Uremia is 'drag' out? Reminder: There are 4 symptoms of the skin, it may be the kidneys calling for help

Ms. Li (pseudonym) is 35 years old and is a middle and senior management of a private company. During the company's physical examination last month, she found that her serum creatinine was high, and the report suggested a re-examination.

Recently, she felt very tired, and when she woke up, her body was weak, her ankles were slightly swollen, and she also had nausea and vomiting. Seeing this, her husband took her to the hospital for treatment.

After examination, the doctor said that Ms. Li's renal function was only 30% left, and the results of renal puncture indicated IgA nephropathy, renal tubular atrophy and fibrosis, which was already in the early stage of uremia . If you drag on, you can only rely on dialysis to maintain life.

Ms. Li reluctantly said, "In recent years, every time I have a physical examination , my urine protein is 1+~2+, and my urine occult blood is 2+, but because I have no symptoms, I don't care, and it's too late to regret it now ."

In recent years, more and more young people are suffering from uremia. According to the survey, about 40% of Chinese uremia patients are young people .

1. Most uremias are dragged out step by step

Gao Chan, a nephrologist, said that the early symptoms of kidney disease are relatively insidious and have few specific manifestations , which makes it difficult to detect the disease at an early stage. When obvious symptoms appear, the kidney damage may be irreversible. Once diagnosed, it is renal failure or even uremia. disease. These early symptoms include weakly positive urine protein, slight edema, foamy urine, etc. Many people think it is normal, and they do not seek medical attention, which makes the condition worse and worse.

Uremia is not formed overnight. Its development has three stages . If it can be treated seriously and treated early, it can effectively delay the development of the disease and avoid the step of " uremia ".

1. Early

The main manifestations of early nephropathy are hematuria, proteinuria and hypertension. Treatment at this time has the highest probability of cure.

2. Mid-term

If the disease is not well controlled in the early stage, it will develop to the middle stage. At this time, the main manifestation is the increase of serum creatinine and the decline of renal function. There is still hope for a cure if treatment is available at this time.

3. Late

If you let the disease progress, you will come to end-stage renal disease, which is uremia. At this time, the patient's serum creatinine was significantly increased, the edema was severe, and gastrointestinal symptoms and skin damage symptoms were also caused, which may be accompanied by anemia, high phosphorus, low calcium, and osteoporosis. It can be said that the whole body is affected.

2. If there are 4 skin symptoms, pay attention to whether it is kidney disease

Skin lesions are a common complication of end-stage renal disease and can seriously affect quality of life. If the following 4 symptoms appear on the skin, it is necessary to suspect the possibility of kidney disease.

1. Itchy skin

The most common skin symptom of uremia itching occurs in about 15% to 49% of patients, and the incidence of dialysis patients is as high as 50% to 90%. This itching usually occurs on the forearm and upper back, and the incidence increases as the disease progresses.

2. Pigmentation

About 25% to 70% of dialysis patients develop skin hyperpigmentation, a tan is more common, especially after sun exposure. Pigmentation increases over time and is more common on the skin of the face and body.

3. Acquired ichthyosis

About 50% to 92% of patients develop xeroderma, and some patients develop acquired ichthyosis, which is dry skin with white, gray, or brown ichthyosis-like scales.

4. Crystals on the surface of the skin

If uremic patients do not have timely dialysis, the concentration of urea in their sweat will greatly increase. After the sweat evaporates, the urea remains on the surface of the skin to form powder, which is called urea cream.

3. For the sake of kidney health, these habits should not be touched

Bad living habits can damage the kidneys. For the sake of kidney health, please get rid of these kidney-damaging habits!

Habit 1. Excessive fatigue

Excessive fatigue is one of the main risk factors for kidney disease. In the state of excessive fatigue and nervousness, the resistance of people declines, which may lead to repeated infections in the long-term , causing upper respiratory tract infections, edema of the eyelids, swelling of the legs, elevated blood pressure, etc., and increase the damage to the kidneys.

Habit 2. Abusing folk remedies

Many people are keen on home remedies and secret recipes, but they do not have strict quality standards, and the ingredients and dosages added are not clear, which not only affects the prognosis of patients, but may also have liver toxicity and kidney toxicity, accelerating the deterioration of kidney disease.

Habit 3. High purine diet

After purine is metabolized in the liver, it becomes uric acid, of which 1/3 is excreted by the intestines and 2/3 is excreted by the kidneys.

If you often eat a high-purine diet, the level of uric acid will be too high, and it will be accumulated in the body before it can be excreted, which will increase the burden on the kidneys and cause kidney damage. Once the kidneys are damaged, their excretory function will further decline, and uric acid will be more difficult to excrete.

Habit 4. Smoking

Harmful substances such as nicotine, lead and cadmium in cigarettes are nephrotoxic , can increase blood pressure , damage endothelial cells and glomeruli, etc., and then cause kidney disease. The more you smoke, the higher your risk of kidney disease.

4. People with poor kidneys should eat less of one fruit

Lin Sama, deputy chief physician of the Department of Nephrology of the Shanghai Hospital of Integrated Traditional Chinese and Western Medicine, said that people with poor kidneys should try not to eat star fruit , because star fruit is nephrotoxic, and accidental ingestion may cause acute renal failure or poisoning.

In addition, bananas, oranges, peaches, apricots, grapefruit and other fruits rich in potassium should not be consumed too much. Physician Lin recommends that patients with kidney disease can eat mulberries appropriately . It is not only low in sugar, but also low in potassium, which is more friendly to the kidneys.

Uremia not only affects the kidneys, but also affects the nervous, cardiovascular, gastrointestinal, blood, respiratory, skin and endocrine systems of the whole body, and can lead to death in severe cases. Nowadays, there are more and more uremia. We must develop good living habits at ordinary times, so as not to damage the kidneys too much.

References:

[1] Eight common skin manifestations in patients with kidney disease, how many do you know? , Yimaitong Renal Channel, 2018-04-24

[2] Niu Qingyu, Zhao Huiping. Research progress on carambola poisoning in patients with chronic kidney disease [J]. China Blood Purification, 2018, 17(6):5.

[3] Yan Xinyi. Research progress of skin damage in chronic kidney disease [J]. International Journal of Urology, 2022, 42(2):3.

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