More and more people are undergoing dialysis, and they are getting younger and younger. How did you become like this?

I am also a uremic patient and a hemodialysis patient. I have been undergoing hemodialysis for 7 years. Let me tell you about my experience with the disease. 7 years ago, I was in great health and everything I ate tasted great. Suddenly one day I felt a little nauseous and vomited. I would vomit whatever I ate, especially greasy food. I could only eat something lighter, such as rice porridge, pickles, pickles, and sour fruits.... ., and you cannot lie down on your back when sleeping at night, you have to sleep in a semi-sitting position, you have frequent urination at night, urgency and inability to urinate, an alarming amount of urine, backache and leg pain, general weakness, weight gain, a little fat (actually edema), and suffocation. There is a smell of ammonia in the mouth, numbness in the legs and feet... and a series of other symptoms. I couldn't resist the worsening of my condition. I went to the hospital for a blood test and was told that the creatinine level reached over 1,200 (I didn't understand what creatinine was). The doctor said it was advanced renal failure and uremia. I panicked. Was I fine a few days ago? Immediately admitted to the hospital for treatment, various examinations, infusions, oral administration of Urduqing granules, diuretics... After a week, the body returned to normal, the body swelling subsided, and various symptoms disappeared (I also asked the doctor when he would be discharged), the doctor informed the family, It means that the condition is serious and requires long-term dialysis to maintain life. When I heard this sad news, I was paralyzed. How could I get uremia in such a good year? I really don’t understand, how did you get it? After half a month of treatment, the decrease in creatinine still cannot be restored. The attending doctor explained to me how patients with uremia get it. High blood pressure, diabetes, liking to eat salty foods, drinking carbonated drinks, often holding back urine, physical injuries, etc. can all lead to kidney failure. . I understand. During the physical examination at my work unit, I was told that I had high blood pressure, but I didn’t take it seriously. I loved eating heavy food and drinking carbonated drinks... which led to kidney failure. From now on, I can only rely on dialysis to sustain my life. How terrible! I hope that more young people will believe in science and cherish their health to avoid unnecessary consequences.

Hello everyone, I am a nephrologist who has been practicing for many years. As the questioner mentioned, the number of people receiving dialysis is indeed increasing. This data has a scientific basis, because our country has already established a database of special uremia diseases, and every uremic dialysis patient diagnosed in the hospital must be reported. Take my city as an example. At the annual dialysis meeting last year, the chairman of our nephrology department listed the number of people undergoing dialysis in recent years. Through comparison, we found that the number has increased every year. So nationwide, there is no doubt that more and more people are undergoing dialysis. Why is this happening? How to prevent it? Let me talk about my views below. Why do you need dialysis?

To be honest, some patients who have been doing dialysis for more than ten years don’t even know about this problem. They only know that they have to come to the hospital for kidney dialysis on a regular basis but don’t know why they do it. They often ask, doctor, I I have been undergoing dialysis for so many years, but why is it still not getting better? It is enough to see that comprehensive education to patients is very important. I personally believe that this is also a prerequisite for patients to maintain good compliance.

Should dialysis be continued? To understand this question, we must first understand why dialysis is required. This can actually be made through a simple distinction. Some people do need dialysis for a period of time or a few days without needing it. Such people often suffer from acute renal failure, Caused by drug poisoning, food poisoning, or severe heart failure. However, most patients receiving dialysis treatment are patients with chronic renal failure, whose glomerular filtration rate has basically been lost. We call this uremia/chronic kidney disease stage 5.

To put it simply, both of your kidneys are useless. There is a saying in philosophy that "existence is reasonable." Every organ in our human body has its own value, and the same is true for the kidneys. It can maintain the balance of water, electrolytes, and acid-base, so when our kidneys lose function, people will gradually enter anemia, electrolyte disorders, hypoalbuminemia, renal hypertension, low calcium and high phosphorus, and heart failure. and other conditions, and these complications are harmful to the human body and will be life-threatening over time. Medication is not fundamental. Only dialysis or kidney transplantation are the solutions. However, kidney transplantation is only available to a very small number of people due to the shortage of kidney sources and high price. There is a choice, so most people need dialysis to stay alive.

