Emphasis: "mute" organ refers to the kidney, there are three manifestations, beware of uremia
But some people spend hundreds of thousands of dollars on dialysis in bed with kidney disease. "simple uremia is not an emergency. But her life will be because of uremia and severe, blood tests show that metabolic acidosis is very serious, immediately after intubation for hemodialysis, there is no treatment with hormones or immunosuppressants. "so the nephron is the structural and functional unit of our kidneys. Our kidneys can play a role in excreting metabolites and regulating water, electrolytes and acid-base balance. This is why some people find uremia after examination in the hospital "because they are likely to suffer from glomerulonephritis, diabetic nephropathy, etc." because our kidneys are highly compensatory. Kidney disease is very subtle "the body has three abnormal signals to monitor, abnormal signals ① urine volume changes! This is determined by the regulatory mechanism of the kidney itself! With the decrease of urine volume, the kidney is damaged. The sodium in the water usually stays in the body.
"Dr. Cai, uremia dialysis costs so much money, how can it be detected in the early stage of kidney disease?"
Some people may still be immersed in the atmosphere of International Labour Day's May Day holiday, but some people spend hundreds of thousands on dialysis in bed because of kidney disease.A newly diagnosed "uremia" patient was admitted to the ward on the 1st.. In fact, simple uremia is not an emergency.But her life will be lost because of uremia and severe "acute heart failure.".The whole person has no urine, and his swollen feet become "elephant legs".Well, it's a little urgent.Blood pressure is high, heart rate is fast.Oh, this is just our surface.
Related laboratories and image verification are more complex.The level of potassium in the blood is 6.8 millimoles / liter, and blood tests show that metabolic acidosis is very serious.Needless to say, an emergency consultation was conducted immediately after intubation for hemodialysis. After 8 hours, the patient gradually stabilized and talked to his family. The husband and 16-year-old daughter burst into tears and kept wiping their eyes, wondering if they would really listen, because it meant that the family's "sky" would collapse and ask for medical history.There was "membranous kidney disease" four years ago, but since then, there has been no treatment with hormones or immunosuppressants, because it has sowed a "disaster"!
Why do I say "kidney" is a silent organ?
In fact, the kidney is not large, 10.5 to 11.5 cm long, 5 to 7.2 cm long and 2-3 cm thick, with one on each side. But we have an old saying.Although the sparrows have all the five organs, they are actually a very precise structure.Each kidney consists of one million nephron.So the nephron is the structural and functional unit of our kidneys.Our kidneys can play a role in excreting metabolites and regulating water, electrolytes and acid-base balance.
Our appendix is inflamed, it's a dying stomachache, but the kidneys are inflamed and you can't feel anything. I'm not exaggerating.That's why some people find uremia after examination in the hospital.Because they are likely to suffer from glomerulonephritis, diabetic nephropathy and so on unknowingly before. In addition, because our kidneys are highly compensatory, they can also "coexist with disease". In the eyes of our people, the hospital is a place to burn money, as long as it is not particularly uncomfortable, do not go to the hospital. that,If the "silent" organ of the kidney is damaged, it will not tell you that when the quantitative change reaches the qualitative change, uremia and kidney failure will break out!
Kidney disease is very subtle, and the body has three abnormal signals to monitor!
Of course, this is also the experience I have learned from working in nephrology for many years, but it is a lesson from the blood of many patients.Abnormal signal changes in urine volume of ①The average daily urine output of healthy adults is about 1.5 liters, which is determined by the regulation mechanism of the kidney itself. If you urinate too much (more than 2.5 liters) or too little (less than 800 milliliters), there is something wrong with the kidney's "regulatory mechanism". Why is that?With kidney damage, sodium in the water usually stays in the body as urine decreases, causing swelling of the lower extremities, eyelids and other areas.
When the body is overloaded, blood pressure rises, and it is difficult to lower blood pressure by taking traditional high blood pressure drugs. Pulmonary edema, pleural effusion, and then increase the heart load.Abnormal signal ② appears anemiaThe abnormal symptoms of anemia are the same in men and women regardless of age. Why? In fact, our kidneys also have an endocrine function that can secrete erythropoietin. If the kidneys are damaged, this endocrine function is impaired, resulting in a decrease in hemoglobin.If it is severe, it can be due to insufficient oxygen supply, rapid heart rate, palpitations, dizziness and other diseases.
Abnormal signals such as ③ fatigue, anorexia, waist soreness, skin pruritus, etc.In fact this is also a process of causal reversal because the detoxification ability of the kidneys is greatly reduced during chronic renal failure and various toxins and metabolic wastes accumulate in the body. These toxins accumulate in the gastrointestinal tract, you have no appetite, you do not want to eat, eat less of course do not have the strength, do not want to move. If it acts on the skin, itching, severe scratching and scratching bleeding will not be relieved.Because the root is not broken, if you have strong willpower, you can hold on, but one day you will not be able to handle it any longer.
Comprehensive summary
Many friends may wonder, how do you know if you have kidney problems? In fact, it is difficult to distinguish between people who have no medical knowledge, but I have taught you a very convenient method, that is, blood tests, kidney color ultrasound and renal function tests, which cost about 100 yuan.It's just one meal, and it's checked once a year. Can't you read the report form and the test sheet? It doesn't matter. Leave a comment and write down your symptoms or medical history. I'll try my best to answer you.
The author sends a message:This article is a comprehensive summary of the author's work for many years. No special column fee is charged, and anyone can read it free of charge. It is hoped that it will be helpful to those who are misled by rumors, lack of medical knowledge and know nothing about health care. Headlines is an open platform where everyone can learn and explore each other. If you have a different opinion, you can talk about your own opinion in the comments section. If you think your study has been helped, don't be stingy, give love, like and share, and help more people. Thank you for your support.