健康カプセル！ゲンキの時間 2024年11月17日 名医に学ぶ！腎臓の数値の見方
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#EnglishMovie #cdrama #drama #engsub #chinesedramaengsub #movieshortfull
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TVTranscript
00:00Kouwa presents
00:04This is sudden, but what is the value of your health checkup?
00:09Blood sugar
00:11I'm curious about my heart rate
00:14Heart rate
00:16Have you ever cared about kidney?
00:19Kidney? I don't know much about kidneys
00:23I've never cared about it
00:25I've never cared about it
00:29There are few people who care about kidneys
00:32But you shouldn't underestimate kidneys
00:37In fact, one in five adults is suffering from chronic kidney disease
00:43That's a lot
00:45Really?
00:46Kidneys don't return to their original state once they get worse
00:50It's a life-long process of artificially regulating kidney function
00:55Dr. Yoko, a kidney expert, pointed out that
01:01Kidneys are closely related to other organs
01:04As a result, when kidney function decreases, the relationship between kidneys and organs deteriorates
01:08It is more likely to develop cardiovascular disease such as myocardial infarction
01:13And in recent years, it has become known to be related to kidney disease
01:17That's why early detection is important
01:21In order to detect kidney failure as soon as possible
01:25We will thoroughly research the points to read the health checkup data
01:28We will also find out how to care for kidneys
01:30Please prepare a health checkup table
01:37The data you need to know to protect your kidneys
01:40Those are
01:42Protein, creatinine, and EGFR
01:46These three items are especially important
01:50If it's almost normal, I think it's okay
01:55That's the problem
01:58You can't rest assured even if the numbers are normal?
02:01Why?
02:02Is that so?
02:03What do you mean?
02:05And what is a lifestyle that makes the kidneys weak?
02:10In addition, it is also closely related to nutritional guidance by actual patients
02:16The miso soup is half salt
02:21What is the secret?
02:27Health Capsule
02:29Genki no Jikan
02:31Good morning
02:33Today's theme is
02:35How to read kidney function
02:41I've never really cared about kidney function
02:47I care about blood sugar and cholesterol
02:50But I don't care about kidney function
02:52I don't know how to read it
02:54Today's guest is Masaru Hamaguchi
02:58Nice to meet you
03:00Do you usually care about kidney function?
03:03I've never cared about it
03:05I only know that there is a function to make urine
03:10I would like to ask the doctor in detail
03:13He is Dr. Yoko from Tokyo Jikeikai Ika University
03:16Nice to meet you
03:19What kind of disease is chronic kidney disease?
03:24It's called CKD
03:26It's a condition where the function of the kidneys or abnormalities have lasted for more than three months
03:35I see
03:36There are three things to pay attention to
03:40Uric acid, creatinine, and EGFR
03:45Uric acid is negative
03:49Creatinine is 0.95
03:52EGFR is 66
03:55These are all normal
04:00But I'm a little worried
04:03I'm afraid
04:05If I didn't come here today, I would have been in trouble
04:08I'll take care of it
04:09What is the cause of Hamaguchi's kidney disease?
04:15Let's open the health capsule
04:20Listen to the voice of a quiet kidney
04:24Uric acid, creatinine, EGFR
04:29Thank you for coming
04:31The people who gathered this time are 54-year-old Suga and 64-year-old Kama
04:39First of all, how much do you know about kidneys?
04:45I think you have a clip in your hand
04:48Can you write down where the kidneys are?
04:55Where are the kidneys?
04:58Here
05:00Please show me
05:05You two are separated
05:08Kama is almost ash
05:10That's right
05:12Where are the kidneys?
05:15There are actually two kidneys
05:17Two
05:18It's a little strange from there
05:20There are two kidneys in the center of the body
05:23It's just above the back of the hand
05:27Is it in the back of the body?
05:30It's on the back
05:32I see
05:34There are two kidneys on the back
05:37One is 120g to 150g
05:41It's a relatively small organ in the human body
05:45But there are many functions
05:50The most famous thing is to make urine and throw away the toxins in the body
05:57If you take a lot of water in your body, you will get a thin urine
06:01If you only take a little water, you will get a thick urine
06:04Adjust the water in the body
06:07The main role of the kidneys is to remove blood and discharge toxins from the body
06:15It also keeps the water content of the body constant
06:20The kidneys play various roles
06:24Let's check the function of the kidneys
06:32First is the myo-protein
06:36Myo-protein is diagnosed in five stages
06:43You need to be more careful than the standard value
06:49The value of Suga and Kama was negative, so it is not in the standard value
06:55What happens if the value of myo-protein is bad?
