Chronic kidney disease is one of the common intractable diseases in clinical practice, with increasing prevalence and often requiring hemodialysis or peritoneal dialysis due to continuous progression, and the incidence of cardiovascular and cerebrovascular complications and mortality rates are increasing year by year. In recent years, the United States, Europe, Japan, Australia and China’s Beijing, Shanghai and Hong Kong have conducted large-scale epidemiological surveys, all suggesting that the prevalence of chronic kidney disease in adults is about 10%, while the awareness rate among patients is only about 9%. How to detect chronic kidney disease at an early stage and take effective measures to slow down its progress has become an important issue in the field of kidney disease research.
From the clinical diagnosis of chronic kidney disease patients, about 70% of the patients are related to long-term overexertion. This is because people in a state of fatigue, coupled with work and mental tension, easily cause a decline in resistance, leading to bacterial and viral infections, triggering kidney damage, back pain, lumbago, swelling of the lower limbs and eyelids, proteinuria, and even elevated blood pressure and dizziness. These manifestations do not easily attract people’s attention, and they think they will be fine after resting, but as a result, the disease is developing, leading to severe swelling, low urine, high blood pressure and obvious discomfort, and only then they go to the hospital, missing the time for early treatment and conditioning, causing lifelong regret. The following is an introduction to how to detect chronic kidney disease early and how to carry out self-care.
How to detect chronic kidney disease at an early stage? We believe that the following points can be done to detect the disease at the first time, and can be dealt with early accordingly.
1.1 Pay full attention to regular health checkups.
A considerable number of patients with asymptomatic hematuria, proteinuria and mildly reduced renal function are clinically detected during regular health check-ups. Therefore, one should pay regular attention to one’s urinary routine
and renal function, especially in young people, to prevent the development of disease with renal failure. It is best to have routine urine and kidney function tests every six months, and kidney ultrasound if necessary. For high-risk groups, the frequency of urine monitoring should be increased. The general kidney examination includes four main items: urine routine, kidney function, blood pressure and kidney ultrasound. For kidney disease caused by hypertension and diabetes, some special urine tests such as urine microalbumin must be done to detect early kidney damage.
Urine tests are both convenient and inexpensive methods for early detection of chronic kidney disease. Routine urine tests can help to understand whether patients have hematuria, proteinuria, tubular urine, hypotonic urine, etc. Urine microalbumin tests can help to detect kidney damage earlier.
1.2 Timely detection of suspicious signs of chronic kidney disease.
For example, morning swelling of both eyelids, swelling of both lower limbs, increased foam in the urine (especially if it does not subside for a long time), increased nocturia, and increased blood pressure all suggest the possibility of chronic kidney disease, which should be seen at a regular hospital as soon as possible and related laboratory tests should be improved as soon as possible. It should be especially noted that in newly diagnosed hypertensive patients, kidney conditions should be routinely examined, because many chronic kidney diseases are first manifested by increased blood pressure.
1.3 Regular screening of high-risk groups.
The evaluation of renal conditions in high-risk groups should be enhanced at regular intervals. Family history of kidney disease, chronic tonsillitis, obesity, hypertension, diabetes mellitus, cardiovascular disease, rheumatism or long-term drug use are all high-risk factors for developing chronic kidney disease, and in addition to regular urine routine and renal function tests (e.g., 1 to 3 months), more sensitive and accurate indicators such as urine microalbumin and urine albumin/creatinine ratio should also be considered. This is essential for earlier detection of kidney damage. Patients with lupus erythematosus, tumors, stroke, isolated kidney, etc. should also have their kidneys checked regularly.
What should people do to protect and nourish their kidneys?
In order to mobilize the immunity and resistance of the body and prevent the aggravation and development of diseases, it is very important to do a good job of health care in general.
1, work and rest, pay attention to rest
After exertion, the body’s metabolites increase, increasing the workload of the kidneys. Resistance decreases after exertion, and it is easy to catch a cold, especially in the elderly. Therefore, do not overwork, learn to rest properly, the simplest way to replenish the kidneys, is to sleep before 11 pm. The theory of Chinese medicine is that the kidney is the main reservoir of essence, water, and gas, and is the innate essence of the human body. The kidney essence to hide for use, such as “Su Wen – six sections of the Tibetan elephant theory” said: “kidney, the main jelly, the essence of the essence of the home also …”. Therefore, reasonable rest is the best way to replenish the kidneys. Modern medicine believes that the kidney blood flow in the prone position is four times that of the standing position, the human body is rich in blood flow in the prone position, which is conducive to the removal of metabolic waste, is also a simple way to replenish the kidneys.
2.Rational diet to protect the kidneys
Chronic kidney disease is an immune-related disease, fish, shrimp and peaches and other foods that cause allergies should be eaten as little as possible, taste should be light, avoid tobacco, alcohol and leeks, garlic and other stimulating foods, moderate intake of protein, do not take a big supplement, so as not to increase the burden on the kidneys, which will cause damage. Modern medical research believes that a high protein diet, resulting in glomerular hyperperfusion, hyperfiltration, glomerular hypertension, which in turn increases its metabolic burden, leading to glomerulosclerosis, fibrosis, loss of kidney units, renal hypofunction, the condition will further develop. Therefore, after suffering from chronic kidney disease, it is important not to increase nutrition and consume too much high-quality protein food, which is not only detrimental to the recovery of the disease, but will aggravate the condition.
3, self-massage waist double kidney Yu
The waist is the capital of the kidneys, so massage the waist, that is, to strengthen the kidneys. The kidney points belong to the foot sun bladder meridian, located in the belt vein, the part where the kidneys are located, most like warmth and bad cold. Rubbing the kidney point until it is hot can dispel wind and dampness, expel cold and warm the muscles, harmonize the qi and blood, unblock the meridians, clear the ears and eyes, consolidate the kidneys, cultivate the vital energy, strengthen the waist and kidneys, save the deficit and strain, and benefit the fire of the vital gate.
Method: rub the palms of the two hands together until the palms are hot, respectively, put to the waist, the kidney as the center of the up and down massage, there is a sense of heat, morning and evening, each time about 200.
4, rub the feet Chung Quan point
Yongquan point, in the human foot, is located in the front of the foot depression at the head of the 2, 3 toe seam line and the first third of the line of the heel, the lowermost point of the whole body, is the “well” point of the kidney meridian. The Yellow Emperor’s Classic of Internal Medicine said: “kidney out of the spring, the spring is also the heart of the foot”. Regularly massage the Yongquan point, there is to increase the marrow, kidney, strengthen the Yang, strengthen the bones of the function. Yongquan point of the foot is also the place where the turbid Qi down.
Method: two hands on the palm after rubbing hot, with the left hand to rub the right foot, with the right hand to rub the left foot, morning and evening once a day, each time 300 rub.