Two hours after the iron, Mr. Liu (pseudonym) had creatine kinase nearly 200 times higher than the normal standard, and was diagnosed with "rhabdomyolysis".
Yangtze Evening News, February 28 (Correspondent Shen Linlin, Reporter Zhu Dingzhao) 31-year-old Huai'an man Mr. Liu (pseudonym) usually likes to go to the gym to make iron, who would have thought that after a 2-hour iron, he was still in the gym the day before, sweating like rain, and he went to the hospital the next day. His creatine kinase was nearly 200 times higher than the normal standard, and he was diagnosed with "rhabdomyolysis" by the doctor and admitted to the nephrology department of Huai'an Hospital of Traditional Chinese Medicine.
Mr. Liu (pseudonym), 31 years old this year, has not exercised for more than half a year due to job changes and taking care of his family. On the evening of February 22, taking advantage of the last rest time of the Spring Festival holiday, he asked three or five friends to go to the gym to "play iron". According to Mr. Liu's own introduction, on that day, he did more than 600 "machine chest presses" in the gym, which was a regular exercise for him in the past. But he never expected that in the early morning of the next day, he had a fever of 38, accompanied by dizziness, general weakness, soreness in both upper limbs, and brown urine. He rushed to a nearby community health center to have his blood tested.
The results of the examination showed that creatine kinase was 61706UL (normal value 50-310UL), nearly 200 times higher than the normal standard, creatine kinase isoenzyme was 634UL (normal value: 0-24UL), and all indicators of liver and kidney function were red, and the doctor diagnosed him with "rhabdomyolysis" and recommended him to be referred immediately**.
This can make Mr. Liu completely blindfolded: just a healthy body, why did he "rhabdomyolysis"? He hurriedly picked up his mobile phone and searched on major online platforms, but the results were even more "scary" on the Internet. "Let's go to a regular hospital! Mr. Liu did not dare to be careless, and came to the Nephrology Department of Huai'an Hospital of Traditional Chinese Medicine on the afternoon of February 24.
After hospitalization**, Mr. Liu's (pseudonym) indicators gradually returned to normal.
Gao Xianlou, deputy director and deputy chief TCM physician of the Department of Nephrology of Huai'an Hospital of Traditional Chinese Medicine, learned about Mr. Liu's condition and tailored a personalized diagnosis and treatment plan for him. After the combination of traditional Chinese and Western medicine such as hydration, diuresis, liver protection and kidney protection, Mr. Liu's indicators gradually returned to normal.
It's just that the exercise is a little more intense, how can I get rhabdomyolysis?
According to Gao Xianlou, rhabdomyolysis syndrome is a clinical syndrome in which striated muscle cells are destroyed and disintegrated due to extrusion, exercise, high fever, drugs and other reasons, resulting in creatine kinase, myoglobin and other components in muscle cells entering the extracellular fluid and blood circulation, causing internal environmental disorders, acute renal failure and other tissue and organ damage.
In layman's terms, rhabdomyolysis refers to the release of relevant components in the skeletal muscle cells of the human body (medically known as striated muscle) into the blood after super extreme exercise (just like an egg is broken, the egg liquid leaks out), and with the blood circulation, these substances reach the kidneys, blocking the small blood vessels of the kidneys, and also bringing a great burden to the heart and liver. Too much myoglobin can build up in the kidneys, causing acute kidney failure and metabolic acidosis. In severe cases, coma and even death may occur.
How can exercise-induced rhabdomyolysis be prevented? Gao Xianlou, deputy director and deputy chief physician of the Department of Nephrology of Huai'an Hospital of Traditional Chinese Medicine, gave the following suggestions:
1. Exercise slowly, don't be reckless (step by step, do what you can, start with a small amount of exercise, and gradually increase the intensity according to your own situation, and avoid long-term high-intensity exercise). In particular, junior high school students should take physical education exams to avoid excessive intensity of "emergency training" before the exam; There are also citizens who want to **, who exercise less on weekdays or have a weak physique, and should do what they can according to their own conditions.
2. Advocate a variety of exercise methods, do not simply do one exercise (multi-event cross training), and strengthen adaptive training, including training time, intensity, and heat resistance. In addition, exercise requires a good routine and scientific frequency, muscle building is originally to re-grow after tearing, and it is necessary to give time for muscles to grow again, just like cutting leeks and waiting for leeks to grow.
3. Open windows for ventilation during exercise to maintain air circulation. Avoid exercising in a high temperature and humidity environment, and choose a cooler early morning to facilitate the body's heat dissipation. Pay attention to adequate hydration and electrolytes before, during, and after training.
If your body is unwell with colds, fatigue, menstruation, etc., do not force yourself to exercise.
*: Purple Cow News.