Improper medication easily damage the kidneys

Vertebrate kidney is an organ, is part of the urinary system, responsible for filtering impurities in the blood, maintaining fluid and electrolyte balance, and generates the urine excreted by the subsequent pipeline; endocrine function but also have to regulate blood pressure. Physiologically, can significantly affect the kidney blood flow, blood composition, blood pressure regulation, bone development, and with some important metabolic functions.
A survey shows that the incidence of acute renal failure in nearly 1/3 from drugs, which patients over the age of 60 the proportion is as high as 51%. In nephrotoxic drugs, antibiotics accounted for the first (48%), followed by diuretics and contrast agents.
Overdose, drug treatment is too long after the main reason for kidney damage. People should be avoided in the treatment of two or more nephrotoxic drugs combined with the high-risk groups according to renal function to adjust the dosage and medication treatments.
Cold eat antibiotics, medicine to eat all year round, free to do ...... enhanced CT in the medical field these abnormal phenomena, has seriously damaged the national kidneys. Recently held in Shanghai, "2009 China kidney disorders Annual Meeting", famous throughout China invariably called kidney disease experts, doctors and patients should pay extra attention rational drug problem, China's drug-induced kidney damage has exceeded the severity Western countries.
1/3 of acute kidney injury due to drugs
Recently, one of Shanghai for more than 17 general hospitals dimethyl survey shows that the incidence of acute renal failure in nearly 1/3 from drugs, which patients over the age of 60 the proportion is as high as 51%. In nephrotoxic drugs, antibiotics accounted for the first (48%), followed by diuretics and contrast agents. The researchers believe that drug-induced renal damage are quite different clinical manifestations, plus compensatory kidney itself has a strong ability to early often difficult to find, so it will delay treatment, causing irreversible kidney failure.
Led the study, Renji Hospital Nephrology Professor Qian Jiaqi analyzed, along with the arrival of aging society, people with all kinds of chronic diseases more and more people, but people on the medication has not only established the concept of rational drug use, Instead, casual drug use. In the survey of drug-induced acute kidney injury patients, a lot of people already suffering from chronic kidney disease, cerebrovascular disease, diabetes, hypertension, coronary heart disease, their lives all year round and Drug companions. Some patients also have hairs usually a minor illness to taking all kinds of antibiotics. Qian Jia-qi said: "Some patients also often recommend to friends and family therapy, many patients without a doctor's advice to make the case without medication."
Contrast agents also cause kidney damage researchers attention. Qian Jia-qi said: "The contrast agent effects on the kidneys has become a recent international study of kidney disease hotspots." According to reports, the current clinical CT and other imaging tests used more frequently, some patients often do because of fear enhanced tumor CT; heart disease patients undergoing angiography has become increasingly common. Resulting kidney damage also increased.
Need to guard against side effects of traditional Chinese medicine
Chinese Peking Union Medical College, Chinese Medical Association branch president renal physician Professor Li Xuewang said: "Compared with foreign countries, China high incidence of drug-induced renal damage reason is that people do not pay attention to this issue long-term."
Unique Chinese herbal usage, causing drug-induced renal injury is the main reason. Nephrology, Peking University First Hospital Director Professor Zhao Minghui said that the Chinese people for the toxic effects of traditional Chinese medicine there is a process of understanding, Longdanxiegan incident is only the first tone sounded the alarm. Qian Jia-qi is that now people will care medicine as an important means of prevention, herbal medicine is often a very long time, increasing the burden on the kidneys.
"Generally speaking, overdose, long duration after treatment of kidney damage is the main reason." Ruijin Hospital Nephrology Master Professor Ren Chennan says people should be avoided in the treatment of two or more nephrotoxic drugs combined with the high-risk groups according to renal function to adjust the dosage and medication treatments.
Doctors need to strengthen continuing education
In addition to nationals should raise awareness on medication, the Chinese doctors also need to strengthen standardization, continuing education. Xue-wang said that as the local economic development level is not balanced, the doctor has a greater ability differences. Meanwhile, China for resident physicians, specialist training system has just started, has not yet formed a capable and qualified training team. "From the current situation, China has qualified to train qualified physicians limited number of hospitals, the annual training of medical students graduating fewer than the total number of 1/10."
Training of doctors are not standardized, resulting in the overall discipline subdivided doctors can not treat the patient's body. Non kidney specialist physician for kidney disease awareness and familiarity decreased, medication and more easy to overlook the kidney organ protection.
It is imperative that physicians should pay attention to the existing continuing education. Qian Jia-qi Road, for example, contrast agents for injury problems, and now the international community has been proposed to do careful diabetes, dehydrated patients do not use, or do before angiography should stop taking nephrotoxic drugs such proposals.
The experts said that with the arrival of an aging society, along with the development of bio-pharmaceutical industry, doctors have only to keep up with change and continue to study with an open mind, be possible for the patient truly responsible.