Hello everyone, I am a nephrologist who has been practicing for many years. Uremia, many people will feel far away from themselves. But here I can responsibly say that because the awareness rate of the disease among the people in our country is too low, they often wait until the day when the doctor informs the hospital of this news, and they still have to run to the big hospitals in the north, upper and wide areas to be at ease. Friends with uremia patients in the family or relatives, colleagues and friends should be clear that if you have this disease, you will have to deal with the hospital for a long time, bringing heavy financial burden, life pressure and psychological pressure to the family. Today I will take uremia as the theme to do a popular science explanation for you.
Uremia is a more popular saying before, clinically we generally call chronic kidney disease stage 5. This stage 5 is the end stage, which means that the kidneys have completely lost their functions of metabolic waste, maintaining human water, electrolytes, acid-base balance, endocrine, etc., and when this balance is broken, there will be various complications. Therefore, chronic kidney disease can be said to be a common outcome of the progression of various kidney diseases. According to authoritative epidemiological statistics, the prevalence of chronic kidney disease in adults in China has reached 10.8%, and the existing adult patients with chronic kidney disease are 120 million, while the awareness rate of chronic kidney disease patients is only 12.5%.
● If you usually brush short videos, you should brush it, very young girls, young men, a long dialysis catheter inserted in the neck or two bulging bags on the arm, the hand to touch the tremor is very strong. They share their dialysis stories on the platform, and I sometimes like them when I brush them, because it's not easy. But in the comments section, it is often seen that people ask why they developed the disease at a young age. This doubt today I come to give you an answer, for the young people, in fact, they are not immediately suffering from uremia, it is also a chronic process, but in this chronic development process many people have not attracted attention.
● At this age such as glomerulonephritis, anca-associated vasculitis, systemic lupus erythematosus and nephrotic syndrome caused by multiple causes are common triggers, the current domestic nephrology treatment level for acute disease is still quite good, even severe lupus nephritis can also be plasma exchange, large doses of hormone shock, so it will not develop to uremia so quickly. Many people are in the early stage of the disease has a physical discomfort feel young, carry over, should not have any big problems and other ideas do not accept regular diagnosis and treatment; there are some people are diagnosed by the hospital after the diagnosis is clear did not adhere to the treatment, once heard to eat hormones, often frightened by side effects, some are retreating to visit the old Chinese medicine doctors around the world expect to adjust well, and then over time, finally enter the uremia stage, so this is one of the banes I want to say.
● The most important cause of uremia in our country is glomerulonephritis, but with the development of national health undertakings, the improvement of people's health awareness, this proportion is declining; in Western countries such as Europe and the United States, diabetes is the primary cause, and the proportion in China has been rising in recent years, so for the elderly population, prevention of uremia, focusing on the follow-up and treatment of chronic diseases such as diabetes, hypertension, and hyperlipidemia. Many people may not understand, how this kidney disease and diabetes, hypertension these chronic diseases are related, then I tell you, the reason why our kidneys can run non-stop for 24 hours, metabolize all kinds of waste products of the human body, maintain the balance of water electrolytes, acid and alkali, is related to the basic structure of the kidney "glomeruli", and this glomerular is essentially composed of insular arterioles, efferent arterioles, tortular arteries, etc. Note that long-term hypertension, diabetes, High blood lipids can damage our blood vessels all the time, so these chronic diseases, if you don't control them well, will cause the glomeruli of your kidneys to deteriorate faster.
● What are the consequences of a broken glomeruli? Metabolic waste function is affected, and toxins begin to accumulate in your body and cannot be excreted! Until one day your whole body is edema, blood pressure can not come down, the amount of urine has become less, heart failure, pulmonary edema, sent to the hospital emergency department for a check-up, creatinine is hundreds or even thousands, the doctor can only shake his head, ready for dialysis. Conditional can also go to the registration queue waiting for kidney transplantation, unconditional to live a dialysis life without quality of life, work is gone, friends are gone, social networking is basically gone, no one is willing to find a job, in order to treat complications, every day to take a lot of medicine, you feel very painful, but what can you do? That's life. Therefore, for the bane that causes uremia, here I translate it for everyone through the vernacular that the people can understand, and I hope that you will not underestimate the above reasons.
This is actually a problem with the various triggers mentioned above. For example, those who have had nephritis, nephrotic syndrome, acute kidney injury, and kidney disease caused by various autoimmune diseases must be reviewed regularly, and they should be diagnosed and treated by a kidney specialist in a regular hospital and actively followed up. Once there is an abnormal situation, the doctor can also intervene in time; for the middle-aged and elderly groups suffering from various chronic diseases, it is to firmly control the various indicators within a reasonable range, such as blood pressure, blood sugar, and blood lipids. Even if there is chronic kidney disease, the effect of early intervention and late intervention is completely different, after all, in the old age stage, how many years are left in everyone's mind, so active follow-up may not reach the uremia stage until the day of death. For some family genetic diseases such as polycystic kidneys, then they must have a string in their hearts, and avoiding various factors that hurt the kidney is the right solution.
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