07:00It can be found by a certain verification
07:03I prepared two bottles of carbonated water
07:08There is something in one
07:11Let's go
07:19It's completely different
07:21This is nothing
07:24It's foaming
07:27This foaming is myo-protein
07:30What does this mean?
07:33There is egg white on the right side
07:37It's a protein
07:40When you go to the toilet, there is a bubble that doesn't disappear
07:43When this happens, you should think that there is myo-protein
07:47It's a bubble
07:49In fact, egg white was in one
07:55There is something wrong with the kidney function
07:58The protein is mixed with myo-protein
08:02It's scary
08:04In the past, we verified the function of the kidney function
08:11I prepared an artificial thyroid
08:15This is a device to clean the blood of patients whose kidney function has dropped
08:23The normal part plays the role of the kidney
08:28In the experiment, milk is used as blood
08:34When milk passes through the kidney, nutrients are absorbed and
08:42Transparent fluid
08:44This is the normal function of myo-protein
08:46What does this experiment mean?
08:49Kidney function is a function of myo-protein
08:53In white milk, protein is left
08:58Other things are left
09:00It has the function of separation
09:03The normal kidney is like the test of milk
09:07The blood vessels leave nutrients such as protein in the blood
09:15It releases waste and water as myo-protein
09:19However, the function of the kidney is reduced
09:26Nutrients such as protein, which do not come out, leak out
09:32Then the myo-protein bubbles
09:36This is the cause of myo-protein
09:40Even if there is no problem with myo-protein, people who have myo-protein need to be careful
09:49Is it bad for people who have myo-protein?
09:53Yes, there are many people who have more than standard protein in their urine
09:59You two have a negative test result
10:05The sensitivity of myo-protein is not very good
10:09In fact, even if it is negative, about one in 10 people may have myo-protein
10:14It's not safe because it's negative
10:17If you are worried about bubbling, you should check
10:24When myo-protein deteriorates, symptoms such as shortness of breath and anemia may occur
10:30The bubbling of myo-protein is the SOS of the kidney
10:34Not only the result of the medical examination, but also when you go to the bathroom, please check
10:40Next is cleartinin
10:44Cleartinin is a waste produced by metabolism of muscles
10:52The standard value of men is 0.65 to 1.07 mg per deciliter
10:59The standard value of women is 0.46 to 0.79 mg per deciliter
11:04Their values were within the standard value of 0.74 mg per deciliter
11:09Mr. Kama's value was slightly above the standard value of 1.13 mg per deciliter
11:16What happens to the body when this value is high?
11:22How does myo-protein deteriorate?
11:25There are two stages of myo-protein deterioration
11:28The first stage is myo-protein
11:31Myo-protein deteriorates when the membrane is broken
11:37The second stage is when myo-protein cannot be discarded
11:42There are about 800,000 to 1,000,000 myo-proteins
11:47If one or two out of 600,000 myo-proteins are broken, they cannot be discarded
11:53In the end, myo-proteins cannot be discarded, and they remain in the body
11:59This leads to a high level of cleartinin
12:03The myo-protein I explained earlier
12:06The network of several embryos becomes larger
12:09The protein, which is a necessary nutrient, comes out of the body as myo-protein
12:16On the other hand, people with a high level of cleartinin
12:20Because the embryos, which are about 1,000,000, are gradually crushed
12:24The amount of myo-protein that can be aged is reduced
12:29Even if blood is carried to the kidneys
12:32Myo-protein cannot be excreted
12:35It remains in the body and accumulates
12:39As a result, the concentration of myo-protein is also reduced
12:44It is easy to develop symptoms such as night dizziness and constipation
12:50Why does this happen?
12:53There are various genetic factors
12:57I think that eating habits play a big role in this
13:04What is eating habits that impair the function of the kidneys?
13:23What is eating habits that impair the function of the kidneys?
13:28What is eating habits that impair the function of the kidneys?
