I always want to go to Hangzhou for 43 years it boss dragged into uremia diabetes-footman

I always want to go to Hangzhou for 43 years IT boss dragged into the diabetic uremia look tall, graceful bearing man, look at his medical records, Hangzhou Traditional Chinese Medical Hospital, deputy director of the Department of Endocrinology physician Jin Jianhong in the heart secretly sighed: "if he diagnosed diabetes after a good treatment, where as in this age, the eyes are not clear, ears to hear, but also suffering from uremia……" No symptoms do not take medicine in 8 years of diabetes to uremia the man is 43 years old, IT industry is a successful manager, from the conversation, Jin Jianhong could feel his clear thinking, refined temperament, unfortunately, seven or eight years ago he was suffering from diabetes. "IT you know, busy day and night, when just starting, he work a lot of pressure, but also to socialize, eating and drinking, no time to exercise, and he has a family history of diabetes, almost have risk factors for diabetes at the age of more than 30, so sick." Jin Jianhong said, Ben came to diabetes, not too panic, this chronic disease, as long as the doctor’s advice, standardized medication, can be effectively controlled for a long time, to the boss’s condition, take some more convenient self medication is also no problem. "But, in the treatment of this matter, he was a bit do not work. Over the past seven or eight years, he has not received a particularly formal treatment of diabetes, thought of a point with drugs to eat, did not expect not to eat, even taking medicine, but also try to eat a little bit of their own, do not know after eating blood sugar control is not good." The manager of Dr. Kim said, although he had diabetes, but not what early symptoms, most just feel a little dry mouth, no effort, he always thought it was tired because of the busy work, don’t want to go in the direction of diabetes. "I don’t want to rule, is to busy doing empty I go to see a doctor. You can be busy for a while, then there will be a next time, can not stop. And I didn’t seem to be in any sort of physical condition, and I was procrastinating all the time." Last year, he began to feel his body is wrong, although the wine and dine opportunity is still a lot, but 1 meters 78 people, from more than 160 pounds to 130 pounds of lean. Besides, you can’t see things clearly. At the beginning of the blink of the eye, rubbing a few, but also for a moment to see clearly, and later to see the film can only see the blurred figure, can not see subtitles, and then rubbed his eyes also useless. At this time he went to the eye examination, the diagnosis is diabetic proliferative retinopathy, irreversible. His feet began to swell, urine became less, renal biopsy pathological diagnosis, diagnosed as diabetic kidney disease, has reached the stage of uremia, need to do two to three dialysis every week, is also irreversible. His resistance also became so bad that he was infected. Recently went to Dr. Jin Jianhong, because the virus infection, causing sudden deafness, Department of ENT doctors believe that with diabetes related, also called him to the Department of endocrinology to treat. "43 years old, has reached the stage of serious complications of diabetes, looks like the mold is good, in fact, the quality of life is very poor, travel must have driver to drive him, he has not see clearly; dialysis every week, he.".

