Patients with chronic kidney disease should be alert to "sweet killer", do not stop the medicine at will

"I have a chronic kidney disease for many years, I have been controlled well, and I have not entered dialysis. But I never thought about a few grapes and almost asked for my life. The oppressive is almost like. After I wake up, the doctor told me that it was a high potassium, because the kidney was not good, and I ate potassium -containing grapes again. Come back. "Wang Qingfang (a pseudonym) recalled that he was still afraid of the experience of emergency delivery due to eating grapes.

In fact, stories like Wang Qingfang are not an example. Since entering the summer, the various types of fruits have poured into the market. For people with healthy kidney, these fruits can be described as sweet choices for relieving heat and quenching thirst, but for patients with chronic kidney disease, many fruits are rich in fruit. The potassium is a hidden "sweet killer". Even if a small amount of consumption may increase the level of blood potassium in patients with chronic kidney disease, it may be fatal in severe cases.

Patients with chronic kidney disease should be alert to various complications. Hypermodermia is the latent "invisible killer"

There are about 130 million patients with chronic kidney disease (CKD) in China, with a prevalence of 10.8%. The kidney plays an important role in regulating the human potassium metabolism, while CKD patients are damaged due to kidney function, the balance of potassium ions in the human body is destroyed, or the distribution of potassium ions inside and outside the cell Packing and blood potassium concentration exceeded 5.0mmol/L, hypertrophymia may occur.

It is understood that the incidence of hypertrophymia in patients with CKD is as high as 22.89%, and as nephropathy continues, the possibility of patients suffering from hypertrophemia continues to rise. The disease usually does not have obvious symptoms, which may cause muscle weakness, paralysis and arrhythmia, including cardiac arrest and sudden death. Compared with patients with normal blood potassium, the risk of death of patients with chronic kidney disease and hypertrophymia will increase by 4.4 times, and nearly 40%of patients with chronic kidney disease 4-5 phase patients are facing risk of death due to arrhythmia or cardiac arrest, such as Failure to be treated immediately, the mortality rate of patients with severe hypertropathy can be as high as 30%.

Professor Zhou Ford, deputy director of the Department of Kidney Department of Peking University, pointed out that for CKD patients, blood potassium control at 4.0mmol/L -4.5mmol/L is a suitable range. If symptoms such as hands and feet or tongue numbness, pulse slowness due to unknown reasons, you need to consider whether there is a problem of hypertropacter. If the gastrointestinal tract is uncomfortable, there are symptoms of diarrhea or nausea, and you should also pay attention to changes in blood potassium. CKD patients must pay attention to the long -term monitoring and continuous management of blood potassium, control the intake of potassium ions, prevent the onset and recurrence of hyperkalemia, thereby reducing severe arrhythmia due to acute seizures of hyperkalemia and entering chronic dialysis risk.

Patients with chronic kidney disease need to pay attention to diet in summer to avoid high potassium "to come to the door"

Summer is the season with the hottest weather in the four seasons and the relatively abundant choice of fruits and vegetables. Many CKD patients will "step on the thunder".

Dialysis patients drink a large amount of water due to thirst, causing the body's water during dialysis; a large amount of sweat from patients, causing the loss of water, sodium, and other electrolytes in the body, prone to kidney function deterioration and hypertrophy. Summer seasonal fruits have led to an acute increase in blood potassium, causing serious consequences, and so on.

Low potassium diet is one of the current long -term management of hypertrophy, and it has also been recommended by many guidelines. For CKD patients, especially in the summer, pay special attention to the reasonable deployment of diet, so that you can have a good nutritional state, while preventing complications such as hyperkalemia, and enhancing the confidence of long -term management of diseases. "For the CKD 3-5 period, because they were originally prone to high potassium lesions, they must pay special attention to dirty diet in their diet. Fruit and vegetables. In addition, the potassium content of low sodium salt is also very high, which can easily cause hyperkalemia. Therefore, patients after CKD 3 have recommended not to eat it. "Professor Zhou Ford introduced. In daily diet, CKD patients can learn the use of salt -limited spoons to gradually reduce the amount; pay attention to high -quality low -protein diets, such as eggs, fish, sesame seeds, etc., according to the staging of chronic kidney disease and the weight of the patient, the daily intake is also different. , 0.8 grams / kg per day per day; 0.6 grams per kilogram per day; 0.4 grams per kilogram per day in 4-5 periods. Excessive drinking causes acidosis and alcoholism.

In addition, Professor Zhou Ford reminded that the temperature in summer is rising, and reasonable water intake is also important. When sweating too much, it may cause low blood pressure or insufficient blood capacity in the body, and insufficient kidney irrigation may also cause the kidney function to deteriorate sharply on the basis of the original chronic kidney disease, which is manifested in the increase in blood creatinine. It may rise.

CKD patients can determine the amount of water intake based on the amount of water excluded during urine volume or dialysis. Generally, the urine volume of the previous day will be added with 500-750 ml. When you want to strictly control the amount of liquid intake, you should try to avoid eating soup as much as possible. , Porridge, watermelon, etc.

High potassium blood disease is prone to recurrence, patients must be regularly reviewed and prepared for drugs

"Consensus Expert of Potassium Management Practice Persons in China" pointed out that for patients with CKD diagnosis for the first time, patients should conduct comprehensive comprehensive examinations, evaluate electrolytes (including blood potassium levels) and acid -base balance. Hypertension and other diseases, whether to use drugs that affect the potassium excretion of the kidneys and correct it. Because with the progress of CKD diseases to the middle and late stages, the incidence of hyperkalemia is significantly increased, and frequent recurrence, and the interval between the seizures is becoming shorter and shorter. The treatment goal of hyperkalemia is also the treatment needs of patients. Professor Zhou Ford said that patients with CKD need to go to the hospital to review the level of blood potassium regularly according to the progress of the disease. Patients in the 1-2 phase can check blood potassium once in half a year, and every month in the 5th phase must be checked. If the patient has a high potassiummia in the near future, it is necessary to check the blood potassium once every 1 to 2 weeks to ensure that the blood potassium is maintained at a normal level. When blood potassium is stable for a long time at normal levels, the interval between the review can be gradually extended.

At the same time, Professor Zhou Ford emphasized that the medicines taken by CKD patients are very complicated, and some drugs will increase the risk of hypertrophymia. However, if these therapeutic drugs are not used, the rate of kidney function of patients will increase faster. Therefore, patients with CKD must not be discontinued at will. Under the advice of the doctor, take potassium reduction drugs while taking related kidney disease treatment drugs to ensure stability of blood potassium.

In addition, in the face of the normalization of the epidemic prevention and control, Professor Zhou Ford specifically emphasized the importance of uninterrupted drugs. He suggested that patients with CKD must always be prepared at home and prepare related drugs. Generally, the hospital will specialize in the special circumstances of the patient. You can entrust community staff, relatives and friends to record the hospital for registered medicine with the patient's medical records and medical treatment. Patients can also purchase medicines through the Internet platform. Some hospitals have also opened Internet medical services. Patients can find doctors on the Internet for consultation and prescribe medicine. The drugs can be sent directly to the patient's house. (Guangming Daily All Media Reporter Tian Yating)

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