In this passage, we will introduce CKD Stage 1 Stage 2 together with iceberg
theory. When some people who are in good condition and have never suffered from
a disease before go to have a physical examination in a hospital for the first
time, they can even be diagnosed with uremia, which is a big surprise. Why?
Here, we have to introduce iceberg theory first. It is said that one eighth
of an iceberg is above the water. All of the rest is underneath the water. It is
first put forward by Freud, a neurologist and Hemingway, a novelist in America.
This theory can be applied in many fields such as management, medical field, and
so on.
When some normal people go to have a physical examination in a hospital for
the first time, they can be diagnosed with kidney disease. Among them, two third
of them have developed into renal insufficiency and one fourth of them have
developed into uremia stage. Why? Just as what iceberg theory said, when kidney
disease patients start to feel symptoms or discomfort, the pathological damage
inside of the kidney has already been serious. It is because of the compensation
ability of the kidney. That is also why when a person donates a kidney, he can
also survive.
So timely physical examination and prevention in daily life become important.
How can we carry it out?
We should figure out two points:
Who should have such examination?
Which examinations should they take?
Generally, the factors which can lead to chronic kidney disease are such as
age, diabetes, high blood pressure, and family history, etc.
How long should the above mentioned people take physical examinations?
Firstly, those who are healthy can have examination once a year.
Secondly, those who have already had high blood pressure or diabetes should
have renal function test and urine test at least twice a year.
Thirdly, those who have had symptoms should go to hospital as early as
possible and have a syImmunotherapyatic examination.
Fourthly, if the renal function declines rapidly, people should find out the
potential and reversible causes and adopt effective treatment.
Which examinations should people take?
Generally, the examinations include urine test, MAU, protein in 24 hours,
blood sugar, blood fat, and so on.
What shall we do in our daily life so as to prevent CKD?
For healthy people, they should pay attention to the following points:
1. limit the intake of salt.
2. have regular physical examination
3. control the body weight
4. prevent cold.
5. stop smoking and alcohol
6. avoid taking in medicine freely
For the high risk groups, besides the above mentioned, they should also
control diabetes, high blood pressure, urea acid, obesity, and hyperlipidemia,
etc.
