creatinine ratio, this value can reflect the early kidney function damage, the examination is not complicated, therefore, for friends with chronic kidney disease problems, as well as friends with other kidney health risks chronic disease, regular urine protein examination is very important for the detection of early kidney function damage.
2. Elevated blood creatinine: blood creatinine is also an important indicator of impaired kidney function. Elevated serum creatinine levels are an important sign of the decline in kidney filtration levels, but it should be understood that when the level of serum creatinine rises, often the kidney function has entered the decompensated stage, which should be more important to our attention.
3, blood pressure increase: many friends know that high blood pressure is not controlled, will gradually cause damage to kidney function, but when the kidney function is damaged, it will also be accompanied by abnormalities in blood pressure regulation, this effect is mainly due to the imbalance of renin-angiotensin-aldosterone system, therefore, the problem of "renal hypertension" caused by impaired kidney function is also worth noting.
4. Edema: when the kidney function is seriously impaired, it may be accompanied by edema, especially if there is edema of the face and eyelids, or edema of the lower limbs, you should be vigilant about the possibility of serious damage to kidney function, in addition, when there is edema of the lower limbs, you should also consider the possibility of heart failure.
5, anemia: the kidney is not only a filter excretory organ, but also endocrine function, when the kidney function is impaired, the kidney secretion of erythropoietin will also be reduced, the reduction of this secretin will affect the production of red blood cells, and after the kidney function is impaired, the metabolites accumulated in the body, some such as phenols and their derivatives can also inhibit the hematopoietic function of the bone marrow, shorten the survival of red blood cells, accelerate the destruction of red blood cells and can cause hemolysis. Therefore, kidney function impairment may also bring about the problem of pernicious anemia.
6. Osteoporosis: the damage of kidney function is often accompanied by the health of the skeletal system, and osteoporosis is an important result caused by impaired kidney function. The function of kidney excretion of phosphate decreases, and the accumulation of phosphate in the body will affect the concentration of calcium, resulting in a decrease in calcium absorption; on the other hand, the kidneys' ability to synthesize and activate vitamin D is weakened, resulting in a lack of vitamin D3 in the body, which is also an important aspect of affecting calcium absorption and osteogenesis and causing osteoporosis.
If our body has the above problems, we must actively consider the possibility of kidney function damage, as soon as possible for the relevant situation, active conditioning and control, as far as possible to delay the further damage of kidney function, the risk of developing uremia, is very necessary.
If you want to protect kidney function, you should pay attention to identifying risk factors related to kidney health, and actively control related risk factors as soon as possible, especially the effects of chronic metabolic diseases such as hypertension, hyperglycemia, and high uric acid, as well as some friends who have chronic kidney disease problems, actively control these related chronic disease problems, which is an important aspect of delaying the damage of kidney function and avoiding the development of uremia.
At the same time, in daily life, we should also try to avoid some kidney-hurting habits, high-salt and high-sugar diet, excessive high-protein diet, obesity, sedentary inactivity, holding urine, drinking too little water, staying up late, long-term stress effects, etc., are likely to have an impact on kidney health, actively practice healthy and reasonable diet, active exercise, fully hydrate the body, maintain adequate sleep, maintain a peaceful and optimistic attitude, and maintain a healthy lifestyle, which is the basis for ensuring good health and kidney health, which is worth our lifelong adherence.