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The "three high" is what kind of relationship with uremia?

2017-01-24 14:10

The "three high" is what kind of relationship with uremia?

Survey shows that the prevalence of chronic kidney disease in adult population as high as 10.8%. In the past, the majority of patients with primary renal disease in the Department of nephropathy, in recent years, hypertension, diabetes, gout secondary chronic kidney disease patients have increased, has accounted for more than 40% of patients. Hypertension, diabetes, gout patients more than 5 years of age is best to do a blood test every six months, every 3 months to check urine routine, focusing on monitoring urine protein.

The theme of this year's World Kidney Day is early diagnosis and treatment". The latest survey of chronic kidney disease in China shows that the prevalence of chronic kidney disease in adult population is as high as 10.8%. Experts pointed out that the characteristics of Chinese patients with chronic kidney disease is high and one low, namely, high prevalence rate, high disability rate, low awareness rate. This is because the onset of kidney disease hidden, most patients with no obvious symptoms in the early period, until symptoms appear, the condition is very serious. Worthy of attention is the current clinical composition of patients with kidney disease compared with the past, there have been some changes, past the Department of nephropathy in primary kidney disease patients are, in recent years, hypertension and diabetes, gout secondary to chronic kidney disease patients is increasing, has accounted for more than 40% of the patients, more than primary kidney disease trends. Experts reminded the public, as China's cardiovascular disease, metabolic disease incidence increased year by year, chronic kidney disease is an important complication of these diseases, the future of hypertension, high blood sugar and high uric acid will become the main effect of kidney health killer, is recommended in patients with hypertension and diabetes, gout prevalence 5 years best every six months to do a blood test every 3 months, check a routine urine, urine protein key monitoring.

"Most of the injured kidney in patients with three high"

Over 5 years of kidney damage

Experts say, high blood pressure, high blood sugar, high uric acid once started to have adverse effects on the kidney, if you do not pay attention to the control of blood pressure, blood glucose, uric acid, general in 5 years will appear different degree of renal damage.

Hypertension。 High blood pressure is not only an increase in blood pressure, but also bring a lot of important organs damage. The effect on the kidney is more obvious, because it is very sensitive to changes in blood pressure, is a direct burden of blood pressure changes. When the blood pressure rising, will cause the "three high" glomerular hyperperfusion, high pressure, high filtration state. Glomerular is like a sieve, if higher filtration pressure side, sieve out things will increase. If hypertension persists, structure of the "sieve" itself will also change, leading to glomerular sclerosis, renal interstitial and renal tubule and can be damaged, thereby affecting the kidney function, and ultimately the development of uremia.

Hyperglycemia。 Diabetic nephropathy is the most common complication of diabetes, refers to abnormal glomerular sclerosis associated with diabetes is a systemic metabolic, diabetic microangiopathy, renal failure is currently one of the most important reasons. Diabetic nephropathy has accounted for more than 10% of patients with chronic kidney disease. According to a lot of research and statistics, diabetic patients have 10 to 20 years of history, regardless of age, about 50% kidney complications, once continuous proteinuria, disease is a progressive development, an average of 7 years can lead to renal insufficiency, accounting for the total number of 1/3 end-stage uremia.

High uric acid. In recent years, China's population of hyperuricemia in the incidence of straight up, become after high blood pressure, high cholesterol, high blood sugar "three high" damage to the health of the "fourth high". The disease can lead to gout, uric acid nephropathy caused by severe uremia can cause life-threatening. Uric acid nephropathy is due to the long-term development of hyperuricemia, uric acid and its salts deposited in the kidney, caused by tubulointerstitial lesions. Most of the development process of uric acid nephropathy is slow, in the early stage can not have any clinical manifestations, some patients with symptoms have developed to the advanced stage of uremia, lost valuable treatment time.

The early symptoms of delaying treatment

Regular kidney health examination early detection

The majority of patients with hypertensive nephropathy, diabetic nephropathy, uric acid nephropathy develops slowly in the early, but no clinical symptoms, many patients also exhibited only waist soreness, fatigue, nocturia, urinary foam, nocturia, edema, fatigue, nausea, lack of chest tightness, shortness of breath and other symptoms appear serious illness. Unlike other primary kidney diseases, these conditions can be controlled and prevented from developing into uremia, if they are diagnosed early and treated appropriately. So how to detect early primary disease of kidney damage, hypertension, diabetes, gout patients should prevent the active control of the primary disease nephropathy was the most important, with particular attention to the smooth control of blood glucose and blood pressure, uric acid of these risk factors, at the same time to regular urine, urinary albumin, serum urea, creatinine, Cystatin C, kidney kidney ultrasound or ECT examination, early detection of kidney damage, timely treatment. In addition, but also pay attention to careful medication, to avoid the damage of kidney drug use, with particular attention to the use of antibiotics, analgesics, also don't eat herbal remedies, missed treatment time, damage to the kidney.

The above is the "three high" and the relationship of uremia in detail, "three high" after active treatment, so as not to cause serious damage to the kidney.


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