What diseases can cause kidney problems and require dialysis treatment?

On a large scale, the main cause of uremia in foreign countries is diabetic nephropathy caused by diabetes, while the main cause of uremia in my country is glomerulonephritis. Of course, this is data from many years ago. As people's health awareness increases, glomerulonephritis can be diagnosed and treated in an early stage, so the proportion of this cause is getting lower and lower. The primary cause of uremia in our country is getting closer to the culprit of diabetes. It is no exaggeration to say that in the blood purification center of our hospital, nearly 1/3 of the patients have uremia caused by diabetes.

So diabetes is the top priority I’m talking about today. Don’t think that diabetes is just a slightly higher blood sugar and you don’t care about it if you don’t feel any discomfort, because the complications of diabetes are is the scariest. High blood sugar will damage our arterial endothelial system. As the course of the disease prolongs, the glomeruli will gradually harden and lose function. When most of the glomeruli in your kidneys have hardened and become necrotic, you may have entered a state of uremia. So here I suggest that diabetic patients need to control their fasting blood sugar at 5.0-7.2mmol/l, postprandial blood sugar at 7.8mmol/l, and glycated hemoglobin at 7%.

Like primary glomerulonephritis (acute glomerulonephritis, rapidly progressive glomerulonephritis, asymptomatic hematuria and proteinuria, etc.), IgA nephropathy, primary nephrotic syndrome (minimal change disease) nephropathy, focal segmental glomerulosclerosis, membranous nephropathy, mesangial capillary glomerulonephritis, etc.), secondary renal disease (lupus nephritis, vasculitis, purpura nephritis, etc.) only need to be treated in the early stage With timely medical treatment and timely diagnosis and treatment, most types can be effectively controlled and will not lead to uremia immediately. However, the reality is that some people simply do not pay attention to the disease in the early stages and when there are no symptoms, so many people do not pay attention to it when they are diagnosed in the hospital. It's already uremia.

One more thing I have to mention is Aristolochia-related nephropathy. There are indeed such examples in clinical practice. So if you want to use traditional Chinese medicine to treat some diseases, there is no problem. Some diseases can be effectively treated with traditional Chinese medicine, but you must go to a regular hospital and have regular check-ups (kidney disease is mostly silent and will not have obvious symptoms). Even if drug-induced kidney damage occurs, it is still possible to reverse it as long as it is discovered in time. Once kidney failure enters the chronic stage, the final destination will be uremia. Comprehensive summary

Many people describe uremia as an immortal cancer because this disease requires regular dialysis treatment. If this continues for a long time, the quality of life will plummet compared to before the disease, and the physical and mental burden will be more than ordinary people. Therefore, everyone must pay attention to their physical health and have regular physical examinations. Don’t regret it when you lose it, because health is the greatest wealth.

Environmental pollution issues, food safety issues, too many H-cooked food additives in takeaways, carbonated drink issues, unbalanced diet, people who like to eat big fish, big meat, fried foods but not vegetables and fruits, planting and breeding A large amount of pesticides, hormones, antibiotics are used in the process, and various additives such as preservatives, pigments, flavors, etc. are used in the production and processing process. Life is irregular, and staying up all night playing games is a habit. Young people basically spend their spare time watching mobile phones and playing games. , do not exercise, eat and drink casually, order takeout has become a habit, the packaging supplies for takeout are ordinary plastic products, high temperature food will produce toxins and many other reasons. The main reason is staying up late for a long time and eating unhealthy food.

Dialysis patients show up uninvited. Hello everyone, I am a uremic patient, that is, a dialysis patient.

I am 23 years old and have been suffering from uremia for more than a year. I was diagnosed with uremia when I went to the hospital for a check-up on October 2, 2019. Because school had already started in September, and on September 20th, various uncomfortable symptoms had already appeared, such as headache, heavy snoring at night, very sleepy, fatigue, nausea, etc. . If any of these situations occur, you must get checked immediately.

At that time, I thought I was just too tired and didn’t pay much attention to it? Then about two or three days later, I felt that my feet were swollen when I was taking a shower, but I still didn't care. Then when I came home during the National Day holiday, my feet were already very swollen, and my face and everything were swollen. .

