Q 15。 The doctor said that my waist function is not good. What should I do?
If you already have three highs and chronic diseases, you must actively control them under the advice of a doctor. If you have chronic kidney disease in the early stage, coupled with poor control of diabetes or hypertension, it is more likely to cause kidney damage. Don't be afraid to reduce or stop taking medicine yourself, which will lead to poor control of blood sugar or blood pressure, and even buy Chinese patent medicines or listen to folk remedies. The best way is to cooperate with doctors, cooperate with hospital health education, and follow the advice of nutritionists, so as to slow down the deterioration of the disease and adjust daily eating habits. If you need to use painkillers.
Q 16。 It is troublesome to see a doctor. I often catch a cold. Just buy a medicine that won't hurt your health?
Absolutely not. If you are already a patient with chronic kidney disease, it is recommended that patients with stage I and stage II follow up their renal function regularly every six months. If you have reached the third stage or above, please return to the clinic for follow-up visit regularly, and you must never buy Chinese patent medicine to avoid accelerating the deterioration of renal function.
Q 17。 Did the doctor say that I can't cure stage II nephropathy?
Regular follow-up examination can find out whether the renal function is deteriorating at an early stage, seeking regular treatment and following the doctor's advice, and strictly controlling hypertension or diabetes are the ways to delay the deterioration of renal function. Don't take folk herbs and drugs of unknown origin, and eat Chinese medicine indiscriminately, which will accelerate the deterioration of the disease. Establishing a good and correct concept of medical treatment and medication is the best way to prevent the rapid deterioration of the disease. Establishing good living habits, maintaining at least 30 minutes of exercise three times a week, giving up smoking and staying up late, and maintaining normal and regular work and rest can slow down the deterioration of the disease.
Q 18。 Proteinuria is terrible. Am I hopeless?
Proteinuria is an early manifestation of some kidney diseases. When proteinuria appears in the urine test report, please ask the doctor for further examination to confirm whether it is chronic kidney disease, and clearly inform the doctor about personal medication and medical history, blood test or renal ultrasound. If you have chronic kidney disease, please control your blood sugar and blood pressure within the normal range, which can slow down the deterioration and reduce the use of drugs that will affect renal function, such as antibiotics. If you smoke, please give up smoking as soon as possible. Nicotine in cigarettes will constrict blood vessels, leading to deterioration of renal function.
Q 19。 This is the second stage of kidney disease. Should I have kidney dialysis?
No matter whether the kidney is atrophied or not, when the filtration rate of renal filament ball is less than 60ml/min/ 1.73m2 and exceeds 3 months, or when there is microalbuminuria, you must control your blood sugar and blood pressure, avoid taking unknown remedies or drugs harmful to renal function, and follow up regularly to avoid accelerating the deterioration.
Question 20. I feel tired recently and catch a cold easily. Is there a relationship between fever and nephropathy?
The renal function damage caused by the disease will gradually progress to chronic kidney disease, and the renal function will remain at about 60%. Although the renal function can work normally, it is easy to feel tired, with poor resistance, and there will be polyuria, nocturia, hematuria and proteinuria, which will affect normal life and sleep. When edema, backache, high blood pressure and even dysuria are found, it is even more necessary to have regular rest and exercise, quit smoking and drinking, pay attention to the cleanliness of the body and hands, avoid contact with cold patients, and wear masks in public places when necessary to protect your health.
Q2 1。 Can chronic diseases lead to nephropathy?
Diabetes is a common chronic disease, which will cause systemic vascular diseases and also affect the blood vessels of the kidney. Kidney diseases caused by diabetes can be divided into five stages: first, high filtration stage. Second, the period of silence. Third, the initial stage. Fourth, the significant period. Fifth, uremia. In the first three stages, renal function is normal, but proteinuria will continue to appear in urine. As long as blood sugar and blood pressure can be controlled, the deterioration time can be delayed. After entering the fourth stage, the patient's renal function will begin to deteriorate. We should actively control blood pressure, cooperate with doctors to take medicine on time, properly control diet and exercise regularly, so as to slow down the deterioration of renal function and the occurrence of various acute and chronic complications and reduce the probability of uremia.
Question 22. Is it true that gout can also cause kidney disease?
It's true. "Gout", as its name implies, is a sharp pain, like a gust of wind, like a biting wind. Gout is a symptom caused by uric acid deposition in tissues, such as acute gouty arthritis, gout stone deposition, gouty nephropathy, urinary calculi and so on. Uric acid is partly decomposed by purine, a component of the nucleus in the body, and the other part is ingested by food containing purine. Therefore, when uric acid is produced, about 2/3 of it is metabolized by the kidney, and the remaining 1/3 is excreted through the intestine or sweat glands.