13:34Breakfast is rice, pickled plums, and fried chicken
13:39Lunch is two large rice balls and side dishes
13:44Dinner is fried chicken, miso soup, pickles, and salad
13:52It looks like a very common meal
13:55How is it?
13:57It's delicious
13:58The most burden on the kidneys is salt
14:01If you take a lot of salt, the blood pressure will be high
14:05That's one of the reasons
14:07Excessive salt increases blood pressure
14:11The pressure on the pancreas rises
14:15It breaks the membrane
14:18What are the eating habits of the kidneys that the doctor is concerned about?
14:22For example, rice balls
14:24If you don't have a taste, you won't be able to eat it
14:27If you eat three or four of them a day, you will have a lot of salt
14:31But you said you eat salad
14:34The problem is that if you add a lot of salt to the dressing, you will have a lot of salt
14:45Be careful because Japanese food such as miso soup and pickled cucumbers use a lot of salt
14:54Next is EGFR
14:57EGFR is a number derived from the gender, age, and creatinine level
15:04It shows how much the kidneys can filter waste
15:09There are five stages
15:13G1 to G5
15:17G1 is completely normal
15:19G2 is okay
15:21After G6, it enters the category of chronic kidney disease
15:26It is an indicator of how much the kidneys are working
15:32EGFR is a number that shows how much the kidney function is working
15:39G2 to G6 is within the criteria
15:42If it goes below that, it is diagnosed as chronic kidney disease
15:47This number is G3A, which is the diagnosis of chronic kidney disease
15:57On the other hand, Mr. Suga is G2 at G64
16:02Mr. Hamaguchi is also G2 at G66
16:07Mr. Suga and Mr. Hamaguchi are almost normal
16:11I'm glad to hear that it's normal
16:14If it's almost normal, I think it's okay
16:20That's the pitfall
16:24I'm scared
16:26What is the pitfall within the criteria?
16:30The EGFR criteria is 60
16:33However, the risk of kidney failure is high
16:37If the EGFR is less than 75, the risk of kidney failure increases
16:41It's quite early
16:43So it is necessary to find it early and treat it
16:48If it is a food or living environment that puts a burden on the kidneys
16:53Please change it as much as possible
16:56I would like you to do your best to live a long and healthy life
17:03Even if there is no abnormality in the health diagnosis
17:05Please be careful if the EGFR value is less than 75
17:10I thought it was a pass just by the number
17:13It's a pass, so it's safe
17:15But it's different
17:17I want to find out the EGFR value
17:19EGFR is 75
17:21There are a lot of people who cut their kidneys
17:23I think there are a lot of people
17:25Kidneys are closely related to the nervous system and the brain
17:29So you have to treat it early
17:33Is there no self-diagnosis?
17:36There is almost no self-diagnosis
17:38Kidneys are said to be silent organs
17:41In other words, it's the first time a kidney is diagnosed at the last minute
17:44For example, swelling is famous
17:47Some people say that they swell a lot the next day after drinking
17:51It's easy to overlook
17:54It's easy to understand if it's a foot
17:56The problem is swelling on the inside of the body
17:58For example, swelling in the lungs or heart
18:02In the case of the heart, the water accumulates in the membrane
18:05The heart stops moving
18:07I don't feel like that
18:09Recently, I've had a little bit of swelling
18:12It's actually bad for the kidneys
18:14I've never heard of a swollen heart
18:16That's right
18:17The movement gets worse
18:20Protein plays a role in maintaining moisture in the blood
18:25Protein concentration in the blood decreases when it leaves the urine
18:30Then, moisture leaks out of the blood vessels
18:34This is the cause of swelling in the whole body
18:37What I'm worried about is the countermeasures
18:40We teach patients how to eat
18:45So, we interviewed the patients at the doctor's hospital
18:51Here are the ingredients of the next health capsule
18:54Open
18:55A little ingenuity and half the salt
18:59Diet that hurts the kidneys
19:01Nutrition
19:03To greatly influence the human function of life
19:07At the Tokyo Jikekai Ikka University Hospital with Dr. Yoko
19:12Nutrition
19:15We asked a man here who has been in the hospital for 5 years
19:22I was going to get a kidney treatment
19:26At that time, I was also given a nutritional guidance.