Then on October 2nd, accompanied by my family, I went to the county hospital for a check-up. I wouldn’t know if I didn’t check. When I checked, I was shocked to find that the creatinine was as high as over 2,100. I was transferred directly to the city hospital that day because it was the National Day holiday and many tests could not be done. Then just put a tube in the neck for hemodialysis.

Then on the 10th, I had an operation on my abdomen (because I chose to have a peritoneal dialysis at the time). It may be that the things inside were too active, causing a blockage. Then I had another operation on the 17th. Alas, it was really difficult. Before the first surgical suture was removed, another surgery was performed on the same location, and then I was discharged from the hospital and went home on the 28th. But it didn't stop. The abdominal dialysis was sometimes in and out, and my body was still very swollen. I had no choice but to go to the hospital for hemodialysis at the end of November.

In December, my eyes began to become blurry and I couldn't see clearly who was three meters away. Then at the end of the month, I went to the hospital for a check-up. I stayed in the hospital for four or five days and returned on the 30th.

On January 1, 2020, I almost couldn’t wake up.

On the day of the 1st, I went out for a walk. I felt very uncomfortable when I went home at night. I went to bed without eating a bite. I woke up at about ten o'clock in the evening, but my head hurt, and it didn't get better after taking medicine. After that, I had various symptoms. I had a hallucination, and then I fainted and my body kept twitching. I was sent to the ICU that day, and I didn't regain consciousness until the night of the 3rd. I thought I was gone [face covering]

There was another time, I don’t remember when it was, probably in February. I had a severe headache after having hemodialysis, and then I came to the hospital for hospitalization. Just after registering, I had another convulsion, and this time I fainted all night. And until now, this has not happened again.

Many doctors feel that it is a pity that they have this disease at a young age, but what can they do? If you have it, you have it. There is no way to change it. Just cherish every day.

Many people say that kidney transplantation is possible. To be honest, who doesn’t want to have a kidney transplant? Who would want to go to the hospital two or three times a week? But this has to be based on reality. For a family like mine, where both parents are farmers, where can I get this money? To be honest, I envy those people who can manage kidneys, but I never dare to mention it to my parents. I don’t want them to be stressed, and I also know my family’s financial situation. The people I feel most sorry for in this life are my parents.

Finally, if you have nothing to do at night, don’t stay up late all the time. Eat less carbonated drinks and snacks. Don’t think that it won’t happen to you. When it does, it will be too late. Don't tell me, I didn't have any of these, but the disease still found me. At the same time, if you feel unwell, you must check carefully for early detection and early treatment.

Personally, I feel that we should change bad living habits, strengthen exercise, not eat and drink a lot, eat and drink indiscriminately, have a regular work and rest schedule, provide correct guidance from a social perspective, and care about the physical and mental health of employees.

#URemia# More and more people are undergoing dialysis, and they are getting younger and younger. How did they become like this?

I think it is of course directly related to the current environmental factors, social factors, diet and medication.

Sometimes, we don’t feel particularly obvious about kidney disease, so I think it is closely related to these current examinations.

In fact, when you feel some discomfort in your body, such as weakness or swelling, backache, leg pain, etc., if you don’t go for a check-up, you may be able to do some green therapy yourself. Yes, but after you have the examination, and the current examination equipment is so complete, to a large extent the examination results will tell you that you have kidney disease, to what extent, you need dialysis, etc.

Let me talk about a typical case. This is my mother. She had a kidney failure when she was in her 70s, which was about 38 years ago. When I went to the hospital, I was told that she had chronic nephritis in her kidneys, which was very serious, and then my mother was admitted to the hospital. My mother stayed in the hospital for about a week, and said she didn't want to stay anymore. She said she had no problem, and then He was about to come back, but the hospital doctor did not let him leave the hospital, but she had to go home because there were still many things for him to do at home. At that time, her brother and sister-in-law were still working, and there were two grandchildren and a granddaughter at home. , went to school, and had housework that needed her to do, so he came back begging for nothing. After he came back, he didn't rest at all, nor did he stay in bed. She got up early every day and worked until late at night. Even so, she didn't take any medicine for this disease. I usually do cupping and sleep on a hot bed every day.

