Senior artist offline renal failure hospitalization! Analysis of prevention and treatment of chronic kidney disease 1 time
Zhong Peijin, an 86-year-old senior artist named Mater (played by Chen Bingnan), has developed kidney function problems. Recently, she listened to folk remedies and drank Chinese medicine as water, which led to coma due to renal failure and even fatal symptoms such as severe pneumonia and heart failure. Fortunately, after 45 days of treatment, she was safely discharged from the hospital. Ye Shaode, the off-line attending physician and director of urology department of the Affiliated Hospital of Beijing Medical University, explained that the patient's own renal function was problematic. He mistakenly believed that the folk prescription did not wash the kidney on time, which would lead to serious complications due to the high uremia index. But how is chronic kidney disease caused? What should patients with chronic kidney disease pay special attention to in diet? How to prevent it? What is chronic kidney disease? Dr. Ye Shimeng, Dean of Double RO Hemodialysis Center of Youzhen Clinic, explained that chronic kidney disease is a healthy kidney that is damaged for various reasons and gradually loses its function, including drainage, detoxification, assisting hematopoiesis and electrolyte balance, affecting blood pressure and immune function, and affecting many aspects of the body, not just the kidney. Dr. Ye Shimeng pointed out that the prevalence rate of chronic kidney disease is 12%, and it is estimated that there are 3 million people, that is, 1 person in every 8 people suffers from chronic kidney disease; At present, there are more than 80,000 patients with renal failure due to chronic kidney disease in Taiwan Province Province, which cannot be ignored. Who is the high-risk group of chronic kidney disease? Yan Zonghai, a professor of nephrology at Chang Gung Memorial Hospital, said that there are many causes of chronic kidney disease, the most common being diabetic nephropathy caused by diabetes, followed by glomerulonephritis caused by hypertension, hereditary polycystic kidney disease and renal failure caused by the abuse of painkillers. Diabetes is the most likely cause of chronic kidney disease. Dr. Ye Shimeng pointed out that one in three diabetics suffers from chronic kidney disease, and diabetes accounts for more than 40% of the causes of renal failure. Other possible causes: smoking obesity, lupus erythematosus, prostatic hypertrophy, kidney calculi's disease or tumor and other urinary tract obstruction problems. Dr. Ye Shimeng added that certain ethnic groups, such as the elderly and gout patients, are often at high risk of chronic kidney disease. The former is often complicated with renal dysfunction, while the latter is susceptible to uric acid. In addition, long-term abuse of analgesic and anti-inflammatory drugs, or unknown herbs or folk remedies will also affect the function of the kidney. Zhong Peijin, an 86-year-old senior artist named Mater (played by Chen Bingnan), has developed kidney function problems. Recently, she listened to folk remedies and drank Chinese medicine as water, which led to renal failure and coma, and even fatal symptoms such as severe pneumonia and heart failure. Fortunately, after 45 days of treatment, she was safely discharged from the hospital. Ye Shaode, the off-line attending physician and director of urology department of the Affiliated Hospital of Beijing Medical University, explained that the patient's own renal function was problematic. He mistakenly believed that the folk prescription did not wash the kidney on time, which would lead to serious complications due to the high uremia index. But how is chronic kidney disease caused? What should patients with chronic kidney disease pay special attention to in diet? How to prevent it? What is chronic kidney disease? Dr. Ye Shimeng, Dean of Double RO Hemodialysis Center of Youzhen Clinic, explained that chronic kidney disease is a healthy kidney that is damaged for various reasons and gradually loses its function, including drainage, detoxification, assisting hematopoiesis and electrolyte balance, affecting blood pressure and immune function, and affecting many aspects of the body, not just the kidney. Dr. Ye Shimeng pointed out that the prevalence rate of chronic kidney disease is 12%, and it is estimated that there are 3 million people, that is, 1 person in every 8 people suffers from chronic kidney disease; At present, there are more than 80,000 patients with renal failure due to chronic kidney disease in Taiwan Province Province, which cannot be ignored. Who is the high-risk group of chronic kidney disease? Yan Zonghai, a professor of nephrology at Chang Gung Memorial Hospital, said that there are many causes of chronic kidney disease, the most common being diabetic nephropathy caused by diabetes, followed by