Some patients with kidney disease are always worried about whether their condition has deteriorated to a very serious degree, especially after each test result.When you see some indicators slightly out of range, you can't help but be nervous and can't sleep well。
In fact, not all anomalies indicate that there is a big problem, the key is to see if there are some really dangerous signs.
If these manifestations do not appear, then there is no need to be too anxious, pay attention to maintenance and management, the disease can still be well controlled, so what are some physical conditions that represent the aggravation of our kidney disease?
浮腫乃腎病的一大信號，下肢浮腫與晨起眼瞼浮腫尤甚，If there is no significant edema, it indicates that the kidneys are not completely out of controlIt's a blessing.
Why? Because an important job of the kidneys is to regulate the water balance in the body, when its function begins to weaken, water cannot be discharged normally, and it will remain in the tissues to form edema.
If your ankle is not "dented for half a day and can't bounce up",And if you only feel a little tight in your feet occasionally, it means that the problem is not particularly serious。
This is illustrated by the experience of one of my previous patients, who was a manual laborer who carried goods and walked a lot every day, and his feet were often a little sore, which made him very worried and wondered if his kidney disease was getting worse again.
Later, the doctor examined him and found that his "edema" was mainly caused by slow venous return caused by standing for a long time, which had little to do with kidney disease.
Another important point here is that edema caused by kidney disease is often accompanied by a large leakage of protein in the urine and a decrease in plasma albumin levels.
So, if your plasma albumin level is still close to the normal range, the risk of edema will be much lower, so that the condition is more controllable.There's no need to worry too much about the slightest swelling in your feet。
High blood pressure and kidney disease can be said to be a pair of "difficult brothers",When kidney function declines, the ability to excrete sodium decreases, blood volume increases, and blood pressure tends to rise。
If your blood pressure doesn't continue to spike into an uncontrollable range, such as above 100/0mmHg throughout the day, it means that your kidney disease has not progressed to a critical stage.
There is also an eldest brother's experience that is particularly worth mentioning, he had high blood pressure when he was young, and he began to feel a little backache in his 40s, and later found early kidney disease.
What he was most worried about was whether his blood pressure would go out of control and then push his kidney disease to the end stage, and the doctor told him,As long as blood pressure is not too high frequently and sodium excretion in the urine is stable, there is no need to panic too much.
It is important to note that hypertension is a key factor in the progression of chronic kidney disease, but if blood pressure is kept within the target range, the progression of the disease can be significantly delayed.
It is not uncommon for people with kidney disease to develop anemia, especially during the chronic renal insufficiency stage, when the kidneys are not only detoxification organs, but also secrete a substance called erythropoietin that helps the bone marrow make red blood cells.
If your haemoglobin levels are consistently in the normal or near-normal range,That means that the hematopoietic function of the kidneys has not completely collapsed。
There was a patient who usually felt dizzy and fatigued, thinking that it was due to work pressure, and later found out that she had chronic kidney disease, but her hemoglobin level was okay, which made her relieved.
SoIf your hemoglobin level is normal, the damage from kidney disease is relatively low, the effect of life management will also be more significant.
From edema and high blood pressure to anemia, these three signs are important indicators of the severity of kidney disease, and if none of them occur or the severity is mild, then you don't need to be too nervous.
At this time, the most important thing is to manage the lifestyle, diet, exercise, and rest all need scientific planning, kidney disease is not uncontrollable at the beginning.Many people have been able to stabilize their condition for many years through good lifestyle habits。
Since we talk about good living habits, we have to talk about what exactly they are.
Many people with kidney disease struggle with the question: how do they drink water? If you drink too much, you are afraid of increasing the burden on your kidneys, and if you drink too little, you are worried that concentrated urine is not conducive to detoxification.
In fact, drinking water has a lot of knowledge for patients with kidney disease, and it is easy to ignore.Some seemingly inconspicuous habits may make the kidneys work harder or even worsen the condition。
Some people think that as long as the body is not thirsty, there is no need to drink water, a young man came to me before, he said that he usually rarely drinks water, basically two or three cups of tea a day is solved.Later, the physical examination found that the urine was on the thick side and there were trace amounts of protein, and I began to realize the problem。
In fact, this situation is not uncommon, especially for people who are sedentary for a long time and do not like to move, if they do not take the initiative to drink water, the urine will become concentrated, and the concentration of metabolic wastes such as uric acid and urea nitrogen will increase, which will burden the filtration function of the kidneys.
Drinking enough water every day can help keep urine diluted and reduce the risk of urinary stones.It is generally recommended that patients with kidney disease make adjustments based on their individual urine output, condition, and doctor's recommendations。
If you wait until you are thirsty to drink water, it means that the body is mildly dehydrated, which may reduce blood flow to the kidneys, which in turn affects kidney function.
Many people feel that pure water is the most "clean" and more comfortable to drink, and one patient told me that he only drinks pure water after exercising every day.Later, I experienced fatigue and muscle cramps, and I realized that the problem was with the drinking water。
For patients with kidney disease, it is important to maintain electrolyte balance, minerals such as sodium, potassium, and calcium are key to maintaining the normal functioning of the body, and if you only drink purified water for a long time, it may lead to the loss of minerals and increase the risk of metabolic disorders.
Comparatively speaking, natural mineral water or plain water is more suitable for people with kidney disease, which can ensure water intake and maintain the balance of minerals.
Some people feel that drinking soup can be both nutritious and hydrating, especially stewed thick soupsIn fact, this approach is not wise for people with kidney disease.
A patient who is particularly fond of cooking after retirement mentioned that he drank chicken soup and bone broth every day, and as a result, the urine protein did not decrease but increased.
This is because these soups seem to be nutritious, but in fact they often contain a lot of sodium and purines, and high sodium intake will increase blood pressure.Purine metabolism produces uric acid, which may increase the risk of kidney stones and hyperuricemia。
For patients with kidney disease, they can choose light vegetable soup to drink, and pay attention to reduce the amount of salt added, and do not use thick soup instead of boiled water.
Patients with kidney disease seem simple in drinking water, but in fact, there are many hidden doorways.From the control of water intake, to the adjustment of drinking methods, to the choice of drinksEvery detail may affect the management and control of the condition.
It should be remembered that drinking water is the foundation of kidney disease maintenance, but only when drinking is good and high-quality, can the kidneys really benefit.
Disclaimer: The content of the article is for reference only, the storyline is purely fictional, intended to popularize health knowledge, if you feel unwell, please seek medical attention offline.