Concerned about chronic kidney disease, medical staff is obliged

Release date: 2007-08-27

Concerned about chronic kidney disease, medical staff is obliged to ------------------------------------------ --------------------------------------
According to a press release from the International Society of Nephrology on February 20, 2007, more than 500 million people in the world currently suffer from different kidney diseases, and more than one million people die each year from cardiovascular and cerebrovascular diseases associated with chronic kidney disease. Chronic kidney disease has become an important disease that threatens human health after cardiovascular and cerebrovascular diseases, cancer and diabetes, and has become a global public health problem. March 8, 2007 is the second "World Kidney Day". The International Society of Nephrology proposes this year's theme "Know your kidneys" with the slogan "Is your kidney healthy?"
According to the announcement of the International Society of Nephrology on February 20, 2007, more than 500 million people (one in every 10 people) have kidney disease in the world. Although there is no detailed national data on the investigation of epidemics of kidney disease in China, the epidemiological survey of the Shijingshan area in Beijing by the Institute of Nephrology of Peking University shows that the prevalence of chronic kidney disease in people over 40 years old is 9.4%. . It can be seen that both chronically and chronically, patients with chronic kidney disease are already quite large, but the number of patients with clinically diagnosed chronic kidney disease is far less than the actual number of patients with chronic kidney disease. The reason why people call chronic kidney disease "silent killer" disease is not only because the disease process is hidden, but also because the patient does not understand, pay attention to it, the diagnosis rate is not high, and the treatment is not timely. In view of the grim situation of the current incidence of kidney disease in China and the public's cognition status, medical staff should not only pay attention to and actively participate in the popularization of knowledge about kidney and kidney disease, but also pay attention to chronic kidney disease in clinical work and achieve early detection. Early treatment.
Chronic kidney disease is not easy to find or even miss the cause of diagnosis
First of all, chronic kidney disease can be completely free of symptoms or symptoms are not obvious, and can not cause enough attention of patients and their families. The kidney's compensatory function is extremely powerful, and even if the kidney function has lost more than 50%, the patient may still have no symptoms. Therefore, a considerable number of patients with chronic kidney disease did not seek medical treatment in time.
Secondly, some doctors in primary hospitals lack the awareness of urine routine and renal function tests for patients, especially those at high risk. For many patients who come to the hospital for high blood pressure and diabetes, some of the first-time physicians only use antihypertensive drugs and hypoglycemic agents for treatment, but fail to perform routine urine and kidney function tests in time to assess the kidney status.
Thirdly, the public in China lacks the awareness of a healthy medical examination, and many local health examinations do not include urine routine and renal function tests, which has led to many chronic kidney disease patients failing to find early. In addition, some physicians have insufficient ability to fully interpret urine routine and renal function test information, and may have missed some patients with chronic kidney disease.
Chronic kidney disease signals that non-nephrologists should pay attention to
1. Acute exacerbations of chronic kidney disease are often associated with infections such as pharyngitis, tonsillitis, upper respiratory tract and skin. Therefore, routine urine tests should be performed when patients with the above infectious diseases are encountered.
2. Although chronic kidney disease lacks specific symptoms, it often suffers from fatigue, fatigue, low back pain, edema of eyelids, face, and ankle joints, increased foam in urine, and abnormal urine color. Therefore, for patients who are seen for these symptoms, routine urine tests should be performed.
3. Chronic kidney disease patients often have elevated blood pressure, so patients with elevated blood pressure must check urine routines, especially young patients. Patients with moderate or chronic chronic renal insufficiency often have anemia, and there are signs of fatigue, dizziness, and pale complexion. In patients with anemia, except for blood system diseases, attention should be paid to the presence of chronic renal insufficiency, especially in patients with anemia associated with hypertension.
4. Patients with chronic renal insufficiency may only show an increase in the number of urination and urine output at night. Urine and kidney function should be checked for this type of patient.
5. Early uremia patients often have loss of appetite, nausea, itching of the skin, etc. Therefore, these symptoms, especially in patients with hypertension and anemia must check the kidney function.
6. Diabetes patients, especially those with a history of diabetes for more than 5 years, or with diabetic retinopathy and neuropathy, should be tested for urine routine and urinary albumin excretion regardless of symptoms such as low back pain or edema. In addition, metabolic diseases (obesity, hyperlipidemia, high uric acid), infectious diseases (hepatitis, tuberculosis, AIDS, schistosomiasis, etc.) and long-term use of nephrotoxic drugs (Chinese herbal medicines and diet pills containing aristolochic acid, non- Steroids, antibiotics, antibiotics, etc.) are also often associated with kidney damage. When such patients see a doctor, they should check their urine routine and kidney function.
7. High-protein diet, smoking, excessive drinking, and people over the age of 65 are also susceptible to chronic kidney disease, and the kidneys should be evaluated at the time of the visit.
8. To correctly analyze the results of routine urine examination, not only should the urine protein and urine sediment be abnormal, but also the urine specific gravity and urine pH. If the specific gravity of the urine is less than 1.010, the patient should not drink water after 8 o'clock in the evening and retest the urine routine of the morning urine on the second day. If the urine specific gravity is still low, a renal function test should be performed.
The International Society of Nephrology and the International Kidney Foundation jointly proposed the establishment of “World Kidney Day”. On the one hand, it is necessary to remind the public to be alert to the occurrence of chronic kidney disease, to remind the public to regularly check kidney function; on the other hand, it is also hoped that medical staff will actively participate in kidney disease. Early prevention and early treatment. Although the current prevention and treatment of chronic kidney disease is a serious problem, the journey is long, but if you act, you may reach the other side of the victory. ——Midi Medical Network

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