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"Hey, you say this world, it's really incomprehensible!" 63-year-old Uncle Li shook his head and sighed while wiping the sweat from his forehead, and the expression on his face seemed to taste the sourness of a lemon.
Since his retirement, he has been active on the go, walking, jogging and occasionally playing tai chi.
However, although he has been exercising, his health is not ideal. A year ago, he was diagnosed with uremia and had to be treated at intervals. Uncle Li's family and friends are very concerned about him, and often persuade him to do less high-intensity exercise, for fear that he will not be able to bear it. But Uncle Li is a stubborn old man, and he always feels that exercise can help him recover his health.
No, early this morning, he went out to exercise again as usual. Unfortunately, he began to feel tightness in his chest after returning and was subsequently taken to the hospital. After a comprehensive examination by the doctor, Uncle Li failed to survive because of the aggravation of uremia.
Uncle Li's doctor, Dr. Zhang, was very sorry for such a result. He analyzed Uncle Li's situation and believed that Uncle Li made several typical mistakes during the exercise.
First of all, Uncle Li ignored the doctor's advice and insisted on high-intensity exercise. Dr. Zhang has repeatedly stressed that older people with serious chronic diseases should choose moderate forms of exercise, such as walking or gentle yoga, rather than intense running or long periods of aerobic exercise.
Secondly, Uncle Li was also negligent in dietary management. Patients with uremia need to strictly control their protein intake, because excessive protein intake will increase the burden on the kidneys and accelerate the deterioration of kidney function. However, Uncle Li often eats a lot after workouts, especially high-protein foods such as meat and soy products, which is a big challenge to his kidneys.
In addition, Uncle Li did not follow the doctor's instructions well for regular physical examinations and dialysis treatment. For uremia patients, regular dialysis can help remove toxins from the body and delay the progression of the disease. But Uncle Li often missed the dialysis time because he felt that his body was okay, which caused his condition to worsen unconsciously, and then continue to talk about Uncle Li.
Dr. Zhang summarized the inappropriateness of Uncle Li's exercise, but also recognized that many elderly people have similar misconceptions when it comes to managing chronic diseases. Dr. Zhang decided to focus more on education and guidance in his daily work, especially for the daily management and exercise appropriateness of elderly patients with chronic diseases.
Uncle Li's example, although a little sad, also made Dr. Zhang think deeply. He found that patients often have a certain amount of resistance to their doctor's advice, especially when it conflicts with their established habits.
Dr. Cheung realised that in order to change this, it was not enough to pay lip service to it, but to have practical support, such as providing specific exercise instructions and programs to ensure that patients were able to engage in physical activity safely and effectively.
In addition, Dr. Zhang began to try to communicate with his patients in a more relaxed and humorous way, hoping to reduce their psychological defense against the doctor's advice. He will use some more down-to-earth metaphors to explain medical knowledge, such as comparing the kidneys to the "plumbers" in the family, if the plumbers work overtime every day, it is strange that they will not collapse one day.
Now back to the relationship between exercise and uremia. For uremia patients, proper exercise can help control blood pressure, improve cardiopulmonary fitness, increase muscle strength, and improve sleep quality. Appropriate activity has a positive impact on the general health of people with uremia.
Dr Teo advises uremia patients to discuss with their doctor before starting any new exercise program to ensure that the type of activity and intensity they choose is appropriate for their health condition. He particularly emphasized that patients during dialysis should avoid excessively strenuous activities to avoid excessive burden on the body.
Uncle Li's grandson, Xiao Li, came to the hospital, Xiao Li was a little confused, he asked Dr. Zhang: "Dr. Zhang, my grandfather usually pays attention to exercise, why did he still die suddenly?"
Dr. Zhang sighed softly and patiently explained, "Xiao Li, your grandfather's situation is indeed regrettable. Exercising is important, but it's even more important to choose the right way and intensity. Remember, proper exercise is a medicine, but if you don't do it in the right dose, it can become toxic. ”
He used Uncle Li's case as a warning to educate the elderly in the community on how to exercise scientifically. Dr Teo stresses that any exercise program should be carried out under the supervision of a doctor, especially for patients with serious illnesses such as uremia.
What do you think about the prevention of uremia?