Uremia is mostly "made up"! Beware of these 6 behaviors that damage your kidneys

Recently, Master Wang, 42, from Taizhou, had to work outdoors for a long time due to the nature of his job. After working in high temperatures for a long time, he developed symptoms such as muscle twitching, dizziness, headache, fever, and general fatigue. When his family found out that he was feeling unwell, they rushed him to the hospital.

After examination, it was found that Master Wang had developed acute uremia due to heatstroke and needed immediate dialysis treatment.

After treatment, Master Wang is now out of danger.

Doctors warn that unexpected events in life, such as heat stroke and crush syndrome, can cause permanent damage to kidney function and induce uremia.

In a high temperature environment, try to reduce going out. If you must go out to work, you should replenish water and salt water in time, and try to eat and drink in a cool place.

If you experience symptoms such as decreased urine volume, vomiting, diarrhea, and fatigue, you must seek medical attention as soon as possible.

In the public's perception, uremia is a disease exclusive to middle-aged and elderly people, but in fact, among uremia patients in my country, 40% are young people aged 10 to 30.

Data from the "Guidelines for Screening, Diagnosis and Prevention of Chronic Kidney Disease" published in the "Chinese Journal of Practical Internal Medicine" show that the number of adults with chronic kidney disease in China has reached 130 million. On average, one in every 10 adults in the country may have chronic kidney disease, which is dozens of times the number of cancer patients. Among them, nearly 30 million patients develop end-stage renal disease (uremia).

Uremia is not an independent disease, but a common clinical syndrome of various advanced kidney diseases. It is a syndrome composed of a series of clinical manifestations that appear when chronic renal failure enters the terminal stage.

It can often cause damage to multiple systems in the body, such as the blood system, cardiovascular system, respiratory system, digestive system, musculoskeletal system, etc.

There are many causes of uremia, the most common ones are chronic nephritis, diabetes, hypertension, connective tissue disease, myeloma, etc.

In addition, some uremia is caused by acute renal failure that is not treated in time and turns into chronic renal failure, such as urinary tract obstruction, bee stings, kidney damage caused by drugs or poisons, etc.

So, what are the early symptoms of uremia?

Symptoms of uremia:

1. Yellow or pale complexion due to anemia.

Impaired kidney function is often accompanied by anemia, but the development of anemia is very slow and is often not taken seriously, or people simply think that it is just a lack of Qi and blood in the body.

2. Edema is one of the easier to detect early symptoms of uremia.

Because the kidneys cannot remove excess water from the body in time, swelling only occurs in the ankles and eyelids in the early stages, which disappears after rest.

If it further develops into persistent or systemic edema, it generally enters the typical uremia stage.

**3. Symptoms of the digestive system are the earliest and most common symptoms of uremia, mainly manifested as loss of appetite, taste disturbance, nausea, vomiting, glossitis, etc. In rare cases, there may be diarrhea, abdominal distension and constipation.

**4. Easily tired and weak, **This may be the earliest symptom, but it is easy to be ignored.

**5. Decreased urine volume. **Due to decreased renal filtration function, some patients may experience decreased urine volume as the disease progresses.

**6. Hypertension. **When kidneys are damaged, they cannot excrete water and sodium normally, and sodium and water retention in the body causes hypertension.

These 6 behaviors are most harmful to the kidneys

In addition to being related to genetics, uremia is also closely related to some kidney-damaging behaviors in daily life.

1

Frequent urine retention

If you hold your urine for a long time, the urine will exceed the capacity of the bladder and will flow back into the ureter, causing urinary tract infection, damaging the kidneys, and increasing the risk of uremia.

Adults with normal renal function urinate at least 4 times a day, generally 4-6 times during the day and 0-2 times at night. The specific number of times is related to the amount of water consumed.

Remember, when you feel the urge to urinate, do not hold it in and develop a good habit of urinating frequently.

2

Overwork

Excessive fatigue is a high-risk factor for kidney disease. According to statistics, about 70% of nephritis patients are related to long-term overwork.

If you are overworked, your body will be in a state of low immunity, giving bacteria and viruses an opportunity to take advantage, causing kidney damage.

The kidneys are responsible for bone and marrow production, and the brain is the sea of ​​marrow. If you overuse your brain, it will be easy to damage your kidneys if your brain is tired.

3

Substance abuse

As the saying goes, every medicine is poisonous.

