以下是需要被破除的常見“誤解”,要注意!
1. 腎臟病很罕見?
錯!根據國家衛生研究院溫啟邦的資料,發表在2008年Lancet期刊,台灣有200萬人罹患腎臟病,又過了六年,現在一定更多了,白話一點講,九個台灣人中有一個有腎臟病,重點來了,這些人當中, 96.5% 不知道自己有腎臟病!!!所以,一點都不罕見,只是有病的人不知道而已,為什麼?原因看下一點。
2. 如果腎臟出了問題,你會感覺哪裡不舒服?
錯!很不幸的,腎臟也是個沉默的器官(和肝一樣,只不過腎臟沒有買廣告),在腎臟病的初期,您不會有任何不適的症狀,往往要到很末期的腎臟病,才會不舒服。早點發現腎臟生病了,就能早點開始治療、以及預防再度惡化,而您不能等到身體不舒服了才就診,這樣往往就太晚了,最好的方式,是定期去做腎臟的檢查!
3. 檢查腎臟很麻煩,很花時間?
錯!簡單的抽血與驗尿,就能知道腎臟有沒有問題,抽血是要看腎臟清除毒素的能力–也就是驗“肌酸酐”(進而算出“腎絲球過濾速率”),而驗尿是用來篩檢是否有“蛋白尿”。這兩樣方法簡單又便宜,就能幫助早期發現問題。
4. 如果我有得到腎臟病的風險,沒有什麼好方法可以避免?
錯!先了解一下,哪些人有得到腎臟病的風險?長期服用藥物(尤其是止痛藥或偏方草藥等等)、心血管疾病(高血壓患者)、家族裡有腎臟病的親人、糖尿病患者、抽菸者、痛風患者、以及65歲以上者。這些都是高風險族群,一定要定期檢查腎臟功能。知道自己是高風險者,也不能自暴自棄,因為還是有很多方法,能夠幫忙保護您的腎臟,比如:控制好血壓、血糖、選用不傷腎臟的藥物、戒菸等等,都能有效讓你的腎臟保持健康。
5. 沒人知道腎臟為什麼會生病?
錯!腎臟病最常見的幾個原因:糖尿病、高血壓、不當使用藥物、腎絲球腎炎、以及家族遺傳疾病等等,其中糖尿病是台灣洗腎患者中,最常見的原因。有時候腎臟生病的原因不清楚,是因為發現的太晚了,這時候就算做腎臟切片,也不會知道原因是什麼,因為腎臟組織都壞光光了,沒有人看的出來兇手是誰了。所以,再次強調,早期篩檢的重要性囉!
6. 腎臟生了病,唯一的治療就是洗腎?
錯!只有腎臟病到了末期時,才需要洗腎來維持生命與生活品質,而在初期或中期時,還有很多方式可以努力,來保護腎臟,不受進一步的傷害,如:飲食、藥物與運動等等,即使腎臟有點毛病,但是您的日常生活依舊,不會受到影響。而這也是為什麼一直強調,早期發現能夠早期治療的重要性。
希望看了本篇之後,能夠幫助您破除對於腎臟病的誤解,記得照顧自己的腎臟,定期做檢查喔!
英文原文:SIX COMMON MYTHS ABOUT KIDNEY DISEASE
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http://doi.org/10.1016/S0140-6736(08)60952-6