How is hematuria after long-distance running to return a responsibility?
summary
Some people, after exercise, can obviously see hematuria and urine turbidity, but pay more attention to their own body, do not go to check, eventually developed into a more serious disease. I have been to the hospital to take pictures and do color Doppler ultrasound. The shape of the kidney is normal, and the renal function test is also normal. That is, the urine routine test has occult blood in urine, with or without a small amount of protein. After taking the medicine prescribed by the doctor, or having a rest, the symptoms disappear and this happens again after exercise. What's wrong with this? Today, let me tell you something about hematuria after long-distance running?.
How is hematuria after long-distance running to return a responsibility?
First: exercise hematuria occurs in the urinary system without any pathological changes and completely healthy people. The main cause of hematuria is the trauma caused by the violent vibration or strike of the kidney during exercise, which can cause the rupture of renal blood vessels and hematuria. For example, after boxing, about 28% of people have hematuria, which belongs to this type. In some sports, the possibility of renal trauma is very small, such as rowing, but hematuria also occurs after exercise. The reason may be that the blood distribution of the whole body is adjusted during exercise, the blood flow of the kidney is reduced, and the filtration rate of the glomerulus is reduced. The more intense exercise, the less blood flows through the kidney, and a large amount of blood flows to the active parts of the body, such as the heart and kidney Lungs and muscles for intense exercise. Renal blood flow decreased, glomerular ischemia, hypoxia and permeability increased. At the same time, the increase of lactic acid in blood also increases the permeability of glomerulus. In addition, when exercise, renal blood circulation disorder occurs congestion, which will also increase glomerular permeability, and red blood cells can enter the urine through the vascular wall, resulting in hematuria; Long distance running and long-time standing posture can make the kidney droop, obstruct the return of renal vein, kidney blood stasis and hematuria.
Second: before exercise, he suffered from chronic occult urinary diseases, such as urinary calculi, glomerulonephritis, urinary tract infection and other diseases. Through exercise, he made the calculi slide and stabbed the mucous membrane of urinary organs, causing bleeding; Exercise aggravates the original inflammation and infection, causing bleeding and so on. Although these are also hematuria after exercise, the main reason is that there are pathological changes in the original, but exercise induced symptoms, so hematuria is still caused by the original disease. This kind of hematuria to stop exercise, treatment of the original disease, and other diseases cured after participating in the exercise will not occur hematuria.
Third: this may be related to the difference in the situation of renal ischemia caused by everyone's kidney during physical exercise. Some people do not have renal ischemia even if they exercise a lot, and some people may cause renal ischemia. In addition, it may be related to the way the body moves. Exercise hematuria is mostly manifested as microscopic hematuria, and a few as gross hematuria. Generally, it is not accompanied by other abnormal symptoms and signs after exercise, but only fatigue. After the termination of exercise, hematuria quickly disappeared, generally no more than 3 days, the prognosis is good, no effect on health. Exercise hematuria can be used as a signal of maladjustment to exercise load or decline of physical function.
matters needing attention
1. If there is only a small amount of microscopic hematuria after exercise and the hematuria disappears in the urine on the second day after exercise, the training can be continued, but attention should be paid to the training and physical function, and the amount of exercise can be adjusted appropriately if necessary. 2. If there is more microscopic hematuria after exercise, but it is not gross hematuria, and it can disappear quickly after exercise, the training should be stopped on the same day or within 24 hours, the rest should be given, and the amount of exercise should be adjusted appropriately. After training, we should check urine repeatedly, observe closely and strengthen medical supervision.