Question 23. I have gout. How can we avoid kidney disease?
The most important thing is to avoid drinking alcohol (especially beer). Drinking alcohol will lead to the increase of uric acid concentration, and the complications of hyperuricemia, if uric acid crystals are deposited in the kidney, will form gouty nephropathy, lead to renal insufficiency, and will produce urinary calculi or uremia for a long time; If uric acid crystals are deposited in arteries, atherosclerosis will form, leading to hypertension, myocardial infarction or cerebral embolism. Please keep a standard weight. If you want to lose weight because you are overweight, you should mainly lose one kilogram a month to avoid the rapid decomposition of body tissues and produce a lot of purines, which may cause acute attacks. Take a proper amount of protein (1g/kg/ day) every day, exercise moderately every day and drink plenty of water. If you encounter an acute attack, please choose foods with low purine content, do not take Chinese patent medicines, and seek medical attention as soon as possible.
Please keep a standard weight. If you want to lose weight because you are overweight, you should mainly lose one kilogram a month to avoid the rapid decomposition of body tissues and produce a lot of purines, which may cause acute attacks. Take a proper amount of protein (1g/kg/ day) every day, exercise moderately every day and drink plenty of water. If you encounter an acute attack, please choose foods with low purine content, do not take Chinese patent medicines, and seek medical attention as soon as possible.
Question 24. Is it helpful to track the three high data regularly?
Chronic diseases often have mild or asymptomatic symptoms at the initial stage, which makes people easily ignore the development of the disease and even feel healthy or busy. The data of adult preventive health care service in 65438+2006 showed that the number of people over 40 who had no history of three highs, heart disease and stroke was 392,000 (2 1.3%),162,000 (8.8%) and 475,000 respectively. Early detection, treatment and follow-up can delay the progress of the disease. Improve their quality of life and health.
Question 25. How can we control the three highs?
Due to the aging population, hypertension and the increase of chronic diseases such as diabetes, nephritis, nephrotic syndrome and nephropathy, it ranked ninth among the top ten causes of death in Taiwan Province Province on 105. The cause of chronic kidney disease, and if the three highs are not properly controlled, it will increase the probability of chronic kidney disease, and when suffering from kidney disease, it will also accelerate the deterioration of kidney disease. In order to protect the kidney, when there is three highs (hypertension, hyperglycemia and hyperlipidemia), that is, metabolic syndrome, please take medicine on time according to the doctor's prescription and properly control the condition of three highs, which is the best way to protect the kidney. According to the official websites of the International Association of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF), eight golden rules of kidney health care are put forward, including monitoring three highs, regular exercise, healthy diet, weight control, drinking plenty of water, not smoking, avoiding taking improper drugs, and checking renal function regularly.
Question 26. What should I do if I can't eat this or eat it badly?
Three-high syndrome is caused by modern people's bad living habits (about 50%), and genetic factors account for about 20%. When there are hypertension, diabetes and hyperlipidemia in the family, the probability of suffering from metabolic syndrome is much higher than that of the general population. It is difficult to change eating habits. You can divert your worries and vent appropriately, such as exercising, chatting, reading, singing, keeping a diary, changing your view on adjusting your diet with a sense of humor, thinking positively (for health), or asking for help from your family and friends. If it still doesn't work, you can seek advice from a doctor or clinical psychologist.
Q27。 Exercise regularly. What exercise should I do so as not to hurt my kidney?
Exercise at least five days a week, and do moderate-intensity exercise (such as brisk walking, jogging, cycling, swimming, dancing, treadmill, etc. Accumulate more than 30 minutes every day, and the heart rate will reach about 130 after exercise, which can improve the cardiopulmonary function. For patients who have no exercise habits, it is suggested that before starting exercise, they can go to a medical institution for evaluation and exercise test by doctors or professionals, and then choose the safest and most effective exercise mode.
Question 28. There are many advertisements for healthy food to protect kidneys on TV. Can you ask the doctor to advise me which one to eat?
Whether the ingredients of various healthy foods can benefit kidney diseases is still unclear, and it is impossible to know whether the sources are complicated. Is the production and manufacturing process available? If patients can't make up the required calories with natural food, they must consult a nutritionist and buy nutritional products suitable for patients with chronic kidney disease to avoid malnutrition caused by insufficient calories and accelerate the deterioration of renal function.