Many medicines are nephrotoxic, such as some antibiotics, antipyretics, Chinese herbal medicines, health products or folk remedies. If you do not follow the doctor's advice and take them indiscriminately, it can easily lead to kidney damage.

Survey data show that about 25% of renal failure is related to drug abuse.

4

Eating too salty

The kidneys can metabolize about 95% of the salt in our daily diet. If you eat too much salt, it will increase the burden on your kidneys and cause damage to them.

Moreover, the sodium contained in salt is hydrophilic, which makes it difficult for water to be excreted, causing edema and further aggravating kidney damage.

A high-salt diet may also cause proteinuria, kidney stones, renal osteodystrophy, etc.

5

Drinking too little water

The most important function of the kidneys is to regulate the balance of water and electrolytes in the body, metabolize the waste produced by physiological activities, and excrete it through urine. All of these processes require sufficient water to assist.

If you do not drink water for a long time, or drink insufficient water, the amount of urine will decrease, and metabolic waste in the body cannot be excreted in time. Over time, this will affect kidney health and even cause a decline in kidney function.

At the same time, because the kidneys do not have enough "nutrients", it will cause ischemia, hypoxia and other damages, resulting in impaired kidney function.

6

Regular smoking

Smoking is harmful to the human body in all aspects. The harmful ingredients in cigarettes, such as nicotine, lead, cadmium, etc., are harmful to the kidneys rather than beneficial.

If you already have high blood pressure, diabetes, chronic kidney disease and other problems, smoking will only accelerate the process of kidney failure and even cause kidney cancer.

Patients with uremia should pay attention to 5 points in their diet

1►

Control your water intake

Be sure to control the amount of water you drink, because the patient's kidney function has lost the ability to detoxify and drain water. If you drink too much water, the kidneys will not be able to drain water, and the water will gradually increase in the patient's blood, causing edema, and even more serious damage to the functions of other organs, which in turn induces a series of adverse events, such as heart failure.

The amount of water you drink can be determined based on urine volume, the presence or absence of edema, hypertension, and heart function.

2►

Control salt intake

Patients with uremia usually suffer from hypertension, which is a volume-based hypertension caused by activation of the RAS system. If they consume too much salt, it may increase the plasma volume, thereby causing hypertension or aggravating existing hypertension, thereby increasing the burden on the kidneys.

Recommendation: Control salt intake to less than 2-3 grams per day, avoid pickled foods, and eat less MSG and baking soda.

3►

Control protein intake

Protein includes animal protein and plant protein. Reducing protein intake reduces the possibility of protein being metabolized into creatinine, which is beneficial to lowering blood creatinine.

Recommendation: Non-dialysis patients should consume 0.6 g of protein per kilogram of body weight per day, and dialysis patients can consume up to 1.2 g of protein per kilogram of body weight per day.

The protein in the diet should mainly come from animal protein, such as chicken, duck, and fish, and low protein is best.

To avoid malnutrition, oral intake of alpha-keto acids can be increased when eating a low-protein diet.

4►

Control phosphorus intake

Phosphorus intake should be strictly limited, with the daily phosphorus content in food less than 500 mg. Phosphorus-rich foods such as bone soup, seafood, and animal offal should be avoided.

5►

Control potassium intake

When the urine volume is less than 1000ml, potassium intake should be limited. Potassium-containing foods such as oranges, bananas, watermelons, and leeks should be avoided as much as possible.

Treatment of uremia

At present, there are two main treatment methods for the uremia stage clinically:

The first is dialysis treatment, which includes hemodialysis and peritoneal dialysis.

Renal replacement therapy can excrete excess water and toxins, but it cannot replenish the trace elements and substances that the body lacks, so oral medication treatment is required at the same time, such as lowering blood pressure, blood sugar, and blood lipids, and supplementing iron, folic acid, and erythropoietin.

After toxins are excreted from the body of uremia patients, the body functions will be restored to a certain extent, complications may be significantly alleviated, and auxiliary medication can also achieve significant improvement.

The best dialysis method for hemodialysis is: 3 times/week, 4 hours/time. Patients with this dialysis frequency have a higher survival rate and a lower mortality rate.

The best dialysis method for peritoneal dialysis is continuous ambulatory peritoneal dialysis, with a dialysis frequency of 4-6 times/day and 4-6 hours/time.

The second is kidney transplantation.

Kidney transplantation is the process of transplanting a new kidney, which can replace the function of a failing kidney and prolong the patient's life.

-END-