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href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">广州日报讯 (全媒体记者周洁莹通讯员吴佳仪)昨天是第13个“世界肾脏病日”，今年的主题为“关注肾脏病，关爱女性健康”。慢性肾脏病(CKD)是全球性公共卫生问题，相关数据显示，全球女性CKD患者约为1.95亿，每年约60万人死于CKD。医生提醒，妊娠给肾脏增加的负荷比常人更大。肾病患者如若妊娠，应比健康人更密切地监测肾功能、尿血常规及其他肾病相关检查。</p><p style="text-indent: 2em; text-align: left;"><strong>尿毒症“突袭”</strong></p><p style="text-indent: 2em; text-align: left;"><strong>30岁无缘为人母</strong></p><p style="text-indent: 2em; text-align: left;">日前，南方医科大学中西医结合医院肾病科收治了一名30岁女患者叶女士，据其自述，2年前曾测血压偏高，既往体检也从不重视尿液检查，有小便发红情况，以为月经所致，并未在意。日常生活中只觉得有些乏力，初期并未出现水肿、恶心、呕吐、尿血、泡沫尿等尿毒症前期该有的表现，半个月前出现上楼气喘、夜间坐立不安、睡眠呼吸困难等症状。</p><p style="text-indent: 2em; text-align: left;">南方医科大学中西医结合医院肾病科管海玉医生介绍，叶女士的检查提示：贫血，血肌酐814umol/L，达到尿毒症水平；B超提示双肾萎缩；心脏超声提示心包积液；伴有严重的心功能衰竭及肺部感染。管海玉介绍，这一切的起因均由肾衰竭所致，也正因此叶女士失去了为人母的机会。</p><p style="text-indent: 2em; text-align: left;"><strong>肾病孕妇</strong></p><p style="text-indent: 2em; text-align: left;"><strong>易发先兆子痫、早产等</strong></p><p style="text-indent: 2em; text-align: left;">对于健康人来说，怀孕时肾脏会发生一系列变化。在怀孕的初期，由于心脏输出量的增加和激素的作用，肾脏血流增加，肾小球滤过率GFR可以增加约50%。随着GFR增加后，小管重吸收相对降低，孕妇可出现糖尿和氨基酸尿。既往没有肾病的病人也可以出现生理性蛋白尿，24小时尿蛋白定量可达300～500mg，发生率约为20%。</p><p style="text-indent: 2em; text-align: left;">管海玉提醒女性肾病患者，如若怀孕，一方面会引起肾脏高滤过状态、尿蛋白增加、先兆子痫等，对肾脏产生影响，另一方面原有肾脏病会使孕妇更易发生先兆子痫、早产及胎儿宫内发育迟缓等。</p><p style="text-indent: 2em; text-align: left;">在继发性肾病中，尤其糖尿病肾病、系统性红斑狼疮肾病等，是否可以妊娠，还应密切关注原发病控制情况。如糖尿病肾病患者出现血肌酐浓度升高及高血压，存在肾病范围内的蛋白尿，或怀孕前已存在心血管疾病，则不建议妊娠，孕妇可能发展为严重的高血压伴肾功能恶化，胎儿可能出现宫内生长受限、胎盘功能障碍、早产等情况。</p><p style="text-indent: 2em; text-align: left;">管海玉提醒，对于尿毒症患者，一般不建议怀孕。</p><p style="text-indent: 2em; text-align: left;"><strong>提醒：</strong></p><p style="text-indent: 2em; text-align: left;"><strong>定期筛查很重要</strong></p><p style="text-indent: 2em; text-align: left;">慢性肾脏病早期可能出现以下9类症状：1.乏力、易疲劳、腰酸、腰痛；2.尿中出现泡沫增多且不易消退，尿蛋白排泄增多；3.血尿；4.夜尿增多；5.反复眼睑或下肢浮肿；6.血压增高；7.不明原因的贫血、皮肤瘙痒、抽筋、牙龈出血等；8.不明原因的食欲减退、恶心、呕吐等；9.尿量减少。</p><p style="text-indent: 2em; text-align: left;">管海玉介绍，肾病也称为“隐形杀手”，早期就出现水肿、血尿的患者不到一半，其中有一些患者水肿、血尿还是一过性的，即使有水肿、血尿症状，往往一周甚至几天就自行消失了。很多老百姓认为，只要不妨碍吃饭睡觉、不妨碍工作就是健康的，这其实是错误的观念。建议每年定期体检一次，包括血常规、尿常规等检查，如出现蛋白尿、血尿等情况，应及时寻找专科医生进行进一步确诊，排除肾病的可能。</p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：世界肾脏病日女性肾病患者盲目妊娠</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2018-08-20/2146201.shtml">儿童急性肾损伤怎诊断？侯凡凡院士团队创标准</a></li> <li><a target="_blank" href="/c/2018-09-27/2178408.shtml">切掉一个肾对健康会有影响吗</a></li> <li><a target="_blank" href="/c/2018-10-31/2205016.shtml">当心感冒发烧也能诱发尿毒症</a></li> <li><a target="_blank" href="/c/2017-10-25/1848042.shtml">警惕！越胖越伤肾肾不好的8个信号你占了几个？</a></li> <li><a target="_blank" 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