Chronic renal failure - a companion killer with Covid-19

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Dr. Nguyen Dinh Quan, Department of Positive Resuscitation, Central Geriatric Hospital, said chronic kidney disease is an abnormal structure or kidney function, lasting more than 3 months, affecting the health of patients. According to statistics, the world has about 850 million people with kidney disease. Of those, about 5 million have kidney failure. These people need dialysis or a kidney transplant to survive.

The group with chronic kidney disease is those who have a history of kidney disease, especially glomerular disease, kidney stones, urinary tract infections. People with hypertension, diabetes, systemic lupus erythematosus or some drugs that cause impaired kidney function such as antibiotics, NSAIDs ...

According to Quan, the kidney has a large reserve so it causes few symptoms. Once symptoms are often in the late stages, the appearance of severe kidney damage, causing chronic kidney failure. Therefore, most patients do not notice any symptoms when the disease is in its early stages.

Symptoms are common in people with chronic kidney disease such as vomiting or frequent nausea. Urinating more often than usual or less than usual. Feeling tired or short of breath, not interested in eating. Cramps, muscle twitching, dry and itchy skin, persistent itching. Poor sleep, weight loss for no apparent reason, fatigue, moodiness, leg swelling, chest pain, shortness of breath ... Hypertension is difficult to control.

"But the signs and symptoms of kidney disease are often nonspecific, meaning they can also be caused by other illnesses," the doctor said.

Signs and symptoms of kidney disease are often nonspecific, when detected often are at a later stage. Photo: Hospital provided

Signs and symptoms of kidney disease are often nonspecific, when detected often are at a later stage. Ảnh: Bệnh viện cung cấp

There is no cure for complete chronic kidney failure. Treatment may slow disease progression and improve symptoms, limiting the risk of complications. If the kidney function is below 15% of normal kidney function, it means end-stage renal failure. The kidneys don't filter out toxins and excess fluid, your doctor will order dialysis or a kidney transplant.

In particular, dialysis is one of two dialysis methods. When dialysis does not meet the body's needs, hemodialysis uses dialysis machines that replace the kidneys, hemodialysis is considered the best solution for dialysis. end-stage renal failure patients can maintain life.

The doctor recommends that, to prevent chronic kidney failure, patients need to thoroughly treat acute glomerulonephritis, kidney infections, kidney stones ... Screening and early detection in 3 high-risk groups are people with diabetes, hypertension and a family history of kidney disease.

Follow directions when using over-the-counter medicines. Some over-the-counter pain relievers such as aspirin, ibuprofen and acetaminophen should follow the directions on the package. However, taking too much pain medication can lead to kidney damage. If you have kidney disease, you should limit the use of these drugs. Ask your doctor about safety when you use these drugs.

Maintain a healthy weight by exercising, exercising and exercising. If you need to lose weight, consult your doctor about healthy weight loss methods.

Smoking damages your kidneys and makes kidney damage worse. Eat well nutrients, supplement many green vegetables, fruits. Limit stimulants, greasy food, eat too salty ...

Control your health regularly. If you have a medical condition or condition that increases your risk of kidney disease, you should consult your doctor to control this condition. In addition, you should perform tests to look for signs of kidney damage.

In particular, people with kidney disease and other chronic medical conditions who have Covid-19 have an increased risk of getting worse. In order to reduce the risk of infection, patients undergoing dialysis must pay attention to necessary preventive measures as recommended by the Ministry of Health such as wearing masks, washing their hands regularly, limiting to crowded places, keep a minimum distance of 2 m when going to the hospital ...

Thuy An

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