I talked to you about dialysis and life expectancy before, especially the 50-year-old patients with end-stage renal disease who prefer dialysis treatment. A netizen from Shandong said in a private chat that he found a false positive for urine protein in his physical examination the year before. At that time, according to the doctor’s advice I asked for another test, and the urine protein was negative; the result was a false positive again last year, but it turned out to be positive, or 2+ when I checked it later. Since then, he has been tested every three months, and the urine protein Over and over again, he was worried that he already had kidney disease, but he did not dare to go to the doctor, for fear that it would be uremia at first sight.

Kidney damage also occurs in normal people, and kidney function decreases by 1% every year after the age of 40

I understand his concern. It is true that the information on the kidney disease network is somewhat exaggerated. “If you have kidney disease, you will definitely suffer from uremia.” “If you have kidney disease, you will need dialysis.

These words have no meaning and will only increase the panic of patients and audiences. In fact, many of them are eye-catching means of some self-media.

People’s health is relative. As long as they are alive, there will be more or less problems. The kidneys are also. Even people with healthy kidneys in medicine actually have kidney damage.

There are studies abroad on this aspect, and it is found that healthy people also have the problem of glomerulosclerosis, and we generally think that glomerulosclerosis means kidney disease, which subverts our cognition. In fact, normal people also have kidneys. Injury, as the age increases, the damage increases. After the age of 40, the normal renal function decreases by 1% per year . This is still theoretically. If there are other diseases, a cold may lead to many glomerulosclerosis and loss of function.

We can say that a human being is a machine, and the kidney is one of its parts. Over time, it will wear out. If it wears out to a certain extent, the kidney will work abnormally. If the human lives long enough, sooner or later, there will be uremia.

Similarly, even if you suffer from kidney disease, as long as you take proper care of it, it is not difficult to live past the age of 80.

So, how do we avoid premature wear and tear of our kidneys during our normal lifespan? First of all, we need to understand who is prone to kidney disease?

7 high-risk groups for kidney disease

1. Obese people: When a body mass index (BMI) > 27 is considered obese, obese people have a higher risk of developing hypertension, hyperlipidemia, diabetes and other diseases; if not properly treated and controlled, it may lead to kidney disease.

2. The elderly over 65 years old: the human organs will age with age, so the elderly are prone to the deterioration of renal function.

3. Hypertension: The normal blood pressure of adults should generally be less than 120/80mmHG. If the blood pressure is greater than this value, it means that you may suffer from high blood pressure. Once the blood pressure value is not well controlled, it may cause renal blood vessels and glomerulosclerosis. .

4. Diabetic patients: Once fasting blood glucose is greater than or equal to 7 mmol/L or random blood glucose is greater than or equal to 11.1 mmol/L, diabetes can be diagnosed, and long-term high blood sugar can easily cause vascular disease, affecting renal function and renal blood flow.

5. Gout patients: The concentration of uric acid in the blood is too high, which may form uric acid crystals and accumulate in the joints, causing gout. In addition, uric acid crystals may also be deposited in kidney tissue, and long-term accumulation will increase the risk of nephropathy.

6. People who abuse drugs for a long time: taking drugs at will or taking drugs from unknown sources may also cause kidney damage and increase the risk of chronic kidney disease.

7. People with a family history of nephropathy: If the family has a history of nephropathy-related diseases such as polycystic nephropathy, hereditary nephritis, etc., the chance of suffering from nephropathy will also increase.

We took a look at the friend from Shandong at the beginning of the article and asked about his situation. We found that he had high blood pressure ten years ago, but he has not been taking medicine regularly. Occasionally, he would only take antihypertensive drugs when he had headaches and dizziness. , It is very likely to be kidney damage caused by long-term high blood pressure. It is recommended that he go to the hospital for diagnosis, check blood pressure, blood sugar, blood lipids, and check the 24-hour urine protein quantification, so as to have a preliminary understanding of the condition, adjust his life, and protect the kidneys.

How to take care of the kidneys? 3 ways to protect the kidney

A balanced diet with less salt is an important way to protect the kidneys

Nowadays, people of any age group will have high blood pressure. One of the reasons is related to diet. Many people now eat out for a long time, and their sodium intake exceeds the standard. According to statistics, the daily sodium intake of people under the age of 45 exceeds the recommended amount. The value is about 2 times, and normal people generally only need 2000-2500 mg of sodium per day, which is about 6 grams of salt.

Excessive salt intake can easily increase blood pressure, and high blood pressure is a high risk factor for kidney disease. Studies have found that hypertensive patients can control the daily salt intake within 6 grams, and blood pressure can drop by 2- 8 mm Hg , equivalent to taking 1 long-acting antihypertensive drug daily.

Therefore, if you want to protect the kidneys, you need to adjust your daily diet and stay away from processed foods and condiments that contain high sodium to reduce the burden on the kidneys.

In addition, you can also adopt the Mediterranean diet and the Deshu diet, take in an appropriate amount of fresh vegetables and fruits, whole grains, beans, fish eggs, beans, nuts and other foods, and use olive oil, etc., with steaming, cold salad, and boiled methods Wait for healthier cooking methods to prevent the three highs and reduce the risk of kidney disease.

Maintaining the kidneys, 4 major “kidney” drugs

In addition to paying more attention to high blood pressure, high blood sugar and high blood lipids, people at high risk of kidney disease should also avoid taking inappropriate drugs to avoid damage to the kidneys.

There are 4 major drug rules to help you remember:

1. Avoid the abuse of painkillers.

2. Don’t eat herbs and remedies of unknown origin, and you must ask a Chinese medicine doctor to prescribe the prescription when you eat traditional Chinese medicine.

3. Take medicines for chronic diseases, take them according to the doctor’s advice, and avoid reducing or adjusting medicines by yourself.

4. If you take medicines or health food, you need to consult a doctor and avoid purchasing medicines by yourself.

Regular exercise for at least 30 minutes

Regular exercise can not only help obese people control their weight, but also has a good effect on controlling blood pressure and blood lipids. It is recommended to exercise at least 30 minutes each time, and 150 minutes of moderate-intensity exercise every week, including jogging, cycling, swimming, etc., to maintain Basic fitness and physique.

If you want to lose weight or improve physical fitness, you should do more than 300 minutes of moderate-intensity exercise every week, and the heart rate is generally above 110. In addition, it is recommended to add high-intensity aerobic or high-intensity intermittent exercise to improve weight loss, The fat-burning effect, and with weight training, can increase muscle mass, and muscle can help improve insulin sensitivity, preventing kidney disease caused by obesity from finding itself.