Hyperuricemia is mostly seen in men over middle age or women in menopause, and more men than women. There are often gouty arthritis, gouty nodules, uric acid urinary stones, etc. Hyperuricemia can cause uric acid nephropathy. In the early stage, only mild to moderate proteinuria and decreased renal urine concentration function can occur. In the late stage, hypertension and azotemia can occur and develop into end-stage renal failure requiring dialysis treatment. Below, we will introduce how to prevent kidney failure caused by high uric acid.
1、 Prevent renal failure caused by high uric acid and avoid triggers
(1) Try to avoid factors such as excessive drinking, cold stimulation, intense exercise, and local injuries.
(2) Malignant tumors require hydration, alkalization, and medication during radiotherapy and chemotherapy to prevent the occurrence of acute uric acid nephropathy and avoid causing acute renal failure.
(3) Be cautious when using drugs that inhibit uric acid excretion, such as furosemide or thiazide diuretics, and closely monitor changes in renal function and blood uric acid during use. Compound antihypertensive drugs may contain such drugs.
2、 Prevent renal failure caused by high uric acid and strengthen dietary attention
(1) Drink a large amount of water or consume foods with high water content, and maintain a daily urine volume of over 2000ml to facilitate the excretion of uric acid.
(2) Alcoholic beverages can reduce the excretion of uric acid by the kidneys, especially beer containing high purines, which must be strictly controlled.
(3) Choosing alkaline foods such as vegetables and fruits can promote the dissolution and excretion of urate.
(4) Eat a low purine diet, eat less viscera such as the heart, liver, kidneys, seafood, and alcohol. When cooking, it is also advisable to first cook with large soup, and then discard the soup to reduce purine intake.
(5) Obese individuals should have a slightly lower total calorie intake by 10-15% compared to a normal diet, usually calculated at 25-30 kcal per kilogram of body weight per day. Cooking methods such as steaming, boiling, stewing, and stewing are recommended for food. (
(6) Control the intake of protein by 0.8-1.0 grams per kilogram per day. (7) Avoid spicy and stimulating foods such as chili peppers, peppers, curry, mustard, hot pot, etc.
3、 Preventing renal failure caused by high uric acid can be treated with traditional Chinese medicine
Traditional Chinese medicine believes that this disease belongs to a syndrome of deficiency and excess, with a mixture of deficiency and excess. Clinical differentiation can be divided into spleen and kidney qi deficiency, spleen and kidney yang deficiency, qi yin deficiency, liver and kidney yin deficiency, yin yang deficiency, as well as dampness and heat accumulation, blood stasis blocking collaterals, cold dampness obstruction, phlegm turbidity obstruction, and other syndrome types. Treatment can be added or decreased according to syndrome differentiation.