China News Service, March 11 (Reporter Chen Jing) The second Thursday in March is designated as "World Kidney Day."
March 11 this year is the 16th "World Kidney Day".
There are a large number of patients with chronic kidney disease in China, but their awareness of comprehensive prevention and treatment of the disease needs to be improved.
On the 11th, at the “World Kidney Disease Day: Comprehensive Management Approach, Accompanied by Kidney Disease” salon on the 11th, Professor Li Qing, director of the Department of Nephrology at Tianjin University TEDA Hospital, said that the “kingway” for the treatment of chronic kidney disease is comprehensive management.
Professor Li Huaiping, deputy director of the Department of Nephrology at Xijing Hospital of the Air Force Military Medical University, also said that no matter what stage of chronic kidney disease is, it should be managed comprehensively.
Professor Wang Rong, director of the Department of Nephrology, Provincial Hospital Affiliated to Shandong First Medical University, said in an online interview with a reporter from Chinanews.com that chronic kidney disease (CKD) refers to kidney damage or decline in renal function caused by various reasons, because the early symptoms are not special. Sex, many patients are not easy to find.
CKD is divided into five stages. After the third stage, symptoms such as nausea, vomiting, mild anemia, and edema tend to be obvious, and severe complications such as hypertension and heart failure may occur, and renal function gradually declines, and may even develop to the end stage Kidney disease, commonly known as uremia.
Professor Li Huaiping, deputy director of the Department of Nephrology, Xijing Hospital of the Air Force Military Medical University, said: “The stage of CKD is very important. Doctors make different treatment plans for patients according to different stages. The expert said that when the condition is in the first three stages, patients should go to the Department of Nephrology. See a doctor and receive treatment as soon as possible to control the progression of the disease and reduce the risk of cardiovascular complications. After the third phase, patients should consider dialysis treatment and kidney transplantation according to the actual situation, and monitor their condition regularly."
Professor Li Qing emphasized in an interview with reporters: “Early screening and early diagnosis and treatment are very important for patients with chronic kidney disease. If some chronic kidney diseases are not effectively controlled, kidney function will gradually decline and develop into end-stage renal disease. Renal replacement therapy, that is, hemodialysis, peritoneal dialysis, or kidney transplantation. No matter which method of treatment, it will bring a heavy economic burden to the patient, and the quality of life cannot be guaranteed."
Cardiovascular disease (CVD) is the most common complication in patients with chronic kidney disease, and many patients with chronic kidney disease die from CVD.
During the interview, Professor Li Qing emphasized: “Many people with chronic kidney disease suffer from hypertension, that is, renal hypertension. As the stages of chronic kidney disease increase, the prevalence of hypertension will also increase. Long-term high Blood pressure also keeps the kidneys in a high-pressure and hypercoagulable state. In severe cases, it can lead to renal failure and cause uremia." In addition, stroke and heart failure are also cardiovascular complications that most patients with chronic kidney disease may suffer from.
Professor Li Qing believes that patients should choose as much as possible the treatment of multiple benefits in order to reduce the risk of multiple diseases such as heart, brain, kidney and blood vessels.
According to the expert, angiotensin receptor enkephalinase inhibitor (ARNI) drugs can balance renal blood flow, etc., and have the characteristics of strong blood pressure reduction, long duration of action, and high blood pressure control compliance rate; they can also be used throughout the process. Protect target organs (heart, kidneys, blood vessels) and effectively reduce the risk of cardiorenal and vascular events.
Professor Wang Rong also pointed out: “In addition to long-term standard treatment, patients also need to pay more attention to lifestyle management, such as eating a healthy and reasonable diet, and taking appropriate exercise. The dietary principle of chronic kidney disease is to control the total protein intake. Therefore, patients should choose high-quality protein as much as possible to supplement the body's needs, while ensuring adequate intake of calories to avoid malnutrition." He pointed out that scientific exercise can help patients strengthen their physical fitness and delay the progression of kidney disease.
However, because each patient's situation is different, you should also consult your attending physician before making an exercise plan.