19:31I think that the craniotomy that was going up to that point has stopped, and I feel like I'm almost in an elevated state.
19:40If I hadn't come here, I might be dead now.
19:44What is the content of the nutritional guidance?
19:48Nutritional Guidance
19:50A man who has been given nutritional guidance for five years due to a decrease in human function
19:56The number of craniotomy patients, which used to be 3.07, has now dropped to 2.35 due to improvements in treatment and diet.
20:07The guidance is carried out by individual nutritionists according to the patient.
20:13The content is an explanation of the main food's salt content and advice on how to change your diet from a week's work.
20:24The goal of the salt intake set by the Ministry of Health, Labour and Welfare is 7.5g per man and 6.5g per woman.
20:35Currently, the average salt intake of Japanese people is about 10g, which is considerably more than the target amount.
20:43I want to reduce salt, but it's better not to reduce calories.
20:48Mayonnaise and ketchup are low in calories and low in salt, so it may be good to use them.
20:55When eating fried oysters or fried shrimp, it is recommended to reduce the amount of sauce and increase the amount of tartar sauce.
21:02About 0.7g of salt per teaspoon of sauce, 0.09g of mayonnaise, 0.2g of ketchup, etc.
21:13There is a considerable difference in salt content depending on the seasoning.
21:17Therefore, it is especially recommended to reduce the amount of miso in the miso soup, which has a large number of dishes on the table.
21:26It is a method of cooking that reduces the amount of miso in the miso soup and makes the broth work well.
21:33The normal amount of miso soup is about 1.2g, so it seems to be reduced to about 1g.
21:40How to make salt-free miso soup with a broth recommended by Mr. Mizutani, the manager?
21:47I want to know this.
21:50The method of making salt-free miso soup is the same as that of normal miso soup.
21:54However, Mr. Mizutani will devise a way to make salt-free miso soup with shimeji mushrooms and shiitake mushrooms.
21:59Let's start cooking.
22:03First, cut shiitake mushrooms and shimeji mushrooms into easy-to-eat sizes.
22:08And what is Mr. Mizutani's plan?
22:11Freeze shimeji mushrooms for 12 hours.
22:22Why do you freeze shimeji mushrooms?
22:27When frozen, the cells of the mushrooms are broken and the umami is enhanced.
22:37When frozen, the cells of the mushrooms are broken and the umami is enhanced.
22:47It is said that the umami and nutritional value will increase three times compared to when frozen.
22:56Put the frozen mushrooms in a pot and heat them.
23:00It's not a choice not to drink miso soup.
23:04Many people are satisfied with the fact that they can drink a little miso soup.
23:09And if you drink this, you can understand the problem of eating habits.
23:18I would like everyone to taste the salt-free miso soup with shimeji mushrooms.
23:22Please eat.
23:24It smells good.
23:30I can taste the sweetness of the mushrooms.
23:33It's delicious.
23:35Is it salty?
23:37How does it taste?
23:39It's light.
23:41Can I be honest?
23:43It's a little light.
23:45If my wife gives me this, I'll say,
23:47It's light.
23:50People who feel light usually have a lot of salt.
23:54People who take a lot of salt on a daily basis will feel that this amount of salt is not enough.
24:00The tongue is used to it.
24:03Is there any important point about salt-free life?
24:07You don't have to do your best today.
24:10You have to do your best all the time.
24:12If you can't do it, you'll be in trouble.
24:14It's important to get used to it slowly.
24:17And it's important to be able to do it continuously.
24:23Thank you very much.
24:25You can think about it in total.
24:28My heart was saved.
24:31Thank you very much, YOKO.
24:33Thank you very much.
24:35Looking at the numbers, I thought it was normal.
24:38I'm glad I came here today.
24:42As a member of the family, I'm going to be light from now on.
24:48I've already told you.
24:50I understand.
24:52I'll try not to put salt on my kidneys.
24:57Next time, it's dangerous to hide in the house.
25:00With a specialist in salt-free life, we will examine the cause of falling from all angles.
25:07No way.
25:09In addition, the unexpected relationship between the pain and the fall that everyone experiences will be revealed.
25:15It's completely different.
25:17Let's meet again next week.
25:21Genki no Jikan was brought to you by KOWA, which supports your health.