Recently
Sugar oranges and mandarins are listed in large quantities
Some people can't stop eating it
You can even eat a basket for one meal
Urgent reminders
Be sure to keep the amount under control
Recently
A hospital in Hangzhou, Zhejiang Province received treatment
Quite a few patients with hyperkalemia
Some have even been diagnosed with uremia
It's all oranges to blame when you ask
Eat oranges and eat in the emergency room?
Such cases are not uncommon!
[Case 1]
Uncle Jiang (pseudonym) is 56 years old this year, his family has an orchard, and recently tangerines have been on the market, Uncle Jiang often eats while picking, and he has to eat four or five a day to enjoy it.
After working in the orchard for half a month, Uncle Jiang suddenly felt numb in his hands and feet, and his muscles were sore, he felt that he was tired from work, after all, he was also diagnosed with chronic kidney disease last year, and his physical strength was not as good as before. Chronic kidney disease has to be rechecked regularly every month, and this time when it was time for the reexamination, he went to the hospital for an examination, which scared the doctor - creatinine exceeded 800 μmol/L (53-106 μmol/L in normal men), blood potassium was also as high as 7.1 mmol/L (normal concentration 3.5-5.5 mmol/L), and the heart rate was only 40 beats / min (the heart rate of normal people at rest was 60-100 beats / min), Uncle Jiang was diagnosed with uremia, Hyperkalemia, cardiac arrest may occur at any time. Subsequently, Uncle Jiang was urgently admitted to the local hospital for treatment.
[Case 2]
According to reports, Mr. Jiang, who suffers from kidney disease, suddenly fainted and fell to the ground after eating five oranges in one go, and was rushed to the hospital.
The examination report showed that Mr. Jiang's creatinine was as high as 1700umol/L, and his blood potassium was as high as 7.2mmol/L, while the normal concentration of blood potassium was 3.5-5.5mmol/L.
Fortunately, after timely hemodialysis and blood potassium lowering and other rescue treatments in the hospital, Mr. Jiang finally turned his life around.
Eating fruit causes diseases every year
Most patients have underlying kidney disease
How can ordinary oranges be so dangerous to some people?
"Every year, there are a number of patients with hyperkalemia due to eating fruit. "The doctor said that the incidence of chronic kidney disease in the population is not low, some studies have found that the prevalence of chronic kidney disease in the Chinese population is about 10.8%, because in the short term, eating a lot of fruits causes hyperkalemia, and then detects uremia patients, the aforementioned Uncle Jiang is not the first.
"But don't panic, these patients have a pre-existing kidney disease. The doctor explained that people with kidney disease have renal insufficiency, and the kidneys are important organs for regulating potassium, for example, for a healthy person who does not have kidney disease, when his potassium intake increases, the potassium excreted by the kidneys will also increase, so as to maintain a balance.
Note: Kidney function is not good, be cautious of eating potassium-rich foods!
Potassium is an essential nutrient that is closely related to the heart's beating, rhythm, muscle contraction, and nerve activity. Under normal conditions, the serum potassium concentration is 3.5 to 5.5 mmol/L.
When the body lacks potassium, muscle weakness and paralysis, arrhythmia, and even death can occur, and high blood potassium concentrations can also affect the heartbeat and myocardial contractility.
For normal people, because the body automatically excretes excess potassium, the intake of foods containing more potassium generally does not lead to hyperkalemia.
However, for people with renal insufficiency, their kidneys' ability to excrete potassium is reduced, especially in the case of acute kidney injury and chronic renal failure, eating too much potassium-rich food will lead to potassium retention in the body, causing hyperkalemia, and in severe cases, it may also cause arrhythmia, cardiac arrest, and even sudden death.
Oranges are rich in potassium ions, people with renal insufficiency, a large amount of potassium ions in a short period of time, and the dysfunctional kidneys can not excrete too much potassium ions with all their might, and the potassium ions that cannot be discharged in time accumulate in the body, causing hyperkalemia, and high potassium will directly inhibit heartbeat and breathing, and if you do not treat it in time, it will be life-threatening.
