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01

“沉默杀手”不沉默

小症状里藏大隐患

“肾脏病常被称为‘沉默的杀手’,早期症状轻微,很容易被忽视掉。”长沙市中心医院肾病、风湿免疫科主任医师文锐说,“沉默不等于无害”,身体常常会发出一些早期警报信号:不明原因的乏力、没精神早晨起床眼皮浮肿发现尿里的泡沫明显增多,且久久不散血压突然升高或者变得难以控制莫名的皮肤瘙痒、胃口变差、恶心一旦出现这些小信号,绝对不能掉以轻心,更不能硬扛或者自行吃药,务必及时就医检查

文锐提醒,早期发现,是避免肾脏病走向不可挽回地步的唯一“破局之道”!

02

防大于治

“防、治、管”掌握核心

围绕肾脏健康的“防、治、管”核心策略,长沙市中心医院肾病、风湿免疫科主治医师何玲艳给出了相关建议

关注泡沫尿、眼睑或下肢水肿、莫名乏力、难以控制的高血压等早期警报;明确伤肾高危因素包括长期高血压、糖尿病控制不佳、擅自滥用止痛药/抗生素/不明成分中药等。

确诊后需严格遵医嘱治疗,方法可包括合理使用降压药、控制血糖血脂、必要时激素或免疫抑制剂治疗等,目标是保护残余肾功能。

严格限盐、优质低蛋白饮食;规律监测并控制血压(目标<130/80毫米汞柱)、血糖达标;遵医嘱处理贫血、骨病等并发症。此外,充足饮水、不憋尿、避免肾毒性药物和保健品是实用的护肾技巧。

何玲艳强调,肾脏病和高血压、糖尿病一样,是可防可控的慢性病。关键在于增强意识、养成健康习惯,并重视每年的尿常规和肾功能检查。只有早筛查,才能抢占先机。

作者 || 长沙市中心医院 谭湘凌 秦璐

编辑 || 颜红波

审核 || 董超