Text/Yangcheng Evening News all-media reporter Zhang Hua Correspondent Jin Xiaohuan
Chen Bo, 83 years old, recently his legs were as heavy as lead, and he didn't have long to cry tired. Later, the family found that Chen Bo's lower limbs were edematous and pressed one nest at a time. During the consultation in the Department of Nephrology of the Second Hospital of Traditional Chinese Medicine in Guangdong Province, Zeng Bishan, deputy chief physician, asked in detail about his medical history and found that Chen Bo had diabetes, hypertension and coronary heart disease for many years. In October last year he was also diagnosed with chronic kidney disease stage 5.
"Check the hemoglobin of Chen Bo and find that his hemoglobin is very low, only 78g/L, while the creatinine is high, combined with its clinical symptoms, such as pale lips, white color of the eyelid conjunctiva, tiredness and fatigue, shortness of breath and so on. We believe he has renal anemia. Zeng Bishan said.
▲Zeng Bishan, deputy chief physician of the Department of Nephrology of the Second Hospital of Traditional Chinese Medicine in Guangdong Province, provided in the rounds photo/hospital
In stage 3 chronic kidney disease, 50% will develop renal anemia
Why does kidney disease cause anemia? Zeng Bishan pointed out that chronic kidney disease also has nephrotic anemia, and in patients after stage 3 of chronic kidney disease, the proportion of anemia occurs as high as 50%. According to studies, patients with chronic renal failure and anemia have a worse prognosis than those without anemia.
So why does kidney disease also lead to anemia? "That's because the kidneys themselves can produce a substance called erythropoietin, which is used to promote the production and transport of red blood cells." In patients with chronic kidney disease, the production of erythropoietin is also reduced due to kidney failure. In addition, patients with chronic renal failure are prone to loss of appetite and lack of diet due to the failure of the body's toxins to be excreted in time, which will also cause nutritional deficiencies and lead to a decrease in hemoglobin production. ”
Experts also remind the public that when there is poor appetite and anemia (eyelids, nails, and pale lips), blood routine, kidney function and urine routine should be checked to check whether there is a kidney problem.
▲The annual physical examination should check the blood routine, kidney function and urine routine
TCM is effective in improving anemia
If renal anemia is found, how should it be treated? Zeng Bishan said that first of all, it is necessary to solve the problem of primary disease, such as controlling blood pressure, blood sugar, etc., to avoid aggravating kidney damage, and at the same time carry out kidney protection treatment. Then according to the kidney situation, supplement the appropriate erythropoietin, and at the same time, in the process of supplementing erythropoietin, it is also necessary to pay attention to the lack of hematopoietic raw materials, such as iron, folic acid and vitamin B12.
In fact, there are also many drugs in Chinese medicine that can improve anemia, such as ejiao, angelica, goji berries, guiyuan, as well as female virgins, silk seeds and so on. In addition, there are also many proprietary Chinese medicines, such as blood-generating treasure combination, hemic ning tablets, etc., it is best to consult a doctor before taking the drug. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Liu Xinyu