总想忙完了再去治 杭州43岁IT老总糖尿病拖成尿毒症看看眼前这个高高瘦瘦,风度翩翩的男子,再看看他的病历,杭州市中医院内分泌科副主任医师金剑虹在心里暗暗叹一口气:“如果他查出糖尿病后好好配合治疗,何至于在这个年纪就眼睛看不清,耳朵听不见,还患上尿毒症呢……”没症状就不吃药8年糖尿病进展到尿毒症这名男子43岁,是IT行业一位事业有成的老总,从交谈中,金剑虹就能感觉到他思路清晰,气质儒雅,不幸的是,七八年前他就患上了糖尿病。“IT行业你懂的,忙起来没日没夜,刚创业的时候,他工作压力很大,还要应酬,大吃大喝,没空运动,再加他有糖尿病家族史,几乎具备了糖尿病的高危因素,所以30多岁就得病了。”金剑虹说,本来得了糖尿病也不用太恐慌,这种慢性病,只要遵医嘱,规范用药,完全可以长期有效控制,以这位老总的条件,服用一些更简便的自费药也完全没有问题。“可是,在治病这件事情上,他却有点弄不灵清。这七八年来,他就没有接受过特别正规的糖尿病治疗,想到了就配点药吃吃,没想到就不吃,即使吃药,也是自己揣摩着吃一点,并不知道吃下去后血糖有没有控制好。”这位老总对金医生说,他虽然得了糖尿病,但是早期并没有什么症状,最多就是觉得有点嘴巴干、没力气,他总以为是工作忙人累了的缘故,压根没往糖尿病的方向想。“我也不是不想治,是想等忙完手头上的事,空下来了再好好去看病。可忙过这一阵,紧接着就会有下一阵,停不下来。而且我感觉自己身体状况似乎也没什么异样,就一直拖延下来了。”去年开始,他开始明显感觉到自己身体不对劲了,虽然吃吃喝喝的机会仍然不少,但1米78的人,从160多斤瘦到了130斤。而且,看东西时常看不清楚。一开始使劲眨眼睛,揉几下,还能有一会儿看得清,到后来看电影只能看到模糊的人影,看不到字幕,再揉眼睛也没用了。这时他去眼科检查,诊断结果是糖尿病增殖期视网膜病变,不可逆。他的脚也开始肿起来,小便变得很少,做了肾脏穿刺病理检查,确诊为糖尿病引起的肾脏病变,已经到尿毒症的阶段,需要每周做两到三次透析,也是不可逆的。他的抵抗力也变得很差,动不动就被感染。最近这次去金剑虹医师那里,就是因为病毒感染,引起突发性耳聋,耳鼻喉科医生认为跟糖尿病相关,又叫他到内分泌科来治疗。“才43岁的人,已经到了糖尿病严重并发症阶段,看上去模子还好,其实生活质量非常差,出行必须有司机给他开车,他自己已经看不清楚了;每周都要透析,他也无法再出去旅游、出差。虽然他现在还是在坚持工作,精神状态也还可以,但他其实已经非常脆弱了,现在最怕的是万一被严重感染……”糖尿病早期可能没症状有些人得了糖尿病自己根本不知道糖尿病早期,几乎是没有什么症状,最多有些乏力、口干、小便多等不典型的表现,所以很多人甚至不知道自己有糖尿病。浙江大学医学院附属邵逸夫医院内分泌科副主任、主任医师周嘉强主任接诊过一位17岁的胖小孩,身高一米七五,有两百斤左右,他一直不知道自己有糖尿病,直到有一次细菌感染拉肚子,导致糖尿病酮症酸中毒发作,休克了,才知道。送到医院的时候,他的指尖血糖已经高到测不出来,静脉血糖达到76mmol L(正常值是6mmol L),这是有生命危险的。还有一位20多岁的小伙子,也不知道自己有糖尿病,他还不喜欢喝白开水,一感到口干就买饮料喝。他跟周主任讲,他每天要花100多块钱喝上20多瓶饮料。结果是越喝血糖越高。有些人即使知道自己得了糖尿病,因为不痛不痒,像那位老总一样,没有好好治疗。一位34岁的女性,8年前得了糖尿病,但不是太严重。因为婆媳矛盾天天吵架,她有点自暴自弃,就懒得好好治疗,结果三个月前,她的眼睛开始看不清楚了,最近到邵逸夫医院就诊时,被确诊为糖尿病引起的视网膜病变,眼睛要瞎掉了。她这时才开始后悔,天天在病房里哭,但是周主任也只能安慰安慰她了。