Director of Department of Nephrology, Chang Geng Gung Memorial Hospital, Tsinghua University Affiliated to Tsinghua University
The Chang Gung Memorial Hospital of Tsinghua University in Beijing recently received a 28-year-old male who had kidney disease. He had abnormal liver function on physical examination three years ago but he did not seek treatment. He recently presented with fever, headache, and blurred vision. The final diagnosis was IgA nephropathy (a type of Primary glomerular disease. Late stage, chronic renal failure, uremia period. Long-term hemodialysis is needed in the future.
Kidney disease mostly occurs in young people aged 20-30 years. In the early stage, some patients had increased urine foam and lost urinary protein. However, due to lack of obvious symptoms, they lacked the initiative to go to regular hospital examinations. When they have symptoms, they often go to the hospital. By the time of uremia, he had to undergo long-term dialysis treatment.
Therefore, patients with chronic kidney disease must not be careless. To prevent kidney disease from worsening, do the following: 1. Do not trust the so-called remedies; conduct regular medical examinations and treatment on time; 2. 24-hour urine protein greater than 1 gram, blood pressure Patients with greater than 90/140 mm Hg or having an increase in blood pressure greater than 30 mm Hg before the onset of illness should consider the possibility of worsening kidney disease. To control blood pressure below 80/130 mm Hg, urinary protein is controlled at 0.5 Less than gram/day, to maintain stable renal function (regular monitoring); 3. To control salt intake, the average daily intake does not exceed 5 to 6 grams; 4. Encourage aerobic exercise, improve immunity and avoid repeated infections; 5 In the event of impaired renal function, promote a good quality low protein diet; 6. Maintain a positive and healthy psychology.
