The 62-year-old Mr. Tan is from Ningxiang, Hunan Province. He was recently transferred from his family to the Department of Nephrology, Hunan Second People’s Hospital.
Mr. Tan is a patient who has gout for five years. When gout occurs, painfulness, Mr. Tan often eats a little painkiller. To relieve the symptoms. Over time, Mr. Tan has a dependence on painkillers. Five years have passed, and Mr. Tan has never taken a regular medical treatment.
Only 20 days ago, Mr. Tan began to appear leg edema, loss of appetite, and weakness in the body, still not paying attention, not going to the hospital for treatment, but wrongly selling community massage If you are a member of the equipment, do not take medicine or massage to treat the disease.
Therefore, Mr. Tan massaged the physiotherapy for nearly 20 days. The condition did not show any improvement. It was more and more serious. In the end, he could only be carried by his family to the Department of Nephrology, Second People’s Hospital of Hunan Province.
Deputy Chief Physician Chen Li After the consultation, the patient was checked for sero-creatinine, and the results showed that serum creatinine reached 413.3 umol/l ( Micromoles per liter), the normal value is 57-111umol/l, indicating that Mr. Tan’s condition has reached chronic renal failure in the early stage of uremia.
Deputy Chief Physician Chen Li analyzed that the cause of Mr. Tan’s kidney failure was caused by long-term self-administered painkillers, and when the condition worsened, it was not timely. Seek medical treatment for standard treatment.
Deputy Chief Physician Chen Li explained that the kidney has a strong excretion ability, and most of the body’s metabolites and many drugs are excreted by the kidneys.
We need to be wary of some drugs that can cause damage to the kidneys, such as Non-steroidal anti-inflammatory painkillers (many cold medicines contain such ingredients), partial antibiotics (vancomycin, gentamicin), some Chinese herbal medicine (Chinese herbal medicine containing aristolochic acid).
It is important to note that patients who already have kidney disease, if they abuse the drug with nephrotoxicity, can easily lead to or aggravate the kidneys. Functional failure.
Xu Junying, deputy chief physician of Department of Nephrology, Second People’s Hospital of Hunan Province reminds us that we should choose a healthy lifestyle to protect our kidneys, including low-fat, low-sodium Eating habits, regular work routine, proper aerobic exercise, drinking more water, and careful use of various drugs under the guidance of doctors.
In addition, middle-aged and elderly people should have a physical examination every year even if they feel that they have no discomfort. In the physical examination, they must check urine routine, biochemical indicators and kidney B-ultrasound. Helps to detect early renal damage.
Hunan Medical Contributing Writer chat: Second People’s Hospital of Hunan Province Chen Li Liu Li
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