Xinhua News Agency, Beijing, March 10 (Reporter Peng Yunjia) March 10 is the 17th World Kidney Day. The theme of this year's World Kidney Day is "Everyone Pays Attention to Kidney Health - I Love My Kidney, Knowledge Strengthens Kidney".
Experts suggest that the public should raise awareness of kidney disease and pay attention to the interaction between kidney disease and cardiovascular disease.
With the improvement of economic level and changes in lifestyle and other factors, the prevalence of chronic kidney disease is gradually increasing.
There are many causes of chronic kidney disease, but the most common chronic kidney diseases in my country are diabetic nephropathy, hypertensive nephropathy and chronic glomerulonephritis.
Among them, diabetes has become the most common cause of chronic kidney disease hospitalized patients.
Chronic kidney disease has many common causes, high prevalence, and many hazards.
If not well controlled, a considerable number of patients will develop end-stage renal disease, also known as uremia.
Common complications of chronic kidney disease include water and electrolyte metabolism disorders, metabolic acidosis, anemia, hypertension, and abnormal mineral and bone metabolism in chronic kidney disease.
These complications can lead to cardiovascular and other organ or system diseases, thereby increasing the risk of death.
"When paying attention to kidney disease, we must also understand that kidney disease and cardiovascular disease often go together." Cai Jianfang, director of the Department of Nephrology, Fuwai Hospital, Chinese Academy of Medical Sciences, introduced that there are many common pathogenic mechanisms and risk factors between the two, such as high Metabolic diseases such as blood pressure, diabetes, hyperlipidemia, hyperuricemia and obesity, and bad habits such as smoking.
At the same time, kidney disease and cardiovascular disease are also causal and mutually reinforcing.
"Kidney disease will accelerate and aggravate cardiovascular disease. For example, chronic kidney disease can easily lead to renal hypertension, acute and chronic heart failure, arrhythmia, cardiovascular calcification, coronary heart disease, etc., such as acute kidney injury can cause acute heart failure, etc." Cai Jianfang It is introduced that both chronic kidney disease and acute kidney injury may increase the difficulty and complexity of cardiovascular disease treatment and affect the efficacy of cardiovascular disease treatment.
According to reports, as kidney disease aggravates, its impact on cardiovascular disease increases, and the risk of cardiovascular disease and mortality increases.
If chronic kidney disease enters the "uremia stage", about 50% of people may die of cardiovascular disease.
"Cardiovascular disease or its diagnosis and treatment can also lead to kidney damage and affect the prognosis of kidney disease." Cai Jianfang said that acute and chronic heart failure can cause kidney damage (ie type 1 and type 2 cardiorenal syndrome), and some patients with acute heart failure will develop Acute kidney injury, which occurs in 60% of patients with chronic heart failure.
In addition, coronary angiography and enhanced cardiovascular CT can cause contrast nephropathy; cardiac surgery can cause perioperative acute kidney injury.
Although kidney disease is widespread and harmful, most kidney diseases are preventable and treatable. The key lies in early prevention, early diagnosis and early treatment.
The key to early prevention is to maintain healthy eating habits and lifestyles, exercise regularly, and promptly detect and actively control or remove risk factors for kidney disease, such as hypertension, diabetes, gout, obesity, and nephrotoxic drugs. The key to early diagnosis is Early detection of kidney abnormalities, including symptoms and tests.
"Kidney disease is often very hidden, asymptomatic or mild symptoms are easy to be ignored." Cai Jianfang introduced that even if there are symptoms, they are not special, such as fatigue, poor appetite, nausea and vomiting, chest tightness, shortness of breath, etc. The symptoms that are close to it may be caused by kidney disease.
Therefore, it is necessary to pay attention to the possible symptoms of kidney disease and do relevant examinations in a timely manner.
The screening of kidney disease includes urine routine, urine albumin-creatinine ratio, renal function, and urinary system ultrasound.
In view of the close relationship between kidney disease and cardiovascular disease, for those with common risk factors of heart and kidney, attention should be paid to the screening and prevention of heart and kidney disease; patients with cardiovascular disease should pay attention to the screening and prevention of kidney disease; Patients should also pay attention to the prevention and screening of cardiovascular disease.
Experts suggest that if the public is worried, suspected or discovered kidney disease, please be sure to diagnose and treat it under the guidance of an experienced nephrologist;