In this way, she recovered from her illness unknowingly, lived to the age of 93, and passed away in 2005. If it were seen now, it would definitely be uremia.

I’m not saying that as science has developed, it’s not good to do various tests, but I really reject these tests. I feel that some diseases are not to that extent, but the tests have detected them. The seriousness can scare people to death, so they have to be at the mercy of the doctor. Sometimes I think that in traditional medicine, without these testing equipment, some diseases were cured without knowing it. Because without testing, people's minds are less burdened and depressed, and the disease is easier to get better.

I am also very opposed to taking medicine. I think it is really good to treat internal diseases externally. Without taking medicine, the body's own immune function can be activated and its own vitality can be activated so that it has sufficient ability. Fighting against viruses and pathogens in every corner of the body is an internal adjustment of the body and is much better than using external drugs.

High blood sugar> Diabetes complications and nephropathy dialysis. There are a large number of young people who are "fearless" and "willed to have their own way" in the face of diabetes. They "don't care" about having diabetes, which makes the disease develop rapidly, and the complications of diabetes It is irreversible, so many young people have walked into this "abyss"

First of all, I think it is a bit exaggerated to simply raise this question. Before writing this question, I specifically read other people’s answers. It really left me speechless and made me dumbfounded. Many people thought that uremia was related to over-medical treatment and threw dirty water on doctors.

In recent years, it may be that some people really don’t understand, or it may be that some people have ulterior motives. In order to let everyone know more about uremia, let me share some relevant knowledge. 1. The causes of renal failure are relatively complex:

Thinking from an objective perspective, there are really many causes of renal failure. According to the pathogenesis, it can be divided into pre-renal, renal and post-renal. . Prerenal failure mainly refers to insufficient blood flow to the kidneys, which is mainly seen when the body loses a lot of water or although the water content is not significantly reduced, the water in the blood vessels flows to other places; renal renal failure mainly refers to diseases of the kidneys themselves. Common diseases include glomerulonephritis, certain drugs or poisons, serious infections, etc. Post-renal renal failure mainly refers to urinary tract obstruction. When urinary tract obstruction occurs, the pressure of the urinary tract will be transmitted to the kidneys. If the obstruction in the balloon cavity cannot be relieved, blood supply to the kidneys will be reduced, leading to renal failure.

The above classification is relatively rough and mainly talks about the causes of acute renal failure. However, in reality, chronic renal failure is more common. Common causes include diabetic nephropathy, hypertensive nephropathy, chronic glomerulonephritis, drugs, polycystic kidney disease, and renovascular diseases. Chronic diseases are increasing nowadays. Many elderly people may have one or several chronic diseases. In this case, they need to take medicine for many years. You must know that most medicines will damage the kidneys to a certain extent, and many people like to stay up late, smoke, and drink alcohol. , eating junk food, and at the same time there are currently food safety issues. 2. Dialysis is certified and not random: You may feel this way. The annual payment for the New Rural Cooperative Medical System is increasing almost every year. There are many reasons for this. Common ones include people’s concerns about health. Increased attention to insurance, insurance fraud, and a relative increase in the number of chronic diseases. Even though the amount of money paid into medical insurance is increasing every year, medical insurance funds are still relatively insufficient, so medical insurance has formulated some policies. Doctors need to have evidence when prescribing examinations or treatments for patients, otherwise they will be punished. Among them The most direct one is to deduct doctors’ wages. The current policy prevents most doctors from prescribing random examinations and treatments.

Currently, there are clear clinical indications for dialysis, which mainly include serum potassium 6.5mmol/L, serum creatinine 707umol/L, severe metabolic acidosis (PH 7.15), etc. If these conditions are not met, even if doctors ask for dialysis, they will not do it.

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There are more and more strange cancer diseases nowadays. Blame all the problems on the environment. In fact, the main cause is the damage caused by over-medication. In order to make money, we desperately give patients infusions and medicines. The more the better, the secondary damage caused by over-medication is the culprit. None of those elites dare to Say,,,,,,

The result of highly developed Western medicine. Results of privatization of the healthcare market. Western medicine is the first choice to treat diseases, and the results of pure Chinese medicine are never used.