glomerulonephritis caused by hypertension, hereditary polycystic kidney disease and renal failure caused by the abuse of painkillers. Diabetes is the most likely cause of chronic kidney disease. Dr. Ye Shimeng pointed out that one in three diabetics suffers from chronic kidney disease, and diabetes accounts for more than 40% of the causes of renal failure. Other possible causes: smoking obesity, lupus erythematosus, prostatic hypertrophy, kidney calculi's disease or tumor and other urinary tract obstruction problems. Dr. Ye Shimeng added that certain ethnic groups, such as the elderly and gout patients, are often at high risk of chronic kidney disease. The former is often complicated with renal dysfunction, while the latter is susceptible to uric acid. In addition, long-term abuse of analgesic and anti-inflammatory drugs, or unknown herbs or folk remedies will also affect the function of the kidney. What are the symptoms of chronic kidney disease? Chronic kidney disease can be divided into five stages according to the degree. In the initial stage, people usually don't feel obvious discomfort, so many people don't know that they are actually sick. Zhang Ruiting, a nephrologist at Guangxin Hospital, said that with the deterioration of renal function, different symptoms will appear. Early common micturition changes. If you have abnormal urination, you should be vigilant and see a doctor as soon as possible. At 1/2 stage, the renal function is still more than 60% of that of normal people. There are few clinical symptoms, but hematuria, proteinuria or abnormal renal function can be known by urine or blood examination. Dr. Zhang Ruiting reminded that patients' early urination abnormalities include: foam urine, nocturia and polyuria. If they can find out earlier, they will have a chance to recover. In the third and fourth stages, the renal function is only 15-59% of that of normal people. At this time, even if you receive treatment, you will not fully recover. At this time, there will be symptoms of "bubble, water, high, poor and tired". Bubbles: bubbles appear in urine, indicating that there may be proteinuria. Water: If renal function deteriorates and excess water cannot be discharged, water will accumulate in the body and edema will occur, including eyelid edema when getting up and edema of feet at night. High: Hypertension will cause renal function deterioration, and conversely, when renal function is abnormal, it will also cause hypertension. Poverty: Renal failure will lead to the lack of "erythropoietin", which is not conducive to hematopoiesis and will lead to long-term anemia. Tired: Poor renal function will cause hydrops and anemia in the body, which will cause physical burden. Anemia can't be loaded and it is easy to feel tired. In the fifth stage, the renal function is less than 15%, so it can't metabolize and maintain the balance of body fluids normally, and uremia symptoms will appear, such as loss of appetite, vomiting, malnutrition, heart failure, pulmonary edema, shortness of breath and disturbance of consciousness. How to prevent chronic kidney disease? Starting from avoiding metabolic diseases such as diabetes or hypertension, Taiwan Province Society of Nephrology pointed out that the prevention of kidney diseases should pay attention to "three little, three more and four noes": three little: a diet with less salt, less oil and less sugar; A diet with more fiber, more fruits and vegetables and more water; Four noes: no smoking, no urinating, no staying up late, no drugs of unknown origin; There is no "no". Non-steroidal anti-inflammatory painkillers and Chinese herbal medicines containing aristolochic acid should also be avoided as much as possible. In addition to the curative effect, any drug may also have potential side effects. If you suffer from chronic diseases and need long-term drug treatment, please ask a qualified and licensed doctor, Yamatonokusushi, for help, so as to avoid eating inappropriate drugs or even fake remedies by mistake, which will harm your health if it is not cured. The Department of Traditional Chinese Medicine of the Ministry of Health and Welfare also appealed to people not to listen to folk remedies and not to take drugs of unknown origin. Diet is often the best way to realize self-care. According to the introduction of Taiwan Province Nephrology Society, in the case of chronic renal insufficiency, there will be different diet schemes according to different symptoms and complications. Before receiving dialysis treatment (kidney dialysis), it is necessary to properly limit protein, maintain adequate calorie intake, limit water, and pay attention to the balance of electrolytes (such as calcium, phosphorus, sodium, potassium, etc.). ) in the body, thus reducing the occurrence of urinary protein and edema and reducing the burden on the kidneys. Daily nursing care of chronic nephropathy