"Edamame, bananas, grapes, oranges, kiwifruit, mushrooms, mushrooms, seaweed, etc. are all high-potassium foods, and people with kidney disease should eat less. The doctor said.
Potassium control is one of the things that must be done to reduce the risk of death in patients with diabetes and kidney disease. Please keep the following life tips.
1. Drink less soup, especially vegetable soup and broth, and do not use stock or gravy bibimbap;
2. Avoid a large intake of fruits;
3. Avoid drinking coffee, strong tea and sports drinks;
4. Vegetables can be chopped, or cut into slices with water, soaked for at least half an hour, you can change the water several times;
5. Avoid eating a lot of raw vegetables, including cucumbers, tomatoes, etc.;
6. Some Chinese herbal medicines (decoctions) have high potassium content, so be cautious if you drink them for a long time;
7. Be cautious with low-sodium seasonings, low-sodium soy sauce and low-sodium salt are rich in potassium ions, and long-term use can easily cause blood potassium to rise.
Oranges are delicious, but don't be greedy
Although oranges are delicious and nutritious fruits, they should not be eaten wildly. Otherwise, it will not only cause the skin to temporarily "turn yellow", but also "get angry", and cause symptoms such as swollen and sore gums and dry mouth.
The sugar content of oranges is not low, generally above 10%. A large amount of sugar will increase the osmotic pressure of cells, resulting in dry throat, causing discomfort in the mouth, throat, gums and other parts; oranges have more sugar and acidic components, too much intake will cause excessive blood sugar load, stimulate the mucous membrane of the mouth and throat, thereby causing acne, mouth ulcers and other "fire" symptoms, friends with high blood sugar are not recommended to eat too much at one time; it also contains a lot of carotene, eat too much, too late to metabolize, and easy to become a "Minion".
Therefore, according to the recommendation of the Dietary Guidelines for Chinese Residents 2022 Edition to consume 200-350 grams of fresh fruits per day, it is enough to eat 2-3 medium-sized oranges a day. After eating, remember to rinse your mouth in time to avoid the symptoms of "fire".
This symptom is
The kidney's "distress signal"
To protect the kidneys, you may wish to establish your own personal kidney file, which mainly includes three indicators: urine routine, renal function, and urinary system B ultrasound.
1. The urine routine mainly looks at urine specific gravity, hematuria and proteinuria;
2. Renal function is mainly blood creatinine and urea nitrogen;
3. Renal B ultrasound mainly reflects the size, shape and presence of obstructive hydrops of the kidney.
If any of the above three results show abnormality, it is necessary to see a nephrologist in time to determine whether the kidney is damaged and the cause of the damage, and to give correct and timely treatment.
Ordinary people, especially after entering middle age, it is recommended that it is best to have a check-up every 1-2 years to update the "kidney file" in order to detect problems early.
Patients who have renal damage should go to the nephrology outpatient clinic for regular follow-up, and it is best to check urine routine and renal function every 1-3 months, and urinary B ultrasound once every six months.
While doing regular check-ups, it is also important to keep an eye out for abnormal symptoms. If there is a "malfunction" in the kidneys, there are usually these "early warnings":
1. Edema: Body edema is one of the common symptoms of kidney disease. Depending on the patient, the edema may be mild or severe, ranging from swelling of the cheeks and eyes in the morning to swelling of the whole body.
2. Hematuria, proteinuria (foamy urine): Proteinuria refers to positive urine protein in urine tests. The manifestations are: the patient's urine is often foamy, mainly small foam, which cannot be dispersed for a long time.
3. Elevated blood creatinine: Blood creatinine is an indicator to test kidney function, and its increase means that the kidneys have been seriously damaged.
4. Loss of appetite: If you suffer from kidney disease, the excretion of toxins in the body is not smooth, and there will also be loss of appetite.
5. Anemia: The degree of anemia is often related to the degree of renal function decline.
It is important to note that nearly 50% of kidney disease has an insidious onset and often has no obvious symptoms in the early stages.
However, as the disease progresses, there are still traces to follow, such as paying attention to the following symptoms: dizziness, nausea, vomiting, fatigue, fatigue, easy fractures and bone pain.
Source | Yunnan CDC WeChat public account