Too much pee, isn't it, kidney is not good?
Urine turns yellow. Is it kidney is not good?
Often backache, is it kidney is not good?
......
"In fact, the kidney is not as' fragile' as everyone thinks." Liang Qian, a kidney disease expert at Dr. Kang International Hospital and a medical doctor at Xiangya Medical College, said, "90% of low back pain has nothing to do with the kidney, but if there is kidney disease, there will be no obvious symptoms in the early stage."
"In the outpatient clinic, some patients with long-term backache have no problems when they check their kidneys, while some people who usually feel healthy have found serious kidney disease," Dr. Liang said. "I once met a very unfortunate uremia patient, a very young girl."
The following cases were dictated by Dr. Liang Qian.
Girl, 25 years old, tall and thin, very quiet and delicate, admitted to a good job not long after graduation.
I started working for half a year when I got sick.
I went to the hospital at first because I had a bad appetite and no strength. After screening, I found that creatinine was high, and then I went to the Department of Nephrology.
The first time I saw this girl, I felt bad, because she looked listless, her skin was paler and bloodless.
But the results of a series of tests still surprised me. The creatinine was close to 800, far exceeding the index! Generally speaking, normally below 1 14umol/L, most of the thinner girls like her are in their eighties and nineties.
She was diagnosed with uremia.
According to the condition, the next step is to arrange dialysis.
25 years old, the same age as flowers, why will it progress to uremia? With regret, I further inquired about the medical history.
It turned out that six months ago, when the girl was in physical examination, her urine routine was abnormal and there were two "+"urine proteins. However, because I didn't feel uncomfortable at ordinary times and I was young, I always thought that there would be no serious illness, so I never took proteinuria to heart and didn't do any further examination. It was not until later that symptoms appeared, fatigue and loss of appetite became more and more serious that she thought of seeing a doctor. Unfortunately, the condition is not optimistic at this time.
I don't know how much I sighed, but if I had come earlier and carefully checked the cause of proteinuria during the physical examination, the result would not have been like this.
Fortunately, she is very lucky. After several dialysis, her mother successfully matched and transplanted her with a kidney. After the operation, she recovered well. As long as she insists on taking anti-rejection drugs in the future, her life is not much different from that of normal people.
The kidney is an important organ of our body, and there are two kidneys, which are located at the back of both sides of the waist. If one kidney can work normally, it can maintain the normal metabolism of the body every day, and two kidneys are the double insurance of the body.
As a part of the urinary system, kidney can not only purify blood and excrete urine, but also regulate the balance of water, electrolyte and acid-base, and has certain endocrine function.
Simply put, the kidney is the "purification factory" of our body.
At the same time, the kidney also has a strong compensatory ability. When the kidney injury exceeds 50%, the remaining kidney tissue can still maintain the normal physiological function of the human body for a period of time through compensation. When the kidney continues to be damaged, the metabolic waste in the human body cannot be excreted, which will directly threaten life.
Because of this, in the eyes of doctors, the kidney is an industrious "dumb" organ. In the initial stage of injury, there is generally no obvious dysfunction and discomfort. Once the patient's body shows alarm signals such as edema, nausea and general fatigue, often the kidney has lost more than half of its function, and some are diagnosed as middle-late or even uremia.
In the outpatient clinic, Dr. Liang often meets some patients who come to see a doctor because of backache, but less than 10% of them are really related to kidney diseases, such as pyelonephritis, kidney calculi, and relatively large renal cysts.
More than 90% of the remaining patients have nothing to do with the kidney after examination, and more reasons may be the pathological changes of the lumbar spine itself, such as lumbar disc herniation or lumbar muscle injury.
Therefore, Dr. Liang reminded everyone that according to the lesion site, most of the first consultation departments for low back and leg pain should be orthopedics or pain department.
According to statistics, the prevalence rate of chronic kidney disease is 10.8% among people over 8 years old in China, and almost every 10 people have 1 0 patients with chronic kidney disease.
Unfortunately, the awareness rate of people with chronic kidney disease is very low, only about 10%. Most patients only know that they have chronic kidney disease when they have a physical examination, and it is often too late for some patients to see a doctor when they have symptoms.
Early detection is of great significance to patients with chronic kidney disease, but most people judge whether their kidneys are good or not by low back pain and excessive urine.
In fact, it is not correct.
Dr. Liang believes that when the kidney is not good, the truly representative danger signals should be the following three.
However, if early detection and early treatment can be achieved, the disease can actually be well controlled or even reversed, so everyone should pay attention to the screening of kidney diseases.
"In China, chronic nephritis is the main cause of chronic kidney disease, and urine routine is the earliest examination method to find chronic nephritis." Dr. Liang believes that with the addition of B-ultrasound in urinary system, most kidney diseases have nowhere to hide.
She suggested that everyone should pay attention to the annual physical examination, do not miss urine routine and kidney B-ultrasound, and high-risk groups should be screened every 3 to 6 months.
high risk group
Finally, Dr. Liang also reminded everyone that living habits have a great influence on the kidneys. Eating too salty, too greasy and taking medicine indiscriminately will increase the burden on the kidneys and should be avoided as much as possible.
References:
Expert group of early detection and standardized diagnosis demonstration project of chronic kidney disease in Shanghai, Gao Xiang, Mei Changlin. Guidelines for screening, diagnosis, prevention and treatment of chronic kidney disease [J]. chinese journal of practical internal medicine (1):33-39.