“糖尿病是个慢性病,如果一直不治疗,血液里的高糖分就会导致血管壁损伤、体内代谢产物堆积,从而对人体神经、器官都产生毒性作用。但如果血糖控制得好,对身体的影响可以很缓慢。”周主任说。对照以下症状,你可以自我判断一下有没有糖尿病,或者糖尿病发展到哪个阶段了:单纯糖尿病,仅为血糖控制不好者:容易乏力、口干、喜饮、小便多、体重下降。糖尿病合并神经病变:手麻或脚麻、怕冷或有灼热感、皮肤上会有蚁爬感、听力下降、身体的某一区域经常出汗、或者皮肤破皮后会色素沉着留下疤痕。糖尿病合并视网膜病变:视物模糊,失明。糖尿病合并肾脏病变:小便泡沫增多,尿量减少,下肢肿。糖尿病合并血管病变:外周血管病变的会导致皮肤易被感染、间歇性跛行、烂脚、足部坏疽、败血症等,大血管病变会引起脑梗、心梗。等到糖尿病发展到有并发症了,通常治疗效果都不会太好,所以,一定要早期控制、规范治疗。金剑虹医师就碰到一位糖尿病患者,好好地活到90多岁。原来40岁以上高发的Ⅱ型糖尿病现在二三十岁得的也很多根据流行病学调查,现在我国糖尿病的发病率越来越高,18岁以上人群中发病率有11.6%,糖尿病的前期、糖耐量异常人群更是达到50%左右,也就是两个人中就有一个可能存在血糖异常。“华人本身就是一个糖尿病的的好发种族,体内胰岛素分泌的代偿能力比欧美人要弱一些,这可能和我们几千年都过着日出而作,日落而息,粗茶淡饭的农耕模式有关,我们的基因已经适应这种简单朴素的生活方式,一时半会儿适应不了现在饮食精细、运动少、生活不规律、工作压力大的模式。”浙江大学医学院附属邵逸夫医院内分泌科副主任、主任医师周嘉强说。糖尿病不仅发病率越来越高,而且越来越年轻化。周嘉强主任说,成人Ⅱ型糖尿病,原本在40岁以上高发,现在二三十岁的比比皆是,有的甚至在10多岁就得病了。金剑虹副主任也说,从她的临床接诊情况看,十年前,她一个月也就碰到几个30多岁的糖尿病人,现在一个月起码接诊十几个。预防糖尿病,最好的办法就是多运动,控制体重,提倡粗茶淡饭,少吃精细的食物,多喝白开水,少喝饮料,生活尽量规律。得了糖尿病怎么预防并发症?为了防止自己不知不觉就有了糖尿病,40岁以上人群起码每年要做一次血糖检查,有糖尿病家族史、肥胖者20岁以上就要每年查一次。现在的体检项目里都会有空腹血糖检查,如果查出来高于正常值(>5.6mmol L),先不要慌,再去复查一次,因为有些人可能前一天吃东西吃得晚,这会影响检查结果的准确性。如果两次检查血糖都高于7mmol L,那基本可以确定有糖尿病了。这时要不要马上开始用药控制血糖,就要看病人的具体情况了。比较胖、胃口大、活动不多的人,医生一般会先对他们进行生活习惯的干预,调整生活方式两三个月后,如果血糖降下来了,那么可以不用药;如果还是控制不好就用药。对于本身生活习惯上就没什么问题的糖尿病患者,那么还是及早用药为好。要不要用药,可以看一个“糖化血红蛋白”指标,一般在7.5%以上的需要立即用药。对糖尿病患者来说,控制血糖是一个规范管理的过程,除了降糖治疗,糖尿病患者还需要接受降压、降脂达标等治疗。糖尿病一旦诊断,并发症筛查很重要,很多并发症是在不知不觉中发生的。医生建议,糖尿病人血糖控制稳定的,一个月去医院随访一次;血糖有波动正在进行方案调整的,要一周去一次;另外,最好半年到一年左右做一次糖尿病并发症的筛查。另外,糖尿病患者要及时测血压。对于普通人来说,收缩压≥140mmHg和(或)舒张压≥90mmHg,才能诊断为高血压,但因糖尿病患者患高血压的几率至少是非糖尿病患者的2倍,所以,糖尿病患者要将血压控制在130 80mmHg以内,否则,将会增加糖尿病视网膜病变和糖尿病肾病的危险。相关的主题文章:

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